A nurse is counseling a client diagnosed with depression. When asked questions, the client responds with words of self-blame and self-pity. When the nurse uses the monoamine hypothesis, which chemical is thought to be elevated?
A) Serotonin
B) Norepinephrine
C) Epinephrine
D) Dopamine
D
Feedback:
When associating client manifestations of words and behavior, the nurse is correct to suspect an excess of dopamine. When having an excess of dopamine, the client exhibits distortion of thoughts. In moderate to severe depression, this may be evidenced by feelings of self-guilt, self-doubt, self-pity, and low self-worth. Serotonin is the neurotransmitter that elevates mood. Either high or low levels of norepinephrine lead to psychomotor retardation or psychomotor agitation. Epinephrine is used to open airways during an allergic event.
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