Most antipsychotic drugs produce their effects by:
a. controlling the release of pituitary adrenal axis hormones and their effect on the brain
b. binding to a specific brain receptor or affect one or more neurotransmitter systems
c. being water-soluble and rapidly circulating throughout the brain
d. causing an initial placebo effect followed by the true pharmaceutical effect
B
The majority of antipsychotic medications produce their effects as a result of binding to specific brain cell receptors or affecting one or more neurotransmitter systems. As an example, the receptors for dopamine are the receptors that are bound strongly by the majority of antipsychotic medications.
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The nurse is caring for a client who has been diagnosed with dissociative disorder. The nurse knows that an appropriate intervention to promote effective role performance is to:
1. Encourage the client to have no contact with friends and family. 2. Ignore the client's other personalities. 3. Help the client alienate family members who do not believe the client is sick. 4. Include family members is therapy.
Couvade is BEST described as the:
a. development of physical symptoms of pregnancy by the expectant father b. fluid that contains antibodies and is secreted by the breasts prior to breast milk c. motion of rebound that the floating fetus experiences when pushed upward through the vagina or abdomen d. soft blowing sound occurring at the same rate as the maternal heart rate when the abdomen of a pregnant mother is auscultated
A healthcare worker who is asymptomatic has a screening TST result of 10 mm of induration during a pre-employment physical. What will the nurse reading this test tell the patient?
a. "This is a negative test, so you are cleared for employment." b. "You have latent TB and will need to take isoniazid for 6 to 9 months." c. "You need to have a chest radiograph and a sputum culture." d. "You will begin taking a four-drug regi-men to treat tuberculosis."
Since the divorce of parents 6 months ago, an adolescent has been absent from school nearly every Friday and gives vague complaints of various illnesses. Which nursing intervention would be most therapeutic in this situation?
a. Ask the student to discuss what is happening on Fridays. b. Call the student's parents to determine their view concerning the behavior. c. Request that the school counselor invite the student's parents for a family meeting. d. Arrange for an examination including diagnostic testing to rule out any medical illnesses.