A patient with Parkinson's disease is deficient in the neurotransmitter that affects behavior (attention, emotions) and fine motor movements. What neurotransmitter imbalance is associated with this condition?
A) Serotonin
B) Enkephalin
C) Norepinephrine
D) Dopamine
Ans: D
Feedback: Dopamine's action is usually inhibitory and affects behavior (attention, emotions) and fine motor movements.
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The process of emptying state mental hospitals and placing mentally ill persons in the community is known as
1. recidivism. 2. exacerbation. 3. deinstitutionalism. 4. deinstitutionalization.
As a nurse manager, you have been asked to be part of a design team for health services that have vertical integration. In planning for these services, your team will design a proposal that will:
a. Cluster like services together, such as outpatient clinics for the care of children with various developmental and medical needs. b. Plan for the smooth transition of patients from the emergency services department to other units in the hospital. c. Ensure that funding follows the patient from acute care to long-term care services. d. Bring together acute care, ambulatory, home care, and palliative care services for the management of patients diagnosed with cancer.
A nurse is discharging an older patient after a hospitalization for a hip fracture. The patient is a participant in a Program for All Inclusive Care for the Elderly (PACE). The nurse understands that a PACE program: (Select all that apply.)
a. provides services to older people who would otherwise need a nursing home lev-el of care. b. does not provide services to participants who reside in a nursing home. c. is only available to individuals who have both Medicare and Medicaid. d. provides medications, eyeglasses, and transportation to care. e. provides urgent and preventive care.
A nurse observes a nursing assistant (NAP) fail to wash her hands before and after placing a patient on a bedpan. When giving negative feedback to the NAP, the nurse should:
1) Be certain to offer constructive criticism about the task and do so in private. 2) Ask the unit manager to be present to document responses of both parties. 3) Call a meeting of all NAPs and stress hand washing to the entire group. 4) Keep a record of the NAP's actions and save them for her annual formal review.