A patient is hospitalized for symptoms that include auditory hallucinations and paranoid delusions. Based on the nurse's understanding of neurobiology, which neurotransmitter alteration causes these manifestations?

1. Serotonin
2. Dopamine
3. Acetylcholine
4. Norepinephrine


Answer: 2
Explanation: Dopamine disruptions are involved in psychosis, with manifestations such as auditory hallucinations and paranoid delusions. Serotonin and norepinephrine are associated with mood disorders. Acetylcholine plays a role in learning and memory and is associated with Alzheimer disease.

Nursing

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The nurse assists the client who had a recent cerebral vascular accident (CVA or stroke) with feeding and the client begins to choke. Which intervention is the best choice to meet the client's priority need?

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A nurse holds the client's relaxed left arm, with elbow flexed at a 90-degree angle, in one hand. The nurse palpates and then strikes the appropriate tendon just above the elbow with either end of the reflex hammer

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