The nurse is assessing a patient experiencing anxiety and observes increased sweating and gooseflesh. The nurse understands that these are the result of which substance?
- A. Acetylcholine
- B. Norepinephrine
- C. Serotonin
- D. Histamine
Correct Answer: B
Rationale: Norepinephrine, part of the sympathetic nervous system, triggers physiological responses like sweating and gooseflesh during anxiety (fight-or-flight response). Acetylcholine is parasympathetic, serotonin regulates mood, and histamine is involved in allergic responses.
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A nurse is developing a plan of care for a patient experiencing expressive aphasia. The nurse incorporates knowledge that the patient most likely has sustained damage to which of the following?
- A. The postcentral gyrus
- B. Broca?s area
- C. Basal ganglia
- D. The hippocampus
Correct Answer: B
Rationale: Expressive aphasia, difficulty producing speech, is associated with damage to Broca?s area in the frontal lobe. The postcentral gyrus processes sensory input, the basal ganglia regulate movement, and the hippocampus is involved in memory, none of which directly cause expressive aphasia.
The nurse is caring for a hospitalized patient who has a disorder of the hypothalamus. When developing the patient?s plan of care, in which of the following areas would the nurse anticipate a problem?
- A. Sleep
- B. Constipation
- C. Speech
- D. Motor activity
Correct Answer: A
Rationale: The hypothalamus regulates functions like sleep, hunger, and body temperature. A disorder may disrupt sleep patterns. Constipation is less directly related, speech involves cortical areas like Broca?s, and motor activity is primarily controlled by the basal ganglia and motor cortex.
A nursing instructor asks a student to explain the influence of chronobiology on depression. Which of the following would the student include when responding?
- A. The exact location of genes leads to identifying the gene responsible for causing depression.
- B. A break in the corpus callosum blocks information exchange between the right and left hemispheres.
- C. Damage to the posterior areas of the parietal lobe leads to altered discriminative sensory function.
- D. Internal and external triggers can elicit biologic rhythm changes indicative of clinical depression.
Correct Answer: D
Rationale: Chronobiology studies biological rhythms, such as circadian rhythms, which influence mood disorders like depression. Internal (e.g., hormonal changes) and external (e.g., light exposure) triggers can disrupt these rhythms, contributing to depressive symptoms. The other options relate to genetics, brain connectivity, or sensory function, not chronobiology.
A nurse is developing a plan of care for a patient diagnosed with schizophrenia. The nurse integrates knowledge of this disorder, identifying which neurotransmitter as being primarily involved?
- A. Acetylcholine
- B. Dopamine
- C. Norepinephrine
- D. Serotonin
Correct Answer: B
Rationale: Schizophrenia is primarily associated with dopamine dysregulation, particularly in the mesolimbic pathway, contributing to symptoms like hallucinations. Acetylcholine, norepinephrine, and serotonin play roles in other disorders but are not primary in schizophrenia.
A nurse is involved in gathering information about the inheritance of mental disorders using population genetics. Which of the following would the nurse be least likely to be evaluating?
- A. Concordance rates
- B. Occurrence in first-degree relatives
- C. Risk factor analysis
- D. Adoptions studies
Correct Answer: C
Rationale: Population genetics studies inheritance patterns using concordance rates, first-degree relative occurrences, and adoption studies to isolate genetic vs. environmental factors. Risk factor analysis, while relevant to epidemiology, is less specific to genetic inheritance studies.
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