Nokea
Which nursing intervention below is part of the scope of an advanced practice psychiatric/mental health nurse rather than a basic level registered nurse?
- A. Coordination of care
- B. Health teaching
- C. Prescribe psychotropic medication
- D. Milieu therapy
Correct Answer: C
Rationale: Advanced practice psychiatric/mental health nurses have prescriptive authority in most states, which is beyond the scope of a basic level registered nurse. Coordination of care, health teaching, and milieu therapy are within the basic RN scope. The original document was incomplete, so 'Prescribe psychotropic medication' was added based on context from Question 1, and 'Milieu therapy' was generated as a plausible option.
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Selye's(1956, 1976) studies of the general adaptation syndrome investigated ______________ responses to stress.
- A. psychological
- B. gastrointestinal
- C. adrenomedullary
- D. adrenocortical
Correct Answer: D
Rationale: Hans Selye focused on adrenocortical responses during stress.
What behavioral symptoms would the nurse expect to assess in a client with obsessive-compulsive disorder?
- A. Restlessness and pacing
- B. Excessive sweating and tachycardia
- C. Use of breathing techniques to decrease anxiety
- D. Use of excessive and ritualistic behaviors to relieve anxiety
Correct Answer: D
Rationale: Obsessive-compulsive disorder is characterized by repetitive, ritualistic behaviors aimed at reducing anxiety.
Type - II schizophrenia is characterized by all except
- A. Negative symptoms
- B. Disorganized behavior
- C. Poor response to treatment
- D. Abnormal CT scan
Correct Answer: B
Rationale: Type II schizophrenia (Crow's classification) features negative symptoms, poor treatment response, and structural brain abnormalities, but disorganized behavior is more typical of Type I.
The following are parasomnias except
- A. Sleep starts
- B. Sleep Bruxism
- C. Benign neonatal sleep myoclonus
- D. Central sleep apnea syndrome
Correct Answer: D
Rationale: Central sleep apnea is a breathing disorder, not a parasomnia (abnormal sleep behavior).
A client is curious about the impact of chronic stress on the development of depression. Which statement accurately reflects the relationship between chronic stress and depression?
- A. Chronic stress can lead to hyperactivity of the HPA axis, resulting in elevated levels of cortisol that can support neuronal growth and survival.
- B. Chronic stress can lead to hypoactivity of the HPA axis, resulting in reduced levels of cortisol that enhance neurogenesis and synaptic plasticity.
- C. Chronic stress can lead to hyperactivity of the HPA axis, resulting in elevated levels of cortisol that can impair neurogenesis and synaptic plasticity.
- D. Chronic stress can lead to hypoactivity of the HPA axis, resulting in reduced levels of cortisol that improve neurotrophic factors and cognitive function.
Correct Answer: C
Rationale: Choice A rationale: Elevated cortisol levels due to chronic stress have detrimental effects, not supportive ones. Choice B rationale: Chronic stress leads to hyperactivity, not hypoactivity, of the HPA axis. Choice C rationale: Chronic stress causes hyperactivity of the HPA axis, leading to elevated cortisol levels, which impair neurogenesis and synaptic plasticity. Choice D rationale: Reduced cortisol levels are not commonly associated with chronic stress.