A nurse is speaking with the parent of a client who is experiencing manifestations of psychosis. The parent states, "I don't understand how a child can experience psychosis." Which of the following responses should the nurse make?
"Recreational drugs that block histamine receptors cause manifestations of psychosis."
"Norepinephrine is a neurotransmitter that is primarily responsible for psychosis."
"Low levels of acetylcholine in the brain may cause manifestations of psychosis."
"Psychosis may be experienced when an individual has excessive amounts of glutamate in the brain."
The Correct Answer is D
A. While some drugs can contribute to psychosis, blocking histamine receptors is not the primary mechanism.
B. Norepinephrine is involved in mood regulation but is not the primary neurotransmitter linked to psychosis.
C. Low levels of acetylcholine are associated with cognitive decline, not specifically psychosis.
D. Excessive amounts of glutamate, an excitatory neurotransmitter, have been linked to the development of psychotic symptoms. This aligns with the understanding of psychosis and its neurochemical basis.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Functional neurological symptom disorder (conversion disorder) involves neurological symptoms incompatible with medical conditions, not primarily anxiety about disease.
B. Illness anxiety disorder is characterized by excessive worry about having or acquiring a serious illness and behaviors such as repeated body checking.
C. Factitious disorder involves deliberately producing or exaggerating symptoms for the purpose of assuming a sick role.
D. Somatic symptom disorder involves physical symptoms that cause significant distress and impairment, but the primary feature is the symptom itself, not the fear of having a disease.
Correct Answer is C
Explanation
A. Agreeing not to report the incident is inappropriate and does not ensure the safety of patients or the integrity of the healthcare environment.
B. Reporting to other RNs on the shift is not the appropriate course of action; it needs to be reported to the proper authority.
C. The appropriate action is to report the incident to the appropriate person in the chain of command immediately. This ensures that the issue is handled according to policy and that patient safety is maintained.
D. Allowing the coworker to self-report does not ensure that the incident is handled appropriately and could compromise patient safety.
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