Chapter 8: Biologic Foundations of Psychiatric Nursing - Nurselytic

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Psychiatric Nursing: Contemporary Practice 6th Edition

Chapter 8 : Biologic Foundations of Psychiatric Nursing Questions

Question 1 of 5

A nurse is teaching a medication class to a group of psychiatric patients. One of them asks the nurse why he has so much more trouble learning now when he?s in his 60s than he did when he was younger. Which of the following concepts would the nurse integrate into the response?

Correct Answer: C

Rationale: Neuroplasticity refers to the brain?s ability to adapt and form new neural connections, which declines with age, impacting learning and memory. The nurse would explain that reduced neuroplasticity in older age makes learning more challenging. The extrapyramidal motor system affects movement, the amygdala regulates emotions, and psychoneuroimmunology involves immune-brain interactions, none of which directly address learning difficulties.

Question 2 of 5

Which of the following would a nursing instructor identify when describing the area of the brain involved with verbal language function, including areas for both receptive and expressive speech?

Correct Answer: D

Rationale: The left hemisphere is primarily responsible for verbal language functions, including Broca?s area (expressive speech) and Wernicke?s area (receptive speech). The right hemisphere handles nonverbal functions, the parietal lobe processes sensory information, and the occipital lobe is involved in vision.

Question 3 of 5

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?

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.

Question 4 of 5

The nurse is caring for an older adult who has experienced damage to the frontal lobe after an automobile accident. The nurse anticipates that the patient will have difficulty with which of the following?

Correct Answer: B

Rationale: The frontal lobe is responsible for executive functions, including concept formation, planning, and decision-making. Damage may impair these abilities. Smell is associated with the olfactory bulb, receptive speech with Wernicke?s area (temporal lobe), and hearing with the auditory cortex (temporal lobe).

Question 5 of 5

The nurse is caring for a patient who has experienced damage to the parietal lobes of the brain. The nurse anticipates that the patient will have difficulty with which of the following?

Correct Answer: A

Rationale: The parietal lobes process sensory information, such as touch and spatial awareness. Damage can impair sensory perception. Calculating math problems involves the frontal and parietal lobes but is less specific, seeing objects relates to the occipital lobe, and fluent speech involves Broca?s area.

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