Which of the following brain structures is involved in voluntary motor movements?

Correct Answer: A

Rationale: The correct answer is A: Basal ganglia. The basal ganglia is involved in voluntary motor movements by helping to initiate and control movement. It plays a key role in regulating motor planning, coordination, and execution. The prefrontal cortex, choice B, is primarily responsible for higher cognitive functions such as decision-making and impulse control, not voluntary motor movements. The amygdala, choice C, is involved in emotional processing and memory, not motor movements. The limbic system, choice D, is a collection of brain structures involved in emotions, memory, and motivation, but not specifically in voluntary motor movements.

Correct Answer: C

Rationale: The correct answer is C: SNRI. SNRIs (Serotonin-Norepinephrine Reuptake Inhibitors) are the best medication class for elevated norepinephrine levels as they inhibit the reuptake of both serotonin and norepinephrine, thus increasing their levels in the brain. This helps regulate the neurotransmitter imbalance associated with elevated norepinephrine. A: SSRIs only target serotonin, not norepinephrine. B: MAOIs inhibit the breakdown of norepinephrine but are less commonly used due to dietary restrictions and potential side effects. D: Benzodiazepines are not effective in directly targeting norepinephrine levels.

Correct Answer: A

Rationale: The correct answer is A. Elevated prolactin levels are a common side effect of first-generation antipsychotics, leading to sexual dysfunction and nipple discharge. Ordering a blood test to examine prolactin levels is appropriate to monitor for this side effect. Option B is incorrect as sexual dysfunction and nipple discharge are not normal responses to treatment. Option C is irrelevant as OTC supplements are not typically related to these symptoms. Option D is incorrect as discontinuing medication without proper evaluation and management of side effects can worsen the patient's condition.

Correct Answer: A

Rationale: Rationale for Correct Answer (A): A is the correct response because it demonstrates empathy and understanding towards Mary's difficult situation without making assumptions or judgments. It acknowledges Mary's feelings and shows support without imposing personal opinions. Explanation for Incorrect Choices: B: This choice invalidates Mary's feelings by implying she should not dwell on being wronged. It may come across as dismissive and does not validate Mary's emotions. C: This response focuses on the nurse's feelings rather than Mary's, which is not therapeutic communication. It does not address Mary's concerns directly. D: This response assumes Mary's family members are uncaring, which could lead to conflict or defensiveness. It does not reflect active listening or empathy towards Mary's perspective.

Correct Answer: A

Rationale: The correct answer is A because verbalizing a desire to end their life and giving away possessions are clear indicators of suicidal ideation and planning. This behavior demonstrates a serious intent to harm oneself. Expressing frustration (choice B) is a common emotion and does not necessarily indicate suicidal risk. Appearing sad and withdrawn (choice C) without any statements about harm may suggest depression but not necessarily suicide risk. Not wanting to participate in group activities (choice D) without a specific reason could be due to various factors and does not directly correlate with suicidal behavior.