On the basis of current knowledge of neurotransmitter effects, ...

[Charlie]

On the basis of current knowledge of neurotransmitter effects, the nurse could anticipate that the
  treatment plan for a client with memory difficulties might include orders to administer medication
  designed to
 
  a. inhibit GABA.
  b. increase dopamine at receptor sites.
  c. decrease dopamine at receptor sites.
  d. prevent destruction of acetylcholine.

Question 2

A street person is brought to the hospital after having been badly beaten. She is states the hospital is
  the gateway to hell.. She is withdrawn and does not want to talk with anyone. She is thought to
  have a schizoid personality disorder.
 
  The approach most useful for working with this client is to
  a. seek detailed information about what happened to help the client see her role in
  causation.
  b. simply and clearly tell her what is going to be done before taking any action.
  c. alternate between being warm and friendly and neutral and businesslike.
  d. try to inject a bit of humor into the situation to relieve tension.

[Anton]

Answer to Question 1

ANS: D
Increased acetylcholine plays a role in learning and memory. Preventing destruction of acetylcholine
by acetylcholinesteras e would result in higher levels of acetylcholine, with the potential for
improved memory. Option A: GABA is known to affect anxiety level rather than memory. Option B:
Increased dopamine would cause symptoms associated with schizophrenia or mania rather than
improve memory. Option C: Decreasing dopamine at receptor sites is associated with Parkinson's
disease rather than improving memory.

Answer to Question 2

B
When a client is having difficulty understanding reality, the nurse should communicate in clear,
simple, concise language. Option A is inappropriate for a client unable to test reality accurately.
Option C hinders establishment of trust. Option D is inappropriate for a client unable to test reality
accurately.