Professional Documents
Culture Documents
____ 6. Six months after her husband and children were killed in a car accident, a client is diagnosed with
ulcerative colitis. The nurse should recognize that this situation validates which study perspective?
1. Neuroendocrinology
2. Psychoneuroimmunology
3. Diagnostic technology
4. Neurophysiology
____ 7. A withdrawn client, diagnosed with schizophrenia, expresses little emotion and refuses to attend
group therapy. What altered component of the nervous system should a nurse recognize as being
responsible for this behavior?
1. Dendrites
2. Axons
3. Neurotransmitters
4. Synapses
____ 8. An instructor is teaching nursing students about neurotransmitters. Which best explains the process
of how neurotransmitters released into the synaptic cleft may return to the presynaptic neuron?
1. Regeneration
2. Reuptake
3. Recycling
4. Retransmission
____ 9. A nurse concludes that a restless, agitated client is manifesting a fight-or-flight response. The nurse
should associate this response with which neurotransmitter?
1. Acetylcholine
2. Dopamine
3. Serotonin
4. Norepinephrine
____ 10. A client is admitted to a psychiatric unit with the diagnosis of catatonic schizophrenia. Which of the
client’s neurotransmitters should a nurse expect to be elevated?
1. Serotonin
2. Dopamine
3. Gamma-aminobutyric acid (GABA)
4. Histamine
____ 13. Which cerebral structure should a nursing instructor describe to students as the “emotional brain”?
1. The cerebellum
2. The limbic system
3. The cortex
4. The left temporal lobe
____ 14. A nurse understands that the abnormal secretion of growth hormone may play a role in which
illness?
1. Acute mania
2. Schizophrenia
3. Anorexia nervosa
4. Alzheimer’s disease
____ 15. A client is admitted to an emergency department experiencing memory deficits and decreased motor
function. What alteration in brain chemistry should a nurse correlate with the production of these
symptoms?
1. Abnormal levels of serotonin
2. Decreased levels of dopamine
3. Increased levels of norepinephrine
4. Decreased levels of acetylcholine
____ 16. A nurse should recognize that a decrease in norepinephrine levels would play a significant role in
which mental illness?
1. Bipolar disorder: mania
2. Schizophrenia spectrum disorder
3. Generalized anxiety disorder
4. Major depressive episode
____ 17. A nurse should expect that an increase in dopamine activity might play a significant role in the
development of which mental illness?
1. Schizophrenia spectrum disorder
2. Major depressive disorder
Multiple Response
Identify one or more choices that best complete the statement or answer the question.
____ 18. Which of the following information should a nurse include when explaining causes of anorexia
nervosa to a client? (Select all that apply.)
1. There is a possible correlation between abnormal secretion of growth hormone and
anorexia nervosa.
2. There is a possible correlation between antidiuretic hormone levels and anorexia
nervosa.
3. There is a possible correlation between low levels of gonadotropin and anorexia
nervosa.
4. There is a possible correlation between increased levels of prolactin and anorexia
nervosa.
5. There is a possible correlation between altered levels of oxytocin and anorexia
nervosa.
____ 19. Which of the following symptoms should a nurse associate with the development of decreased levels
of thyroid-stimulating hormone (TSH) in a newly admitted client? (Select all that apply.)
1. Depression
2. Fatigue
3. Increased libido
4. Mania
5. Hyperexcitability
Completion
Complete each statement.
MULTIPLE CHOICE
1. ANS: 1
Chapter: Chapter 2, Biological Implications
Objective: Recognize various theorized influences in the development of psychiatric disorders
including brain physiology, genetics, endocrine function, immune system, and psychosocial, and
environmental factors.
Page: 15–19
Headings: The Parietal Lobes, The Occipital Lobes, Limbic System, Medulla
Integrated Processes: Teaching and Learning
Client Need: Psychosocial Integrity
Cognitive Level: Analysis [Analyzing]
Concept: Mood
Difficulty: Easy
Feedback
1 The nurse should advise the client that medications address biological factors,
but there are other factors that affect mood. The nurse should educate the client
on environmental and interpersonal factors that can lead to depression.
2 The statement is false because biological factors are not the sole cause of
depression.
3 It is false that environmental factors have been shown to exert the most
influence in the development of depression.
4 Researchers have demonstrated a link between nature and nurture.
Feedback
1 The occipital lobes are the area of visual reception and interpretation.
2 Somatosensory input (touch, taste, temperature, etc.) occurs in the parietal lobes.
3 The medulla contains vital centers that regulate heart rate and reflexes.
4 The nurse should explain to the client that the limbic system is largely
Title: The secret history of the court of Spain during the last century
Language: English
Frontispiece
THE SECRET HISTORY OF
THE COURT OF SPAIN
DURING THE LAST CENTURY
BY
RACHEL CHALLICE
NEW YORK
D . A P P L E T O N & C O M PA N Y
MCMIX
AUTHOR’S NOTE
CHAPTER PAGE
Index 345
LIST OF ILLUSTRATIONS
Key
===
A = Antonio (son of Duke of Montpensier)
CB = Carlos de Bourbon
CG = Count of Girgenti
DCM = Don Carlos, Count of Montemolin
DP = De la Paz
FA = Francisco de Asis
FP = Francisco de Paula
LF = Luis Ferdinand of Bavaria
MCA = Maria Cristina of Austria
MCN = Maria Cristina of Naples
(sister of Luisa Carlota and of Princess of Beira)
Mcd = Mercedes (cousin to Alfonso XII.)
MF = Maria Francisca of Portugal
(sister of Isabel of Braganza)
MJA = Maria Josefa Amalia of Saxony
MLF = Maria Luisa Fernanda
MM = Maria de las Mercedes (Princess of Asturias)
MT = Maria Teresa
P = Pilar (Infanta)
PM = Princess of Modena
VE = Victoria Eugénie of Battenberg
1800–1804
And then the Queen once more poured into her friend’s ears her
doubts and fears as to her future and that of Charles IV.
From the time Maria Antonia of Naples married the eighteen-
year-old Prince of Asturias in 1802, she proved herself an active
partisan of her husband and his tutor Escoiquiz, and if she had lived
longer her clear-sightedness might have prevented the surrender of
Spain to Bonaparte.
In obedience to her mother, Queen Caroline of Naples, the
Princess of Asturias was unremitting in her efforts to contravert the
plans of her irreconcilable enemy Napoleon, which were
subsequently furthered by the short-sighted policy of Godoy and
Maria Luisa. Secret and almost daily were the letters which passed
between Princess Maria Antonia and Queen Caroline, and, as the
correspondence was conducted in cipher, it entered the Court of
Naples without attracting any attention, and thus many diplomatic
secrets from Madrid travelled thence to England. In the bitter warfare
of personal hatred and political intrigue no accusations were too bad
to be levelled by one part of the Spanish Royal Family against the
other.
The partisans of the Prince and Princess of Asturias declared that
Godoy and Maria Luisa filled the King’s mind with suspicions against
Ferdinand, even to the point of attributing parricidal thoughts to him,
so that the King might disinherit him and put Godoy in his place. And
the followers of Godoy declared that the Princess of Asturias not
only had designs against the Prince of the Peace, but against the
Sovereigns themselves.
The secret correspondence between Queen Caroline and her
daughter was found years afterwards in the house of the Duke of
Infantado, and it showed the hatred of the Prince and his wife
towards the Queen’s favourite, whilst speaking of the King as if he
already had one foot in the grave. One of these letters to Naples was
intercepted by Napoleon, and it fully convinced him of the part
played by Prince Ferdinand and his wife with regard to France.
The people’s discontent with Godoy was fostered by Ferdinand’s
followers, and, indeed, the government of the turbulent country
required a more expert hand than that of the favourite.
The clergy were also enraged when they heard that the Minister
had received a Bull from Rome for the reform of the monastic