This document contains 33 multiple choice nursing questions covering various topics in psychiatric nursing including:
1. Nursing theorists and the therapeutic nurse-patient relationship.
2. Neurotransmitters such as GABA, serotonin, and their roles.
3. Defense mechanisms, transference, empathy, and therapeutic communication techniques in nurse-patient interactions.
This document contains 33 multiple choice nursing questions covering various topics in psychiatric nursing including:
1. Nursing theorists and the therapeutic nurse-patient relationship.
2. Neurotransmitters such as GABA, serotonin, and their roles.
3. Defense mechanisms, transference, empathy, and therapeutic communication techniques in nurse-patient interactions.
This document contains 33 multiple choice nursing questions covering various topics in psychiatric nursing including:
1. Nursing theorists and the therapeutic nurse-patient relationship.
2. Neurotransmitters such as GABA, serotonin, and their roles.
3. Defense mechanisms, transference, empathy, and therapeutic communication techniques in nurse-patient interactions.
Which nursing theorists develop a model for the therapeutic nurse-
patient relationship. Single choice. (1 Point) Peplau Leininger Orem Rogers 2.Which of the following neurotransmitters prevents postsynaptic excitation and interrupts the progression of electrical impulse at the synapse? It also slows down bodily functions.. Single choice. (1 Point) Norepinephrine acetylcholine gamma amino butyric acid Glutamate 3.The primary neurotransmitter of the auditory nerve that also controls the opening of calcium channels in the neuron.. Single choice. (1 Point) Epinephrine Glutamate neuropeptides serotonin 4.Plays a role in sleep & arousal especially the onset of sleep, libido, appetite, mood, aggression, pain perception, temperature regulation, coordination, & the ability to pursue goal-directed behavior.. Single choice. (1 Point) GABA Acetylcholine histamine serotonin 5.Chemical substances manufactured in the neuron that aid in the transmission of information throughout the body.. Single choice. (1 Point) Excitatory cells Nerve impulses neurotransmitters electrical impulses 6.The basis for a therapeutic nurse-patient relationship begins with the nurses’ :. Single choice. (1 Point) Sincere desire to help others Acceptance of others Self-awareness & understanding Sound knowledge of Psychiatric nursing 7.The nurse should introduce information about the end of the nurse- patient relationship:. Single choice. (1 Point) During the orientation phase As the goals of the relationship are reached At least one or two sessions before the last meeting When the patient is able to tolerate it 8.Which of the following is the most appropriate topic during the orientation phase of the nurse-patient relationship?. Single choice. (1 Point) Patient’s perception of the reason of her being hospitalized Identification of more effective methods of dealing with stress Exploration of the patient’s inadequate coping skills Establishment of nurse-patient contract 9..The nurse knows that a therapeutic relationship is possible only when:. Single choice. (1 Point) Emotional difficulties are identified Mutual trust is achieved Patient’s self esteem is increased Patient is motivated to change 10.Which of the following techniques of communication is appropriate when initiating a conversation?. Single choice. (1 Point) Therapeutic silence Reflecting focusing broad opening 11.Which of the following techniques used is an example of giving a broad opening?. Single choice. (1 Point) When did this happen to you?” “Would you describe it in more detailed?” “Where would you like to begin” “I would like to spend time to talk with you” 12.Virgie lost an important advertising account and had a flat tire on the way home. That evening she began to find fault with everyone. Which defense mechanism she is using?. Single choice. (1 Point) Displacement Projection regression sublimation 13.Fidel initially responds to the news by yelling “No, I don’t believe it, It can’t be true. Fidel is using, which defense mechanism?. Single choice. (1 Point) Introjection Suppression denial repression 14..On arriving home Fidel encounters neighbors who asked about his mother’s condition. Fidel tells them all the details unemotionally and without feeling upset. The behavior illustrates his use of:. Single choice. (1 Point) Displacement introjection intellectualization conversion 15.Freud believed the self, or ego uses which of the following methods in attempting to protect the self & cope with basic drives or emotionally painful thoughts, feelings, or events.. Single choice. (1 Point) Defense mechanism Nurse-patient interaction self-awareness therapeutic use of self 16.An adult remembering what he did during his childhood is an example of what level of awareness according to Freud?. Single choice. (1 Point) Conscious integrity vs. despair unconscious Preconscious 17.The ability to enter into the life of another person and perceive his current feelings and their meaning is known as one of the following:. Single choice. (1 Point) Empathy Respect genuineness sympathy 18.On a nurse-patient interaction, Mar says, I don’t want to talk today”. The nurse responds therapeutically by saying one of the following:. Single choice. (1 Point) “What made you say that?” “I’ll sit here with you for a while” “Are you not feeling well today?” “Why are you reluctant to talk?” Option 2 19.A patient uses repetitive hand washing. To help the patient use less maladaptive means of handling stress, the nurse could:. Single choice. (1 Point) Provide varied activities on the ward to break this ritualistic pattern Give the patient ward assignment that do not require perfection Inform the patient about changes in routine at the last minute Provide an activity in which positive accomplishment can occur, so that patient can gain recognition 20.When assessing and recording a patient’s mental status, which of the following statements is based on observation?. Single choice. (1 Point) The patient prefers to remain dirty and disheveled and does not bother to shower in the morning. The patient likes to antagonize other patients and staff members by refusing to shower. The patient does not respond to request by staff member to shower and attend to personal grooming. The patient demonstrates refusal to shower related to his needs to control the environment. 21.It is the main tool used by the nurse in the practice of Psychiatric Nursing.. Single choice. (1 Point) Self-awareness Therapeutic communication therapeutic use of self defense mechanism 22.It is the process by which the nurse gains recognition of his or her own feelings, beliefs, and attitudes.. Single choice. (1 Point) Self-awareness Transference therapeutic use of self counter-transference 23.Clients’ inaccurate interpretation that general events are personally directed to him or to her, such as hearing a speech on the news and believing the message had personal meaning.. Single choice. (1 Point) Transference Ideas of reference flight of ideas circumstantial thinking 24..He relates mental disorders to physical disorders & developed his theory that the amounts of blood, water, and yellow and black bile in the body controlled the emotions.. Single choice. (1 Point) Philippe Pinel Dorothy Dix Aristotle Sigmund Freud 25.What is the art in Psychiatric Nursing Care?. Single choice. (1 Point) Self-awareness Therapeutic use of self self concept different theories of nursing 26.David, an adolescent has a history of truancy from school, running away from home, and “borrowing” other people’s things without their permission. The adolescent denies stealing, rationalizing instead that as long as no one was using the items, it was all right to borrow them. It is important for the nurse to understand the psychodynamically, this behavior may be largely attributed to a developmental defect related to the:. Single choice. (1 Point) Id Ego Superego Oedipal Complex 27.Meryl, age 19, is highly dependent on her parents and fears leaving home to go away to college. Shortly before the semester starts, she complains that her legs are paralyzed and is rushed to the emergency department. When physical examination rules out a physical cause for her paralysis, the physician admits her to the psychiatric unit where she is diagnosed with conversion disorder. Meryl asks the nurse, “Why has this happened to me?” What is the nurse’s best response?. Single choice. (1 Point) “You’ve developed this paralysis so you can stay with your parents. You must deal with this conflict if you want to walk again.” “It must be awful not to be able to move your legs. You may feel better if you realize the problem is psychological, not physical.” “Your problem is real but there is no physical basis for it. We’ll work on what is going on in your life to find out why it’s happened.” “It isn’t uncommon for someone with your personality to develop a conversion disorder during times of stress. 28..Nurse Cristina is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as:. Single choice. (1 Point) Delusions Hallucinations Loose associations Neologisms 29.Tim is admitted with a diagnosis of delusions of grandeur. The nurse is aware that this diagnosis reflects a belief that one is:. Single choice. (1 Point) Highly important or famous. Being persecuted Connected to events unrelated to oneself Responsible for the evil in the world. 30. Nicolas is experiencing hallucinations tells the nurse, “The voices are telling me I’m no good.” The client asks if the nurse hears the voices. The most appropriate response by the nurse would be:. Single choice. (1 Point) “It is the voice of your conscience, which only you can control.” “No, I do not hear your voices, but I believe you can hear them”. “The voices are coming from within you and only you can hear them.” “Oh, the voices are a symptom of your illness; don’t pay any attention to them.” 31.When establishing an initial nurse-client relationship, Nurse Hazel should explore with the client the:. Single choice. (1 Point) Client’s perception of the presenting problem. Occurrence of fantasies the client may experience. Details of any ritualistic acts carried out by the client Client’s feelings when external; controls are instituted. 32. As a care provider, The nurse should do first:. Single choice. (1 Point) Provide direct nursing care. Participate with the team in performing nursing intervention. Therapeutic use of self. Early recognition of the client’s needs. 33.As a manager, the nurse should:. Single choice. (1 Point) Initiates nursing action with co workers. Plans nursing care with the patient. Speaks in behalf of the patient. Works together with the team. 34. The nurse shows a patient advocate role when. Single choice. (1 Point) defend the patients right refer patient for other services she needs work with significant others intercedes in behalf of the patient. 35.Which is the following is the most appropriate during the orientation phase?. Single choice. (1 Point) patients perception on the reason of her hospitalization identification of more effective ways of coping exploration of inadequate coping skills establishment of regular meeting of schedules 36. Preparing the client for the termination phase begins:. Single choice. (1 Point) pre orientation orientation working termination 37. During the nurse-patient interaction, the nurse assesses the following to determine the patients coping strategy:. Single choice. (1 Point) how are you feeling right now? do you have anyone to take you home? what do you think will help you right now? How does your problem affect your life? 38. As a counselor, the nurse performs which of the following task?. Single choice. (1 Point) encourage client to express feelings and concerns helps client to learn a dance or song to enable her to participate in activities help the client prepare in group activities assist the client in setting limits on her behavior 39.Freud stresses out that the EGO. Single choice. (1 Point) Distinguishes between things in the mind and things in the reality. Moral arm of the personality that strives for perfection than pleasure. Reservoir of instincts and drives Control the physical needs instincts. 40.A 16-year-old child is hospitalized, according to Erik Erikson, what is an appropriate intervention?. Single choice. (1 Point) tell the friends to visit the child encourage patient to help child learn lessons missed call the priest to intervene tell the child’s girlfriend to visit the child. 41. Which of the following is not an example of alteration of perception?. Single choice. (1 Point) ideas of reference flight of ideas illusion hallucination 42.A client is admitted to the inpatient psychiatric unit. He is unshaven, has body odor, and has spots on his shirt and pants. He moves slowly, gazes at the floor, and has a flat affect. The nurse’s highest priority in assessing the client on admission would be to ask him:. Single choice. (1 Point) How he sleeps at night. If he is thinking about hurting himself. About recent stresses. How he feels about himself. 43. A client tells the nurse that people from Mars are going to invade the earth. Which response by the nurse would be most therapeutic?. Single choice. (1 Point) “That must be frightening to you. Can you tell me how you feel about it?” “There are no people living on Mars.” “What do you mean when you say they’re going to invade the earth?” “I know you believe the earth is going to be invaded, but I don’t believe that.” 44.A client with schizophrenia tells the nurse he hears the voices of his dead parents. To help the client ignore the voices, the nurse should recommend that he:. Single choice. (1 Point) sit in a quiet, dark room and concentrate on the voices. listen to a personal stereo through headphones and sing along with the music. call a friend and discuss the voices and his feelings about them. engage in strenuous exercise. 45.The nurse is assigned to a client with catatonic schizophrenia. Which intervention should the nurse include in the client’s plan of care?. Single choice. (1 Point) Meeting all of the client’s physical needs Giving the client an opportunity to express concerns Administering lithium carbonate (Lithonate) as prescribed Providing a quiet environment where the client can be alone 46. The most common defense mechanism used by a paranoid client is:. Single choice. (1 Point) Displacement Rationalization Projection Suppression 47.When Mang Jose says to you: “The voices are telling me bad things again!” The best response is:. Single choice. (1 Point) “Whose voices are those?” “I doubt what the voices are telling you.” “I do not hear the voice you say you hear.” “Are you sure you hear these voices?” 48. A relevant nursing diagnosis for clients with auditory hallucination is:. Single choice. (1 Point) Sensory perceptual alteration Altered thought process Impaired social interaction Impaired verbal communications 49.During mealtime, Jose refused to eat telling them that the food was poisoned. The nurse considers the following except:. Single choice. (1 Point) Ignore his remark Offer him food in his own container Show him how irrational his thinking is Respect his refusal to eat. 50. When communicating with Jose. The nurse considers the following except:. Single choice. (1 Point) Be Warm and enthusiastic Refrain from touching Jose Do not argue regarding his hallucination and delusion Use simple, clear language 51.The nursing management of anxiety-related with post-traumatic stress disorder includes all of the following EXCEPT:. Single choice. (1 Point) Encourage participation in recreation or sport activities Reassurance client’s safety while touching client Speak in calm soothing voice Remain with the client while fear level is high 52.The nurse is caring for a client with schizophrenia. Which of the following outcomes is the least desirable?. Single choice. (1 Point) The client spends more time by himself. The client doesn’t engage in delusional thinking. The client doesn’t harm himself or others. The client demonstrates the ability to meet his own self-care needs. 53.A client with paranoid schizophrenia repeatedly uses profanity during an activity therapy session. Which response by the nurse would be most appropriate?. Single choice. (1 Point) “Your behavior won’t be tolerated. Go to your room immediately.” “You’re just doing this to get back at me for making you come to therapy.” “Your cursing is interrupting the activity. Take time out in your room for 10 minutes.” “I’m disappointed in you. You can’t control yourself even for a few minutes.” 54. The etiology of schizophrenia is best described by:. Single choice. (1 Point) . genetics due to a faulty dopamine receptor. environmental factors and poor parenting. structural and neurobiological factors. a combination of biological, psychological, and environmental factors. 55.A client with a diagnosis of paranoid schizophrenia comments to the nurse, “How do I know what is really in those pills?” Which of the following is the best response?. Single choice. (1 Point) Say, “You know it’s your medicine.” Allow him to open the individual wrappers of the medication. Say, “Don’t worry about what is in the pills. It’s what is ordered.” Ignore the comment because it’s probably a joke. 56.Every day for the past 2 weeks, a client with schizophrenia stands up during group therapy and screams, “Get out of here right now! The elevator bombs are going to explode in 3 minutes!” The next time this happens, how should the nurse respond?. Single choice. (1 Point) “Why do you think there is a bomb in the elevator?” “That is the same thing you said in yesterday’s session.” “I know you think there are bombs in the elevator, but there aren’t.” “If you have something to say, you must do it according to our group rules 57.A client, age 36, with paranoid schizophrenia believes the room is bugged by the Central Intelligence Agency and that his roommate is a foreign spy. The client has never had a romantic relationship, has no contact with family members, and hasn’t been employed in the last 14 years. Based on Erikson’s theories, the nurse should recognize that this client is in which stage of psychosocial development?. Single choice. (1 Point) Autonomy versus shame and doubt Generativity versus stagnation Integrity versus despair Trust versus mistrust 58. A client with paranoid schizophrenia is admitted to the psychiatric unit of a hospital. Nursing assessment should include careful observation of the client’s:. Single choice. (1 Point) thinking, perceiving, and decision-making skills. verbal and nonverbal communication processes. affect and behavior. psychomotor activity. 59. Positive symptoms of schizophrenia include which of the following?. Single choice. (1 Point) Hallucinations, delusions, and disorganized thinking Somatic delusions, echolalia, and a flat affect Waxy flexibility, alogia, and apathy Flat affect, avolition, and anhedonia 60.A client is admitted to the psychiatric hospital with a diagnosis of catatonic schizophrenia. During the physical examination, the client’s arm remains outstretched after the nurse obtains the pulse and blood pressure, and the nurse must reposition the arm. This client is exhibiting:. Single choice. (1 Point) suggestibility. negativity waxy flexibility retardation 61.When teaching the family of a client with schizophrenia, the nurse should provide which information?. Single choice. (1 Point) Relapse can be prevented if the client takes the medication. Support is available to help family members meet their own needs. Improvement should occur if the client has a stimulating environment. Stressful family situations can precipitate a relapse in the client. 62.A client is admitted to the psychiatric unit with active psychosis. The physician diagnoses schizophrenia after ruling out several other conditions. Schizophrenia is characterized by:. Single choice. (1 Point) loss of identity and self-esteem. multiple personalities and decreased self-esteem. disturbances in affect, perception, and thought content and form. persistent memory impairment and confusion. 63.The nurse is providing care to a client with a catatonic type of schizophrenia who exhibits extreme negativism. To help the client meet his basic needs, the nurse should:. Single choice. (1 Point) ask the client which activity he would prefer to do first. negotiate a time when the client will perform activities. tell the client specifically and concisely what needs to be done. prepare the client ahead of time for the activity. 64. The nurse is caring for a client who experiences false sensory perceptions with no basis in reality. These perceptions are known as:. Single choice. (1 Point) delusions. . loose associations. hallucinations. neologisms 65.A client is admitted with a diagnosis of delusions of grandeur. This diagnosis reflects a belief that one is:. Single choice. (1 Point) highly important or famous. being persecuted. connected to events unrelated to oneself. responsible for the evil in the world 66.A man with a 5-year history of multiple psychiatric admissions is brought to the emergency department by the police. He was found wandering the streets disheveled, shoeless, and confused. Based on his previous medical records and current behavior, he is diagnosed with chronic undifferentiated schizophrenia. The nurse should assign the highest priority to which nursing diagnosis?. Single choice. (1 Point) Anxiety Impaired verbal communication Disturbed thought processes Self-care deficient: Dressing/grooming 67. A client is experiencing an anxiety attack. The most appropriate nursing intervention should include?. Single choice. (1 Point) Turning on the television Leaving the client alone Staying with the client and speaking in short sentences Ask the client to play with other clients 68.A female client is admitted with a diagnosis of delusions of GRANDEUR. This diagnosis reflects a belief that one is:. Single choice. (1 Point) Being Killed Highly famous and important Responsible for evil world Connected to client unrelated to oneself 69.To establish an open and trusting relationship with a female client who has been hospitalized with severe anxiety, the nurse in charge should?. Single choice. (1 Point) Encourage the staff to have frequent interaction with the client Share an activity with the client Give client feedback about behavior Respect client’s need for personal space 70.A 60-year-old female client who lives alone tells the nurse at the community health center “I really don’t need anyone to talk to”. The TV is my best friend. Does the nurse recognize that the client is using the defense mechanism known as?. Single choice. (1 Point) Displacement Projection Sublimation Denial 71.Nurse Penny is aware that the symptoms that distinguish post- traumatic stress disorder from other anxiety disorder would be:. Single choice. (1 Point) Avoidance of situation & certain activities that resemble the stress Depression and a blunted affect when discussing the traumatic situation Lack of interest in family & others Re-experiencing the trauma in dreams or flashback 72.A 32-year-old male graduate student, who has become increasingly withdrawn and neglectful of his work and personal hygiene, is brought to the psychiatric hospital by his parents. After a detailed assessment, a diagnosis of schizophrenia is made. It is unlikely that the client will demonstrate:. Single choice. (1 Point) Low self esteem Concrete thinking Effective self boundaries Weak ego 73.A 23-year-old client who has been admitted with a diagnosis of schizophrenia says to the nurse “Yes, it's march, March is a little woman”. That’s literal you know”. These statements illustrate:. Single choice. (1 Point) A. Neologisms Loosening of association Echolalia Flight of ideas 74.A long term goal for a paranoid male client who has unjustifiably accused his wife of having many extramarital affairs would be to help the client develop:. Single choice. (1 Point) Insight into his behavior Better self control Feeling of self worth Faith in his wife 75. A male client who is experiencing disordered thinking about food being poisoned is admitted to the mental health unit. Does the nurse use which communication technique to encourage the client to eat dinner?. Single choice. (1 Point) Focusing on self-disclosure of own food preference Using open ended question and silence Offering opinion about the need to eat Verbalizing reasons that the client may not choose to eat 76.Nurse Nina is assigned to care for a client diagnosed with Catatonic Stupor. When Nurse Nina enters the client’s room, the client is found lying on the bed with a body pulled into a fetal position. Nurse Nina should?. Single choice. (1 Point) Ask the client direct questions to encourage talking Rake the client into the dayroom to be with other clients Sit beside the client in silence and occasionally ask open-ended question Leave the client alone and continue with providing care to the other clients 77. Nurse Tina is caring for a client with delirium and states that “look at the spiders on the wall”. What should the nurse respond to the client?. Single choice. (1 Point) “You’re having hallucination, there are no spiders in this room at all” “I can see the spiders on the wall, but they are not going to hurt you” “Would you like me to kill the spiders” “I know you are frightened, but I do not see spiders on the wall” 78.When planning the discharge of a client with chronic anxiety, Nurse Chris evaluates the achievement of the discharge maintenance goals. Which goal would be most appropriately having been included in the plan of care requiring evaluation?. Single choice. (1 Point) The client eliminates all anxiety from daily situations The client ignores feelings of anxiety The client identifies anxiety producing situations The client maintains contact with a crisis counselor 79.Which of the following is not an example of alteration of perception?. Single choice. (1 Point) ideas of reference flight of ideas illusion hallucination 80.A client with a history of schizophrenia has been admitted for suicidal ideation. The client states “God is telling me to kill myself right now.” The nurse’s best response is:. Single choice. (1 Point) I understand that god’s voice are real to you, But I don’t hear anything. I will stay with you. The voices are part of your illness; it will stop if you take medication The voices are all in your imagination, think of something else and itll go away don’t think of anything right now, just go and relax. 81.A client with paranoid schizophrenia has persecutory delusions and auditory hallucinations and is extremely agitated. He has been given a PRN dose of Thorazine IM. Which of the following would indicate to the nurse that the medication is having the desired effect?. Single choice. (1 Point) Complains of dry mouth State he feels restless in his body Stops pacing and sits with the nurse Exhibits increase activity and speech 82.A client is admitted to the inpatient psychiatric unit. He is unshaven, has body odor, and has spots on his shirt and pants. He moves slowly, gazes at the floor, and has a flat affect. The nurse’s highest priority in assessing the client on admission would be to ask him:. Single choice. (1 Point) How he sleeps at night. If he is thinking about hurting himself. About recent stresses. How he feels about himself. 83.During a community visit, volunteer nurses teach stress management to the participants. The nurses will most likely advocate which belief is a method of coping with stressful life events?. Single choice. (1 Point) Avoidance of stress is an important goal for living Control over one's response to stress is possible Most people have no control over their level of stress Significant others are important to provide care and concern 84.The mother of a 38yr/old female recently died due to complications from a surgery that required an unexpected colostomy. After her mother's death, the daughter states "My mother would have never wanted to live with a colostomy." The daughter is exhibiting which defense mechanism?. Single choice. (1 Point) Denial Substitution Intellectualization Rationalization 85.A college student presents to the counseling center because they are having difficulty dealing with having been informed that, due to continued poor grades, they are being dismissed from the college. Which statement by the student to the nurse counselor should indicate the use of the ego defense mechanism projection?. Single choice. (1 Point) "While I'm very upset and my parents will be angry, I can just transfer to another college to get my degree." "It's really not all my fault. The major I was in and all the credit hours I was taking would make it difficult for anyone to be successful." If my instructor had let me make up the exam I missed, I wouldn't be in this situation." "I don't think all of the grades are right. If they aren't, I can stay in school." 86.Which defense mechanism allows an individual to return to a point in development when nurturing and dependency was needed and accepted with comfort?. Single choice. (1 Point) Displacement Compensation Regression Rationalization 87. The nurse is conducting an initial assessment of a client in crisis. When assessing the client's perception of the precipitating event that led to the crisis, which is the most appropriate question?. Single choice. (1 Point) ."With whom do you live?" "Who is available to help you?" "What leads you to seek help now?" "What do you usually do to feel better?" 88.A woman who was sexually assaulted a month ago presents to the emergency department with complaints of recurrent nightmares, fear of going to sleep, repeated vivid memories of the sexual assault, and inability to feel much emotion. The nurse recognizes the signs and symptoms of which medical problem?. Single choice. (1 Point) Trauma Fight or flight response Posttraumatic stress disorder Alarm reaction 89.You are the nurse caring for a 72-year-old female who is recovering from abdominal surgery on the Medical-Surgical unit. The surgery was very stressful and prolonged and you note on the chart that her blood sugars are elevated yet she in not been diagnosed with diabetes. To what do you attribute this elevation in blood sugars?. Single choice. (1 Point) It is a result of antidiuretic hormone. She must have had diabetes prior to surgery. She has become a diabetic from the abdominal surgery. The blood sugars are probably a result of the "fight-or-flight" reaction. Option 2 90.Which of the following is a physiological response experienced during the exhaustion stage of general adaptation syndrome?. Single choice.
(1 Point) Increased mental alertness Vasoconstriction The initiation of neuroendocrine activity Decreased blood pressure