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Test Bank.
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, Stahl'sEssential Psychopharmacology K7 K7
NeuroscientificBasisandPractical Applications5th EditionTestbank/Study Guide K7 K7 K7 K7 K7 K7 K7 K7
Chapter 1 Chemical neurotransmission K7 K7 K7
MULTIPLECHOICE K7
1. A patient with depression mentions to the nurse, My mother says depression is a
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chemicaldisorder. What does shemean?Thenurses response is basedon thetheory that
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depression primarily involves which of the following neurotransmitters?
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a. Cortisol andGABA K7 K7
b. COMT and glutamate K7 K7
c. Monamineand glycine K7 K7
d. Serotoninandnorepinephrine 7
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ANS: D
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Onepossible cause of depression is thought toinvolveone or moreneurotransmitters.
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Serotonin and norepinephrine have been found to be important in the regulation of
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depression. There is no research to support that the other options play a significant role
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in the development of depression.
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2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
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damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
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diagnosis?
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a. Observing the patient pickup aspoon K7 K7 K7 K7 K7 K7
b. Askingthepatient to recitethe alphabet K7 K7 K7 K7 K7 K7
c. Monitoringthepatients bloodpressure K
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d. Comparingthepatientsgripstrengthinbothhands 7
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ANS: B
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Accidents or strokes that damage Brocas area mayresult in theinability tospeak (i.e.,
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motor aphasia).Finemotorskills,bloodpressurecontrol,andmusclestrength are not controlled by
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the Broca area of the left frontal lobe.
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3. The patient diagnosed with schizophrenia asks why psychotropic medications are
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always prescribed bythe doctor.Thenurses answer will be based oninformationthat the
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therapeutic action of psychotropic drugs is the result of their effect on:
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a. Thetemporallobe; especiallyWernickes area K
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b. Dendrites andtheir ability totransmit electrical impulses K7 K7 K7 K7 K7 K7 K7
c. Theregulationofneurotransmittersespeciallydopamine
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d. Theperipheralnervoussystemsensitivity tothepsychotropic medications
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,ANS: C K7
Medications usedtotreat psychiatricdisorders operatein andaroundthesynaptic cleft and K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7
have action at the neurotransmitter level, especially in the case of schizophrenia, on
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dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
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nervous system are not relevant to either schizophrenia or psychotropic medications.
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4. A student nursemutters thatit seems entirely unnecessary to haveto struggle with
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understanding the anatomy and physiology of the neurologic system. The mentor
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would base a response on the understanding that it is:
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Necessarybut generally forpsychiatricnurses who focus primarily on K
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a. behavioralinterventions 7
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Acomplexundertakingthatadvancepracticepsychiatricnursesfrequently use in
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b. their practice
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Important primarilyforthenursingassessmentofpatients withbrain traumacaused K7 K
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c. cognitive symptoms
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Necessaryforplanningpsychiatric careforallpatients especiallythose K7 K
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d. experiencing psychiatric disorders
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ANS: D K7
Nurses must understand that many symptoms of psychiatric disorders have a neurologic
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basis, although the symptoms are manifested behaviorally. This understandingfacilitates
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effective careplanning.Thefoundationofknowledgeisnot used exclusively by advanced
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practice psychiatric nurses nor is it relevant for only behavior therapies or brain trauma
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since dealing with the results of normal and abnormalbrain function is a responsibility of
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all nurses providing all types of care to the psychiatric patient.
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5. A patient asks the nurse,My wifehas breast cancer. Could it becaused by her
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chronic depression? Which response is supported by research data?
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a. Too much stress has been proven to cause all kinds of cancer. K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7
b. Therehave been no research studies done onstress and disease yet. K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7
c. Stress does cause thereleaseof factors that suppress theimmune system. K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7
d. Thereappears to belittleconnection betweenstress anddiseases of thebody K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7
ANS: C
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Research indicates thatstress causes arelease of corticotropin-releasingfactors that
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suppress the immune system. Studies indicate that psychiatric disorders such as mood
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disordersaresometimes associatedwith decreasedfunctioning oftheimmunesystem.
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Research does not support a connection between many cancers and stress. There is a
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significant amount of research about stress and the body. Research has shown that there
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are some connections between stress and physical disease.
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, 6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation
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needs.Oftheaspects of functioning listed, whichwill thenurseidentify as a focus of
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nursing intervention?
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a. Expressionofemotion K7 K
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b. Detectingauditorystimuli K
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c. Receivingvisualimages K
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d. Processing associations K7
ANS: D
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Theparietallobeisresponsible for associating andprocessingsensory information
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that allows for functions such as following directions on a map, reading a clock, dressing
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self, keeping appointments, and distinguishing right from left. Emotional expression is
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associated with frontal lobe function. Detecting auditory stimuli is a temporallobe
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function. Receivingvisualimages is related tooccipitallobe function.
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7. At admission, the nurselearns thatsometime agothe patient hadaninfarct inthe right
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cerebral cortex. During assessment, the nurse would expect to find that the patient:
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a. Demonstratesmajordeficiencies inspeech K7 K
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b. Is unableto effectively hold aspoon in the left hand
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c. Hasdifficulty explaining howto go about using thetelephone
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d. Cannotusehis right handtoshave himself or comb his ownhair ANS: K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7
B
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Thecerebral hemispheres areresponsible forfunctions suchas control of muscles.
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Theright hemispheremainlycontrols the motor andsensoryfunctions on theleftside of the
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body. Damage to the right side would result in impaired function on the left side of the
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body. The motor cortex controls voluntary motor activity. Brocas area controls motor
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speech. Cognitive functions are attributed to the association cortex.
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Theright sideof thebodys motor activity is controlled bythe left cerebral cortex.
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8. A patientwith chronicschizophreniahad astrokeinvolving thehippocampus.The
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patient will be discharged on low doses of haloperidol. The nurse will need to
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individualize the patients medication teaching by:
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a. Includingthepatients caregiver inthe education K7 K7 K7 K7 K7 K7
b. Beingcareful to stress theimportanceoftakingthemedication as prescribed
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K7 Providing the education at a time when the patient is emotionally calm and K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7 K7
c. relaxed
Encouraging the patienttocrush ordissolvethemedicationtohelp with swallowing K7 K7 K
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d.
ANS: A K7
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