Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Test bank/Study Guide
! | sr sr sr !| sr
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Test bank/Study Guide
! | sr sr sr !| sr
Stahl'sEssentialPsychopharmacology !| !|
Neuroscientific !|Basis !|and !|Practical !|Applications ! | 5th !|Edition !|Testbank/Study !|Guide
Chapter 1 Chemical neurotransmission !| !| !|
MULTIPLE CHOICE !|
1. A patient with depression mentions to the nurse, My mother says depression is a c
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
hemical disorder. What does she mean? The nurses response is based on the theoryth
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
at depression primarily involves which of the following neurotransmitters?
!| !| !| !| !| !| !| !| !|
a. Cortisol and GABA !| !|
b. COMT and glutamate !| !|
c. Monamine and glycine !| !|
d. Serotonin and norepinephrine !| !|
ANS: D
!| !|
One possible cause of depression is thought to involve one or more neurotransmitters.
!| !| !| !| !| !| !| !| !| !| !| !|
Serotonin and norepinephrine have been found to be important in the regulation of dep
!| !| !| !| !| !| !| !| !| !| !| !| !|
ression. There is no research to support that the other options play a significant role in t
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
he development of depression.
!| !| !| !|
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
!| !| !| !| !| !| !| !| !| !| !| !|
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this d
!| !| !| !| !| !| !| !| !| !| !| !| !| !| sr
iagnosis?
!|
a. Observing the patient pick up a spoon !| !| !| !| !| !|
b. Asking the patient to recite the alphabet !| !| !| !| !| !|
c. Monitoring the patients blood pressure !| !| !| !|
d. Comparing the patients grip strength in both hands !| !| !| !| !| !| !|
ANS: B
!| !|
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
!| !| !| !| !| !| !| !| !| !| !| !| !| !| sr
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are notc
!| !| !| !| !| !| !| !| !| !| !| !|
ontrolled by the Broca area of the left frontal lobe.
!| !| !| !| !| !| !| !| !| !|
3. The patient diagnosed with schizophrenia asks why psychotropic medications are a
!| !| !| !| !| !| !| !| !| !|
lways prescribed by the doctor. The nurses answer will be based on information that th e
!| !| !| !| !| !| !| !| !| !| !| !| !| !| sr !|
therapeutic action of psychotropic drugs is the result of their effect on:
!| !| !| !| !| !| !| !| !| !| !| !|
a. The temporal lobe; especially Wernickes area !| !| !| !| !|
b. Dendrites and their ability to transmit electrical impulses !| !| !| !| !| !| !|
c. The regulation of neurotransmitters especially dopamine
!| !| !| !| !|
d. The peripheral nervous system sensitivity to the psychotropic medications
!| !| !| !| !| !| !| !|
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
! | sr sr sr sr
ANS: C !|
Medications used to treat psychiatric disorders operate in and around the synaptic cleft a
!| !| !| !| !| !| !| !| !| !| !| !| sr
nd have action at the neurotransmitter level, especially in the case of schizophrenia,
!| !| !| !| !| !| !| !| !| !| !| !| !|
on dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
!| !| !| !| !| !| !| !| !| !| !| !| !|
ne rvous system are not relevant to either schizophrenia or psychotropic medications.
!| !| !| !| !| !| !| !| !| !| !| !|
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with u
!| !| !| !| !| !| !| !| !| !| !| !| !| sr
nderstanding the anatomy and physiology of the neurologic system. The mentor woul
!| !| !| !| !| !| !| !| !| !| !| !|
d base a response on the understanding that it is:
!| !| !| !| !| !| !| !| !| !|
Necessary but generally for psychiatric nurses who focus primarily on !| !| !| !| !| !| !| !| sr sr
a. behavioral interventions !|
A complex undertaking that advance practice psychiatric nurses frequently use i
!| !| !| !| !| !| !| sr !| sr
b. n their practice
!| !| !|
Important primarily for the nursing assessment of patients with brain t !| !| !| !| !| !| !| sr !| sr
c. raumacaused cognitive symptoms
!| !| !|
Necessary for planning psychiatric care for all patients especially those !| !| !| !| !| !| sr !| !|
d. experiencing psychiatric disorders
!| !| !|
ANS: D !|
Nurses must understand that many symptoms of psychiatric disorders have a neurolo
!| !| !| !| !| sr sr !| !| !| !|
gic basis, although the symptoms are manifested behaviorally. This understanding fac
!| !| !| !| !| !| !| !| !| !| !|
ilitates effective care planning. The foundation of knowledge is not used exclusively b y
!| !| !| !| !| !| sr !| !| !| sr !| !| !|
advanced practice psychiatric nurses nor is it relevant for only behavior therapies or
!| !| !| !| sr sr !| !| !| !| !| !| !|
brain trauma since dealing with the results of normal and abnormal brain function is a
!| !| !| !| !| !| sr !| !| !| !| !| !| !| !|
responsibility of all nurses providing all types of care tothe psychiatric patient.
!| !| !| !| !| !| !| !| !| !| !| !|
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herc
!| !| !| !| !| sr !| !| !| !| !| !| !| !| !|
hronic depression? Which response is supported by research data?
!| !| !| sr !| !| !| !| !|
a. Too much stress has been proven to cause all kinds of cancer. !| !| sr !| !| !| !| !| !| !| !|
b. There have been no research studies done on stress and disease yet.
!| !| !| !| !| !| !| !| !| !| !|
c. Stress does cause the releaseof factors that suppress the immune system. !| sr !| !| !| !| !| !| !| !| !|
d. There appears to be little connection between stress and diseases of the body
sr !| !| !| !| !| !| !| !| !| !| !|
ANS: C
!| !|
Research indicates that stress causes a release of corticotropin-
!| !| !| !| !| !| !| !|
releasing factors that suppress the immune system. Studies indicate that psychiatric dis
!| !| !| !| !| !| !| !| !| !| !|
orders such as mooddisorders are sometimes associated with decreased functioning of t
!| !| !| !| !| !| !| !| !| !| !| !|
he immune system.Research does not support a connection between many cancers and
!| !| !| !| !| !| !| !| !| !| !| !|
stress. There is a significant amount of research about stress and the body. Research ha
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
s shown that there are some connections between stress and physical disease.
!| !| !| !| !| !| !| !| !| !| !| !|
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
! | sr sr sr sr
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitat
!| !| !| !| !| !| !| !| !| !| !| !| !|
ion needs. Of the aspects of functioning listed, which will the nurse identifyas a
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
focus of nursing intervention?
!| !| !| !|
a. Expression of emotion !| !|
b. Detecting auditory stimuli !| !|
c. Receiving visual images !| !|
d. Processing associations !|
ANS: D
!| !|
The parietal lobe is responsible for associating and processing sensory information tha
!| !| !| !| !| !| !| !| !| !| !|
t allows for functions such as following directions on a map, reading a clock, dressing
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
self, keeping appointments, and distinguishing right from left. Emotional expression is
!| !| !| !| !| !| !| !| !| !| !|
associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe fun
!| !| !| !| !| !| !| !| sr !| sr !| !|
ction. Receiving visual images is related to occipital lobe function.
!| !| !| !| !| !| !| !| !| !|
7. At admission, the nurse learns that some time ago the patient had an infarct in ther
!| !| !| !| !| !| !| !| !| !| sr !| !| !| !|
ight cerebral cortex. During assessment, the nurse would expect to find that the patie
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
nt:
!|
a. Demonstrates major deficiencies in speech !| !| !| !|
b. Is unable to effectively hold a spoon in the left hand
!| !| !| !| !| !| sr !| !| !|
c. Has difficulty explaining how to go about using the telephone!| !| !| !| sr sr !| !| !|
d. Cannot use his right hand to shave himself or comb his own hair !| !| !| !| !| sr sr !| !| !| !| !|
ANS: B
!| !|
The cerebral hemispheres are responsible for functions such as control of muscles. The
!| !| !| sr !| !| !| !| !| !| !| !|
right hemisphere mainly controls the motor and sensory functions on the left side of th e
!| !| !| sr !| !| !| !| !| !| !| !| sr !| !|
body. Damage to the right side would result in impaired function on the left side of th e
!| !| !| !| !| sr !| !| !| !| !| !| !| !| !| !| !| !|
body. The motor cortex controls voluntary motor activity. Brocas area controls moto r
!| !| !| !| sr !| !| !| !| !| !| !| !|
speech. Cognitive functions are attributed to the association cortex.
!| !| sr !| !| !| !| !| !|
The right side of the bodys motor activity is controlled by the left cerebral cortex.
!| !| !| sr sr !| !| !| !| !| !| !| !| !|
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The p
!| !| sr !| !| !| !| !| !| !| !| sr
atient will be discharged on low doses of haloperidol. The nurse will need to individu
!| !| sr !| !| !| !| !| !| !| !| !| !| !| !|
alize the patients medication teaching by:
!| !| sr !| !| !|
a. Including the patients caregiver in the education !| !| !| !| !| !|
b. Being careful to stress the importance of taking the medication as prescribed!| !| !| !| !| !| !| sr !| !| !|
Providing the education at a time when the patient is emotionally calm and r
!| !| !| !| !| !| !| !| !| !| !| !| !| sr
c. elaxed
Encouraging the patient to crush or dissolve the medication to help withs !| !| !| !| !| !| !| !| !| !| !|
d. wallowing
!|
ANS: A !|
WWW.TESTBANKTANK.COM
sr sr sr sr sr sr sr
Applications 5th Edition Test bank/Study Guide
! | sr sr sr !| sr
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Test bank/Study Guide
! | sr sr sr !| sr
Stahl'sEssentialPsychopharmacology !| !|
Neuroscientific !|Basis !|and !|Practical !|Applications ! | 5th !|Edition !|Testbank/Study !|Guide
Chapter 1 Chemical neurotransmission !| !| !|
MULTIPLE CHOICE !|
1. A patient with depression mentions to the nurse, My mother says depression is a c
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
hemical disorder. What does she mean? The nurses response is based on the theoryth
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
at depression primarily involves which of the following neurotransmitters?
!| !| !| !| !| !| !| !| !|
a. Cortisol and GABA !| !|
b. COMT and glutamate !| !|
c. Monamine and glycine !| !|
d. Serotonin and norepinephrine !| !|
ANS: D
!| !|
One possible cause of depression is thought to involve one or more neurotransmitters.
!| !| !| !| !| !| !| !| !| !| !| !|
Serotonin and norepinephrine have been found to be important in the regulation of dep
!| !| !| !| !| !| !| !| !| !| !| !| !|
ression. There is no research to support that the other options play a significant role in t
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
he development of depression.
!| !| !| !|
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
!| !| !| !| !| !| !| !| !| !| !| !|
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this d
!| !| !| !| !| !| !| !| !| !| !| !| !| !| sr
iagnosis?
!|
a. Observing the patient pick up a spoon !| !| !| !| !| !|
b. Asking the patient to recite the alphabet !| !| !| !| !| !|
c. Monitoring the patients blood pressure !| !| !| !|
d. Comparing the patients grip strength in both hands !| !| !| !| !| !| !|
ANS: B
!| !|
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
!| !| !| !| !| !| !| !| !| !| !| !| !| !| sr
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are notc
!| !| !| !| !| !| !| !| !| !| !| !|
ontrolled by the Broca area of the left frontal lobe.
!| !| !| !| !| !| !| !| !| !|
3. The patient diagnosed with schizophrenia asks why psychotropic medications are a
!| !| !| !| !| !| !| !| !| !|
lways prescribed by the doctor. The nurses answer will be based on information that th e
!| !| !| !| !| !| !| !| !| !| !| !| !| !| sr !|
therapeutic action of psychotropic drugs is the result of their effect on:
!| !| !| !| !| !| !| !| !| !| !| !|
a. The temporal lobe; especially Wernickes area !| !| !| !| !|
b. Dendrites and their ability to transmit electrical impulses !| !| !| !| !| !| !|
c. The regulation of neurotransmitters especially dopamine
!| !| !| !| !|
d. The peripheral nervous system sensitivity to the psychotropic medications
!| !| !| !| !| !| !| !|
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
! | sr sr sr sr
ANS: C !|
Medications used to treat psychiatric disorders operate in and around the synaptic cleft a
!| !| !| !| !| !| !| !| !| !| !| !| sr
nd have action at the neurotransmitter level, especially in the case of schizophrenia,
!| !| !| !| !| !| !| !| !| !| !| !| !|
on dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
!| !| !| !| !| !| !| !| !| !| !| !| !|
ne rvous system are not relevant to either schizophrenia or psychotropic medications.
!| !| !| !| !| !| !| !| !| !| !| !|
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with u
!| !| !| !| !| !| !| !| !| !| !| !| !| sr
nderstanding the anatomy and physiology of the neurologic system. The mentor woul
!| !| !| !| !| !| !| !| !| !| !| !|
d base a response on the understanding that it is:
!| !| !| !| !| !| !| !| !| !|
Necessary but generally for psychiatric nurses who focus primarily on !| !| !| !| !| !| !| !| sr sr
a. behavioral interventions !|
A complex undertaking that advance practice psychiatric nurses frequently use i
!| !| !| !| !| !| !| sr !| sr
b. n their practice
!| !| !|
Important primarily for the nursing assessment of patients with brain t !| !| !| !| !| !| !| sr !| sr
c. raumacaused cognitive symptoms
!| !| !|
Necessary for planning psychiatric care for all patients especially those !| !| !| !| !| !| sr !| !|
d. experiencing psychiatric disorders
!| !| !|
ANS: D !|
Nurses must understand that many symptoms of psychiatric disorders have a neurolo
!| !| !| !| !| sr sr !| !| !| !|
gic basis, although the symptoms are manifested behaviorally. This understanding fac
!| !| !| !| !| !| !| !| !| !| !|
ilitates effective care planning. The foundation of knowledge is not used exclusively b y
!| !| !| !| !| !| sr !| !| !| sr !| !| !|
advanced practice psychiatric nurses nor is it relevant for only behavior therapies or
!| !| !| !| sr sr !| !| !| !| !| !| !|
brain trauma since dealing with the results of normal and abnormal brain function is a
!| !| !| !| !| !| sr !| !| !| !| !| !| !| !|
responsibility of all nurses providing all types of care tothe psychiatric patient.
!| !| !| !| !| !| !| !| !| !| !| !|
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herc
!| !| !| !| !| sr !| !| !| !| !| !| !| !| !|
hronic depression? Which response is supported by research data?
!| !| !| sr !| !| !| !| !|
a. Too much stress has been proven to cause all kinds of cancer. !| !| sr !| !| !| !| !| !| !| !|
b. There have been no research studies done on stress and disease yet.
!| !| !| !| !| !| !| !| !| !| !|
c. Stress does cause the releaseof factors that suppress the immune system. !| sr !| !| !| !| !| !| !| !| !|
d. There appears to be little connection between stress and diseases of the body
sr !| !| !| !| !| !| !| !| !| !| !|
ANS: C
!| !|
Research indicates that stress causes a release of corticotropin-
!| !| !| !| !| !| !| !|
releasing factors that suppress the immune system. Studies indicate that psychiatric dis
!| !| !| !| !| !| !| !| !| !| !|
orders such as mooddisorders are sometimes associated with decreased functioning of t
!| !| !| !| !| !| !| !| !| !| !| !|
he immune system.Research does not support a connection between many cancers and
!| !| !| !| !| !| !| !| !| !| !| !|
stress. There is a significant amount of research about stress and the body. Research ha
!| !| !| !| !| !| !| !| !| !| !| !| !| !| !|
s shown that there are some connections between stress and physical disease.
!| !| !| !| !| !| !| !| !| !| !| !|
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
! | sr sr sr sr
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitat
!| !| !| !| !| !| !| !| !| !| !| !| !|
ion needs. Of the aspects of functioning listed, which will the nurse identifyas a
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
focus of nursing intervention?
!| !| !| !|
a. Expression of emotion !| !|
b. Detecting auditory stimuli !| !|
c. Receiving visual images !| !|
d. Processing associations !|
ANS: D
!| !|
The parietal lobe is responsible for associating and processing sensory information tha
!| !| !| !| !| !| !| !| !| !| !|
t allows for functions such as following directions on a map, reading a clock, dressing
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
self, keeping appointments, and distinguishing right from left. Emotional expression is
!| !| !| !| !| !| !| !| !| !| !|
associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe fun
!| !| !| !| !| !| !| !| sr !| sr !| !|
ction. Receiving visual images is related to occipital lobe function.
!| !| !| !| !| !| !| !| !| !|
7. At admission, the nurse learns that some time ago the patient had an infarct in ther
!| !| !| !| !| !| !| !| !| !| sr !| !| !| !|
ight cerebral cortex. During assessment, the nurse would expect to find that the patie
!| !| !| !| !| !| !| !| !| !| !| !| !| !|
nt:
!|
a. Demonstrates major deficiencies in speech !| !| !| !|
b. Is unable to effectively hold a spoon in the left hand
!| !| !| !| !| !| sr !| !| !|
c. Has difficulty explaining how to go about using the telephone!| !| !| !| sr sr !| !| !|
d. Cannot use his right hand to shave himself or comb his own hair !| !| !| !| !| sr sr !| !| !| !| !|
ANS: B
!| !|
The cerebral hemispheres are responsible for functions such as control of muscles. The
!| !| !| sr !| !| !| !| !| !| !| !|
right hemisphere mainly controls the motor and sensory functions on the left side of th e
!| !| !| sr !| !| !| !| !| !| !| !| sr !| !|
body. Damage to the right side would result in impaired function on the left side of th e
!| !| !| !| !| sr !| !| !| !| !| !| !| !| !| !| !| !|
body. The motor cortex controls voluntary motor activity. Brocas area controls moto r
!| !| !| !| sr !| !| !| !| !| !| !| !|
speech. Cognitive functions are attributed to the association cortex.
!| !| sr !| !| !| !| !| !|
The right side of the bodys motor activity is controlled by the left cerebral cortex.
!| !| !| sr sr !| !| !| !| !| !| !| !| !|
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The p
!| !| sr !| !| !| !| !| !| !| !| sr
atient will be discharged on low doses of haloperidol. The nurse will need to individu
!| !| sr !| !| !| !| !| !| !| !| !| !| !| !|
alize the patients medication teaching by:
!| !| sr !| !| !|
a. Including the patients caregiver in the education !| !| !| !| !| !|
b. Being careful to stress the importance of taking the medication as prescribed!| !| !| !| !| !| !| sr !| !| !|
Providing the education at a time when the patient is emotionally calm and r
!| !| !| !| !| !| !| !| !| !| !| !| !| sr
c. elaxed
Encouraging the patient to crush or dissolve the medication to help withs !| !| !| !| !| !| !| !| !| !| !|
d. wallowing
!|
ANS: A !|
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