Stahl'sgEssentialgPsychopharmacologygNeuroscientificgBasisgandgPracticalg
Applicationsg5thgEditiongTestbank/StudygGuide
Stahl's Essential Psychopharmacol
g g
ogy
NeuroscientificgBasisgandgPracticalgApplicationsg 5thgEditiongTestbank/
StudygGuide
Chapterg1gChemicalgneurotransmission
MULTIPLEgCHOICE
1. Agpatientgwithgdepressiongmentionsgtogthegnurse,gMygmothergsaysgdepressiongisgag
chemicalgdisorder.gWhatgdoesgshegmean?
gThegnursesgresponsegisgbasedgongthegtheorygthatgdepressiongprimarilyginvolvesgwhic
hgofgthegfollowinggneurotransmitters?
a. CortisolgandgGABA
b. COMTgandgglutamate
c. Monaminegandgglycine
d. Serotoningandgnorepinephrine
ANS:gD
Onegpossiblegcausegofgdepressiongisgthoughtgtoginvolvegonegorgmoregneurotransmitters
.gSerotoningandgnorepinephrineghavegbeengfoundgtogbegimportantgingthegregulationgofgd
epression.gTheregisgnogresearchgtogsupportgthatgthegothergoptionsgplaygagsignificantgrol
egingthegdevelopmentgofgdepression.
2. Agpatientghasgexperiencedgagstrokeg(cerebralgvasculargaccident)gthatghasgresultedgi
ngdamagegtogthegBrocagarea.gWhichgevaluationgdoesgthegnursegconductgtogreinforcegt
hisgdiagnosis?
a. Observinggthegpatientgpickgupgagspoon
b. Askinggthegpatientgtogrecitegthegalphabet
c. Monitoringgthegpatientsgbloodgpressure
d. Comparinggthegpatientsggripgstrengthgingbothghands
ANS:gB
AccidentsgorgstrokesgthatgdamagegBrocasgareagmaygresultgingtheginabilitygtogspeakg(i.e.
,gmotorgaphasia).gFinegmotorgskills,gbloodgpressuregcontrol,gandgmusclegstrengthgaregn
otgcontrolledgbygthegBrocagareagofgthegleftgfrontalglobe.
3. Thegpatientgdiagnosedgwithgschizophreniagasksgwhygpsychotropicgmedicationsgareg
alwaysgprescribedgbygthegdoctor.gThegnursesganswergwillgbegbasedgonginformationgtha
tgthegtherapeuticgactiongofgpsychotropicgdrugsgisgthegresultgofgtheirgeffectgon:
a. Thegtemporalglobe;gespeciallygWernickesgarea
b. Dendritesgandgtheirgabilitygtogtransmitgelectricalgimpulses
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c. Thegregulationgofgneurotransmittersgespeciallygdopamine
d. Thegperipheralgnervousgsystemgsensitivitygtogthegpsychotropicgmedications
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ANS:gC
Medicationsgusedgtogtreatgpsychiatricgdisordersgoperategingandgaroundgthegsynapticgclef
tgandghavegactiongatgthegneurotransmitterglevel,gespeciallygingthegcasegofgschizophrenia,
gongdopamine.gThegWernickesgarea,gdendritegfunction,gorgthegsensitivitygofgthegperiphe
ralgnervousgsystemgaregnotgrelevantgtogeithergschizophreniagorgpsychotropicgmedication
s.
4. Agstudentgnursegmuttersgthatgitgseemsgentirelygunnecessarygtoghavegtogstrugglegwit
hgunderstandinggtheganatomygandgphysiologygofgthegneurologicgsystem.gThegmentorg
wouldgbasegagresponsegongthegunderstandinggthatgitgis:
Necessarygbutggenerallygforgpsychiatricgnursesgwhogfocusgprimarilygo
a. ngbehavioralginterventions
Agcomplexgundertakinggthatgadvancegpracticegpsychiatricgnursesgfrequentlyguse
b. gingtheirgpractice
Importantgprimarilygforgthegnursinggassessmentgofgpatientsgwithgbrai
c. ngtraumacausedgcognitivegsymptoms
Necessarygforgplanninggpsychiatricgcaregforgallgpatientsgespeciallygthose
d. gexperiencinggpsychiatricgdisorders
ANS:gD
Nursesgmustgunderstandgthatgmanygsymptomsgofgpsychiatricgdisordersghavegagneurol
ogicgbasis,galthoughgthegsymptomsgaregmanifestedgbehaviorally.gThisgunderstandinggf
acilitatesgeffectivegcaregplanning.gThegfoundationgofgknowledgegisgnotgusedgexclusive
lygbygadvancedgpracticegpsychiatricgnursesgnorgisgitgrelevantgforgonlygbehaviorgtherapi
esgorgbraingtraumagsincegdealinggwithgthegresultsgofgnormalgandgabnormalgbraingfuncti
ongisgagresponsibilitygofgallgnursesgprovidinggallgtypesgofgcaregtogthegpsychiatricgpatie
nt.
5. Agpatientgasksgthegnurse,gMygwifeghasgbreastgcancer.gCouldgitgbegcausedgbyghe
rgchronicgdepression?gWhichgresponsegisgsupportedgbygresearchgdata?
a. Toogmuchgstressghasgbeengprovengtogcausegallgkindsgofgcancer.
b. Thereghavegbeengnogresearchgstudiesgdonegongstressgandgdiseasegyet.
c. Stressgdoesgcausegthegreleasegofgfactorsgthatgsuppressgthegimmunegsystem.
d. Theregappearsgtogbeglittlegconnectiongbetweengstressgandgdiseasesgofgthegbody
ANS:gC
Researchgindicatesgthatgstressgcausesgagreleasegofgcorticotropin-
releasinggfactorsgthatgsuppressgthegimmunegsystem.gStudiesgindicategthatgpsychiatricgdi
sordersgsuchgasgmoodgdisordersgaregsometimesgassociatedgwithgdecreasedgfunctioningg
ofgthegimmunegsystem.gResearchgdoesgnotgsupportgagconnectiongbetweengmanygcancer
sgandgstress.gTheregisgagsignificantgamountgofgresearchgaboutgstressgandgthegbody.gRese
archghasgshowngthatgtheregaregsomegconnectionsgbetweengstressgandgphysicalgdisease.
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6. Agpatientgwhoghasgagparietalglobeginjurygisgbeinggevaluatedgforgpsychiatricgrehabilit
ationgneeds.gOfgthegaspectsgofgfunctioningglisted,gwhichgwillgthegnursegidentifygasgagfo
cusgofgnursinggintervention?
a. Expressiongofgemotion
b. Detectinggauditorygstimuli
c. Receivinggvisualgimages
d. Processinggassociations
ANS:gD
Thegparietalglobegisgresponsiblegforgassociatinggandgprocessinggsensoryginformationgth
atgallowsgforgfunctionsgsuchgasgfollowinggdirectionsgongagmap,greadinggagclock,gdressi
nggself,gkeepinggappointments,gandgdistinguishinggrightgfromgleft.gEmotionalgexpressi
ongisgassociatedgwithgfrontalglobegfunction.gDetectinggauditorygstimuligisgagtemporalglo
begfunction.gReceivinggvisualgimagesgisgrelatedgtogoccipitalglobegfunction.
7. Atgadmission,gthegnurseglearnsgthatgsomegtimegagogthegpatientghadganginfarctgingth
egrightgcerebralgcortex.gDuringgassessment,gthegnursegwouldgexpectgtogfindgthatgthegp
atient:
a. Demonstratesgmajorgdeficienciesgingspeech
b. Isgunablegtogeffectivelygholdgagspoongingthegleftghand
c. Hasgdifficultygexplainingghowgtoggogaboutgusinggthegtelephone
d. Cannotguseghisgrightghandgtogshaveghimselfgorgcombghisgownghair
ANS:gB
Thegcerebralghemispheresgaregresponsiblegforgfunctionsgsuchgasgcontrolgofgmuscles.gT
hegrightghemispheregmainlygcontrolsgthegmotorgandgsensorygfunctionsgongthegleftgsideg
ofgthegbody.gDamagegtogthegrightgsidegwouldgresultgingimpairedgfunctiongongthegleftgsi
degofgthegbody.gThegmotorgcortexgcontrolsgvoluntarygmotorgactivity.gBrocasgareagcontr
olsgmotorgspeech.gCognitivegfunctionsgaregattributedgtogthegassociationgcortex.
Thegrightgsidegofgthegbodysgmotorgactivitygisgcontrolledgbygthegleftgcerebralgcortex.
8. Agpatientgwithgchronicgschizophreniaghadgagstrokeginvolvinggtheghippocampus.gTh
egpatientgwillgbegdischargedgonglowgdosesgofghaloperidol.gThegnursegwillgneedgtogindi
vidualizegthegpatientsgmedicationgteachinggby:
a. Includinggthegpatientsgcaregivergingthegeducation
b. Beinggcarefulgtogstressgthegimportancegofgtakinggthegmedicationgasgprescribed
Providinggthegeducationgatgagtimegwhengthegpatientgisgemotionallygcalmgan
c. dgrelaxed
Encouraginggthegpatientgtogcrushgorgdissolvegthegmedicationgtoghelpgwit
d. hgswallowing
ANS:gA
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Applicationsg5thgEditiongTestbank/StudygGuide
Stahl's Essential Psychopharmacol
g g
ogy
NeuroscientificgBasisgandgPracticalgApplicationsg 5thgEditiongTestbank/
StudygGuide
Chapterg1gChemicalgneurotransmission
MULTIPLEgCHOICE
1. Agpatientgwithgdepressiongmentionsgtogthegnurse,gMygmothergsaysgdepressiongisgag
chemicalgdisorder.gWhatgdoesgshegmean?
gThegnursesgresponsegisgbasedgongthegtheorygthatgdepressiongprimarilyginvolvesgwhic
hgofgthegfollowinggneurotransmitters?
a. CortisolgandgGABA
b. COMTgandgglutamate
c. Monaminegandgglycine
d. Serotoningandgnorepinephrine
ANS:gD
Onegpossiblegcausegofgdepressiongisgthoughtgtoginvolvegonegorgmoregneurotransmitters
.gSerotoningandgnorepinephrineghavegbeengfoundgtogbegimportantgingthegregulationgofgd
epression.gTheregisgnogresearchgtogsupportgthatgthegothergoptionsgplaygagsignificantgrol
egingthegdevelopmentgofgdepression.
2. Agpatientghasgexperiencedgagstrokeg(cerebralgvasculargaccident)gthatghasgresultedgi
ngdamagegtogthegBrocagarea.gWhichgevaluationgdoesgthegnursegconductgtogreinforcegt
hisgdiagnosis?
a. Observinggthegpatientgpickgupgagspoon
b. Askinggthegpatientgtogrecitegthegalphabet
c. Monitoringgthegpatientsgbloodgpressure
d. Comparinggthegpatientsggripgstrengthgingbothghands
ANS:gB
AccidentsgorgstrokesgthatgdamagegBrocasgareagmaygresultgingtheginabilitygtogspeakg(i.e.
,gmotorgaphasia).gFinegmotorgskills,gbloodgpressuregcontrol,gandgmusclegstrengthgaregn
otgcontrolledgbygthegBrocagareagofgthegleftgfrontalglobe.
3. Thegpatientgdiagnosedgwithgschizophreniagasksgwhygpsychotropicgmedicationsgareg
alwaysgprescribedgbygthegdoctor.gThegnursesganswergwillgbegbasedgonginformationgtha
tgthegtherapeuticgactiongofgpsychotropicgdrugsgisgthegresultgofgtheirgeffectgon:
a. Thegtemporalglobe;gespeciallygWernickesgarea
b. Dendritesgandgtheirgabilitygtogtransmitgelectricalgimpulses
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c. Thegregulationgofgneurotransmittersgespeciallygdopamine
d. Thegperipheralgnervousgsystemgsensitivitygtogthegpsychotropicgmedications
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ANS:gC
Medicationsgusedgtogtreatgpsychiatricgdisordersgoperategingandgaroundgthegsynapticgclef
tgandghavegactiongatgthegneurotransmitterglevel,gespeciallygingthegcasegofgschizophrenia,
gongdopamine.gThegWernickesgarea,gdendritegfunction,gorgthegsensitivitygofgthegperiphe
ralgnervousgsystemgaregnotgrelevantgtogeithergschizophreniagorgpsychotropicgmedication
s.
4. Agstudentgnursegmuttersgthatgitgseemsgentirelygunnecessarygtoghavegtogstrugglegwit
hgunderstandinggtheganatomygandgphysiologygofgthegneurologicgsystem.gThegmentorg
wouldgbasegagresponsegongthegunderstandinggthatgitgis:
Necessarygbutggenerallygforgpsychiatricgnursesgwhogfocusgprimarilygo
a. ngbehavioralginterventions
Agcomplexgundertakinggthatgadvancegpracticegpsychiatricgnursesgfrequentlyguse
b. gingtheirgpractice
Importantgprimarilygforgthegnursinggassessmentgofgpatientsgwithgbrai
c. ngtraumacausedgcognitivegsymptoms
Necessarygforgplanninggpsychiatricgcaregforgallgpatientsgespeciallygthose
d. gexperiencinggpsychiatricgdisorders
ANS:gD
Nursesgmustgunderstandgthatgmanygsymptomsgofgpsychiatricgdisordersghavegagneurol
ogicgbasis,galthoughgthegsymptomsgaregmanifestedgbehaviorally.gThisgunderstandinggf
acilitatesgeffectivegcaregplanning.gThegfoundationgofgknowledgegisgnotgusedgexclusive
lygbygadvancedgpracticegpsychiatricgnursesgnorgisgitgrelevantgforgonlygbehaviorgtherapi
esgorgbraingtraumagsincegdealinggwithgthegresultsgofgnormalgandgabnormalgbraingfuncti
ongisgagresponsibilitygofgallgnursesgprovidinggallgtypesgofgcaregtogthegpsychiatricgpatie
nt.
5. Agpatientgasksgthegnurse,gMygwifeghasgbreastgcancer.gCouldgitgbegcausedgbyghe
rgchronicgdepression?gWhichgresponsegisgsupportedgbygresearchgdata?
a. Toogmuchgstressghasgbeengprovengtogcausegallgkindsgofgcancer.
b. Thereghavegbeengnogresearchgstudiesgdonegongstressgandgdiseasegyet.
c. Stressgdoesgcausegthegreleasegofgfactorsgthatgsuppressgthegimmunegsystem.
d. Theregappearsgtogbeglittlegconnectiongbetweengstressgandgdiseasesgofgthegbody
ANS:gC
Researchgindicatesgthatgstressgcausesgagreleasegofgcorticotropin-
releasinggfactorsgthatgsuppressgthegimmunegsystem.gStudiesgindicategthatgpsychiatricgdi
sordersgsuchgasgmoodgdisordersgaregsometimesgassociatedgwithgdecreasedgfunctioningg
ofgthegimmunegsystem.gResearchgdoesgnotgsupportgagconnectiongbetweengmanygcancer
sgandgstress.gTheregisgagsignificantgamountgofgresearchgaboutgstressgandgthegbody.gRese
archghasgshowngthatgtheregaregsomegconnectionsgbetweengstressgandgphysicalgdisease.
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6. Agpatientgwhoghasgagparietalglobeginjurygisgbeinggevaluatedgforgpsychiatricgrehabilit
ationgneeds.gOfgthegaspectsgofgfunctioningglisted,gwhichgwillgthegnursegidentifygasgagfo
cusgofgnursinggintervention?
a. Expressiongofgemotion
b. Detectinggauditorygstimuli
c. Receivinggvisualgimages
d. Processinggassociations
ANS:gD
Thegparietalglobegisgresponsiblegforgassociatinggandgprocessinggsensoryginformationgth
atgallowsgforgfunctionsgsuchgasgfollowinggdirectionsgongagmap,greadinggagclock,gdressi
nggself,gkeepinggappointments,gandgdistinguishinggrightgfromgleft.gEmotionalgexpressi
ongisgassociatedgwithgfrontalglobegfunction.gDetectinggauditorygstimuligisgagtemporalglo
begfunction.gReceivinggvisualgimagesgisgrelatedgtogoccipitalglobegfunction.
7. Atgadmission,gthegnurseglearnsgthatgsomegtimegagogthegpatientghadganginfarctgingth
egrightgcerebralgcortex.gDuringgassessment,gthegnursegwouldgexpectgtogfindgthatgthegp
atient:
a. Demonstratesgmajorgdeficienciesgingspeech
b. Isgunablegtogeffectivelygholdgagspoongingthegleftghand
c. Hasgdifficultygexplainingghowgtoggogaboutgusinggthegtelephone
d. Cannotguseghisgrightghandgtogshaveghimselfgorgcombghisgownghair
ANS:gB
Thegcerebralghemispheresgaregresponsiblegforgfunctionsgsuchgasgcontrolgofgmuscles.gT
hegrightghemispheregmainlygcontrolsgthegmotorgandgsensorygfunctionsgongthegleftgsideg
ofgthegbody.gDamagegtogthegrightgsidegwouldgresultgingimpairedgfunctiongongthegleftgsi
degofgthegbody.gThegmotorgcortexgcontrolsgvoluntarygmotorgactivity.gBrocasgareagcontr
olsgmotorgspeech.gCognitivegfunctionsgaregattributedgtogthegassociationgcortex.
Thegrightgsidegofgthegbodysgmotorgactivitygisgcontrolledgbygthegleftgcerebralgcortex.
8. Agpatientgwithgchronicgschizophreniaghadgagstrokeginvolvinggtheghippocampus.gTh
egpatientgwillgbegdischargedgonglowgdosesgofghaloperidol.gThegnursegwillgneedgtogindi
vidualizegthegpatientsgmedicationgteachinggby:
a. Includinggthegpatientsgcaregivergingthegeducation
b. Beinggcarefulgtogstressgthegimportancegofgtakinggthegmedicationgasgprescribed
Providinggthegeducationgatgagtimegwhengthegpatientgisgemotionallygcalmgan
c. dgrelaxed
Encouraginggthegpatientgtogcrushgorgdissolvegthegmedicationgtoghelpgwit
d. hgswallowing
ANS:gA
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