NSG 552 Exam 1 (Stahl’s Essential
Psychopharmacology 5th Edition Test
Bank) (Wilkes University)
Comprehensive Practice Questions &
Correct Answers(VERIFIED BY AN
EXPERT)
A patient with depression mentions to the nurse, My mother says
depression is a chemical disorder. What does she mean? The nurses
response is based on the theory that 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. Serotonin and norepinephrine
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 diagnosis?
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 - ANS>> b. Asking the
patient to recite the alphabet
The patient diagnosed with schizophrenia asks why psychotropic
medications are always prescribed by the doctor. The nurses answer will
be based on information that the 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 - ANS>> c. The regulation of neurotransmitters especially
dopamine
A student nurse mutters that it seems entirely unnecessary to have to
struggle with understanding the anatomy and physiology of the neurologic
system. The mentor would base a response on the understanding that it is:
a. Necessary but generally for psychiatric nurses who focus primarily on
behavioral interventions
b. A complex undertaking that advance practice psychiatric nurses
frequently use in their practice
c. Important primarily for the nursing assessment of patients with brain
trauma caused cognitive symptoms
d. Necessary for planning psychiatric care for all patients especially those
experiencing psychiatric disorders - ANS>> d. Necessary for planning
psychiatric care for all patients especially those experiencing psychiatric
disorders
A patient asks the nurse, My wife has breast cancer. Could it be caused by
her chronic depression? Which response is supported by research data?
a. Too much stress has been proven to cause all kinds of cancer.
b. There have been no research studies done on stress and disease yet.
c. Stress does cause the release of factors that suppress the immune
system.
d. There appears to be little connection between stress and diseases of the
body - ANS>> c. Stress does cause the release of factors that suppress the
immune system.
A patient who has a parietal lobe injury is being evaluated for psychiatric
rehabilitation needs. Of the aspects of functioning listed, which will the
nurse identify as a focus of nursing intervention?
a. Expression of emotion
b. Detecting auditory stimuli
c. Receiving visual images
d. Processing associations - ANS>> d. Processing associations
The patients family asks whether a diagnosis of Parkinsons disease
creates an increased risk for any mental health issues. What question
would the nurse ask to assess for such a comorbid condition?
,a. Has your father exhibited any signs of depression? b. Does your father
seem to experience mood swings?
c. Have you noticed your father talking about seeing things you cant see?
d. Is your dad preoccupied with behaviors that he needs to repeat over and
over? - ANS>> a. Has your father exhibited any signs of depression?
Which explanation for the prescription of donepezil (Aricept) would the
nurse provide for a patient in the early stage of Alzheimers disease?
a. It will increase the metabolism of excess GABA.
b. Excess dopamine will be prevented from attaching to receptor sites.
c. Serotonin deficiency will be managed through a prolonged reuptake
period.
d. The acetylcholine deficiency will be managed by inhibiting
cholinesterase. - ANS>> d. The acetylcholine deficiency will be managed
by inhibiting cholinesterase.
There remains a stigma attached to psychiatric illnesses. The psychiatric
nurse makes the greatest impact on this sociological problem when:
a. Providing educational programming for patients and the public
b. Arranging for adequate and appropriate social support for the patient
c. Assisting the patient to achieve the maximum level of independent
functioning
d. Regularly praising the patient for seeking and complying with appropriate
treatment - ANS>> a. Providing educational programming for patients and
the public
The wife of a patient with paranoid schizophrenia tells the nurse, Ive
learned that my husband has several close relatives with the same
disorder. Does this problem run in families? The response based on recent
discoveries in the field of genetics would be: a. Your children should be
monitored closely for the disorder.
b. Research tends to support a familiar tendency to schizophrenia.
c. There is no concrete evidence; it is just as likely a coincidence.
d. Only bipolar disorder has been identified to have a genetic - ANS>> b.
Research tends to support a familiar tendency to schizophrenia.
A patient whose symptoms of mild depression have been managed with
antidepressants is concerned about the affect of accepting a promotion that
will require working the night shift. What will be the basis of the response
the nurse gives to address the patients concern?
, a. The connection between a new job and possible depression does exist.
b. The medication can be adjusted to manage any increase in depression.
c. The interruption in normal wake-sleep patterns can influence mood
disorders.
d. The change in sleep routine can be managed with a healthy sleep
hygiene routine. - ANS>> c. The interruption in normal wake-sleep patterns
can influence mood disorders.
The nurse is discouraged because the patient exhibiting negative
symptoms of schizophrenia has shown no improvement with the planned
interventions to reduce the symptoms. The mentors remark that helps
place the problem in perspective is:
a. You aren't responsible for the behavior of any other person.
b. Patients can be perverse and cling to symptoms despite our efforts.
c. Negative symptoms have been associated with genetic pathology.
d. It will take several trail and error attempts to get the right combination -
ANS>> c. Negative symptoms have been associated with genetic
pathology.
The somatic nervous system provides sensory and motor innervation for:
A) peripheral nerves.
B) abdominal viscera.
C) secretory glands.
D) smooth muscle. - ANS>> A) peripheral nerves.
The proteins and other materials used by the axon are synthesized and
then flow down the axon through its cytoplasm.
A) in the cell body
B) by Nissl bodies
C) through dendrites
D) across synapses - ANS>> A) in the cell body
Supporting cells of the nervous system, such as Schwann cells, satellite
cells, and types of glial cells, function to provide neurons with:
A) local protection.
B) control functions.
C) membrane permeability.
D) integrative metabolism. - ANS>> A) local protection.
Psychopharmacology 5th Edition Test
Bank) (Wilkes University)
Comprehensive Practice Questions &
Correct Answers(VERIFIED BY AN
EXPERT)
A patient with depression mentions to the nurse, My mother says
depression is a chemical disorder. What does she mean? The nurses
response is based on the theory that 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. Serotonin and norepinephrine
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 diagnosis?
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 - ANS>> b. Asking the
patient to recite the alphabet
The patient diagnosed with schizophrenia asks why psychotropic
medications are always prescribed by the doctor. The nurses answer will
be based on information that the 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 - ANS>> c. The regulation of neurotransmitters especially
dopamine
A student nurse mutters that it seems entirely unnecessary to have to
struggle with understanding the anatomy and physiology of the neurologic
system. The mentor would base a response on the understanding that it is:
a. Necessary but generally for psychiatric nurses who focus primarily on
behavioral interventions
b. A complex undertaking that advance practice psychiatric nurses
frequently use in their practice
c. Important primarily for the nursing assessment of patients with brain
trauma caused cognitive symptoms
d. Necessary for planning psychiatric care for all patients especially those
experiencing psychiatric disorders - ANS>> d. Necessary for planning
psychiatric care for all patients especially those experiencing psychiatric
disorders
A patient asks the nurse, My wife has breast cancer. Could it be caused by
her chronic depression? Which response is supported by research data?
a. Too much stress has been proven to cause all kinds of cancer.
b. There have been no research studies done on stress and disease yet.
c. Stress does cause the release of factors that suppress the immune
system.
d. There appears to be little connection between stress and diseases of the
body - ANS>> c. Stress does cause the release of factors that suppress the
immune system.
A patient who has a parietal lobe injury is being evaluated for psychiatric
rehabilitation needs. Of the aspects of functioning listed, which will the
nurse identify as a focus of nursing intervention?
a. Expression of emotion
b. Detecting auditory stimuli
c. Receiving visual images
d. Processing associations - ANS>> d. Processing associations
The patients family asks whether a diagnosis of Parkinsons disease
creates an increased risk for any mental health issues. What question
would the nurse ask to assess for such a comorbid condition?
,a. Has your father exhibited any signs of depression? b. Does your father
seem to experience mood swings?
c. Have you noticed your father talking about seeing things you cant see?
d. Is your dad preoccupied with behaviors that he needs to repeat over and
over? - ANS>> a. Has your father exhibited any signs of depression?
Which explanation for the prescription of donepezil (Aricept) would the
nurse provide for a patient in the early stage of Alzheimers disease?
a. It will increase the metabolism of excess GABA.
b. Excess dopamine will be prevented from attaching to receptor sites.
c. Serotonin deficiency will be managed through a prolonged reuptake
period.
d. The acetylcholine deficiency will be managed by inhibiting
cholinesterase. - ANS>> d. The acetylcholine deficiency will be managed
by inhibiting cholinesterase.
There remains a stigma attached to psychiatric illnesses. The psychiatric
nurse makes the greatest impact on this sociological problem when:
a. Providing educational programming for patients and the public
b. Arranging for adequate and appropriate social support for the patient
c. Assisting the patient to achieve the maximum level of independent
functioning
d. Regularly praising the patient for seeking and complying with appropriate
treatment - ANS>> a. Providing educational programming for patients and
the public
The wife of a patient with paranoid schizophrenia tells the nurse, Ive
learned that my husband has several close relatives with the same
disorder. Does this problem run in families? The response based on recent
discoveries in the field of genetics would be: a. Your children should be
monitored closely for the disorder.
b. Research tends to support a familiar tendency to schizophrenia.
c. There is no concrete evidence; it is just as likely a coincidence.
d. Only bipolar disorder has been identified to have a genetic - ANS>> b.
Research tends to support a familiar tendency to schizophrenia.
A patient whose symptoms of mild depression have been managed with
antidepressants is concerned about the affect of accepting a promotion that
will require working the night shift. What will be the basis of the response
the nurse gives to address the patients concern?
, a. The connection between a new job and possible depression does exist.
b. The medication can be adjusted to manage any increase in depression.
c. The interruption in normal wake-sleep patterns can influence mood
disorders.
d. The change in sleep routine can be managed with a healthy sleep
hygiene routine. - ANS>> c. The interruption in normal wake-sleep patterns
can influence mood disorders.
The nurse is discouraged because the patient exhibiting negative
symptoms of schizophrenia has shown no improvement with the planned
interventions to reduce the symptoms. The mentors remark that helps
place the problem in perspective is:
a. You aren't responsible for the behavior of any other person.
b. Patients can be perverse and cling to symptoms despite our efforts.
c. Negative symptoms have been associated with genetic pathology.
d. It will take several trail and error attempts to get the right combination -
ANS>> c. Negative symptoms have been associated with genetic
pathology.
The somatic nervous system provides sensory and motor innervation for:
A) peripheral nerves.
B) abdominal viscera.
C) secretory glands.
D) smooth muscle. - ANS>> A) peripheral nerves.
The proteins and other materials used by the axon are synthesized and
then flow down the axon through its cytoplasm.
A) in the cell body
B) by Nissl bodies
C) through dendrites
D) across synapses - ANS>> A) in the cell body
Supporting cells of the nervous system, such as Schwann cells, satellite
cells, and types of glial cells, function to provide neurons with:
A) local protection.
B) control functions.
C) membrane permeability.
D) integrative metabolism. - ANS>> A) local protection.
