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
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
Stahl's Essential Psychopharmacology
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 sr
e 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
sr sr
y 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 release of 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
sr sr
e body. Damage to the right side would result in impaired function on the left side of th
sr
e body. The motor cortex controls voluntary motor activity. Brocas area controls moto
sr
r 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 Testbank/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 Testbank/Study Guide
sr sr sr sr
Stahl's Essential Psychopharmacology
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 sr
e 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
sr sr
y 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 release of 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
sr sr
e body. Damage to the right side would result in impaired function on the left side of th
sr
e body. The motor cortex controls voluntary motor activity. Brocas area controls moto
sr
r 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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