Stahl’s Essential Psychopharmacology 4th Edition Test Bank

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Stahl'sEssentialPsychopharmacology s s




Neuroscientific Basis and Practical Applications TESTBANK/STUDY GUIDE ss ss ss ss ss ss




Chapter 1 Chemical neurotransmission
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MULTIPLE CHOICE ss




1. A patient with depression mentions to the nurse, My mother says depression is a c
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ss hemical disorder. What does she mean? The nurses response is based on the theory t
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ss hat depression primarily involves which of the following neurotransmitters?
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a. Cortisol and GABA ss ss




b. COMT and glutamate ss ss




c. Monamine and glycine ss ss




d. Serotonin and norepinephrine ss ss




ANS: D
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One possible cause of depression is thought to involve one or more neurotransmitters.
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Serotonin and norepinephrine have been found to be important in the regulation of
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ss depression. There is no research to support that the other options play a significant
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ss role 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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ss damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
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ss diagnosis?


a. Observing the patient pick up a spoon ss ss ss ss ss ss




b. Asking the patient to recite the alphabet ss ss ss ss ss ss




c. Monitoring the patients blood pressure ss ss ss ss




d. Comparing the patients grip strength in both hands ss ss ss ss ss ss ss

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ss ANS: B ss




Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
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motor aphasia). Fine motor skills, blood pressure control, and muscle strength are not cont rolled
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ss by the Broca area of the left frontal lobe.
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3. The patient diagnosed with schizophrenia asks why psychotropic medications are a
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ss lways prescribed by the doctor. The nurses answer will be based on information that t
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ss he therapeutic action of psychotropic drugs is the result of their effect on:
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a. The temporal lobe; especially Wernickes area
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b. Dendritesand their ability to transmit electrical impulses
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c. Theregulation of neurotransmitters especially dopamine
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d. Theperipheral nervous system sensitivity to the psychotropic medications
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ANS: C ss




Medications used to treat psychiatric disorders operate in and around the synaptic cleft
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ss and have action at the neurotransmitter level, especially in the case of schizophrenia, o n
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dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
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ss nervous system are not relevant to either schizophrenia or psychotropic medications.
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4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
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ss understanding the anatomy and physiology of the neurologic system. The mentor wo ss ss ss ss ss ss ss ss ss ss ss




ss uld base a response on the understanding that it is:
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Necessary but generally for psychiatric nurses who focus primarily onss ss ss ss ss ss ss ss ss




a. behavioral interventions ss




A complex undertaking that advance practice psychiatric nurses frequently use i n
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b. ss their practice ss




Important primarily for the nursing assessment of patients with brain traumacause d
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c. ss cognitive symptoms ss




Necessary for planning psychiatric care for allpatients especially those experienci ng
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d. ss psychiatric disorders ss




ANS: D ss




Nurses must understand that many symptoms of psychiatric disorders have a neurologi c
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ss basis, although the symptoms are manifested behaviorally. This understanding facilit
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ss ates effective care planning. The foundation of knowledge is not used exclusively by ad
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ss vanced practice psychiatric nurses nor is it relevant for only behavior therapies or brain
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ss trauma since dealing with the results of normal and abnormal brain function is a respo
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ss nsibility of all nurses providing all types of care to the psychiatric patient.
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5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her
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ss 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.
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b. There have been no research studies done on stress and disease yet.
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