1
,2
,STAHL'S ESSENTIAL PSYCHOPHARMACOLOGYNEUROSCIENTIFIC BASIS
AND PRACTICAL APPLICATIONS 5TH EDITION TESTBANK/STUDY GUIDE
Chapter 1 Chemical Neurotransmission
MULTIPLE CHOICES QUESTIONS
1. 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
ANSWER: D
One Possible Cause Of Depression Is Thought To Involve One Or More Neurotransmitters.Pr
Serotonin And Norepinephrine Have Been Found To Be Important In The Regulation Of De Pression. There Is
No Research To Support That The Other Options Play A Significant Role I N The Development Of Depression.
2. A Patient Has Experienced A Stroke (Cerebral Vascular Accident) That Has Resulted Inpr Damage To The
Broca Area. Which Evaluation Does The Nurse Conduct To Reinforce Thispr 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 Hands ANSWER: B
Accidents Or Strokes That Damage Brocas Area May Result In The Inability To Speak (I.E.,Pr
Motor Aphasia). Fine Motor Skills, Blood Pressure Control, And Muscle Strength Are Notpr Controlled By The Broca
Area Of The Left Frontal Lobe.
3. The Patient Diagnosed With Schizophrenia Asks Why Psychotropic Medications Are Always Prescribed
By The Doctor. The Nurses Answer Will Be Based On Information Thatpr 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
3
, ANSWER: C
Medications Used To Treat Psychiatric Disorders Operate In And Around The Synaptic Cleftpr And Have Action
At The Neurotransmitter Level, Especially In The Case Of Schizophrenia, O N Dopamine. The Wernickes Area,
Dendrite Function, Or The Sensitivity Of The Peripheral Nervous System Are Not Relevant To Either
Schizophrenia Or Psychotropic Medications.
4. A Student Nurse Mutters That It Seems Entirely Unnecessary To Have To Struggle Withpr Understanding
The Anatomy And Physiology Of The Neurologic System. The Mentor W Ould Base A Response On The
Understanding That It Is:
Necessary But Generally For Psychiatric Nurses Who Focus Primarilypronpr
A. Behavioral Interventions
A Complex Undertaking That Advance Practice Psychiatric Nursesprfrequently Usepr In Their Practice
B. Important Primarily For The Nursing Assessment Of Patients With Brainpr Traumacaused Cognitive
Symptoms
C. Necessary For Planning Psychiatric Care For Allprpatients Especially Thosepr Experiencing
Psychiatric Disorders
D.
ANSWER:
D
Nurses Must Understand That Many Symptomsprof Psychiatric Disorders Have A Neurolo Gic Basis,
Although The Symptoms Are Manifested Behaviorally. This Understanding Fa Cilitates Effective Care
Planning. Theprfoundationprof Knowledge Is Notprused Exclusively By Advanced Practice Psychiatric
Nursesprnor Is It Relevant For Only Behavior Therapies Or Brain Trauma Since Dealing Withprtheprresults
Of Normal And Abnormal Brain Function Is A Responsibility Of All Nurses Providing All Types Of Care
Toprthe Psychiatric Patient.
5. A Patient Asks The Nurse, Myprwife Has Breast Cancer. Could It Be Caused By Her Chronic
Depression? Whichprresponse Is Supported By Research Data?
a. Too Much Stressprhas Been Proven To Cause All Kinds Of Cancer.
b. There Have Been No Research Studies Done On Stress And Disease Yet.
c. Stress Doesprcause The Release Of Factors That Suppress The Immune System.
d. Thereprappears To Be Little Connection Between Stress And Diseases Of The Body ANSWER: C
Research Indicates That Stress Causes A Release Of Corticotropin-
Releasing Factors That Suppress The Immune System. Studies Indicate That Psychiatric Di Sorders Such As
Moodrdisorders Are Sometimes Associated With Decreased Functioning O F The Immune System.Research
Does Not Support A Connection Between Many Cancers A Nd Stress. There Is A Significant Amount Of
Research About Stress And The Body. Researc H Has Shown That There Are Some Connections Between
Stress And Physical Disease.
,2
,STAHL'S ESSENTIAL PSYCHOPHARMACOLOGYNEUROSCIENTIFIC BASIS
AND PRACTICAL APPLICATIONS 5TH EDITION TESTBANK/STUDY GUIDE
Chapter 1 Chemical Neurotransmission
MULTIPLE CHOICES QUESTIONS
1. 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
ANSWER: D
One Possible Cause Of Depression Is Thought To Involve One Or More Neurotransmitters.Pr
Serotonin And Norepinephrine Have Been Found To Be Important In The Regulation Of De Pression. There Is
No Research To Support That The Other Options Play A Significant Role I N The Development Of Depression.
2. A Patient Has Experienced A Stroke (Cerebral Vascular Accident) That Has Resulted Inpr Damage To The
Broca Area. Which Evaluation Does The Nurse Conduct To Reinforce Thispr 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 Hands ANSWER: B
Accidents Or Strokes That Damage Brocas Area May Result In The Inability To Speak (I.E.,Pr
Motor Aphasia). Fine Motor Skills, Blood Pressure Control, And Muscle Strength Are Notpr Controlled By The Broca
Area Of The Left Frontal Lobe.
3. The Patient Diagnosed With Schizophrenia Asks Why Psychotropic Medications Are Always Prescribed
By The Doctor. The Nurses Answer Will Be Based On Information Thatpr 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
3
, ANSWER: C
Medications Used To Treat Psychiatric Disorders Operate In And Around The Synaptic Cleftpr And Have Action
At The Neurotransmitter Level, Especially In The Case Of Schizophrenia, O N Dopamine. The Wernickes Area,
Dendrite Function, Or The Sensitivity Of The Peripheral Nervous System Are Not Relevant To Either
Schizophrenia Or Psychotropic Medications.
4. A Student Nurse Mutters That It Seems Entirely Unnecessary To Have To Struggle Withpr Understanding
The Anatomy And Physiology Of The Neurologic System. The Mentor W Ould Base A Response On The
Understanding That It Is:
Necessary But Generally For Psychiatric Nurses Who Focus Primarilypronpr
A. Behavioral Interventions
A Complex Undertaking That Advance Practice Psychiatric Nursesprfrequently Usepr In Their Practice
B. Important Primarily For The Nursing Assessment Of Patients With Brainpr Traumacaused Cognitive
Symptoms
C. Necessary For Planning Psychiatric Care For Allprpatients Especially Thosepr Experiencing
Psychiatric Disorders
D.
ANSWER:
D
Nurses Must Understand That Many Symptomsprof Psychiatric Disorders Have A Neurolo Gic Basis,
Although The Symptoms Are Manifested Behaviorally. This Understanding Fa Cilitates Effective Care
Planning. Theprfoundationprof Knowledge Is Notprused Exclusively By Advanced Practice Psychiatric
Nursesprnor Is It Relevant For Only Behavior Therapies Or Brain Trauma Since Dealing Withprtheprresults
Of Normal And Abnormal Brain Function Is A Responsibility Of All Nurses Providing All Types Of Care
Toprthe Psychiatric Patient.
5. A Patient Asks The Nurse, Myprwife Has Breast Cancer. Could It Be Caused By Her Chronic
Depression? Whichprresponse Is Supported By Research Data?
a. Too Much Stressprhas Been Proven To Cause All Kinds Of Cancer.
b. There Have Been No Research Studies Done On Stress And Disease Yet.
c. Stress Doesprcause The Release Of Factors That Suppress The Immune System.
d. Thereprappears To Be Little Connection Between Stress And Diseases Of The Body ANSWER: C
Research Indicates That Stress Causes A Release Of Corticotropin-
Releasing Factors That Suppress The Immune System. Studies Indicate That Psychiatric Di Sorders Such As
Moodrdisorders Are Sometimes Associated With Decreased Functioning O F The Immune System.Research
Does Not Support A Connection Between Many Cancers A Nd Stress. There Is A Significant Amount Of
Research About Stress And The Body. Researc H Has Shown That There Are Some Connections Between
Stress And Physical Disease.
