Test Bank - Stahl's Essential Psychopharmacology 5th Edition Neuroscientific Basis and Practical Applications (Stephen M. Stahl, 2021), All Chapters 1-13

Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
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Applications 5th Edition Testbank/Study Guide
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,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
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Applications 5th Edition Testbank/Study Guide
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,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
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Applications 5th Edition Testbank/Study Guide xt xt xt xt




Stahl's Essential Psychopharmacology xt xt




Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide xt xt xt xt xt xt xt xt




Chapter 1 Chemical neurotransmission xt xt xt


MULTIPLE CHOICE xt


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




b. COMT and glutamate xt xt




c. Monamine and glycine xt xt




d. Serotonin and norepinephrine xt xt



ANS: D xt


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 de
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pression. There is no research to support that the other options play a significant role i
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n 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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damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
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diagnosis?
a. Observing the patient pick up a spoon xt xt xt xt xt xt




b. Asking the patient to recite the alphabet
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c. Monitoring the patients blood pressure xt xt xt xt




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



ANS: B xt



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
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controlled 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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lways prescribed by the doctor. The nurses answer will be based on information thatt
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he therapeutic action of psychotropic drugs is the result of their effect on:
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a. The temporal lobe; especially Wernickes area xt xt xt xt xt




b. Dendrites and their ability to transmit electrical impulses
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c. The regulation of neurotransmitters especially dopamine
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d. The peripheral nervous system sensitivity to the psychotropic medications
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, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
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Applications 5th Edition Testbank/Study Guide xt xt xt xt




ANS: C xt


Medications used to treat psychiatric disorders operate in and around the synaptic cleft
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and have action at the neurotransmitter level, especially in the case of schizophrenia, o
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n dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
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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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understanding the anatomy and physiology of the neurologic system. The mentor wo
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uld base a response on the understanding that it is:
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Necessary but generally for psychiatric nurses who focus primarily on xt xt xt xt xt xt xt xt xt t
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a. behavioral interventions xt




A complex undertaking that advance practice psychiatric nurses frequently use
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b. in their practice
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Important primarily for the nursing assessment of patients with brain
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c. traumacaused cognitive symptoms xt xt




Necessary for planning psychiatric care for all patients especially those
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d. experiencing psychiatric disorders xt xt



ANS: D xt


Nurses must understand that many symptoms of psychiatric disorders have a neurolo
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gic basis, although the symptoms are manifested behaviorally. This understanding fa
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cilitates effective care planning. The foundation of knowledge is notused exclusively
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by advanced practice psychiatric nurses nor is it relevant for only behavior therapies
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or brain trauma since dealing with the results of normal and abnormal brain function i
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s a responsibility of all nurses providing all types of care tothe 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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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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c. Stress does cause the release of factors that suppress the immune system.
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d. There appears to be little connection between stress and diseases of the body
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ANS: C xt


Research indicates that stress causes a release of corticotropin-
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releasing factors that suppress the immune system. Studies indicate that psychiatric di
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sorders such as mooddisorders are sometimes associated with decreased functioning of
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the immune system.Research does not support a connection between many cancers an
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d stress. There is a significant amount of research about stress and the body. Research
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has shown that there are some connections between stress and physical disease.
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