Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
GI GI GI GI GI GI GI
Applications 5th Edition Testbank/Study Guide
GI GI GI GI
Stahl's Essential Psychopharmacology
GI GI
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide
GI GI GI GI GI GI GI GI
Chapter 1 Chemical neurotransmission
GI GI GI
MULTIPLE CHOICE GI
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
GI GI GI GI GI GI GI
Applications 5th Edition Testbank/Study Guide GI GI GI GI
1. A patient with depression mentions to the nurse, My mother says depression is
GI GI GI GI GI GI GI GI GI GI GI GI GI
a chemical disorder. What does she mean? The nurses response is based on the th
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
eorythat depression primarily involves which of the following neurotransmitters?
IG GI GI GI GI GI GI GI GI
a. Cortisol and GABA GI GI
b. COMT and glutamate GI GI
c. Monamine and glycine GI GI
d. Serotonin and norepinephrine GI GI
ANS: D GI
One possible cause of depression is thought to involve one or more neurotransmitte
GI GI GI GI GI GI GI GI GI GI GI GI
rs.Serotonin and norepinephrine have been found to be important in the regulation o
IG GI GI GI GI GI GI GI GI GI GI GI GI
f depression. There is no research to support that the other options play a significan
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
t role in the development of depression.
GI GI GI GI GI GI
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted
GI GI GI GI GI GI GI GI GI GI GI GI
indamage to the Broca area. Which evaluation does the nurse conduct to reinforce
IG GI GI GI GI GI GI GI GI GI GI GI GI G
thisdiagnosis?
I IG
a. Observing the patient pick up a spoon GI GI GI GI GI GI
b. Asking the patient to recite the alphabet
GI GI GI GI GI GI
c. Monitoring the patients blood pressure GI GI GI GI
d. Comparing the patients grip strength in both hands GI GI GI GI GI GI GI
ANS: B GI
Accidents or strokes that damage Brocas area may result in the inability to speak (i.
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
e.,motor aphasia). Fine motor skills, blood pressure control, and muscle strength are
IG GI GI GI GI GI GI GI GI GI GI GI
notcontrolled by the Broca area of the left frontal lobe.
GI IG GI GI GI GI GI GI GI GI GI
3. The patient diagnosed with schizophrenia asks why psychotropic medications are
GI GI GI GI GI GI GI GI GI
always prescribed by the doctor. The nurses answer will be based on information t
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
hatthe therapeutic action of psychotropic drugs is the result of their effect on:
IG GI GI GI GI GI GI GI GI GI GI GI GI
a. The temporal lobe; especially Wernickes area GI GI GI GI GI
b. Dendrites and their ability to transmit electrical impulses
GI GI GI GI GI GI GI
c. The regulation of neurotransmitters especially dopamine
GI GI GI GI GI
d. The peripheral nervous system sensitivity to the psychotropic medications
GI GI GI GI GI GI GI GI
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
GI GI GI GI GI GI GI
Applications 5th Edition Testbank/Study Guide GI GI GI GI
ANS: C GI
Medications used to treat psychiatric disorders operate in and around the synaptic cl
GI GI GI GI GI GI GI GI GI GI GI GI
eftand have action at the neurotransmitter level, especially in the case of schizophren
IG GI GI GI GI GI GI GI GI GI GI GI GI
ia, on dopamine. The Wernickes area, dendrite function, or the sensitivity of the peri
GI GI GI GI GI GI GI GI GI GI GI GI GI
pheral nervous system are not relevant to either schizophrenia or psychotropic medic
GI GI GI GI GI GI GI GI GI GI GI
ations.
4. A student nurse mutters that it seems entirely unnecessary to have to struggle wi
GI GI GI GI GI GI GI GI GI GI GI GI GI
thunderstanding the anatomy and physiology of the neurologic system. The mentor
IG GI GI GI GI GI GI GI GI GI GI
would base a response on the understanding that it is:
GI GI GI GI GI GI GI GI GI GI
Necessary but generally for psychiatric nurses who focus primarily o GI GI GI GI GI GI GI GI GI
a. nbehavioral interventions IG GI
A complex undertaking that advance practice psychiatric nurses frequently u
GI GI GI GI GI GI GI GI GI
b. sein their practice
IG GI GI
Important primarily for the nursing assessment of patients with brai
GI GI GI GI GI GI GI GI GI
c. ntraumacaused cognitive symptoms
IG GI GI
Necessary for planning psychiatric care for all patients especially tho
GI GI GI GI GI GI GI GI GI
d. seexperiencing psychiatric disorders
IG GI GI
ANS: D GI
Nurses must understand that many symptoms of psychiatric disorders have a neuro
GI GI GI GI GI GI GI GI GI GI GI
logic basis, although the symptoms are manifested behaviorally. This understandin
GI GI GI GI GI GI GI GI GI
g facilitates effective care planning. The foundation of knowledge is notused exclu
GI GI GI GI GI GI GI GI GI GI IG GI
sively by advanced practice psychiatric nurses nor is it relevant for only behavior t
GI GI GI GI GI GI GI GI GI GI GI GI GI
herapies or brain trauma since dealing with the results of normal and abnormal bra
GI GI GI GI GI GI GI GI GI GI GI GI GI
in function is a responsibility of all nurses providing all types of care tothe psychia
GI GI GI GI GI GI GI GI GI GI GI GI GI IG GI
tric patient. GI
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by
GI GI GI GI GI GI GI GI GI GI GI GI GI GI GI
herchronic depression? Which response is supported by research data?
IG GI GI GI GI GI GI GI GI
a. Too much stress has been proven to cause all kinds of cancer.
GI GI GI GI GI GI GI GI GI GI GI
b. There have been no research studies done on stress and disease yet.
GI GI GI GI GI GI GI GI GI GI GI
c. Stress does cause the release of factors that suppress the immune system.
GI GI GI GI GI GI GI GI GI GI GI
d. There appears to be little connection between stress and diseases of the body
GI GI GI GI GI GI GI GI GI GI GI GI
ANS: C GI
Research indicates that stress causes a release of corticotropin-
GI GI GI GI GI GI GI GI
releasing factors that suppress the immune system. Studies indicate that psychiatric
GI GI GI GI GI GI GI GI GI GI GI
disorders such as mooddisorders are sometimes associated with decreased functionin
GI GI GI IG GI GI GI GI GI GI
g of the immune system.Research does not support a connection between many can
GI GI GI GI IG GI GI GI GI GI GI GI GI
cers and stress. There is a significant amount of research about stress and the body.
GI GI GI GI GI GI GI GI GI GI GI GI GI GI GI
Research has shown that there are some connections between stress and physical di
GI GI GI GI GI GI GI GI GI GI GI GI
sease.
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
GI GI GI GI GI GI GI
Applications 5th Edition Testbank/Study Guide GI GI GI GI
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabil
GI GI GI GI GI GI GI GI GI GI GI GI GI
itation needs. Of the aspects of functioning listed, which will the nurse identifyas a
GI GI GI GI GI GI GI GI GI GI GI GI IG GI GI
focus of nursing intervention?
GI GI GI
a. Expression of emotion GI GI
b. Detecting auditory stimuli GI GI
c. Receiving visual images GI GI
d. Processing associations GI
ANS: D GI
The parietal lobe is responsible for associating and processing sensory information t
GI GI GI GI GI GI GI GI GI GI GI
hat allows for functions such as following directions on a map, reading a clock, dre
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
ssing self, keeping appointments, and distinguishing right from left. Emotional expr
GI GI GI GI GI GI GI GI GI GI
ession is associated with frontal lobe function. Detecting auditory stimuli is a tempo
GI GI GI GI GI GI GI GI GI GI GI GI
ral lobe function. Receiving visual images is related to occipital lobe function.
GI GI GI GI GI GI GI GI GI GI GI
7. At admission, the nurse learns that some time ago the patient had an infarct in t
GI GI GI GI GI GI GI GI GI GI GI GI GI GI GI
heright cerebral cortex. During assessment, the nurse would expect to find that th
IG GI GI GI GI GI GI GI GI GI GI GI GI
e patient:
GI
a. Demonstrates major deficiencies in speech GI GI GI GI
b. Is unable to effectively hold a spoon in the left hand
GI GI GI GI GI GI GI GI GI GI
c. Has difficulty explaining how to go about using the telephone
GI GI GI GI GI GI GI GI GI
d. Cannot use his right hand to shave himself or comb his own hair GI GI GI GI GI GI GI GI GI GI GI GI
ANS: B GI
The cerebral hemispheres are responsible for functions such as control of muscles.
GI GI GI GI GI GI GI GI GI GI GI GI
The right hemisphere mainly controls the motor and sensory functions on the left si
GI GI GI GI GI GI GI GI GI GI GI GI GI
deof the body. Damage to the right side would result in impaired function on the le
IG GI GI GI GI GI GI GI GI GI GI GI GI GI GI GI
ft side of the body. The motor cortex controls voluntary motor activity. Brocas area
GI GI GI GI GI GI GI GI GI GI GI GI GI
controls motor speech. Cognitive functions are attributed to the association cortex.
GI GI GI GI GI GI GI GI GI GI GI
The right side of the bodys motor activity is controlled by the left cerebral cortex.
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. T
GI GI GI GI GI GI GI GI GI GI GI
hepatient will be discharged on low doses of haloperidol. The nurse will need to in
IG GI GI GI GI GI GI GI GI GI GI GI GI GI GI
dividualize the patients medication teaching by: GI GI GI GI GI
a. Including the patients caregiver in the education GI GI GI GI GI GI
b. Being careful to stress the importance of taking the medication as prescribed
GI GI GI GI GI GI GI GI GI GI GI
Providing the education at a time when the patient is emotionally calm a
GI GI GI GI GI GI GI GI GI GI GI GI
c. ndrelaxed IG
Encouraging the patient to crush or dissolve the medication to help wi GI GI GI GI GI GI GI GI GI GI GI
d. thswallowing
IG
ANS: A GI
WWW.TESTBANKTANK.COM
GI GI GI GI GI GI GI
Applications 5th Edition Testbank/Study Guide
GI GI GI GI
Stahl's Essential Psychopharmacology
GI GI
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide
GI GI GI GI GI GI GI GI
Chapter 1 Chemical neurotransmission
GI GI GI
MULTIPLE CHOICE GI
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
GI GI GI GI GI GI GI
Applications 5th Edition Testbank/Study Guide GI GI GI GI
1. A patient with depression mentions to the nurse, My mother says depression is
GI GI GI GI GI GI GI GI GI GI GI GI GI
a chemical disorder. What does she mean? The nurses response is based on the th
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
eorythat depression primarily involves which of the following neurotransmitters?
IG GI GI GI GI GI GI GI GI
a. Cortisol and GABA GI GI
b. COMT and glutamate GI GI
c. Monamine and glycine GI GI
d. Serotonin and norepinephrine GI GI
ANS: D GI
One possible cause of depression is thought to involve one or more neurotransmitte
GI GI GI GI GI GI GI GI GI GI GI GI
rs.Serotonin and norepinephrine have been found to be important in the regulation o
IG GI GI GI GI GI GI GI GI GI GI GI GI
f depression. There is no research to support that the other options play a significan
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
t role in the development of depression.
GI GI GI GI GI GI
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted
GI GI GI GI GI GI GI GI GI GI GI GI
indamage to the Broca area. Which evaluation does the nurse conduct to reinforce
IG GI GI GI GI GI GI GI GI GI GI GI GI G
thisdiagnosis?
I IG
a. Observing the patient pick up a spoon GI GI GI GI GI GI
b. Asking the patient to recite the alphabet
GI GI GI GI GI GI
c. Monitoring the patients blood pressure GI GI GI GI
d. Comparing the patients grip strength in both hands GI GI GI GI GI GI GI
ANS: B GI
Accidents or strokes that damage Brocas area may result in the inability to speak (i.
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
e.,motor aphasia). Fine motor skills, blood pressure control, and muscle strength are
IG GI GI GI GI GI GI GI GI GI GI GI
notcontrolled by the Broca area of the left frontal lobe.
GI IG GI GI GI GI GI GI GI GI GI
3. The patient diagnosed with schizophrenia asks why psychotropic medications are
GI GI GI GI GI GI GI GI GI
always prescribed by the doctor. The nurses answer will be based on information t
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
hatthe therapeutic action of psychotropic drugs is the result of their effect on:
IG GI GI GI GI GI GI GI GI GI GI GI GI
a. The temporal lobe; especially Wernickes area GI GI GI GI GI
b. Dendrites and their ability to transmit electrical impulses
GI GI GI GI GI GI GI
c. The regulation of neurotransmitters especially dopamine
GI GI GI GI GI
d. The peripheral nervous system sensitivity to the psychotropic medications
GI GI GI GI GI GI GI GI
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
GI GI GI GI GI GI GI
Applications 5th Edition Testbank/Study Guide GI GI GI GI
ANS: C GI
Medications used to treat psychiatric disorders operate in and around the synaptic cl
GI GI GI GI GI GI GI GI GI GI GI GI
eftand have action at the neurotransmitter level, especially in the case of schizophren
IG GI GI GI GI GI GI GI GI GI GI GI GI
ia, on dopamine. The Wernickes area, dendrite function, or the sensitivity of the peri
GI GI GI GI GI GI GI GI GI GI GI GI GI
pheral nervous system are not relevant to either schizophrenia or psychotropic medic
GI GI GI GI GI GI GI GI GI GI GI
ations.
4. A student nurse mutters that it seems entirely unnecessary to have to struggle wi
GI GI GI GI GI GI GI GI GI GI GI GI GI
thunderstanding the anatomy and physiology of the neurologic system. The mentor
IG GI GI GI GI GI GI GI GI GI GI
would base a response on the understanding that it is:
GI GI GI GI GI GI GI GI GI GI
Necessary but generally for psychiatric nurses who focus primarily o GI GI GI GI GI GI GI GI GI
a. nbehavioral interventions IG GI
A complex undertaking that advance practice psychiatric nurses frequently u
GI GI GI GI GI GI GI GI GI
b. sein their practice
IG GI GI
Important primarily for the nursing assessment of patients with brai
GI GI GI GI GI GI GI GI GI
c. ntraumacaused cognitive symptoms
IG GI GI
Necessary for planning psychiatric care for all patients especially tho
GI GI GI GI GI GI GI GI GI
d. seexperiencing psychiatric disorders
IG GI GI
ANS: D GI
Nurses must understand that many symptoms of psychiatric disorders have a neuro
GI GI GI GI GI GI GI GI GI GI GI
logic basis, although the symptoms are manifested behaviorally. This understandin
GI GI GI GI GI GI GI GI GI
g facilitates effective care planning. The foundation of knowledge is notused exclu
GI GI GI GI GI GI GI GI GI GI IG GI
sively by advanced practice psychiatric nurses nor is it relevant for only behavior t
GI GI GI GI GI GI GI GI GI GI GI GI GI
herapies or brain trauma since dealing with the results of normal and abnormal bra
GI GI GI GI GI GI GI GI GI GI GI GI GI
in function is a responsibility of all nurses providing all types of care tothe psychia
GI GI GI GI GI GI GI GI GI GI GI GI GI IG GI
tric patient. GI
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by
GI GI GI GI GI GI GI GI GI GI GI GI GI GI GI
herchronic depression? Which response is supported by research data?
IG GI GI GI GI GI GI GI GI
a. Too much stress has been proven to cause all kinds of cancer.
GI GI GI GI GI GI GI GI GI GI GI
b. There have been no research studies done on stress and disease yet.
GI GI GI GI GI GI GI GI GI GI GI
c. Stress does cause the release of factors that suppress the immune system.
GI GI GI GI GI GI GI GI GI GI GI
d. There appears to be little connection between stress and diseases of the body
GI GI GI GI GI GI GI GI GI GI GI GI
ANS: C GI
Research indicates that stress causes a release of corticotropin-
GI GI GI GI GI GI GI GI
releasing factors that suppress the immune system. Studies indicate that psychiatric
GI GI GI GI GI GI GI GI GI GI GI
disorders such as mooddisorders are sometimes associated with decreased functionin
GI GI GI IG GI GI GI GI GI GI
g of the immune system.Research does not support a connection between many can
GI GI GI GI IG GI GI GI GI GI GI GI GI
cers and stress. There is a significant amount of research about stress and the body.
GI GI GI GI GI GI GI GI GI GI GI GI GI GI GI
Research has shown that there are some connections between stress and physical di
GI GI GI GI GI GI GI GI GI GI GI GI
sease.
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
GI GI GI GI GI GI GI
Applications 5th Edition Testbank/Study Guide GI GI GI GI
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabil
GI GI GI GI GI GI GI GI GI GI GI GI GI
itation needs. Of the aspects of functioning listed, which will the nurse identifyas a
GI GI GI GI GI GI GI GI GI GI GI GI IG GI GI
focus of nursing intervention?
GI GI GI
a. Expression of emotion GI GI
b. Detecting auditory stimuli GI GI
c. Receiving visual images GI GI
d. Processing associations GI
ANS: D GI
The parietal lobe is responsible for associating and processing sensory information t
GI GI GI GI GI GI GI GI GI GI GI
hat allows for functions such as following directions on a map, reading a clock, dre
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
ssing self, keeping appointments, and distinguishing right from left. Emotional expr
GI GI GI GI GI GI GI GI GI GI
ession is associated with frontal lobe function. Detecting auditory stimuli is a tempo
GI GI GI GI GI GI GI GI GI GI GI GI
ral lobe function. Receiving visual images is related to occipital lobe function.
GI GI GI GI GI GI GI GI GI GI GI
7. At admission, the nurse learns that some time ago the patient had an infarct in t
GI GI GI GI GI GI GI GI GI GI GI GI GI GI GI
heright cerebral cortex. During assessment, the nurse would expect to find that th
IG GI GI GI GI GI GI GI GI GI GI GI GI
e patient:
GI
a. Demonstrates major deficiencies in speech GI GI GI GI
b. Is unable to effectively hold a spoon in the left hand
GI GI GI GI GI GI GI GI GI GI
c. Has difficulty explaining how to go about using the telephone
GI GI GI GI GI GI GI GI GI
d. Cannot use his right hand to shave himself or comb his own hair GI GI GI GI GI GI GI GI GI GI GI GI
ANS: B GI
The cerebral hemispheres are responsible for functions such as control of muscles.
GI GI GI GI GI GI GI GI GI GI GI GI
The right hemisphere mainly controls the motor and sensory functions on the left si
GI GI GI GI GI GI GI GI GI GI GI GI GI
deof the body. Damage to the right side would result in impaired function on the le
IG GI GI GI GI GI GI GI GI GI GI GI GI GI GI GI
ft side of the body. The motor cortex controls voluntary motor activity. Brocas area
GI GI GI GI GI GI GI GI GI GI GI GI GI
controls motor speech. Cognitive functions are attributed to the association cortex.
GI GI GI GI GI GI GI GI GI GI GI
The right side of the bodys motor activity is controlled by the left cerebral cortex.
GI GI GI GI GI GI GI GI GI GI GI GI GI GI
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. T
GI GI GI GI GI GI GI GI GI GI GI
hepatient will be discharged on low doses of haloperidol. The nurse will need to in
IG GI GI GI GI GI GI GI GI GI GI GI GI GI GI
dividualize the patients medication teaching by: GI GI GI GI GI
a. Including the patients caregiver in the education GI GI GI GI GI GI
b. Being careful to stress the importance of taking the medication as prescribed
GI GI GI GI GI GI GI GI GI GI GI
Providing the education at a time when the patient is emotionally calm a
GI GI GI GI GI GI GI GI GI GI GI GI
c. ndrelaxed IG
Encouraging the patient to crush or dissolve the medication to help wi GI GI GI GI GI GI GI GI GI GI GI
d. thswallowing
IG
ANS: A GI
WWW.TESTBANKTANK.COM