Prescriber's Guide Stahl's Essential Psychopharmacology
By: Stephen M. Stahl
8th Edition
,Test Bank For Stahl's Essential Psychopharmacology: Neuroscientific Basis And
Practical Applications 8th Edition
Chapter 1 Chemical Neurotransmission
Multiple Choice
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 Theorythat 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 Depression. There Is No Research To Support
That The Other Options Play A Significant Role In The 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 Thisdiagnosis?
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., Motor Aphasia). Fine Motor Skills, Blood Pressure Control, And
Muscle Strength Are Notcontrolled 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 Thatthe 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
,Ans: C
Medications Used To Treat Psychiatric Disorders Operate In And Around The
Synaptic Cleftand 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 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 Withunderstanding The Anatomy And Physiology Of The Neurologic
System. The Mentor Would Base A Response On The Understanding That It
Is:
Necessary But Generally For Psychiatric Nurses Who Focus Primarily
A. Onbehavioral Interventions
A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently
B. Usein Their Practice
Important Primarily For The Nursing Assessment Of Patients With
C. Braintraumacaused Cognitive Symptoms
Necessary For Planning Psychiatric Care For All Patients Especially
D. Thoseexperiencing Psychiatric Disorders
Ans: D
Nurses Must Understand That Many Symptoms Of Psychiatric Disorders Have A
Neurologic Basis, Although The Symptoms Are Manifested Behaviorally. This
Understanding Facilitates Effective Care Planning. The Foundation Of
Knowledge Is Notused Exclusively By Advanced Practice Psychiatric Nurses
Nor Is It Relevant For Only Behavior Therapies Or Brain Trauma Since Dealing
With The Results Of Normal And Abnormal Brain Function Is A 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 Herchronic Depression? Which Response Is Supported By
Research Data?
A. Too Much Stress Has Been Proven To Cause All Kinds Of Cancer.
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.
D. There Appears To Be Little Connection Between Stress And Diseases Of The
Body
Ans: C
Research Indicates That Stress Causes A Release Of Corticotropin-Releasing
Factors That Suppress The Immune System. Studies Indicate That Psychiatric
Disorders Such As Mooddisorders Are Sometimes Associated With Decreased
Functioning Of The 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 Has Shown That There Are Some Connections Between Stress And
Physical Disease.