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, Stahl's Essential Psychopharmacology z z
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide z z z z z z z z
Chapter 1 Chemical neurotransmission
z z z
MULTIPLE CHOICE z
1. A patient with depression mentions to the nurse, My mother says depression is a che
z z z z z z z z z z z z z z
mical disorder. What does she mean? The nurses response is based on the theorythat de
z z z z z z z z z z z z z z z
pression primarily involves which of the following neurotransmitters?
z z z z z z z
a. Cortisol and GABA z z
b. COMT and glutamate z z
c. Monamine and glycine z z
d. Serotonin and norepinephrine z z
ANS: D z
One possible cause of depression is thought to involve one or more neurotransmitters.Ser
z z z z z z z z z z z z z
otonin and norepinephrine have been found to be important in the regulation of depressio
z z z z z z z z z z z z z
n. There is no research to support that the other options play a significant role in the develo
z z z z z z z z z z z z z z z z z
pment of depression. z z
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted inda
z z z z z z z z z z z z z
mage to the Broca area. Which evaluation does the nurse conduct to reinforce thisdiagn
z z z z z z z z z z z z z z
osis?
a. Observing the patient pick up a spoon z z z z z z
b. Asking the patient to recite the alphabet z z z z z z
c. Monitoring the patients blood pressure z z z z
d. Comparing the patients grip strength in both hands z z z z z z z
ANS: B z
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,mot
z z z z z z z z z z z z z z z
or aphasia). Fine motor skills, blood pressure control, and muscle strength are notcontroll
z z z z z z z z z z z z z
ed by the Broca area of the left frontal lobe.
z z z z z z z z z
3. The patient diagnosed with schizophrenia asks why psychotropic medications are alw
z z z z z z z z z z
ays prescribed by the doctor. The nurses answer will be based on information thatthe ther
z z z z z z z z z z z z z z z
apeutic action of psychotropic drugs is the result of their effect on:
z z z z z z z z z z z
a. The temporal lobe; especially Wernickes area z z z z z
b. Dendrites and their ability to transmit electrical impulses z z z z z z z
c. The regulation of neurotransmitters especially dopamine
z z z z z
d. The peripheral nervous system sensitivity to the psychotropic medications
z z z z z z z z
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, ANS: C z
Medications used to treat psychiatric disorders operate in and around the synaptic cleftand
z z z z z z z z z z z z z
have action at the neurotransmitter level, especially in the case of schizophrenia, on dopa
z z z z z z z z z z z z z z
mine. The Wernickes area, dendrite function, or the sensitivity of the peripheral nervous s
z z z z z z z z z z z z z
ystem are not relevant to either schizophrenia or psychotropic medications.
z z z z z z z z z
4. A student nurse mutters that it seems entirely unnecessary to have to struggle withund
z z z z z z z z z z z z z z
erstanding the anatomy and physiology of the neurologic system. The mentor would bas
z z z z z z z z z z z z
e a response on the understanding that it is:
z z z z z z z z
Necessary but generally for psychiatric nurses who focus primarily onbe z z z z z z z z z z
a. havioral interventions z
A complex undertaking that advance practice psychiatric nurses frequently usein
z z z z z z z z z z z
b. their practice z
Important primarily for the nursing assessment of patients with braintra z z z z z z z z z z
c. umacaused cognitive symptoms z z
Necessary for planning psychiatric care for all patients especially thoseex z z z z z z z z z z
d. periencing psychiatric disorders z z
ANS: D z
Nurses must understand that many symptoms of psychiatric disorders have a neurologic
z z z z z z z z z z z z
basis, although the symptoms are manifested behaviorally. This understanding facilitat
z z z z z z z z z
es effective care planning. The foundation of knowledge is notused exclusively by adva
z z z z z z z z z z z z z
nced practice psychiatric nurses nor is it relevant for only behavior therapies or brain tra
z z z z z z z z z z z z z z
uma since dealing with the results of normal and abnormal brain function is a responsibil
z z z z z z z z z z z z z z
ity of all nurses providing all types of care tothe psychiatric patient.
z z z z z z z z z z z z
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herchro
z z z z z z z z z z z z z z z z
nic depression? Which response is supported by research data?
z z z z z z z z
a. Too much stress has been proven to cause all kinds of cancer. z z z z z z z z z z z
b. There have been no research studies done on stress and disease yet.
z z z z z z z z z z z
c. Stress does cause the release of factors that suppress the immune system. z z z z z z z z z z z
d. There appears to be little connection between stress and diseases of the body z z z z z z z z z z z z
ANS: C z
Research indicates that stress causes a release of corticotropin-
z z z z z z z z
releasing factors that suppress the immune system. Studies indicate that psychiatric disor
z z z z z z z z z z z
ders such as mooddisorders are sometimes associated with decreased functioning of the i
z z z z z z z z z z z z z
mmune system.Research does not support a connection between many cancers and stress
z z z z z z z z z z z z
. There is a significant amount of research about stress and the body. Research has shown t
z z z z z z z z z z z z z z z z
hat there are some connections between stress and physical disease.
z z z z z z z z z
WWW.TESTBANKTANK.COM
,WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology z z
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide z z z z z z z z
Chapter 1 Chemical neurotransmission
z z z
MULTIPLE CHOICE z
1. A patient with depression mentions to the nurse, My mother says depression is a che
z z z z z z z z z z z z z z
mical disorder. What does she mean? The nurses response is based on the theorythat de
z z z z z z z z z z z z z z z
pression primarily involves which of the following neurotransmitters?
z z z z z z z
a. Cortisol and GABA z z
b. COMT and glutamate z z
c. Monamine and glycine z z
d. Serotonin and norepinephrine z z
ANS: D z
One possible cause of depression is thought to involve one or more neurotransmitters.Ser
z z z z z z z z z z z z z
otonin and norepinephrine have been found to be important in the regulation of depressio
z z z z z z z z z z z z z
n. There is no research to support that the other options play a significant role in the develo
z z z z z z z z z z z z z z z z z
pment of depression. z z
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted inda
z z z z z z z z z z z z z
mage to the Broca area. Which evaluation does the nurse conduct to reinforce thisdiagn
z z z z z z z z z z z z z z
osis?
a. Observing the patient pick up a spoon z z z z z z
b. Asking the patient to recite the alphabet z z z z z z
c. Monitoring the patients blood pressure z z z z
d. Comparing the patients grip strength in both hands z z z z z z z
ANS: B z
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,mot
z z z z z z z z z z z z z z z
or aphasia). Fine motor skills, blood pressure control, and muscle strength are notcontroll
z z z z z z z z z z z z z
ed by the Broca area of the left frontal lobe.
z z z z z z z z z
3. The patient diagnosed with schizophrenia asks why psychotropic medications are alw
z z z z z z z z z z
ays prescribed by the doctor. The nurses answer will be based on information thatthe ther
z z z z z z z z z z z z z z z
apeutic action of psychotropic drugs is the result of their effect on:
z z z z z z z z z z z
a. The temporal lobe; especially Wernickes area z z z z z
b. Dendrites and their ability to transmit electrical impulses z z z z z z z
c. The regulation of neurotransmitters especially dopamine
z z z z z
d. The peripheral nervous system sensitivity to the psychotropic medications
z z z z z z z z
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, ANS: C z
Medications used to treat psychiatric disorders operate in and around the synaptic cleftand
z z z z z z z z z z z z z
have action at the neurotransmitter level, especially in the case of schizophrenia, on dopa
z z z z z z z z z z z z z z
mine. The Wernickes area, dendrite function, or the sensitivity of the peripheral nervous s
z z z z z z z z z z z z z
ystem are not relevant to either schizophrenia or psychotropic medications.
z z z z z z z z z
4. A student nurse mutters that it seems entirely unnecessary to have to struggle withund
z z z z z z z z z z z z z z
erstanding the anatomy and physiology of the neurologic system. The mentor would bas
z z z z z z z z z z z z
e a response on the understanding that it is:
z z z z z z z z
Necessary but generally for psychiatric nurses who focus primarily onbe z z z z z z z z z z
a. havioral interventions z
A complex undertaking that advance practice psychiatric nurses frequently usein
z z z z z z z z z z z
b. their practice z
Important primarily for the nursing assessment of patients with braintra z z z z z z z z z z
c. umacaused cognitive symptoms z z
Necessary for planning psychiatric care for all patients especially thoseex z z z z z z z z z z
d. periencing psychiatric disorders z z
ANS: D z
Nurses must understand that many symptoms of psychiatric disorders have a neurologic
z z z z z z z z z z z z
basis, although the symptoms are manifested behaviorally. This understanding facilitat
z z z z z z z z z
es effective care planning. The foundation of knowledge is notused exclusively by adva
z z z z z z z z z z z z z
nced practice psychiatric nurses nor is it relevant for only behavior therapies or brain tra
z z z z z z z z z z z z z z
uma since dealing with the results of normal and abnormal brain function is a responsibil
z z z z z z z z z z z z z z
ity of all nurses providing all types of care tothe psychiatric patient.
z z z z z z z z z z z z
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herchro
z z z z z z z z z z z z z z z z
nic depression? Which response is supported by research data?
z z z z z z z z
a. Too much stress has been proven to cause all kinds of cancer. z z z z z z z z z z z
b. There have been no research studies done on stress and disease yet.
z z z z z z z z z z z
c. Stress does cause the release of factors that suppress the immune system. z z z z z z z z z z z
d. There appears to be little connection between stress and diseases of the body z z z z z z z z z z z z
ANS: C z
Research indicates that stress causes a release of corticotropin-
z z z z z z z z
releasing factors that suppress the immune system. Studies indicate that psychiatric disor
z z z z z z z z z z z
ders such as mooddisorders are sometimes associated with decreased functioning of the i
z z z z z z z z z z z z z
mmune system.Research does not support a connection between many cancers and stress
z z z z z z z z z z z z
. There is a significant amount of research about stress and the body. Research has shown t
z z z z z z z z z z z z z z z z
hat there are some connections between stress and physical disease.
z z z z z z z z z
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