Stahl's EssentialPsychopharmacologyNeuroscientificBasisandPractica
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l Applications 5thEdition Test bank / StudyGuide
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Stahl'sEssentialPsychopharmacology
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l Applications 5thEdition Test bank / StudyGuide
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cationsws5thwsEditionwsTestbank/StudywsGuide
Chapterws1wsChemicalneurotransmission
MULTIPLEwsCHOICE
1. A patientwswithwsdepressionwsmentionswstowsthewsnurse,wsMywsmotherwssayswsdepressionwsiswsa
J
chewsmicaldisorder.wsWhatdoeswsshewsmean?wsThenurseswsresponsewsis basedwsonwsthewstheor
J J
ywsthatwsde
pressionwsprimarilywsinvolveswswhichwsofwsthe followingwsneurotransmitters?
J
a. CortisolandwsGABA
b. COMTandglutamate
c. Monamineandglycine
d. Serotoninandnorepinephrinew
sANS:wsD
Onepossiblewscauseofdepressionwsiswsthoughtwstowsinvolveonewsorwsmoreneurotransmitters.
Serotonin andwsnorepinephrinewshavewsbeen foundwstowsbeimportant inwsthewsregulationwsofwsd
J J J
ewsprewsssion.wsThere iswsnowsresearchwsto supportwsthatwstheotherwsoptionswsplaywsawssignificantws
J J
rolewsiwsnwsthewsdwsevelopmentwsofwsdepression.
2. Apatienthaswsexperiencedwsastroke(cerebralwsvascularwsaccident) thathasresultedwsinw J
s dawsmagewstowsthewsBrocawsarea.wsWhichwsevaluationdoes thenurseconductwstowsreinforcewsthi
J
sw s diagn
osis?
a. Observingwsthepatientwspickwsupwsaspoon
b. Asking the patientwstowsrecitethewsalphabet
J J
c. Monitoringthepatientsbloodpressure
d. Comparingthepatients gripstrengthwsinwsbothhandsws
J
AwsNS:wsB
Accidentsorstrokeswsthatdamage Brocaswsareawsmaywsresultwsinwsthewsinabilitywstowsspeakws(i.e.,
J
motorwsaphasia).wsFinemotorskills,wsbloodpressure control,wsandmusclestrengthwsarenotw s controll
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edwsbywsthewsBrocawsareawsofwsthewsleftwsfrontalwslobe.
3. Thewspatientwsdiagnosedwswithwsschizophreniawsaskswswhywspsychotropicwsmedicationswsar
ewsalwswaysprescribed bywsthedoctor.wsThewsnurseswsanswerwswillbebasedwsonwsinformationwsth
J
atw s thewstwsherapeuticwsactionwsofwspsychotropicwsdrugswsiswsthe resultwsofwstheirwseffectwson:
J
a. The temporalwslobe;wsespeciallywsWernickes area
J J
b. Dendriteswsandwstheirabilitywstotransmitwselectricalwsimpulses
c. The regulationwsofneurotransmitterswsespeciallydopamine
J
d. Theperipheralwsnervouswssystem sensitivitywstowsthepsychotropicmedications
J
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
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sApplications 5th Edition Testbank/Study Guide
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ANS:wsC
Medicationsusedwstowstreatpsychiatricwsdisordersoperatewsinwsandwsaroundthewssynapticwsclef
twsanwsdwshavewsactionwsatwsthewsneurotransmitterwslevel,wsespeciallywsinwsthewscase ofwsschizophre J
nia,wsowsnwsdopwsamine.wsThewsWernickeswsarea,wsdendritewsfunction,wsorthewssensitivitywsofwsthe J
peripheralwsnervouswssystem arewsnotwsrelevantwstowseitherwsschizophreniawsorwspsychotropic
J J
medications.
4. A studentnursemutters thatwsitseemswsentirelyunnecessarywstohavewsto struggle withw s
J J J J
unwsderstandingwsthewsanatomywsandwsphysiologywsofwsthewsneurologicwssystem.wsThewsment
orwswwsouldwsbasewsawsresponsewsonwsthewsunderstandingwsthatwsitwsis:
Necessarybutgenerallywsforpsychiatricnurseswswho focuswsprimarilyws on J dr
a. behavioralinterventions
Acomplexwsundertakingthatadvancepracticepsychiatricnurseswsfrequentlyusew s i
b. nwstwsheirwspractice
Importantprimarilyforthenursingassessmentofpatients with brainw s traumacaus J J
c. wsedwscognitive symptoms J
Necessaryforplanning psychiatricwscareforallwspatients especiallywsthosew s experie
J J
d. nwscingwspsychiatricwsdisorders
ANS:ws
D
Nurses mustwsunderstandwsthatwsmanywssymptomswsof psychiatric disorderswshavewsaneurol
J J J
owsgiwscwsbasis,wsalthoughwsthesymptomswsare manifested behaviorally.wsThiswsunderstandin
J J
gwsfawscilitwsateswseffectivecareplanning.wsThewsfoundation ofwsknowledgewsiswsnotwsusedexcl dr
usivelywsbywsadwsvancedwspracticewspsychiatricwsnurseswsnor is it relevantwsforwsonlywsbehaviorws J J J
therapieswsorwsbrainwstwsraumawssincewsdealingwithwsthewsresultswsof normalwsandwsabnormalwsbr J
ainwsfunctionwsiswsawsresponsiwsbilitywsofwsallwsnurseswsprovidingwsallwstypes ofwscare towsthewspsy J J
chiatricwspatient.
5. A patientwsaskswsthenurse,wsMywswife haswsbreastwscancer.wsCouldwsitwsbecausedwsbywsher
J J
wschrwsonicwsdepression?wsWhichwsresponse is supportedwsbywsresearchwsdata? J J
a. Toowsmuchwsstress haswsbeenwsprovenwstowscausewsallkinds ofwscancer.
dr J
b. Therewshavewsbeenwsnowsresearchwsstudies donewsonwsstresswsanddiseaseyet. J
c. Stressdoes causewsthereleaseoffactorsthat suppresswsthewsimmunewssystem.
dr J
d. There appearswstowsbewslittlewsconnectionwsbetweenstresswsandwsdiseaseswsofwsthebod
dr
ywsAwsNS:wsC
Research indicateswsthatwsstresswscauses areleasewsofwscorticotropin-
J J
releasingwsfactorswsthat suppresswsthewsimmunewssystem.wsStudieswsindicatewsthatwspsychiatricws
J
diwssowsrderswssuch aswsmooddisorders aresometimeswsassociatedwswithdecreasedwsfunctioni
J J
ng owsfwsthewsimmunesystem.Research doeswsnotsupportaconnectionwsbetweenwsmanywscanc
J J
ers awsndwsstres
J
s.wsTherewsiswsawssignificantwsamountwsofwsresearchwsaboutwsstresswsandwsthewsbody.wsResearcwshwsh
aswsshowwsnwsthatwstherewsare somewsconnectionswsbetweenwsstresswsandphysicalwsdisease.
J
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr drJw
sApplications 5th Edition Testbank/Study Guide
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6. Awspatientwhowshaswsaparietalwslobewsinjurywsiswsbeingwsevaluatedwsforwspsychiatricwsrehabil
itawstiowsnwsneeds.wsOfwsthewsaspectswsofwsfunctioningwslisted,wswhichwswillwsthewsnursewsidentifyas
wsawsfocuwsswsofwsnuwsrsingwsintervention?
a. Expression ofwsemotion J
b. Detectingauditorywsstimuli
c. Receivingvisualimages
d. Processingassociations
wsANS:wsD
Thewsparietallobewsiswsresponsiblewsforwsassociatingwsandwsprocessing sensoryw s informationwsth J
atwsallowsforwsfunctionswssuchwsaswsfollowingwsdirectionswsonwsamap,wsreadingwsawsclock, dressi J
nwsgwsswself,wskeepingwsappointments,wsandwsdistinguishingwsrightwsfromwsleft.wsEmotionalwsexpre
ssiowsnwsiswsaswssociatedwswithwsfrontalwslobewsfunction.wsDetecting auditorywsstimuliws is a tempor J J J
alwslobwsewsfunctio
n.wsReceivingwsvisualwsimageswsiswsrelatedwstowsoccipitalwslobewsfunction.
7. Atadmission,wsthenurselearns thatwssomewstimeagothepatient hadwsanwsinfarctwsinwsthew
J J
s rigwsht cerebralwscortex.wsDuringwsassessment,wsthewsnursewswouldwsexpect to findwsthatwsthe
J J J
wspatwsient:
a. Demonstrates major deficiencies in speech
J J J J
b. Is unable to effectively hold a spoon in the left hand
J J J J J J dr dr J J
c. Has difficulty explaining how to go about using the telephone
J J J J dr J J J J
d. Cannot usewshisright hand towsshavehimselfwsorwscombwshisownwshair
J J J
wsAwsNS:wsB
Thewscerebralhemisphereswsarew s responsiblewsforwsfunctionswssuchwsas controlwsofwsmuscles.wsTh J
ewsrightwshemispherewsmainlywscontrols thewsmotorwsandwssensorywsfunctionswsonwsthewsleftwssidJ
eofwsthewsbody.wsDamagewstowsthewsrightwsside wouldwsresultwsinwsimpairedwsfunctionwsonwsthe lef J J
twssideowsfwsthewsbowsdy.wsThewsmotorwscortexwscontrols voluntarywsmotorwsactivity.wsBrocaswsar J
eawscontrolswsmotorwsspeewsch.wsCognitivewsfunctions are attributedwstowsthewsassociationwsco J J
rtex.
Thewsrightwssideofwsthe bodyswsmotoractivitywsiswscontrolledwsbytheleftcerebralcortex.
dr
8. A patientwith chronicschizophreniahadastrokewsinvolvingthe hippocampus.wsThew s
J dr J
pwsatientwswillwsbewsdischargedwsonwslowwsdosesofwshaloperidol.wsThenursewswillneedwstowsind
iviwsdualwsizewsthewspatients medicationwsteachingwsby: J
a. Includingthepatientswscaregiverwsinwstheeducation
b. Beingcarefulwsto stresswsthe importance oftakingthemedicationwsaswsprescribedws
J J J
Prwsovidingwsthewseducationwsatwsawstimewswhen thewspatientwsis emotionallywscalmws J J
and
c. ANS:wsA
d.
ws
l Applications 5thEdition Test bank / StudyGuide
ws ws ws ws ws ws
Stahl'sEssentialPsychopharmacology
NeuroscientificwsBasiswsandwsPracticalwsAppli
,Stahl's EssentialPsychopharmacologyNeuroscientificBasisandPractica
ws
l Applications 5thEdition Test bank / StudyGuide
ws ws ws ws ws ws
cationsws5thwsEditionwsTestbank/StudywsGuide
Chapterws1wsChemicalneurotransmission
MULTIPLEwsCHOICE
1. A patientwswithwsdepressionwsmentionswstowsthewsnurse,wsMywsmotherwssayswsdepressionwsiswsa
J
chewsmicaldisorder.wsWhatdoeswsshewsmean?wsThenurseswsresponsewsis basedwsonwsthewstheor
J J
ywsthatwsde
pressionwsprimarilywsinvolveswswhichwsofwsthe followingwsneurotransmitters?
J
a. CortisolandwsGABA
b. COMTandglutamate
c. Monamineandglycine
d. Serotoninandnorepinephrinew
sANS:wsD
Onepossiblewscauseofdepressionwsiswsthoughtwstowsinvolveonewsorwsmoreneurotransmitters.
Serotonin andwsnorepinephrinewshavewsbeen foundwstowsbeimportant inwsthewsregulationwsofwsd
J J J
ewsprewsssion.wsThere iswsnowsresearchwsto supportwsthatwstheotherwsoptionswsplaywsawssignificantws
J J
rolewsiwsnwsthewsdwsevelopmentwsofwsdepression.
2. Apatienthaswsexperiencedwsastroke(cerebralwsvascularwsaccident) thathasresultedwsinw J
s dawsmagewstowsthewsBrocawsarea.wsWhichwsevaluationdoes thenurseconductwstowsreinforcewsthi
J
sw s diagn
osis?
a. Observingwsthepatientwspickwsupwsaspoon
b. Asking the patientwstowsrecitethewsalphabet
J J
c. Monitoringthepatientsbloodpressure
d. Comparingthepatients gripstrengthwsinwsbothhandsws
J
AwsNS:wsB
Accidentsorstrokeswsthatdamage Brocaswsareawsmaywsresultwsinwsthewsinabilitywstowsspeakws(i.e.,
J
motorwsaphasia).wsFinemotorskills,wsbloodpressure control,wsandmusclestrengthwsarenotw s controll
J
edwsbywsthewsBrocawsareawsofwsthewsleftwsfrontalwslobe.
3. Thewspatientwsdiagnosedwswithwsschizophreniawsaskswswhywspsychotropicwsmedicationswsar
ewsalwswaysprescribed bywsthedoctor.wsThewsnurseswsanswerwswillbebasedwsonwsinformationwsth
J
atw s thewstwsherapeuticwsactionwsofwspsychotropicwsdrugswsiswsthe resultwsofwstheirwseffectwson:
J
a. The temporalwslobe;wsespeciallywsWernickes area
J J
b. Dendriteswsandwstheirabilitywstotransmitwselectricalwsimpulses
c. The regulationwsofneurotransmitterswsespeciallydopamine
J
d. Theperipheralwsnervouswssystem sensitivitywstowsthepsychotropicmedications
J
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr drJw
sApplications 5th Edition Testbank/Study Guide
dr dr dr dr
ANS:wsC
Medicationsusedwstowstreatpsychiatricwsdisordersoperatewsinwsandwsaroundthewssynapticwsclef
twsanwsdwshavewsactionwsatwsthewsneurotransmitterwslevel,wsespeciallywsinwsthewscase ofwsschizophre J
nia,wsowsnwsdopwsamine.wsThewsWernickeswsarea,wsdendritewsfunction,wsorthewssensitivitywsofwsthe J
peripheralwsnervouswssystem arewsnotwsrelevantwstowseitherwsschizophreniawsorwspsychotropic
J J
medications.
4. A studentnursemutters thatwsitseemswsentirelyunnecessarywstohavewsto struggle withw s
J J J J
unwsderstandingwsthewsanatomywsandwsphysiologywsofwsthewsneurologicwssystem.wsThewsment
orwswwsouldwsbasewsawsresponsewsonwsthewsunderstandingwsthatwsitwsis:
Necessarybutgenerallywsforpsychiatricnurseswswho focuswsprimarilyws on J dr
a. behavioralinterventions
Acomplexwsundertakingthatadvancepracticepsychiatricnurseswsfrequentlyusew s i
b. nwstwsheirwspractice
Importantprimarilyforthenursingassessmentofpatients with brainw s traumacaus J J
c. wsedwscognitive symptoms J
Necessaryforplanning psychiatricwscareforallwspatients especiallywsthosew s experie
J J
d. nwscingwspsychiatricwsdisorders
ANS:ws
D
Nurses mustwsunderstandwsthatwsmanywssymptomswsof psychiatric disorderswshavewsaneurol
J J J
owsgiwscwsbasis,wsalthoughwsthesymptomswsare manifested behaviorally.wsThiswsunderstandin
J J
gwsfawscilitwsateswseffectivecareplanning.wsThewsfoundation ofwsknowledgewsiswsnotwsusedexcl dr
usivelywsbywsadwsvancedwspracticewspsychiatricwsnurseswsnor is it relevantwsforwsonlywsbehaviorws J J J
therapieswsorwsbrainwstwsraumawssincewsdealingwithwsthewsresultswsof normalwsandwsabnormalwsbr J
ainwsfunctionwsiswsawsresponsiwsbilitywsofwsallwsnurseswsprovidingwsallwstypes ofwscare towsthewspsy J J
chiatricwspatient.
5. A patientwsaskswsthenurse,wsMywswife haswsbreastwscancer.wsCouldwsitwsbecausedwsbywsher
J J
wschrwsonicwsdepression?wsWhichwsresponse is supportedwsbywsresearchwsdata? J J
a. Toowsmuchwsstress haswsbeenwsprovenwstowscausewsallkinds ofwscancer.
dr J
b. Therewshavewsbeenwsnowsresearchwsstudies donewsonwsstresswsanddiseaseyet. J
c. Stressdoes causewsthereleaseoffactorsthat suppresswsthewsimmunewssystem.
dr J
d. There appearswstowsbewslittlewsconnectionwsbetweenstresswsandwsdiseaseswsofwsthebod
dr
ywsAwsNS:wsC
Research indicateswsthatwsstresswscauses areleasewsofwscorticotropin-
J J
releasingwsfactorswsthat suppresswsthewsimmunewssystem.wsStudieswsindicatewsthatwspsychiatricws
J
diwssowsrderswssuch aswsmooddisorders aresometimeswsassociatedwswithdecreasedwsfunctioni
J J
ng owsfwsthewsimmunesystem.Research doeswsnotsupportaconnectionwsbetweenwsmanywscanc
J J
ers awsndwsstres
J
s.wsTherewsiswsawssignificantwsamountwsofwsresearchwsaboutwsstresswsandwsthewsbody.wsResearcwshwsh
aswsshowwsnwsthatwstherewsare somewsconnectionswsbetweenwsstresswsandphysicalwsdisease.
J
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr drJw
sApplications 5th Edition Testbank/Study Guide
dr dr dr dr
6. Awspatientwhowshaswsaparietalwslobewsinjurywsiswsbeingwsevaluatedwsforwspsychiatricwsrehabil
itawstiowsnwsneeds.wsOfwsthewsaspectswsofwsfunctioningwslisted,wswhichwswillwsthewsnursewsidentifyas
wsawsfocuwsswsofwsnuwsrsingwsintervention?
a. Expression ofwsemotion J
b. Detectingauditorywsstimuli
c. Receivingvisualimages
d. Processingassociations
wsANS:wsD
Thewsparietallobewsiswsresponsiblewsforwsassociatingwsandwsprocessing sensoryw s informationwsth J
atwsallowsforwsfunctionswssuchwsaswsfollowingwsdirectionswsonwsamap,wsreadingwsawsclock, dressi J
nwsgwsswself,wskeepingwsappointments,wsandwsdistinguishingwsrightwsfromwsleft.wsEmotionalwsexpre
ssiowsnwsiswsaswssociatedwswithwsfrontalwslobewsfunction.wsDetecting auditorywsstimuliws is a tempor J J J
alwslobwsewsfunctio
n.wsReceivingwsvisualwsimageswsiswsrelatedwstowsoccipitalwslobewsfunction.
7. Atadmission,wsthenurselearns thatwssomewstimeagothepatient hadwsanwsinfarctwsinwsthew
J J
s rigwsht cerebralwscortex.wsDuringwsassessment,wsthewsnursewswouldwsexpect to findwsthatwsthe
J J J
wspatwsient:
a. Demonstrates major deficiencies in speech
J J J J
b. Is unable to effectively hold a spoon in the left hand
J J J J J J dr dr J J
c. Has difficulty explaining how to go about using the telephone
J J J J dr J J J J
d. Cannot usewshisright hand towsshavehimselfwsorwscombwshisownwshair
J J J
wsAwsNS:wsB
Thewscerebralhemisphereswsarew s responsiblewsforwsfunctionswssuchwsas controlwsofwsmuscles.wsTh J
ewsrightwshemispherewsmainlywscontrols thewsmotorwsandwssensorywsfunctionswsonwsthewsleftwssidJ
eofwsthewsbody.wsDamagewstowsthewsrightwsside wouldwsresultwsinwsimpairedwsfunctionwsonwsthe lef J J
twssideowsfwsthewsbowsdy.wsThewsmotorwscortexwscontrols voluntarywsmotorwsactivity.wsBrocaswsar J
eawscontrolswsmotorwsspeewsch.wsCognitivewsfunctions are attributedwstowsthewsassociationwsco J J
rtex.
Thewsrightwssideofwsthe bodyswsmotoractivitywsiswscontrolledwsbytheleftcerebralcortex.
dr
8. A patientwith chronicschizophreniahadastrokewsinvolvingthe hippocampus.wsThew s
J dr J
pwsatientwswillwsbewsdischargedwsonwslowwsdosesofwshaloperidol.wsThenursewswillneedwstowsind
iviwsdualwsizewsthewspatients medicationwsteachingwsby: J
a. Includingthepatientswscaregiverwsinwstheeducation
b. Beingcarefulwsto stresswsthe importance oftakingthemedicationwsaswsprescribedws
J J J
Prwsovidingwsthewseducationwsatwsawstimewswhen thewspatientwsis emotionallywscalmws J J
and
c. ANS:wsA
d.
