FULL TEST BANK Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications 5th Edition by Stephen M. Stahl (Author) With 100% Verified Questions And Answers Graded A+.

TEST BANK FOR STAHL'S ESSENTIAL PSYCHOPHARMACOLOGY:
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NEUROSCIENTIFIC BASIS AND PRACTICAL APPLICATIONS 5TH EDITION
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, Stahl'sEssentialPsychopharmacology
Neuroscientific Basis and Practical Applications jj jj jj jj


TESTBANK/STUDY GUIDE
Chapter 1 Chemical neurotransmission
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MULTIPLE CHOICE ss


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



b. COMT and glutamate ss ss



c. Monamine and glycine ss ss


d. Serotonin and norepinephrine ss ss


ANS: D
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One possible cause of depression is thought to involve one or more
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neurotransmitters.Serotonin and norepinephrine have been found to be ss ss ss ss ss ss ss


important in the regulation of depression. There is no research to support that the
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other options play a significant role in the development of depression.
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2. A patient has experienced
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accident) that has resulted in damage to the Broca area. Which ss ss ss ss ss ss ss ss ss


evaluation does the nurse conduct to
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reinforce thisdiagnosis? ss


a. Observing the patient pick up a spoon s ss ss s ss ss



b. Asking the patient to recite the alphabet s ss ss ss s ss



c. Monitoring the patients blood pressure s ss ss ss


d. Comparingthe patients grip strength in both hands s ss ss ss ss ss ss


ANS: B
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Accidents or strokes that damage Brocas area may result in the inability to speak
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(i.e., motor aphasia). Fine motor skills, blood pressure control, and
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muscle strengthare notcontrolled by the Broca area of the left frontal lobe.
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3. The patient diagnosed with schizophrenia asks why psychotropic
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medications are always prescribed by the doctor. The nurses answer will
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be based on information thatthe therapeutic action of psychotropic drugs
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is the result of their
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effect on: ss


a. The temporal lobe; especially Wernickes area ss ss ss ss ss



b. Dendrites and their ability to transmit electrical impulses ss ss ss ss s ss ss



c. The regulation of neurotransmitters especiallydopamine
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d. The peripheral nervous systemsensitivity to the psychotropic medications
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,ANS: C ss


Medications used to treat psychiatric disorders operate in and around the synaptic
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cleftand have action at the neurotransmitter level, especially in the case of
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schizophrenia, on dopamine. The Wernickes area, dendrite function, or the
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sensitivity of the peripheral nervous system are not relevant to either
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schizophrenia or psychotropic medications.
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4. Astudent nurse mutters that it seems entirely unnecessary tohave to
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struggle withunderstanding the anatomy and physiology of the
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neurologic system. The mentor would base a response on the
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understanding that it is:
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Necessary but generally for psychiatric nurses who focus ss ss ss ss ss ss ss


a. primarilyonbehavioral interventions ss



A complex undertaking that advance practice psychiatric nurses
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b. frequentlyusein their practice
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Important primarily for the nursing assessment of patients ss s ss ss ss ss s

c. withbraintraumacaused cognitive symptoms
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Necessaryfor planning psychiatric care for all patients s ss ss ss ss ss s

d. especiallythoseexperiencing psychiatric disorders
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ANS: D ss


Nurses must understand that many symptoms of psychiatric disorders have a
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neurologic basis, although the symptoms are manifested behaviorally. This
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understanding facilitates effective care planning. The foundation of
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knowledge is notused exclusively by advanced practice psychiatric nurses
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nor is it relevant for only behavior therapies or brain trauma since dealing
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with the results of normal and abnormal brain function is a responsibility of all
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nurses providing all types ofcare tothe psychiatric patient.
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5. A patient asks the nurse, My wife has breast cancer. Could it be
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caused byherchronic depression? Which response is supported by
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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 researchstudies 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
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Research indicates that stress causes a release of corticotropin-releasing factors
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that suppress the immune system. Studies indicate that psychiatric disorders suchas
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mooddisorders are sometimes associated with decreased functioning of the
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immune system.Research does not support a connection between many
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cancers and stress. There is a significant amount of research about stress and
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the body.
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Research has shown that there are some connections between stress and
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, physicaldisease.
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