Test Bank
Stahl's Essential Psychopharmacology Neuroscientific
Basis And Practical Applications 5th Edition | Complete
Guide | Chapter 1-13
www.stuvia.com/user/AcademicACHIEVER
, Stahl's Essential Psychopharmacology
Neuroscientific Basis and Practical Applications 5th Edition Test bank/Study
Guide
Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. A patient with depression mentions to the nurse, My mother says
depression is a c hemical disorder. What does she mean? The nurses
response is based on the theoryth at 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 dep ression. There is no research to support that the other
options play a significant role in t he 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 thissrd iagnosis?
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
www.stuvia.com/user/AcademicACHIEVER
,(i.e.,sr
motor aphasia). Fine motor skills, blood pressure control, and muscle
strength are notc ontrolled by the Broca area of the left frontal lobe.
3. The patient diagnosed with schizophrenia asks why psychotropic
medications are a lways prescribed by the doctor. The nurses answer will be
based on information thatsrth e 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
www.stuvia.com/user/AcademicACHIEVER
, ANS: C
Medications used to treat psychiatric disorders operate in and around the
synaptic cleftsra nd 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 ne rvous system are not relevant
to either schizophrenia or psychotropic medications.
4. A student nurse mutters that it seems entirely unnecessary to have to
struggle withsru nderstanding the anatomy and physiology of the
neurologic system. The mentor woul d base a response on the
understanding that it is:
Necessary but generally for psychiatric nurses who focus primarilysronsr
a. behavioral interventions
A complex undertaking that advance practice psychiatric
b. nursessrfrequently usesri n their practice
Important primarily for the nursing assessment of patientssrwith
c. brainsrt raumacaused cognitive symptoms
Necessary for planning psychiatric care for allsrpatients especially
d. those experiencing psychiatric disorders
ANS: D
Nurses must understand that many symptomssrofsrpsychiatric disorders
have a neurolo gic basis, although the symptoms are manifested
behaviorally. This understanding fac ilitates effective care planning. The
foundationsrof knowledge is notsrused exclusively b y advanced practice
psychiatric nursessrnorsris it relevant for only behavior therapies or brain
trauma since dealing with thesrresults 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, Mysrwife has breast cancer. Could it be
caused by herc hronic depression? Whichsrresponse is supported by
research data?
a. Too much stresssrhas been proven to cause all kinds of cancer.
b. There have been no research studies done on stress and disease yet.
c. Stress doessrcause the release of factors that suppress the immune system.
d. Theresrappears to be little connection between stress and diseases
WWW.TESTBANKTANK.COM
Stahl's Essential Psychopharmacology Neuroscientific
Basis And Practical Applications 5th Edition | Complete
Guide | Chapter 1-13
www.stuvia.com/user/AcademicACHIEVER
, Stahl's Essential Psychopharmacology
Neuroscientific Basis and Practical Applications 5th Edition Test bank/Study
Guide
Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. A patient with depression mentions to the nurse, My mother says
depression is a c hemical disorder. What does she mean? The nurses
response is based on the theoryth at 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 dep ression. There is no research to support that the other
options play a significant role in t he 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 thissrd iagnosis?
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
www.stuvia.com/user/AcademicACHIEVER
,(i.e.,sr
motor aphasia). Fine motor skills, blood pressure control, and muscle
strength are notc ontrolled by the Broca area of the left frontal lobe.
3. The patient diagnosed with schizophrenia asks why psychotropic
medications are a lways prescribed by the doctor. The nurses answer will be
based on information thatsrth e 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
www.stuvia.com/user/AcademicACHIEVER
, ANS: C
Medications used to treat psychiatric disorders operate in and around the
synaptic cleftsra nd 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 ne rvous system are not relevant
to either schizophrenia or psychotropic medications.
4. A student nurse mutters that it seems entirely unnecessary to have to
struggle withsru nderstanding the anatomy and physiology of the
neurologic system. The mentor woul d base a response on the
understanding that it is:
Necessary but generally for psychiatric nurses who focus primarilysronsr
a. behavioral interventions
A complex undertaking that advance practice psychiatric
b. nursessrfrequently usesri n their practice
Important primarily for the nursing assessment of patientssrwith
c. brainsrt raumacaused cognitive symptoms
Necessary for planning psychiatric care for allsrpatients especially
d. those experiencing psychiatric disorders
ANS: D
Nurses must understand that many symptomssrofsrpsychiatric disorders
have a neurolo gic basis, although the symptoms are manifested
behaviorally. This understanding fac ilitates effective care planning. The
foundationsrof knowledge is notsrused exclusively b y advanced practice
psychiatric nursessrnorsris it relevant for only behavior therapies or brain
trauma since dealing with thesrresults 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, Mysrwife has breast cancer. Could it be
caused by herc hronic depression? Whichsrresponse is supported by
research data?
a. Too much stresssrhas been proven to cause all kinds of cancer.
b. There have been no research studies done on stress and disease yet.
c. Stress doessrcause the release of factors that suppress the immune system.
d. Theresrappears to be little connection between stress and diseases
WWW.TESTBANKTANK.COM
