,Stahl’s Essential Psychopharmacology 5th Edition Test Bank
, Stahl's Essential Psychopharmacology
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide
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
theory that 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
this
diagnosis?
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 not
controlled 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
that the 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
M
ANS: C
Medications used to treat psychiatric disorders operate in and around the synaptic
cleft and 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
with understanding 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 on
a. behavioral interventions
A complex undertaking that advance practice psychiatric nurses frequently use
b. in their practice
Important primarily for the nursing assessment of patients with brain
c. traumacaused cognitive symptoms
Necessary for planning psychiatric care for all patients especially those
d. experiencing 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 not
used 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
, Stahl's Essential Psychopharmacology
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide
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
theory that 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
this
diagnosis?
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 not
controlled 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
that the 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
M
ANS: C
Medications used to treat psychiatric disorders operate in and around the synaptic
cleft and 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
with understanding 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 on
a. behavioral interventions
A complex undertaking that advance practice psychiatric nurses frequently use
b. in their practice
Important primarily for the nursing assessment of patients with brain
c. traumacaused cognitive symptoms
Necessary for planning psychiatric care for all patients especially those
d. experiencing 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 not
used 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
