Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition, (2021)
Test Bank Complete_
Stahl's Essential Psychopharmacology Neuroscientific Basis
and Practical Applications 5th Edition, (2021)
Stephen M. Stahl (Author) All Chapters 1-13
5TH EDITION
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition, (2021)
Table of Contents
Chapter 1 Chemical Neurotransmission ................................................................................................. 3
Chapter 2 Transporters, Receptors, And Enzymes As Targets Of Psychopharmacological Drug Action
.............................................................................................................................................................. 13
Chapter 3 Ion Channels As Targets Of Psychopharmacological Drug Action ....................................... 19
Chapter 4 Psychosis, Schizophrenia, And The Neurotransmitter Networks Dopamine, Serotonin, And
Glutamate ............................................................................................................................................. 25
Chapter 5 Targeting Dopamine And Serotonin Receptors For Psychosis, Mood, And Beyond: So-
Called “Antipsychotics” ......................................................................................................................... 41
Chapter 6 Mood Disorders and The Neurotransmitter Networks Norepinephrine And Y-Aminobutyric
Acid (GABA) ........................................................................................................................................... 49
Chapter 7 Treatments For Mood Disorders: So-Called “Antidepressants” And “Mood Stabilizers”.... 60
Chapter 8 Anxiety, Trauma, And Treatment ......................................................................................... 89
Chapter 9 Chronic Pain And Its Treatment ........................................................................................... 97
Chapter 10 Disorders Of Sleep And Wakefulness And Their Treatment: Neurotransmitter Networks
For Histamine And Orexin ................................................................................................................... 106
Chapter 11 Attention Deficit Hyperactivity Disorder And Its Treatment ........................................... 114
Chapter 12 Dementia: Causes, Symptomatic Treatments, And The Neurotransmitter Network
Acetylcholine....................................................................................................................................... 125
Chapter 13 Impulsivity, Compulsivity, And Addiction ........................................................................ 138
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition, (2021)
Chapter 1 Chemical Neurotransmission
Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition
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
CORRECT 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
CORRECT 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
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition, (2021)
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
CORRECT 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:
A. Necessary But Generally For Psychiatric Nurses Who Focus Primarily On
Behavioral Interventions
B. A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently Use
In Their Practice
C. Important Primarily For The Nursing Assessment Of Patients With Brain
Traumacaused Cognitive Symptoms
D. Necessary For Planning Psychiatric Care For All Patients Especially Those
Experiencing Psychiatric Disorders
CORRECT 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 Abnormal Brain Function Is A Responsibility Of All Nurses Providing
All Types Of Care To The Psychiatric Patient.
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition, (2021)
5. A Patient Asks The Nurse, My Wife Has Breast Cancer. Could It Be Caused By
Her Chronic Depression? Which Response Is Supported By Research Data?
A. Too Much Stress Has Been Proven To Cause All Kinds Of Cancer.
B. There Have Been No Research Studies Done On Stress And Disease Yet.
C. Stress Does Cause The Release Of Factors That Suppress The Immune System.
D. There Appears To Be Little Connection Between Stress And Diseases Of The
Body
CORRECT ANS: C
Research Indicates That Stress Causes A Release Of Corticotropin-Releasing Factors
That Suppress The Immune System. Studies Indicate That Psychiatric Disorders Such
As Mood Disorders Are Sometimes Associated With Decreased Functioning Of The
Immune System. Research Does Not Support A Connection Between Many Cancers
And Stress. There Is A Significant Amount Of Research About Stress And The Body.
Research Has Shown That There Are Some Connections Between Stress And
Physical Disease.
6. A Patient Who Has A Parietal Lobe Injury Is Being Evaluated For Psychiatric
Rehabilitation Needs. Of The Aspects Of Functioning Listed, Which Will The Nurse
Identify As A Focus Of Nursing Intervention?
A. Expression Of Emotion
B. Detecting Auditory Stimuli
C. Receiving Visual Images
D. Processing Associations
CORRECT ANS: D
The Parietal Lobe Is Responsible For Associating And Processing Sensory
Information That Allows For Functions Such As Following Directions On A Map,
Reading A Clock, Dressing Self, Keeping Appointments, And Distinguishing Right
From Left. Emotional Expression Is Associated With Frontal Lobe Function.
Detecting Auditory Stimuli Is A Temporal Lobe Function. Receiving Visual Images
Is Related To Occipital Lobe Function.
7. At Admission, The Nurse Learns That Some Time Ago The Patient Had An Infarct
In The Right Cerebral Cortex. During Assessment, The Nurse Would Expect To Find
That The Patient:
Test Bank Complete_
Stahl's Essential Psychopharmacology Neuroscientific Basis
and Practical Applications 5th Edition, (2021)
Stephen M. Stahl (Author) All Chapters 1-13
5TH EDITION
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition, (2021)
Table of Contents
Chapter 1 Chemical Neurotransmission ................................................................................................. 3
Chapter 2 Transporters, Receptors, And Enzymes As Targets Of Psychopharmacological Drug Action
.............................................................................................................................................................. 13
Chapter 3 Ion Channels As Targets Of Psychopharmacological Drug Action ....................................... 19
Chapter 4 Psychosis, Schizophrenia, And The Neurotransmitter Networks Dopamine, Serotonin, And
Glutamate ............................................................................................................................................. 25
Chapter 5 Targeting Dopamine And Serotonin Receptors For Psychosis, Mood, And Beyond: So-
Called “Antipsychotics” ......................................................................................................................... 41
Chapter 6 Mood Disorders and The Neurotransmitter Networks Norepinephrine And Y-Aminobutyric
Acid (GABA) ........................................................................................................................................... 49
Chapter 7 Treatments For Mood Disorders: So-Called “Antidepressants” And “Mood Stabilizers”.... 60
Chapter 8 Anxiety, Trauma, And Treatment ......................................................................................... 89
Chapter 9 Chronic Pain And Its Treatment ........................................................................................... 97
Chapter 10 Disorders Of Sleep And Wakefulness And Their Treatment: Neurotransmitter Networks
For Histamine And Orexin ................................................................................................................... 106
Chapter 11 Attention Deficit Hyperactivity Disorder And Its Treatment ........................................... 114
Chapter 12 Dementia: Causes, Symptomatic Treatments, And The Neurotransmitter Network
Acetylcholine....................................................................................................................................... 125
Chapter 13 Impulsivity, Compulsivity, And Addiction ........................................................................ 138
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition, (2021)
Chapter 1 Chemical Neurotransmission
Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition
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
CORRECT 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
CORRECT 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
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition, (2021)
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
CORRECT 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:
A. Necessary But Generally For Psychiatric Nurses Who Focus Primarily On
Behavioral Interventions
B. A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently Use
In Their Practice
C. Important Primarily For The Nursing Assessment Of Patients With Brain
Traumacaused Cognitive Symptoms
D. Necessary For Planning Psychiatric Care For All Patients Especially Those
Experiencing Psychiatric Disorders
CORRECT 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 Abnormal Brain Function Is A Responsibility Of All Nurses Providing
All Types Of Care To The Psychiatric Patient.
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition, (2021)
5. A Patient Asks The Nurse, My Wife Has Breast Cancer. Could It Be Caused By
Her Chronic Depression? Which Response Is Supported By Research Data?
A. Too Much Stress Has Been Proven To Cause All Kinds Of Cancer.
B. There Have Been No Research Studies Done On Stress And Disease Yet.
C. Stress Does Cause The Release Of Factors That Suppress The Immune System.
D. There Appears To Be Little Connection Between Stress And Diseases Of The
Body
CORRECT ANS: C
Research Indicates That Stress Causes A Release Of Corticotropin-Releasing Factors
That Suppress The Immune System. Studies Indicate That Psychiatric Disorders Such
As Mood Disorders Are Sometimes Associated With Decreased Functioning Of The
Immune System. Research Does Not Support A Connection Between Many Cancers
And Stress. There Is A Significant Amount Of Research About Stress And The Body.
Research Has Shown That There Are Some Connections Between Stress And
Physical Disease.
6. A Patient Who Has A Parietal Lobe Injury Is Being Evaluated For Psychiatric
Rehabilitation Needs. Of The Aspects Of Functioning Listed, Which Will The Nurse
Identify As A Focus Of Nursing Intervention?
A. Expression Of Emotion
B. Detecting Auditory Stimuli
C. Receiving Visual Images
D. Processing Associations
CORRECT ANS: D
The Parietal Lobe Is Responsible For Associating And Processing Sensory
Information That Allows For Functions Such As Following Directions On A Map,
Reading A Clock, Dressing Self, Keeping Appointments, And Distinguishing Right
From Left. Emotional Expression Is Associated With Frontal Lobe Function.
Detecting Auditory Stimuli Is A Temporal Lobe Function. Receiving Visual Images
Is Related To Occipital Lobe Function.
7. At Admission, The Nurse Learns That Some Time Ago The Patient Had An Infarct
In The Right Cerebral Cortex. During Assessment, The Nurse Would Expect To Find
That The Patient:
