Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical A
d d d d d d d
pplications 5th Edition Testbank/Study Guide d d d d
Stahl's Essential Psychopharmacology d d
NeuroscientificdBasisdanddPracticaldApplicationsd 5thdEditiondTestbank/StudydGuide
Chapter 1 Chemical neurotransmission
d d d
MULTIPLE CHOICE d
1. A patient with depression mentions to the nurse, My mother says depression is a ch
d d d d d d d d d d d d d d
emical disorder. What does she mean? The nurses response is based on the theorythat
d d d d d d d d d d d d d d d
depression primarily involves which of the following neurotransmitters?
d d d d d d d
a. Cortisol and GABA d d
b. COMT and glutamate d d
c. Monamine and glycine d d
d. Serotonin and norepinephrine d d
ANS: D d
One possible cause of depression is thought to involve one or more neurotransmitters.S
d d d d d d d d d d d d d
erotonin and norepinephrine have been found to be important in the regulation of depre
d d d d d d d d d d d d d
ssion. There is no research to support that the other options play a significant role in the
d d d d d d d d d d d d d d d d d
development of depression. d d
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted ind
d d d d d d d d d d d d d
amage to the Broca area. Which evaluation does the nurse conduct to reinforce thisdia
d d d d d d d d d d d d d d
gnosis?
a. Observing the patient pick up a spoon d d d d d d
b. Asking the patient to recite the alphabet
d d d d d d
c. Monitoring the patients blood pressure d d d d
d. Comparing the patients grip strength in both hands d d d d d d d
ANS: B d
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,m
d d d d d d d d d d d d d d d
otor aphasia). Fine motor skills, blood pressure control, and muscle strength are notcont
d d d d d d d d d d d d d
rolled by the Broca area of the left frontal lobe.
d d d d d d d d d
3. The patient diagnosed with schizophrenia asks why psychotropic medications are al
d d d d d d d d d d
ways prescribed by the doctor. The nurses answer will be based on information thatthe
d d d d d d d d d d d d d d d
therapeutic action of psychotropic drugs is the result of their effect on:
d d d d d d d d d d d
a. The temporal lobe; especially Wernickes area
d d d d d
b. Dendrites and their ability to transmit electrical impulses
d d d d d d d
c. The regulation of neurotransmitters especially dopamine
d d d d d
d. The peripheral nervous system sensitivity to the psychotropic medications
d d d d d d d d
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical A
d d d d d d d
pplications 5th Edition Testbank/Study Guide d d d d
ANS: C d
Medications used to treat psychiatric disorders operate in and around the synaptic clefta
d d d d d d d d d d d d d
nd have action at the neurotransmitter level, especially in the case of schizophrenia, on d
d d d d d d d d d d d d d d
opamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral nerv
d d d d d d d d d d d d
ous system are not relevant to either schizophrenia or psychotropic medications.
d d d d d d d d d d
4. A student nurse mutters that it seems entirely unnecessary to have to struggle withu
d d d d d d d d d d d d d d
nderstanding the anatomy and physiology of the neurologic system. The mentor woul
d d d d d d d d d d d
d base a response on the understanding that it is:
d d d d d d d d d
Necessary but generally for psychiatric nurses who focus primarily onb d d d d d d d d d d
a. ehavioral interventions d
A complex undertaking that advance practice psychiatric nurses frequently usei
d d d d d d d d d d
b. n their practice
d d
Important primarily for the nursing assessment of patients with braintr
d d d d d d d d d d
c. aumacaused cognitive symptoms d d
Necessary for planning psychiatric care for all patients especially thosee
d d d d d d d d d d
d. xperiencing psychiatric disorders d d
ANS: D d
Nurses must understand that many symptoms of psychiatric disorders have a neurologi
d d d d d d d d d d d
c basis, although the symptoms are manifested behaviorally. This understanding facilit
d d d d d d d d d d
ates effective care planning. The foundation of knowledge is notused exclusively by ad
d d d d d d d d d d d d d
vanced practice psychiatric nurses nor is it relevant for only behavior therapies or brain
d d d d d d d d d d d d d
dtrauma since dealing with the results of normal and abnormal brain function is a respo
d d d d d d d d d d d d d d
nsibility of all nurses providing all types of care tothe psychiatric patient.
d d d d d d d d d d d d
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herch
d d d d d d d d d d d d d d d d
ronic depression? Which response is supported by research data?
d d d d d d d d
a. Too much stress has been proven to cause all kinds of cancer.
d d d d d d d d d d d
b. There have been no research studies done on stress and disease yet.
d d d d d d d d d d d
c. Stress does cause the release of factors that suppress the immune system.
d d d d d d d d d d d
d. There appears to be little connection between stress and diseases of the body
d d d d d d d d d d d d
ANS: C d
Research indicates that stress causes a release of corticotropin-
d d d d d d d d
releasing factors that suppress the immune system. Studies indicate that psychiatric dis
d d d d d d d d d d d
orders such as mooddisorders are sometimes associated with decreased functioning of t
d d d d d d d d d d d d
he immune system.Research does not support a connection between many cancers and s
d d d d d d d d d d d d d
tress. There is a significant amount of research about stress and the body. Research has s
d d d d d d d d d d d d d d d
hown that there are some connections between stress and physical disease.
d d d d d d d d d d
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical A
d d d d d d d
pplications 5th Edition Testbank/Study Guide d d d d
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitati
d d d d d d d d d d d d d
on needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of
d d d d d d d d d d d d d d d d d
nursing intervention? d
a. Expression of emotion d d
b. Detecting auditory stimuli d d
c. Receiving visual images d d
d. Processing associations d
ANS: D d
The parietal lobe is responsible for associating and processing sensory information that
d d d d d d d d d d d d
allows for functions such as following directions on a map, reading a clock, dressing sel
d d d d d d d d d d d d d d
f, keeping appointments, and distinguishing right from left. Emotional expression is ass
d d d d d d d d d d d
ociated with frontal lobe function. Detecting auditory stimuli is a temporal lobe functio
d d d d d d d d d d d d
n. Receiving visual images is related to occipital lobe function.
d d d d d d d d d
7. At admission, the nurse learns that some time ago the patient had an infarct in theri
d d d d d d d d d d d d d d d d
ght cerebral cortex. During assessment, the nurse would expect to find that the patient
d d d d d d d d d d d d d
:
a. Demonstrates major deficiencies in speech d d d d
b. Is unable to effectively hold a spoon in the left hand
d d d d d d d d d d
c. Has difficulty explaining how to go about using the telephone
d d d d d d d d d
d. Cannot use his right hand to shave himself or comb his own hair d d d d d d d d d d d d
ANS: B d
The cerebral hemispheres are responsible for functions such as control of muscles. The
d d d d d d d d d d d d d
right hemisphere mainly controls the motor and sensory functions on the left sideof the
d d d d d d d d d d d d d d d
body. Damage to the right side would result in impaired function on the left side of the b
d d d d d d d d d d d d d d d d d
ody. The motor cortex controls voluntary motor activity. Brocas area controls motor sp
d d d d d d d d d d d d
eech. Cognitive functions are attributed to the association cortex.
d d d d d d d d
The right side of the bodys motor activity is controlled by the left cerebral cortex.
d d d d d d d d d d d d d d
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Thep
d d d d d d d d d d d d
atient will be discharged on low doses of haloperidol. The nurse will need to individual
d d d d d d d d d d d d d d
ize the patients medication teaching by:
d d d d d
a. Including the patients caregiver in the education d d d d d d
b. Being careful to stress the importance of taking the medication as prescribed
d d d d d d d d d d d
Providing the education at a time when the patient is emotionally calm andre
d d d d d d d d d d d d d
c. laxed
Encouraging the patient to crush or dissolve the medication to help withs
d d d d d d d d d d d d
d. wallowing
ANS: A d
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical A
d d d d d d d
pplications 5th Edition Testbank/Study Guide d d d d
The hippocampus plays a major role in short-
d d d d d d d
term memory and, hence, in learning. Taking the medication as prescribed and providi
d d d d d d d d d d d d
ng the education at a time when the patient is calm and relaxed is information or consid
d d d d d d d d d d d d d d d d
erations that all patients should begiven. The medication does not necessarily need to b
d d d d d d d d d d d d d d
e crushed or dissolved since the stroke would not have caused difficulty with swallowi
d d d d d d d d d d d d d
ng.
9. The physician tells the nurse, The medication Im prescribing for the patient en
d d d d d d d d d d d d
hances the g- d d
aminobutyric acid (GABA) system. Which patient behavior willprovide evidenc
d d d d d d d d d
e that the medication therapy is successful?
d d d d d d
a. The patient is actively involved in playing cards with other patients.
d d d d d d d d d d
b. The patient reports that, I dont feel as anxious as I did a couple of days ago.
d d d d d d d d d d d d d d d d
c. The patient reports that both auditory and visual hallucinations have decreased.
d d d d d d d d d d
d. The patient says that, I am much happier than before I came to the hospital.
d d d d d d d d d d d d d d
ANS: B d
GABA is the principle inhibitory neurotransmitter. The medication should provide ana
d d d d d d d d d d d
ntianxiety effect. Alertness, psychotic behaviors, and mood elevation are not generally
d d d d d d d d d d d
affected by g-aminobutyric acid. d d d
10. The patients family asks whether a diagnosis of Parkinsons disease creates ani
d d d d d d d d d d d d
ncreased risk for any mental health issues. What question would the nurse ask toas
d d d d d d d d d d d d d d
sess for such a comorbid condition?
d d d d d
a. Has your father exhibited any signs of depression? d d d d d d d
b. Does your father seem to experience mood swings?
d d d d d d d
c. Have you noticed your father talking about seeing things you cant see?
d d d d d d d d d d d
d. Is your dad preoccupied with behaviors that he needs to repeat over and over?
d d d d d d d d d d d d d
ANS: A d
Serotonin and its close chemical relatives, dopamine and norepinephrine, are the neuro
d d d d d d d d d d d
transmitters that are most widely involved in various forms of depression. Mostresearc
d d d d d d d d d d d d
hers agree that the immediate cause of parkinsonism is a deficiency of dopamine and s
d d d d d d d d d d d d d d
o a patient with Parkinsons disease should be monitored for depression, The other ment
d d d d d d d d d d d d d
al health disorders (bipolar disorder, hallucinations, and obsessive compulsive disorde
d d d d d d d d d
r) have not been connected to Parkinsons disease.
d d d d d d d
11. Which explanation for the prescription of donepezil (Aricept) would the nursep
d d d d d d d d d d d
rovide for a patient in the early stage of Alzheimers disease?
d d d d d d d d d d
a. It will increase the metabolism of excess GABA.
d d d d d d d
b. Excess dopamine will be prevented from attaching to receptor sites.
d d d d d d d d d
c. Serotonin deficiency will be managed through a prolonged reuptake period.
d d d d d d d d d
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
d d d d d d d d
ANS: D d
WWW.TESTBANKTANK.COM
d d d d d d d
pplications 5th Edition Testbank/Study Guide d d d d
Stahl's Essential Psychopharmacology d d
NeuroscientificdBasisdanddPracticaldApplicationsd 5thdEditiondTestbank/StudydGuide
Chapter 1 Chemical neurotransmission
d d d
MULTIPLE CHOICE d
1. A patient with depression mentions to the nurse, My mother says depression is a ch
d d d d d d d d d d d d d d
emical disorder. What does she mean? The nurses response is based on the theorythat
d d d d d d d d d d d d d d d
depression primarily involves which of the following neurotransmitters?
d d d d d d d
a. Cortisol and GABA d d
b. COMT and glutamate d d
c. Monamine and glycine d d
d. Serotonin and norepinephrine d d
ANS: D d
One possible cause of depression is thought to involve one or more neurotransmitters.S
d d d d d d d d d d d d d
erotonin and norepinephrine have been found to be important in the regulation of depre
d d d d d d d d d d d d d
ssion. There is no research to support that the other options play a significant role in the
d d d d d d d d d d d d d d d d d
development of depression. d d
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted ind
d d d d d d d d d d d d d
amage to the Broca area. Which evaluation does the nurse conduct to reinforce thisdia
d d d d d d d d d d d d d d
gnosis?
a. Observing the patient pick up a spoon d d d d d d
b. Asking the patient to recite the alphabet
d d d d d d
c. Monitoring the patients blood pressure d d d d
d. Comparing the patients grip strength in both hands d d d d d d d
ANS: B d
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,m
d d d d d d d d d d d d d d d
otor aphasia). Fine motor skills, blood pressure control, and muscle strength are notcont
d d d d d d d d d d d d d
rolled by the Broca area of the left frontal lobe.
d d d d d d d d d
3. The patient diagnosed with schizophrenia asks why psychotropic medications are al
d d d d d d d d d d
ways prescribed by the doctor. The nurses answer will be based on information thatthe
d d d d d d d d d d d d d d d
therapeutic action of psychotropic drugs is the result of their effect on:
d d d d d d d d d d d
a. The temporal lobe; especially Wernickes area
d d d d d
b. Dendrites and their ability to transmit electrical impulses
d d d d d d d
c. The regulation of neurotransmitters especially dopamine
d d d d d
d. The peripheral nervous system sensitivity to the psychotropic medications
d d d d d d d d
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical A
d d d d d d d
pplications 5th Edition Testbank/Study Guide d d d d
ANS: C d
Medications used to treat psychiatric disorders operate in and around the synaptic clefta
d d d d d d d d d d d d d
nd have action at the neurotransmitter level, especially in the case of schizophrenia, on d
d d d d d d d d d d d d d d
opamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral nerv
d d d d d d d d d d d d
ous system are not relevant to either schizophrenia or psychotropic medications.
d d d d d d d d d d
4. A student nurse mutters that it seems entirely unnecessary to have to struggle withu
d d d d d d d d d d d d d d
nderstanding the anatomy and physiology of the neurologic system. The mentor woul
d d d d d d d d d d d
d base a response on the understanding that it is:
d d d d d d d d d
Necessary but generally for psychiatric nurses who focus primarily onb d d d d d d d d d d
a. ehavioral interventions d
A complex undertaking that advance practice psychiatric nurses frequently usei
d d d d d d d d d d
b. n their practice
d d
Important primarily for the nursing assessment of patients with braintr
d d d d d d d d d d
c. aumacaused cognitive symptoms d d
Necessary for planning psychiatric care for all patients especially thosee
d d d d d d d d d d
d. xperiencing psychiatric disorders d d
ANS: D d
Nurses must understand that many symptoms of psychiatric disorders have a neurologi
d d d d d d d d d d d
c basis, although the symptoms are manifested behaviorally. This understanding facilit
d d d d d d d d d d
ates effective care planning. The foundation of knowledge is notused exclusively by ad
d d d d d d d d d d d d d
vanced practice psychiatric nurses nor is it relevant for only behavior therapies or brain
d d d d d d d d d d d d d
dtrauma since dealing with the results of normal and abnormal brain function is a respo
d d d d d d d d d d d d d d
nsibility of all nurses providing all types of care tothe psychiatric patient.
d d d d d d d d d d d d
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herch
d d d d d d d d d d d d d d d d
ronic depression? Which response is supported by research data?
d d d d d d d d
a. Too much stress has been proven to cause all kinds of cancer.
d d d d d d d d d d d
b. There have been no research studies done on stress and disease yet.
d d d d d d d d d d d
c. Stress does cause the release of factors that suppress the immune system.
d d d d d d d d d d d
d. There appears to be little connection between stress and diseases of the body
d d d d d d d d d d d d
ANS: C d
Research indicates that stress causes a release of corticotropin-
d d d d d d d d
releasing factors that suppress the immune system. Studies indicate that psychiatric dis
d d d d d d d d d d d
orders such as mooddisorders are sometimes associated with decreased functioning of t
d d d d d d d d d d d d
he immune system.Research does not support a connection between many cancers and s
d d d d d d d d d d d d d
tress. There is a significant amount of research about stress and the body. Research has s
d d d d d d d d d d d d d d d
hown that there are some connections between stress and physical disease.
d d d d d d d d d d
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical A
d d d d d d d
pplications 5th Edition Testbank/Study Guide d d d d
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitati
d d d d d d d d d d d d d
on needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of
d d d d d d d d d d d d d d d d d
nursing intervention? d
a. Expression of emotion d d
b. Detecting auditory stimuli d d
c. Receiving visual images d d
d. Processing associations d
ANS: D d
The parietal lobe is responsible for associating and processing sensory information that
d d d d d d d d d d d d
allows for functions such as following directions on a map, reading a clock, dressing sel
d d d d d d d d d d d d d d
f, keeping appointments, and distinguishing right from left. Emotional expression is ass
d d d d d d d d d d d
ociated with frontal lobe function. Detecting auditory stimuli is a temporal lobe functio
d d d d d d d d d d d d
n. Receiving visual images is related to occipital lobe function.
d d d d d d d d d
7. At admission, the nurse learns that some time ago the patient had an infarct in theri
d d d d d d d d d d d d d d d d
ght cerebral cortex. During assessment, the nurse would expect to find that the patient
d d d d d d d d d d d d d
:
a. Demonstrates major deficiencies in speech d d d d
b. Is unable to effectively hold a spoon in the left hand
d d d d d d d d d d
c. Has difficulty explaining how to go about using the telephone
d d d d d d d d d
d. Cannot use his right hand to shave himself or comb his own hair d d d d d d d d d d d d
ANS: B d
The cerebral hemispheres are responsible for functions such as control of muscles. The
d d d d d d d d d d d d d
right hemisphere mainly controls the motor and sensory functions on the left sideof the
d d d d d d d d d d d d d d d
body. Damage to the right side would result in impaired function on the left side of the b
d d d d d d d d d d d d d d d d d
ody. The motor cortex controls voluntary motor activity. Brocas area controls motor sp
d d d d d d d d d d d d
eech. Cognitive functions are attributed to the association cortex.
d d d d d d d d
The right side of the bodys motor activity is controlled by the left cerebral cortex.
d d d d d d d d d d d d d d
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Thep
d d d d d d d d d d d d
atient will be discharged on low doses of haloperidol. The nurse will need to individual
d d d d d d d d d d d d d d
ize the patients medication teaching by:
d d d d d
a. Including the patients caregiver in the education d d d d d d
b. Being careful to stress the importance of taking the medication as prescribed
d d d d d d d d d d d
Providing the education at a time when the patient is emotionally calm andre
d d d d d d d d d d d d d
c. laxed
Encouraging the patient to crush or dissolve the medication to help withs
d d d d d d d d d d d d
d. wallowing
ANS: A d
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical A
d d d d d d d
pplications 5th Edition Testbank/Study Guide d d d d
The hippocampus plays a major role in short-
d d d d d d d
term memory and, hence, in learning. Taking the medication as prescribed and providi
d d d d d d d d d d d d
ng the education at a time when the patient is calm and relaxed is information or consid
d d d d d d d d d d d d d d d d
erations that all patients should begiven. The medication does not necessarily need to b
d d d d d d d d d d d d d d
e crushed or dissolved since the stroke would not have caused difficulty with swallowi
d d d d d d d d d d d d d
ng.
9. The physician tells the nurse, The medication Im prescribing for the patient en
d d d d d d d d d d d d
hances the g- d d
aminobutyric acid (GABA) system. Which patient behavior willprovide evidenc
d d d d d d d d d
e that the medication therapy is successful?
d d d d d d
a. The patient is actively involved in playing cards with other patients.
d d d d d d d d d d
b. The patient reports that, I dont feel as anxious as I did a couple of days ago.
d d d d d d d d d d d d d d d d
c. The patient reports that both auditory and visual hallucinations have decreased.
d d d d d d d d d d
d. The patient says that, I am much happier than before I came to the hospital.
d d d d d d d d d d d d d d
ANS: B d
GABA is the principle inhibitory neurotransmitter. The medication should provide ana
d d d d d d d d d d d
ntianxiety effect. Alertness, psychotic behaviors, and mood elevation are not generally
d d d d d d d d d d d
affected by g-aminobutyric acid. d d d
10. The patients family asks whether a diagnosis of Parkinsons disease creates ani
d d d d d d d d d d d d
ncreased risk for any mental health issues. What question would the nurse ask toas
d d d d d d d d d d d d d d
sess for such a comorbid condition?
d d d d d
a. Has your father exhibited any signs of depression? d d d d d d d
b. Does your father seem to experience mood swings?
d d d d d d d
c. Have you noticed your father talking about seeing things you cant see?
d d d d d d d d d d d
d. Is your dad preoccupied with behaviors that he needs to repeat over and over?
d d d d d d d d d d d d d
ANS: A d
Serotonin and its close chemical relatives, dopamine and norepinephrine, are the neuro
d d d d d d d d d d d
transmitters that are most widely involved in various forms of depression. Mostresearc
d d d d d d d d d d d d
hers agree that the immediate cause of parkinsonism is a deficiency of dopamine and s
d d d d d d d d d d d d d d
o a patient with Parkinsons disease should be monitored for depression, The other ment
d d d d d d d d d d d d d
al health disorders (bipolar disorder, hallucinations, and obsessive compulsive disorde
d d d d d d d d d
r) have not been connected to Parkinsons disease.
d d d d d d d
11. Which explanation for the prescription of donepezil (Aricept) would the nursep
d d d d d d d d d d d
rovide for a patient in the early stage of Alzheimers disease?
d d d d d d d d d d
a. It will increase the metabolism of excess GABA.
d d d d d d d
b. Excess dopamine will be prevented from attaching to receptor sites.
d d d d d d d d d
c. Serotonin deficiency will be managed through a prolonged reuptake period.
d d d d d d d d d
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
d d d d d d d d
ANS: D d
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