Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
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Applications 5th Edition Testbank/Study Guide
sr sr sr sr
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr@
Applications 5th Edition Testbank/Study Guide sr sr sr sr
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 c hemical disorder. What does she mean? The nurses response is based on the t
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
heoryth at depression primarily involves which of the following neurotransmitter
@ @ @ @ @ @ @ @ @
s?
a. Cortisol and GABA @ @
b. COMT and glutamate @ @
c. Monamine and glycine @ @
d. Serotonin and norepinephrin @ @
e 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 reinforc
@ @ @ @ @ @ @ @ @ @ @ @ @
e this d iagnosis?
@ sr @
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 han @ @ @ @ @ @ @
ds ANS: B
@ @
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
@ @ @ @ @ @ @ @ @ @ @ @ @ @ sr
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are n
@ @ @ @ @ @ @ @ @ @ @ @
otc 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 t
@ @ @ @ @ @ @ @ @ @ @ @ @ @
hat th e therapeutic action of psychotropic drugs is the result of their effect on:
sr @ @ @ @ @ @ @ @ @ @ @ @ @
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.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr@
Applications 5th Edition Testbank/Study Guide sr sr sr sr
ANS: C @
Medications used to treat psychiatric disorders operate in and around the synaptic cle
@ @ @ @ @ @ @ @ @ @ @ @
ft a nd have action at the neurotransmitter level, especially in the case of schizophre
sr @ @ @ @ @ @ @ @ @ @ @ @ @
nia, on dopamine. The Wernickes area, dendrite function, or the sensitivity of the pe
@ @ @ @ @ @ @ @ @ @ @ @ @
ripheral ne rvous system are not relevant to either schizophrenia or psychotropic me
@ @ @ @ @ @ @ @ @ @ @ @
dications.
4. A student nurse mutters that it seems entirely unnecessary to have to struggle wit
@ @ @ @ @ @ @ @ @ @ @ @ @
h u nderstanding the anatomy and physiology of the neurologic system. The mento
sr @ @ @ @ @ @ @ @ @ @ @
r woul d base a response on the understanding that it is:
@ @ @ @ @ @ @ @ @ @ @
Necessary but generally for psychiatric nurses who focus primarily on
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a. behavioral interventions @
A complex undertaking that advance practice psychiatric nurses frequently use
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b. i n their practice
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Important primarily for the nursing assessment of patients with brain t raumac
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c. aused cognitive symptoms
@ @
Necessary for planning psychiatric care for all patients especially those experi
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d. encing psychiatric disorders @ @
ANS: @
D
Nurses must understand that many symptoms of psychiatric disorders have a neurol
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o gic basis, although the symptoms are manifested behaviorally. This understanding
@ @ @ @ @ @ @ @ @ @
@fac ilitates effective care planning. The foundation of knowledge is not used exclusi
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vely b y advanced practice psychiatric nurses nor is it relevant for only behavior the
@ @ @ @ @ @ sr sr @ @ @ @ @ @
rapies or brain trauma since dealing with the results of normal and abnormal brain f
@ @ @ @ @ @ @ sr @ @ @ @ @ @
unction is a responsibility of all nurses providing all types of care tothe psychiatric
@ @ @ @ @ @ @ @ @ @ @ @ @
@patient.
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by h
@ @ @ @ @ sr @ @ @ @ @ @ @ @ @
erc hronic depression? Which response is supported by research data?
@ @ @ sr @ @ @ @ @
a. Too much stress has been proven to cause all kinds of cancer.
@ @ sr @ @ @ @ @ @ @ @
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.
@ sr @ @ @ @ @ @ @ @ @
d. There appears to be little connection between stress and diseases of the bo
sr @ @ @ @ @ @ @ @ @ @ @
dy ANS: C @ @
Research indicates that stress causes a release of corticotropin-
@ @ @ @ @ @ @ @
releasing factors that suppress the immune system. Studies indicate that psychiatric
@ @ @ @ @ @ @ @ @ @ @
dis orders such as mooddisorders are sometimes associated with decreased functioni
@ @ @ @ @ @ @ @ @ @
ng of t he immune system.Research does not support a connection between many ca
@ @ @ @ @ @ @ @ @ @ @ @ @
ncers and stress. There is a significant amount of research about stress and the body
@ @ @ @ @ @ @ @ @ @ @ @ @ @
. Research ha s shown that there are some connections between stress and physical
@ @ @ @ @ @ @ @ @ @ @ @ @
@disease.
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr@
Applications 5th Edition Testbank/Study Guide sr sr sr sr
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabil
@ @ @ @ @ @ @ @ @ @ @ @ @
itat ion needs. Of the aspects of functioning listed, which will the nurse identifyas
@ @ @ @ @ @ @ @ @ @ @ @ @ @
a focus of nursing intervention?
@ @ @ @
a. Expression of emotion @ @
b. Detecting auditory stimuli @ @
c. Receiving visual images @ @
d. Processing associations @
@ANS: D @
The parietal lobe is responsible for associating and processing sensory information tha
@ @ @ @ @ @ @ @ @ @ @
t allows for functions such as following directions on a map, reading a clock, dressi
@ @ @ @ @ @ @ @ @ @ @ @ @ @
ng self, keeping appointments, and distinguishing right from left. Emotional expressi
@ @ @ @ @ @ @ @ @ @
on is associated with frontal lobe function. Detecting auditory stimuli is a temporal l
@ @ @ @ @ @ @ @ @ sr @ sr @
obe fun ction. 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 t
@ @ @ @ @ @ @ @ @ @ sr @ @ @ @
her ight cerebral cortex. During assessment, the nurse would expect to find that th
@ @ @ @ @ @ @ @ @ @ @ @ @
e patie nt:
@ @
a. Demonstrates major deficiencies in speech @ @ @ @
b. Is unable to effectively hold a spoon in the left hand
@ @ @ @ @ @ sr @ @ @
c. Has difficulty explaining how to go about using the telephone
@ @ @ @ sr sr @ @ @
d. Cannot use his right hand to shave himself or comb his own h
@ @ @ @ @ sr sr @ @ @ @ @
air ANS: B
@ @
The cerebral hemispheres are responsible for functions such as control of muscles. The
@ @ @ sr @ @ @ @ @ @ @ @
right hemisphere mainly controls the motor and sensory functions on the left side of
@ @ @ sr @ @ @ @ @ @ @ @ sr
@th e body. Damage to the right side would result in impaired function on the left si
@ @ @ @ @ @ sr @ @ @ @ @ @ @ @ @
de of th e body. The motor cortex controls voluntary motor activity. Brocas area co
@ @ @ @ @ @ @ sr @ @ @ @ @ @
ntrols moto r speech. Cognitive functions are attributed to the association cortex.
@ @ @ @ sr @ @ @ @ @ @
The right side of the bodys motor activity is controlled by the left cerebral cortex.
@ @ @ sr sr @ @ @ @ @ @ @ @ @
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Th
@ @ sr @ @ @ @ @ @ @ @
e p atient will be discharged on low doses of haloperidol. The nurse will need to in
sr @ @ sr @ @ @ @ @ @ @ @ @ @ @ @
dividu alize the patients medication teaching by:
@ @ sr @ @ @
a. Including the patients caregiver in the education @ @ @ @ @ @
b. Being careful to stress the importance of taking the medication as prescrib
@ @ @ @ @ @ @ sr @ @ @
ed Providing the education at a time when the patient is emotionally calm
@ @ @ @ @ @ @ @ @ @ @ @
@and r sr
c. elaxed
Encouraging the patient to crush or dissolve the medication to help withs
@ @ @ @ @ @ @ @ @ @ @ @
d. wallowing
ANS: @
A
WWW.TESTBANKTANK.COM
sr sr sr sr sr sr sr@
Applications 5th Edition Testbank/Study Guide
sr sr sr sr
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr@
Applications 5th Edition Testbank/Study Guide sr sr sr sr
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 c hemical disorder. What does she mean? The nurses response is based on the t
@ @ @ @ @ @ @ @ @ @ @ @ @ @ @
heoryth at depression primarily involves which of the following neurotransmitter
@ @ @ @ @ @ @ @ @
s?
a. Cortisol and GABA @ @
b. COMT and glutamate @ @
c. Monamine and glycine @ @
d. Serotonin and norepinephrin @ @
e 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 reinforc
@ @ @ @ @ @ @ @ @ @ @ @ @
e this d iagnosis?
@ sr @
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 han @ @ @ @ @ @ @
ds ANS: B
@ @
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
@ @ @ @ @ @ @ @ @ @ @ @ @ @ sr
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are n
@ @ @ @ @ @ @ @ @ @ @ @
otc 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 t
@ @ @ @ @ @ @ @ @ @ @ @ @ @
hat th e therapeutic action of psychotropic drugs is the result of their effect on:
sr @ @ @ @ @ @ @ @ @ @ @ @ @
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.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr@
Applications 5th Edition Testbank/Study Guide sr sr sr sr
ANS: C @
Medications used to treat psychiatric disorders operate in and around the synaptic cle
@ @ @ @ @ @ @ @ @ @ @ @
ft a nd have action at the neurotransmitter level, especially in the case of schizophre
sr @ @ @ @ @ @ @ @ @ @ @ @ @
nia, on dopamine. The Wernickes area, dendrite function, or the sensitivity of the pe
@ @ @ @ @ @ @ @ @ @ @ @ @
ripheral ne rvous system are not relevant to either schizophrenia or psychotropic me
@ @ @ @ @ @ @ @ @ @ @ @
dications.
4. A student nurse mutters that it seems entirely unnecessary to have to struggle wit
@ @ @ @ @ @ @ @ @ @ @ @ @
h u nderstanding the anatomy and physiology of the neurologic system. The mento
sr @ @ @ @ @ @ @ @ @ @ @
r woul d base a response on the understanding that it is:
@ @ @ @ @ @ @ @ @ @ @
Necessary but generally for psychiatric nurses who focus primarily on
@ @ @ @ @ @ @ @ sr sr
a. behavioral interventions @
A complex undertaking that advance practice psychiatric nurses frequently use
@ @ @ @ @ @ @ sr @ s
b. i n their practice
r @ @ @
Important primarily for the nursing assessment of patients with brain t raumac
@ @ @ @ @ @ @ sr @ sr @
c. aused cognitive symptoms
@ @
Necessary for planning psychiatric care for all patients especially those experi
@ @ @ @ @ @ sr @ @ @
d. encing psychiatric disorders @ @
ANS: @
D
Nurses must understand that many symptoms of psychiatric disorders have a neurol
@ @ @ @ @ sr sr @ @ @ @
o gic basis, although the symptoms are manifested behaviorally. This understanding
@ @ @ @ @ @ @ @ @ @
@fac ilitates effective care planning. The foundation of knowledge is not used exclusi
@ @ @ @ @ @ sr @ @ @ sr @
vely b y advanced practice psychiatric nurses nor is it relevant for only behavior the
@ @ @ @ @ @ sr sr @ @ @ @ @ @
rapies or brain trauma since dealing with the results of normal and abnormal brain f
@ @ @ @ @ @ @ sr @ @ @ @ @ @
unction is a responsibility of all nurses providing all types of care tothe psychiatric
@ @ @ @ @ @ @ @ @ @ @ @ @
@patient.
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by h
@ @ @ @ @ sr @ @ @ @ @ @ @ @ @
erc hronic depression? Which response is supported by research data?
@ @ @ sr @ @ @ @ @
a. Too much stress has been proven to cause all kinds of cancer.
@ @ sr @ @ @ @ @ @ @ @
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.
@ sr @ @ @ @ @ @ @ @ @
d. There appears to be little connection between stress and diseases of the bo
sr @ @ @ @ @ @ @ @ @ @ @
dy ANS: C @ @
Research indicates that stress causes a release of corticotropin-
@ @ @ @ @ @ @ @
releasing factors that suppress the immune system. Studies indicate that psychiatric
@ @ @ @ @ @ @ @ @ @ @
dis orders such as mooddisorders are sometimes associated with decreased functioni
@ @ @ @ @ @ @ @ @ @
ng of t he immune system.Research does not support a connection between many ca
@ @ @ @ @ @ @ @ @ @ @ @ @
ncers and stress. There is a significant amount of research about stress and the body
@ @ @ @ @ @ @ @ @ @ @ @ @ @
. Research ha s shown that there are some connections between stress and physical
@ @ @ @ @ @ @ @ @ @ @ @ @
@disease.
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr@
Applications 5th Edition Testbank/Study Guide sr sr sr sr
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabil
@ @ @ @ @ @ @ @ @ @ @ @ @
itat ion needs. Of the aspects of functioning listed, which will the nurse identifyas
@ @ @ @ @ @ @ @ @ @ @ @ @ @
a focus of nursing intervention?
@ @ @ @
a. Expression of emotion @ @
b. Detecting auditory stimuli @ @
c. Receiving visual images @ @
d. Processing associations @
@ANS: D @
The parietal lobe is responsible for associating and processing sensory information tha
@ @ @ @ @ @ @ @ @ @ @
t allows for functions such as following directions on a map, reading a clock, dressi
@ @ @ @ @ @ @ @ @ @ @ @ @ @
ng self, keeping appointments, and distinguishing right from left. Emotional expressi
@ @ @ @ @ @ @ @ @ @
on is associated with frontal lobe function. Detecting auditory stimuli is a temporal l
@ @ @ @ @ @ @ @ @ sr @ sr @
obe fun ction. 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 t
@ @ @ @ @ @ @ @ @ @ sr @ @ @ @
her ight cerebral cortex. During assessment, the nurse would expect to find that th
@ @ @ @ @ @ @ @ @ @ @ @ @
e patie nt:
@ @
a. Demonstrates major deficiencies in speech @ @ @ @
b. Is unable to effectively hold a spoon in the left hand
@ @ @ @ @ @ sr @ @ @
c. Has difficulty explaining how to go about using the telephone
@ @ @ @ sr sr @ @ @
d. Cannot use his right hand to shave himself or comb his own h
@ @ @ @ @ sr sr @ @ @ @ @
air ANS: B
@ @
The cerebral hemispheres are responsible for functions such as control of muscles. The
@ @ @ sr @ @ @ @ @ @ @ @
right hemisphere mainly controls the motor and sensory functions on the left side of
@ @ @ sr @ @ @ @ @ @ @ @ sr
@th e body. Damage to the right side would result in impaired function on the left si
@ @ @ @ @ @ sr @ @ @ @ @ @ @ @ @
de of th e body. The motor cortex controls voluntary motor activity. Brocas area co
@ @ @ @ @ @ @ sr @ @ @ @ @ @
ntrols moto r speech. Cognitive functions are attributed to the association cortex.
@ @ @ @ sr @ @ @ @ @ @
The right side of the bodys motor activity is controlled by the left cerebral cortex.
@ @ @ sr sr @ @ @ @ @ @ @ @ @
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Th
@ @ sr @ @ @ @ @ @ @ @
e p atient will be discharged on low doses of haloperidol. The nurse will need to in
sr @ @ sr @ @ @ @ @ @ @ @ @ @ @ @
dividu alize the patients medication teaching by:
@ @ sr @ @ @
a. Including the patients caregiver in the education @ @ @ @ @ @
b. Being careful to stress the importance of taking the medication as prescrib
@ @ @ @ @ @ @ sr @ @ @
ed Providing the education at a time when the patient is emotionally calm
@ @ @ @ @ @ @ @ @ @ @ @
@and r sr
c. elaxed
Encouraging the patient to crush or dissolve the medication to help withs
@ @ @ @ @ @ @ @ @ @ @ @
d. wallowing
ANS: @
A
WWW.TESTBANKTANK.COM
