Stahl's Essential Psychopharmacology
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f Neuroscientific Basis and Practical Applications 5th
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Edition Test Bank
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, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
f f f f f f
Applications 5th Edition Test Bank f f
f
f f
Chapter 1 Chemical neurotransmission
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MULTIPLE CHOICE
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1. A patient with depression mentions to the nurse, My mother says depression is a chemical
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disorder. What does she mean? The nurses response is based on the theory that depression primarily
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involves which of the following neurotransmitters?
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a. Cortisol and GABA f f
b. COMT and glutamate f f
c. Monamine and glycine f f
d. Serotonin and norepinephrine f f
ANS: D
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One possible cause of depression is thought to involve one or more neurotransmitters. Serotonin and
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norepinephrine have been found to be important in the regulation of depression. There is no research
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to support that the other options play a significant role in the development of depression.
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2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in damage to
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the Broca area. Which evaluation does the nurse conduct to reinforce this diagnosis?
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a. Observing the patient pick up a spoon f f f f f f
b. Asking the patient to recite the alphabet f f f f f f
c. Monitoring the patients blood pressure f f f f
d. Comparing the patients grip strength in both hands f f f f f f f
ANS: B
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Accidents or strokes that damage Brocas area may result in the inability to speak (i.e., motor aphasia).
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Fine motor skills, blood pressure control, and muscle strength are not controlled by the Broca area of the
f f f f f f f f f f f f f f f f f f
left frontal lobe.
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3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
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prescribed by the doctor. The nurses answer will be based on information that the therapeutic action of
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psychotropic drugs is the result of their effect on:
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a. The temporal lobe; especially Wernickes area
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,b. Dendrites and their ability to transmit electrical impulses
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c. The regulation of neurotransmitters especially dopamine
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d. The peripheral nervous system sensitivity to the psychotropic medications
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ANS: C f
Medications used to treat psychiatric disorders operate in and around the synaptic cleft and have action
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at the neurotransmitter level, especially in the case of schizophrenia, on dopamine. The Wernickes area,
f f f f f f f f f f f f f f f
dendrite function, or the sensitivity of the peripheral nervous system are not relevant to either
f f f f f f f f f f f f f f f
schizophrenia or psychotropic medications.
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4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
f f f f f f f f f f f f f
understanding the anatomy and physiology of the neurologic system. The mentor would base a
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response on the understanding that it is:
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a. Necessary but generally for psychiatric nurses who focus primarily on behavioral interventions
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b. A complex undertaking that advance practice psychiatric nurses frequently use in their practice
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c. Important primarily for the nursing assessment of patients with brain traumacaused cognitive
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symptoms
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d. Necessary for planning psychiatric care for all patients especially those experiencing psychiatric
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disorders
f
ANS: D f
Nurses must understand that many symptoms of psychiatric disorders have a neurologic basis, although
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the symptoms are manifested behaviorally. This understanding facilitates effective care planning. The
f f f f f f f f f f f f
foundation of knowledge is not used exclusively by advanced practice psychiatric nurses nor is it relevant
f f f f f f f f f f f f f f f f
for only behavior therapies or brain trauma since dealing with the results of normal and abnormal brain
f f f f f f f f f f f f f f f f f
function is a responsibility of all nurses providing all types of care to the psychiatric patient.
f f f f f f f f f f f f f f f f
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic
f f f f f f f f f f f f f f f f
depression? Which response is supported by research data?
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, a. Too much stress has been proven to cause all kinds of cancer.
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b. There have been no research studies done on stress and disease yet.
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c. Stress does cause the release of factors that suppress the immune system.
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d. There appears to be little connection between stress and diseases of the body
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ANS: C
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Research indicates that stress causes a release of corticotropin-releasing factors that suppress the
f f f f f f f f f f f f
immune system. Studies indicate that psychiatric disorders such as mood disorders are sometimes
f f f f f f f f f f f f f
associated with decreased functioning of the immune system. Research does not support a connection
f f f f f f f f f f f f f f
between many cancers and stress. There is a significant amount of research about stress and the body.
f f f f f f f f f f f f f f f f f
Research has shown that there are some connections between stress and physical disease.
f f f f f f f f f f f f f
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation needs.
f f f f f f f f f f f f f f
Of the aspects of functioning listed, which will the nurse identify as a focus of nursing intervention?
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a. Expression of emotion f f
b. Detecting auditory stimuli f f
c. Receiving visual images f f
d. Processing associations f
ANS: D
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The parietal lobe is responsible for associating and processing sensory information that allows for
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functions such as following directions on a map, reading a clock, dressing self, keeping appointments, and
f f f f f f f f f f f f f f f f
distinguishing right from left. Emotional expression is associated with frontal lobe function.
f f f f f f f f f f f f
Detecting auditory stimuli is a temporal lobe function. Receiving visual images is related to occipital lobe
f f f f f f f f f f f f f f f
function.
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7. At admission, the nurse learns that some time ago the patient had an infarct in the right
f f f f f f f f f f f f f f f f
cerebral cortex. During assessment, the nurse would expect to find that the patient:
f f f f f f f f f f f f f
a. Demonstrates major deficiencies in speech f f f f
b. Is unable to effectively hold a spoon in the left hand
f f f f f f f f f f
c. Has difficulty explaining how to go about using the telephone
f f f f f f f f f
d. Cannot use his right hand to shave himself or comb his own hair
f f f f f f f f f f f f
f f
f Neuroscientific Basis and Practical Applications 5th
f f f f f
Edition Test Bank
f f f
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
f f f f f f
Applications 5th Edition Test Bank f f
f
f f
Chapter 1 Chemical neurotransmission
f f f
MULTIPLE CHOICE
f f
1. A patient with depression mentions to the nurse, My mother says depression is a chemical
f f f f f f f f f f f f f f
disorder. What does she mean? The nurses response is based on the theory that depression primarily
f f f f f f f f f f f f f f f f
involves which of the following neurotransmitters?
f f f f f f
a. Cortisol and GABA f f
b. COMT and glutamate f f
c. Monamine and glycine f f
d. Serotonin and norepinephrine f f
ANS: D
f f
One possible cause of depression is thought to involve one or more neurotransmitters. Serotonin and
f f f f f f f f f f f f f f
norepinephrine have been found to be important in the regulation of depression. There is no research
f f f f f f f f f f f f f f f f
to support that the other options play a significant role in the development of depression.
f f f f f f f f f f f f f f f
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in damage to
f f f f f f f f f f f f f f
the Broca area. Which evaluation does the nurse conduct to reinforce this diagnosis?
f f f f f f f f f f f f f
a. Observing the patient pick up a spoon f f f f f f
b. Asking the patient to recite the alphabet f f f f f f
c. Monitoring the patients blood pressure f f f f
d. Comparing the patients grip strength in both hands f f f f f f f
ANS: B
f f
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e., motor aphasia).
f f f f f f f f f f f f f f f f
Fine motor skills, blood pressure control, and muscle strength are not controlled by the Broca area of the
f f f f f f f f f f f f f f f f f f
left frontal lobe.
f f f
3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
f f f f f f f f f f
prescribed by the doctor. The nurses answer will be based on information that the therapeutic action of
f f f f f f f f f f f f f f f f f
psychotropic drugs is the result of their effect on:
f f f f f f f f f
a. The temporal lobe; especially Wernickes area
f f f f f
,b. Dendrites and their ability to transmit electrical impulses
f f f f f f f
c. The regulation of neurotransmitters especially dopamine
f f f f f
d. The peripheral nervous system sensitivity to the psychotropic medications
f f f f f f f f
ANS: C f
Medications used to treat psychiatric disorders operate in and around the synaptic cleft and have action
f f f f f f f f f f f f f f f
at the neurotransmitter level, especially in the case of schizophrenia, on dopamine. The Wernickes area,
f f f f f f f f f f f f f f f
dendrite function, or the sensitivity of the peripheral nervous system are not relevant to either
f f f f f f f f f f f f f f f
schizophrenia or psychotropic medications.
f f f f
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
f f f f f f f f f f f f f
understanding the anatomy and physiology of the neurologic system. The mentor would base a
f f f f f f f f f f f f f f
response on the understanding that it is:
f f f f f f f
a. Necessary but generally for psychiatric nurses who focus primarily on behavioral interventions
f f f f f f f f f f f
b. A complex undertaking that advance practice psychiatric nurses frequently use in their practice
f f f f f f f f f f f f
c. Important primarily for the nursing assessment of patients with brain traumacaused cognitive
f f f f f f f f f f f
symptoms
f
d. Necessary for planning psychiatric care for all patients especially those experiencing psychiatric
f f f f f f f f f f f
disorders
f
ANS: D f
Nurses must understand that many symptoms of psychiatric disorders have a neurologic basis, although
f f f f f f f f f f f f f
the symptoms are manifested behaviorally. This understanding facilitates effective care planning. The
f f f f f f f f f f f f
foundation of knowledge is not used exclusively by advanced practice psychiatric nurses nor is it relevant
f f f f f f f f f f f f f f f f
for only behavior therapies or brain trauma since dealing with the results of normal and abnormal brain
f f f f f f f f f f f f f f f f f
function is a responsibility of all nurses providing all types of care to the psychiatric patient.
f f f f f f f f f f f f f f f f
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her chronic
f f f f f f f f f f f f f f f f
depression? Which response is supported by research data?
f f f f f f f f
, a. Too much stress has been proven to cause all kinds of cancer.
f f f f f f f f f f f
b. There have been no research studies done on stress and disease yet.
f f f f f f f f f f f
c. Stress does cause the release of factors that suppress the immune system.
f f f f f f f f f f f
d. There appears to be little connection between stress and diseases of the body
f f f f f f f f f f f f
ANS: C
f f
Research indicates that stress causes a release of corticotropin-releasing factors that suppress the
f f f f f f f f f f f f
immune system. Studies indicate that psychiatric disorders such as mood disorders are sometimes
f f f f f f f f f f f f f
associated with decreased functioning of the immune system. Research does not support a connection
f f f f f f f f f f f f f f
between many cancers and stress. There is a significant amount of research about stress and the body.
f f f f f f f f f f f f f f f f f
Research has shown that there are some connections between stress and physical disease.
f f f f f f f f f f f f f
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation needs.
f f f f f f f f f f f f f f
Of the aspects of functioning listed, which will the nurse identify as a focus of nursing intervention?
f f f f f f f f f f f f f f f f f
a. Expression of emotion f f
b. Detecting auditory stimuli f f
c. Receiving visual images f f
d. Processing associations f
ANS: D
f f
The parietal lobe is responsible for associating and processing sensory information that allows for
f f f f f f f f f f f f f
functions such as following directions on a map, reading a clock, dressing self, keeping appointments, and
f f f f f f f f f f f f f f f f
distinguishing right from left. Emotional expression is associated with frontal lobe function.
f f f f f f f f f f f f
Detecting auditory stimuli is a temporal lobe function. Receiving visual images is related to occipital lobe
f f f f f f f f f f f f f f f
function.
f
7. At admission, the nurse learns that some time ago the patient had an infarct in the right
f f f f f f f f f f f f f f f f
cerebral cortex. During assessment, the nurse would expect to find that the patient:
f f f f f f f f f f f f f
a. Demonstrates major deficiencies in speech f f f f
b. Is unable to effectively hold a spoon in the left hand
f f f f f f f f f f
c. Has difficulty explaining how to go about using the telephone
f f f f f f f f f
d. Cannot use his right hand to shave himself or comb his own hair
f f f f f f f f f f f f
