Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
mi mi mi mi mi mi mi
Applications 5th Edition Testbank/
mi mi mi
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
mi mi mi mi mi mi mi
Applications 5th Edition Testbank/
mi mi mi
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 Th Eory that Depression Primarily Involves Which Of The
im
Following Neurotransmitters?
a. Cortisol And GABA
b. COMT And Glutamate
c. Monamine And Glycine
d. Serotonin And
Norepinephrine SOLUTION:D
One Possible Cause Of Depression Is Thought To Involve One Or More Neurotransmitte
Rs. serotonin And Norepinephrine Have Been Found To Be Important In The
iM
Regulation O F Depression. There Is No Research To Support That The Other
Options Play A Significan T 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
im
Conduct To Reinforce This diagnosis? im
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 SOLUTION: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
I M
notcontrolled By The Broca Area Of The Left Frontal Lobe.
I m
3. The Patient Diagnosed With Schizophrenia Asks Why Psychotropic Medications
Are Always Prescribed By The Doctor. The Nurses Answer Will Be Based On
Information T H at t h e Therapeutic Action Of Psychotropic Drugs Is The Result Of
i m
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
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
mi mi mi mi mi mi mi
Applications 5th Edition Testbank/Study Guide
mi mi mi mi
SOLUTION:C
Medications Used To Treat Psychiatric Disorders Operate In And Around The Synaptic Cl
eftand Have Action At The Neurotransmitter Level, Especially In The Case Of
I m
Schizophren Ia, On Dopamine. The Wernickes Area, Dendrite Function, Or The
Sensitivity Of The Peri Pheral Nervous System Are Not Relevant To Either
Schizophrenia Or Psychotropic Medic Ations.
4. A Student Nurse Mutters That It Seems Entirely Unnecessary To Have To
Struggle Wi Th understanding The Anatomy And Physiology Of The Neurologic
im
System. The Mentor Would Base A Response On The Understanding That It Is:
Necessary But Generally For Psychiatric Nurses Who Focus Primarily o mi
A. N behavioral Interventions
im
A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently
B. U Se in Their Practice
im
Important Primarily For The Nursing Assessment Of Patients With Brai
C. N traumacaused Cognitive Symptoms
im
Necessary For Planning Psychiatric Care For all Patients Especially Tho mi
D. Se experiencing Psychiatric Disorders
im
SOLUT
ION:D
Nurses Must Understand That Many Symptoms of Psychiatric Disorders Have A mi
Neuro Logic Basis, Although The Symptoms Are manifested Behaviorally. This mi
Understandin G Facilitates Effective Care Planning. the foundation Of Knowledge Mi mi
Is Not used Exclu Sively By Advanced Practice Psychiatric Nurses Nor Is It
m
Relevant For Only Behavior T Herapies Or Brain Trauma Since dealing With The mi
Results Of Normal And Abnormal Bra In Function Is A Responsibility of All mi
Nurses Providing All Types Of Care To the Psychia Tric Patient.
im
5. A Patient Asks The Nurse, My Wife Has Breast Cancer. Could It Be
Caused By Her chronic Depression? which Response Is Supported By
im Mi
Research Data?
a. Too Much stress Has Been Proven To Cause All Kinds Of Cancer.
mi
b. There have Been No Research Studies Done On Stress And Disease Yet.
mi
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 ANS: c Mi
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
im
Decreased Functionin G Of The Immune System. research Does Not Support A i M
Connection Between Many Can Cers 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 Di Sease.
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
mi mi mi mi mi mi mi
Applications 5th Edition Testbank/Study Guide
mi mi mi mi
6. A Patient Who Has A Parietal Lobe Injury Is Being Evaluated For Psychiatric
Rehabil Itation Needs. Of The Aspects Of Functioning Listed, Which Will The
Nurse Identify as A Focus Of Nursing Intervention?
im
a. Expression Of Emotion
b. Detecting Auditory Stimuli
c. Receiving Visual Images
d. Processing
Associations SOLUTION:D
The Parietal Lobe Is Responsible For Associating And Processing Sensory information T mi
Hat Allows For Functions Such As Following Directions On A Map, Reading
A clock, Dre Ssing Self, Keeping Appointments, And Distinguishing Right From
mi
Left. emotional Expr Ession Is Associated With Frontal Lobe Function. Detecting
Mi
Auditory stimuli Is A Tempo Ral Lobe Function. Receiving Visual Images Is Related
mi
To Occipital lobe Function. mi
7. At Admission, The Nurse Learns That Some Time Ago The patient Had An mi
Infarct In T He right Cerebral Cortex. During Assessment, The Nurse would
im mi
Expect To Find That Th E Patient:
a. Demonstrates Major Deficiencies In Speech
b. Is Unable To Effectively Hold A Spoon in the Left Hand mi mi
c. Has Difficulty Explaining How to Go about Using The Telephonemi mi
d. Cannot Use His Right Hand To shave Himself Or Comb His Own mi
Hair SOLUTION:B
The Cerebral Hemispheres Are responsible For Functions Such As Control Of Muscles.
mi
The Right Hemisphere Mainly controls The Motor And Sensory Functions On The
mi
Left Si De of The Body. Damage To The Right Side Would Result In Impaired
im
Function On The Le Ft Side Of The Body. The Motor Cortex Controls Voluntary
Motor Activity. Brocas Area Controls Motor Speech. cognitive Functions Are Mi
Attributed To The Association Cortex. The Right Side Of The bodys Motor Activity mi
Is Controlled By The Left Cerebral Cortex.
8. A Patient With chronic Schizophrenia Had A Stroke Involving The
mi
Hippocampus. T He patient will be Discharged On Low Doses Of Haloperidol. The
im mi mi
Nurse Will Need To In Dividualize the Patients Medication Teaching By: mi
a. Including The Patients Caregiver In The Education
b. Being Careful To Stress The Importance Of Taking The Medication As
Prescribed Providing The Education At A Time When The Patient Is
Emotionally Calm A
c. ION:A
d.
SOLUT
mi mi mi mi mi mi mi
Applications 5th Edition Testbank/
mi mi mi
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
mi mi mi mi mi mi mi
Applications 5th Edition Testbank/
mi mi mi
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 Th Eory that Depression Primarily Involves Which Of The
im
Following Neurotransmitters?
a. Cortisol And GABA
b. COMT And Glutamate
c. Monamine And Glycine
d. Serotonin And
Norepinephrine SOLUTION:D
One Possible Cause Of Depression Is Thought To Involve One Or More Neurotransmitte
Rs. serotonin And Norepinephrine Have Been Found To Be Important In The
iM
Regulation O F Depression. There Is No Research To Support That The Other
Options Play A Significan T 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
im
Conduct To Reinforce This diagnosis? im
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 SOLUTION: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
I M
notcontrolled By The Broca Area Of The Left Frontal Lobe.
I m
3. The Patient Diagnosed With Schizophrenia Asks Why Psychotropic Medications
Are Always Prescribed By The Doctor. The Nurses Answer Will Be Based On
Information T H at t h e Therapeutic Action Of Psychotropic Drugs Is The Result Of
i m
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
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
mi mi mi mi mi mi mi
Applications 5th Edition Testbank/Study Guide
mi mi mi mi
SOLUTION:C
Medications Used To Treat Psychiatric Disorders Operate In And Around The Synaptic Cl
eftand Have Action At The Neurotransmitter Level, Especially In The Case Of
I m
Schizophren Ia, On Dopamine. The Wernickes Area, Dendrite Function, Or The
Sensitivity Of The Peri Pheral Nervous System Are Not Relevant To Either
Schizophrenia Or Psychotropic Medic Ations.
4. A Student Nurse Mutters That It Seems Entirely Unnecessary To Have To
Struggle Wi Th understanding The Anatomy And Physiology Of The Neurologic
im
System. The Mentor Would Base A Response On The Understanding That It Is:
Necessary But Generally For Psychiatric Nurses Who Focus Primarily o mi
A. N behavioral Interventions
im
A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently
B. U Se in Their Practice
im
Important Primarily For The Nursing Assessment Of Patients With Brai
C. N traumacaused Cognitive Symptoms
im
Necessary For Planning Psychiatric Care For all Patients Especially Tho mi
D. Se experiencing Psychiatric Disorders
im
SOLUT
ION:D
Nurses Must Understand That Many Symptoms of Psychiatric Disorders Have A mi
Neuro Logic Basis, Although The Symptoms Are manifested Behaviorally. This mi
Understandin G Facilitates Effective Care Planning. the foundation Of Knowledge Mi mi
Is Not used Exclu Sively By Advanced Practice Psychiatric Nurses Nor Is It
m
Relevant For Only Behavior T Herapies Or Brain Trauma Since dealing With The mi
Results Of Normal And Abnormal Bra In Function Is A Responsibility of All mi
Nurses Providing All Types Of Care To the Psychia Tric Patient.
im
5. A Patient Asks The Nurse, My Wife Has Breast Cancer. Could It Be
Caused By Her chronic Depression? which Response Is Supported By
im Mi
Research Data?
a. Too Much stress Has Been Proven To Cause All Kinds Of Cancer.
mi
b. There have Been No Research Studies Done On Stress And Disease Yet.
mi
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 ANS: c Mi
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
im
Decreased Functionin G Of The Immune System. research Does Not Support A i M
Connection Between Many Can Cers 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 Di Sease.
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
mi mi mi mi mi mi mi
Applications 5th Edition Testbank/Study Guide
mi mi mi mi
6. A Patient Who Has A Parietal Lobe Injury Is Being Evaluated For Psychiatric
Rehabil Itation Needs. Of The Aspects Of Functioning Listed, Which Will The
Nurse Identify as A Focus Of Nursing Intervention?
im
a. Expression Of Emotion
b. Detecting Auditory Stimuli
c. Receiving Visual Images
d. Processing
Associations SOLUTION:D
The Parietal Lobe Is Responsible For Associating And Processing Sensory information T mi
Hat Allows For Functions Such As Following Directions On A Map, Reading
A clock, Dre Ssing Self, Keeping Appointments, And Distinguishing Right From
mi
Left. emotional Expr Ession Is Associated With Frontal Lobe Function. Detecting
Mi
Auditory stimuli Is A Tempo Ral Lobe Function. Receiving Visual Images Is Related
mi
To Occipital lobe Function. mi
7. At Admission, The Nurse Learns That Some Time Ago The patient Had An mi
Infarct In T He right Cerebral Cortex. During Assessment, The Nurse would
im mi
Expect To Find That Th E Patient:
a. Demonstrates Major Deficiencies In Speech
b. Is Unable To Effectively Hold A Spoon in the Left Hand mi mi
c. Has Difficulty Explaining How to Go about Using The Telephonemi mi
d. Cannot Use His Right Hand To shave Himself Or Comb His Own mi
Hair SOLUTION:B
The Cerebral Hemispheres Are responsible For Functions Such As Control Of Muscles.
mi
The Right Hemisphere Mainly controls The Motor And Sensory Functions On The
mi
Left Si De of The Body. Damage To The Right Side Would Result In Impaired
im
Function On The Le Ft Side Of The Body. The Motor Cortex Controls Voluntary
Motor Activity. Brocas Area Controls Motor Speech. cognitive Functions Are Mi
Attributed To The Association Cortex. The Right Side Of The bodys Motor Activity mi
Is Controlled By The Left Cerebral Cortex.
8. A Patient With chronic Schizophrenia Had A Stroke Involving The
mi
Hippocampus. T He patient will be Discharged On Low Doses Of Haloperidol. The
im mi mi
Nurse Will Need To In Dividualize the Patients Medication Teaching By: mi
a. Including The Patients Caregiver In The Education
b. Being Careful To Stress The Importance Of Taking The Medication As
Prescribed Providing The Education At A Time When The Patient Is
Emotionally Calm A
c. ION:A
d.
SOLUT
