Stahls Essential Psychopharmacology 5th Edition
b b b b
Test Bank.
b b
, Stahl's Essential Psychopharmacology
b b
Neuroscientific bBasis band bPractical bApplications b5th bEdition bTestbank/Study bGuide
Chapter b1 bChemical bneurotransmission
MULTIPLE bCHOICE
1. A bpatient bwith bdepression bmentions bto bthe bnurse, bMy bmother bsays bdepression bis
ba bchemical bdisorder. bWhat bdoes bshe bmean? bThe bnurses bresponse bis bbased bon bthe
btheory bthat bdepression bprimarily binvolves bwhich bof bthe bfollowing
bneurotransmitters?
a. Cortisol band bGABA
b. COMT band bglutamate
c. Monamine band bglycine
d. Serotonin band bnorepinephrine
bANS: bD
One bpossible bcause bof bdepression bis bthought bto binvolve bone bor bmore bneurotransmitters.
Serotonin band bnorepinephrine bhave bbeen bfound bto bbe bimportant bin bthe bregulation
bof bdepression. bThere bis bno bresearch bto bsupport bthat bthe bother boptions bplay ba
bsignificant brole bin bthe bdevelopment bof bdepression.
2. A bpatient bhas bexperienced ba bstroke b(cerebral bvascular baccident) bthat bhas bresulted
bin bdamage bto bthe bBroca barea. bWhich bevaluation bdoes bthe bnurse bconduct bto
breinforce bthis bdiagnosis?
a. Observing bthe bpatient bpick bup ba bspoon
b. Asking bthe bpatient bto brecite bthe balphabet
c. Monitoring bthe bpatients bblood bpressure
d. Comparing bthe bpatients bgrip bstrength bin bboth
bhands bANS: bB
Accidents bor bstrokes bthat bdamage bBrocas barea bmay bresult bin bthe binability bto bspeak b(i.e.,
motor baphasia). bFine bmotor bskills, bblood bpressure bcontrol, band bmuscle bstrength bare bnot
bcontrolled bby bthe bBroca barea bof bthe bleft bfrontal blobe.
3. The bpatient bdiagnosed bwith bschizophrenia basks bwhy bpsychotropic bmedications
bare balways bprescribed bby bthe bdoctor. bThe bnurses banswer bwill bbe bbased bon
binformation bthat bthe btherapeutic baction bof bpsychotropic bdrugs bis bthe bresult bof btheir
beffect bon:
a. The btemporal blobe; bespecially bWernickes barea
b. Dendrites band btheir bability bto btransmit belectrical bimpulses
c. The bregulation bof bneurotransmitters bespecially bdopamine
d. The bperipheral bnervous bsystem bsensitivity bto bthe bpsychotropic bmedications
,ANS: bC
Medications bused bto btreat bpsychiatric bdisorders boperate bin band baround bthe bsynaptic
bcleft band bhave baction bat bthe bneurotransmitter blevel, bespecially bin bthe bcase bof
bschizophrenia, bon bdopamine. bThe bWernickes barea, bdendrite bfunction, bor bthe
bsensitivity bof bthe bperipheral bnervous bsystem bare bnot brelevant bto beither bschizophrenia
bor bpsychotropic bmedications.
4. A bstudent bnurse bmutters bthat bit bseems bentirely bunnecessary bto bhave bto bstruggle
bwith bunderstanding bthe banatomy band bphysiology bof bthe bneurologic bsystem. bThe
bmentor bwould bbase ba bresponse bon bthe bunderstanding bthat bit bis:
Necessary bbut bgenerally bfor bpsychiatric bnurses bwho bfocus bprimarily bon
a. behavioral binterventions
A bcomplex bundertaking bthat badvance bpractice bpsychiatric bnurses bfrequently
b. buse bin btheir bpractice
Important bprimarily bfor bthe bnursing bassessment bof bpatients bwith bbrain
c. btraumacaused bcognitive bsymptoms
Necessary bfor bplanning bpsychiatric bcare bfor ball bpatients bespecially bthose
d. bexperiencing bpsychiatric bdisorders
ANS:
bD
Nurses bmust bunderstand bthat bmany bsymptoms bof bpsychiatric bdisorders bhave ba
bneurologic bbasis, balthough bthe bsymptoms bare bmanifested bbehaviorally. bThis
bunderstanding bfacilitates beffective bcare bplanning. bThe bfoundation bof bknowledge bis bnot
bused bexclusively bby badvanced bpractice bpsychiatric bnurses bnor bis bit brelevant bfor bonly
bbehavior btherapies bor bbrain btrauma bsince bdealing bwith bthe bresults bof bnormal band
babnormal bbrain bfunction bis ba bresponsibility bof ball bnurses bproviding ball btypes bof bcare
bto bthe bpsychiatric bpatient.
5. A bpatient basks bthe bnurse, bMy bwife bhas bbreast bcancer. bCould bit bbe bcaused bby
bher bchronic bdepression? bWhich bresponse bis bsupported bby bresearch bdata?
a. Too bmuch bstress bhas bbeen bproven bto bcause ball bkinds bof bcancer.
b. There bhave bbeen bno bresearch bstudies bdone bon bstress band bdisease byet.
c. Stress bdoes bcause bthe brelease bof bfactors bthat bsuppress bthe bimmune bsystem.
d. There bappears bto bbe blittle bconnection bbetween bstress band bdiseases bof bthe
bbody bANS: bC
Research bindicates bthat bstress bcauses ba brelease bof bcorticotropin-releasing bfactors bthat
suppress bthe bimmune bsystem. bStudies bindicate bthat bpsychiatric bdisorders bsuch bas
bmood bdisorders bare bsometimes bassociated bwith bdecreased bfunctioning bof bthe bimmune
bsystem. bResearch bdoes bnot bsupport ba bconnection bbetween bmany bcancers band bstress.
bThere bis ba bsignificant bamount bof bresearch babout bstress band bthe bbody. bResearch bhas
bshown bthat bthere bare bsome bconnections bbetween bstress band bphysical bdisease.
, 6. A bpatient bwho bhas ba bparietal blobe binjury bis bbeing bevaluated bfor bpsychiatric
brehabilitation bneeds. bOf bthe baspects bof bfunctioning blisted, bwhich bwill bthe bnurse
bidentify bas ba bfocus bof bnursing bintervention?
a. Expression bof bemotion
b. Detecting bauditory bstimuli
c. Receiving bvisual bimages
d. Processing bassociations
bANS: bD
The bparietal blobe bis bresponsible bfor bassociating band bprocessing bsensory binformation
that ballows bfor bfunctions bsuch bas bfollowing bdirections bon ba bmap, breading ba bclock,
bdressing bself, bkeeping bappointments, band bdistinguishing bright bfrom bleft. bEmotional
bexpression bis bassociated bwith bfrontal blobe bfunction. bDetecting bauditory bstimuli bis ba
btemporal blobe bfunction. bReceiving bvisual bimages bis brelated bto boccipital blobe bfunction.
7. At badmission, bthe bnurse blearns bthat bsome btime bago bthe bpatient bhad ban binfarct bin
bthe bright bcerebral bcortex. bDuring bassessment, bthe bnurse bwould bexpect bto bfind bthat
bthe bpatient:
a. Demonstrates bmajor bdeficiencies bin bspeech
b. Is bunable bto beffectively bhold ba bspoon bin bthe bleft bhand
c. Has bdifficulty bexplaining bhow bto bgo babout busing bthe btelephone
d. Cannot buse bhis bright bhand bto bshave bhimself bor bcomb bhis bown
bhair bANS: bB
The bcerebral bhemispheres bare bresponsible bfor bfunctions bsuch bas bcontrol bof bmuscles.
The bright bhemisphere bmainly bcontrols bthe bmotor band bsensory bfunctions bon bthe bleft
bside bof bthe bbody. bDamage bto bthe bright bside bwould bresult bin bimpaired bfunction bon
bthe bleft bside bof bthe bbody. bThe bmotor bcortex bcontrols bvoluntary bmotor bactivity.
bBrocas barea bcontrols bmotor bspeech. bCognitive bfunctions bare battributed bto bthe
bassociation bcortex.
The bright bside bof bthe bbodys bmotor bactivity bis bcontrolled bby bthe bleft bcerebral bcortex.
8. A bpatient bwith bchronic bschizophrenia bhad ba bstroke binvolving bthe bhippocampus.
bThe bpatient bwill bbe bdischarged bon blow bdoses bof bhaloperidol. bThe bnurse bwill bneed
bto bindividualize bthe bpatients bmedication bteaching bby:
a. Including bthe bpatients bcaregiver bin bthe beducation
b. Being bcareful bto bstress bthe bimportance bof btaking bthe bmedication bas
prescribed bProviding bthe beducation bat ba btime bwhen bthe bpatient bis
b
bemotionally bcalm band
c. bA
d.
ANS:
WWW.TESTBANKTANK.COM
b b b b
Test Bank.
b b
, Stahl's Essential Psychopharmacology
b b
Neuroscientific bBasis band bPractical bApplications b5th bEdition bTestbank/Study bGuide
Chapter b1 bChemical bneurotransmission
MULTIPLE bCHOICE
1. A bpatient bwith bdepression bmentions bto bthe bnurse, bMy bmother bsays bdepression bis
ba bchemical bdisorder. bWhat bdoes bshe bmean? bThe bnurses bresponse bis bbased bon bthe
btheory bthat bdepression bprimarily binvolves bwhich bof bthe bfollowing
bneurotransmitters?
a. Cortisol band bGABA
b. COMT band bglutamate
c. Monamine band bglycine
d. Serotonin band bnorepinephrine
bANS: bD
One bpossible bcause bof bdepression bis bthought bto binvolve bone bor bmore bneurotransmitters.
Serotonin band bnorepinephrine bhave bbeen bfound bto bbe bimportant bin bthe bregulation
bof bdepression. bThere bis bno bresearch bto bsupport bthat bthe bother boptions bplay ba
bsignificant brole bin bthe bdevelopment bof bdepression.
2. A bpatient bhas bexperienced ba bstroke b(cerebral bvascular baccident) bthat bhas bresulted
bin bdamage bto bthe bBroca barea. bWhich bevaluation bdoes bthe bnurse bconduct bto
breinforce bthis bdiagnosis?
a. Observing bthe bpatient bpick bup ba bspoon
b. Asking bthe bpatient bto brecite bthe balphabet
c. Monitoring bthe bpatients bblood bpressure
d. Comparing bthe bpatients bgrip bstrength bin bboth
bhands bANS: bB
Accidents bor bstrokes bthat bdamage bBrocas barea bmay bresult bin bthe binability bto bspeak b(i.e.,
motor baphasia). bFine bmotor bskills, bblood bpressure bcontrol, band bmuscle bstrength bare bnot
bcontrolled bby bthe bBroca barea bof bthe bleft bfrontal blobe.
3. The bpatient bdiagnosed bwith bschizophrenia basks bwhy bpsychotropic bmedications
bare balways bprescribed bby bthe bdoctor. bThe bnurses banswer bwill bbe bbased bon
binformation bthat bthe btherapeutic baction bof bpsychotropic bdrugs bis bthe bresult bof btheir
beffect bon:
a. The btemporal blobe; bespecially bWernickes barea
b. Dendrites band btheir bability bto btransmit belectrical bimpulses
c. The bregulation bof bneurotransmitters bespecially bdopamine
d. The bperipheral bnervous bsystem bsensitivity bto bthe bpsychotropic bmedications
,ANS: bC
Medications bused bto btreat bpsychiatric bdisorders boperate bin band baround bthe bsynaptic
bcleft band bhave baction bat bthe bneurotransmitter blevel, bespecially bin bthe bcase bof
bschizophrenia, bon bdopamine. bThe bWernickes barea, bdendrite bfunction, bor bthe
bsensitivity bof bthe bperipheral bnervous bsystem bare bnot brelevant bto beither bschizophrenia
bor bpsychotropic bmedications.
4. A bstudent bnurse bmutters bthat bit bseems bentirely bunnecessary bto bhave bto bstruggle
bwith bunderstanding bthe banatomy band bphysiology bof bthe bneurologic bsystem. bThe
bmentor bwould bbase ba bresponse bon bthe bunderstanding bthat bit bis:
Necessary bbut bgenerally bfor bpsychiatric bnurses bwho bfocus bprimarily bon
a. behavioral binterventions
A bcomplex bundertaking bthat badvance bpractice bpsychiatric bnurses bfrequently
b. buse bin btheir bpractice
Important bprimarily bfor bthe bnursing bassessment bof bpatients bwith bbrain
c. btraumacaused bcognitive bsymptoms
Necessary bfor bplanning bpsychiatric bcare bfor ball bpatients bespecially bthose
d. bexperiencing bpsychiatric bdisorders
ANS:
bD
Nurses bmust bunderstand bthat bmany bsymptoms bof bpsychiatric bdisorders bhave ba
bneurologic bbasis, balthough bthe bsymptoms bare bmanifested bbehaviorally. bThis
bunderstanding bfacilitates beffective bcare bplanning. bThe bfoundation bof bknowledge bis bnot
bused bexclusively bby badvanced bpractice bpsychiatric bnurses bnor bis bit brelevant bfor bonly
bbehavior btherapies bor bbrain btrauma bsince bdealing bwith bthe bresults bof bnormal band
babnormal bbrain bfunction bis ba bresponsibility bof ball bnurses bproviding ball btypes bof bcare
bto bthe bpsychiatric bpatient.
5. A bpatient basks bthe bnurse, bMy bwife bhas bbreast bcancer. bCould bit bbe bcaused bby
bher bchronic bdepression? bWhich bresponse bis bsupported bby bresearch bdata?
a. Too bmuch bstress bhas bbeen bproven bto bcause ball bkinds bof bcancer.
b. There bhave bbeen bno bresearch bstudies bdone bon bstress band bdisease byet.
c. Stress bdoes bcause bthe brelease bof bfactors bthat bsuppress bthe bimmune bsystem.
d. There bappears bto bbe blittle bconnection bbetween bstress band bdiseases bof bthe
bbody bANS: bC
Research bindicates bthat bstress bcauses ba brelease bof bcorticotropin-releasing bfactors bthat
suppress bthe bimmune bsystem. bStudies bindicate bthat bpsychiatric bdisorders bsuch bas
bmood bdisorders bare bsometimes bassociated bwith bdecreased bfunctioning bof bthe bimmune
bsystem. bResearch bdoes bnot bsupport ba bconnection bbetween bmany bcancers band bstress.
bThere bis ba bsignificant bamount bof bresearch babout bstress band bthe bbody. bResearch bhas
bshown bthat bthere bare bsome bconnections bbetween bstress band bphysical bdisease.
, 6. A bpatient bwho bhas ba bparietal blobe binjury bis bbeing bevaluated bfor bpsychiatric
brehabilitation bneeds. bOf bthe baspects bof bfunctioning blisted, bwhich bwill bthe bnurse
bidentify bas ba bfocus bof bnursing bintervention?
a. Expression bof bemotion
b. Detecting bauditory bstimuli
c. Receiving bvisual bimages
d. Processing bassociations
bANS: bD
The bparietal blobe bis bresponsible bfor bassociating band bprocessing bsensory binformation
that ballows bfor bfunctions bsuch bas bfollowing bdirections bon ba bmap, breading ba bclock,
bdressing bself, bkeeping bappointments, band bdistinguishing bright bfrom bleft. bEmotional
bexpression bis bassociated bwith bfrontal blobe bfunction. bDetecting bauditory bstimuli bis ba
btemporal blobe bfunction. bReceiving bvisual bimages bis brelated bto boccipital blobe bfunction.
7. At badmission, bthe bnurse blearns bthat bsome btime bago bthe bpatient bhad ban binfarct bin
bthe bright bcerebral bcortex. bDuring bassessment, bthe bnurse bwould bexpect bto bfind bthat
bthe bpatient:
a. Demonstrates bmajor bdeficiencies bin bspeech
b. Is bunable bto beffectively bhold ba bspoon bin bthe bleft bhand
c. Has bdifficulty bexplaining bhow bto bgo babout busing bthe btelephone
d. Cannot buse bhis bright bhand bto bshave bhimself bor bcomb bhis bown
bhair bANS: bB
The bcerebral bhemispheres bare bresponsible bfor bfunctions bsuch bas bcontrol bof bmuscles.
The bright bhemisphere bmainly bcontrols bthe bmotor band bsensory bfunctions bon bthe bleft
bside bof bthe bbody. bDamage bto bthe bright bside bwould bresult bin bimpaired bfunction bon
bthe bleft bside bof bthe bbody. bThe bmotor bcortex bcontrols bvoluntary bmotor bactivity.
bBrocas barea bcontrols bmotor bspeech. bCognitive bfunctions bare battributed bto bthe
bassociation bcortex.
The bright bside bof bthe bbodys bmotor bactivity bis bcontrolled bby bthe bleft bcerebral bcortex.
8. A bpatient bwith bchronic bschizophrenia bhad ba bstroke binvolving bthe bhippocampus.
bThe bpatient bwill bbe bdischarged bon blow bdoses bof bhaloperidol. bThe bnurse bwill bneed
bto bindividualize bthe bpatients bmedication bteaching bby:
a. Including bthe bpatients bcaregiver bin bthe beducation
b. Being bcareful bto bstress bthe bimportance bof btaking bthe bmedication bas
prescribed bProviding bthe beducation bat ba btime bwhen bthe bpatient bis
b
bemotionally bcalm band
c. bA
d.
ANS:
WWW.TESTBANKTANK.COM
