Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
b 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
b sr sr sr sr
Stahl'sEssentialPsychopharmacology
NeuroscientificBasisandPracticalApplications 5thEditionTestbank/StudyGuide n b b
Chapter1Chemicalneurotransmission
MULTIPLECHOICE
1. A patient with depression mentions to the nurse, My mother says depression is a c
b b b b b b b b b b b b b b
hemicaldisorder. What does she mean? Thenurses response is based on the theoryth at
b b b b b b b b b b b b b
depressionprimarilyinvolveswhichofthefollowingneurotransmitters?
b b b
a. Cortisoland GABA n
b. COMTandglutamate
c. Monamineandglycine n
d. Serotoninandnorepinephrine n
ANS:D
b b
Onepossiblecauseofdepressionis thoughttoinvolveoneormoreneurotransmitters.
n n n n n
Serotonin and norepinephrine have been found to be important in the regulation of dep
b b b b b b b b b b b b b
ression. There is no research to support that the other options play a significant role in t he
b b b b b b b b b b b b b b b b b b
developmentofdepression.
b
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
b b b b b b b b b b b b
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this d
b b b b b b b b b b b b b b b
iagnosis?
b
a. Observingthepatientpickupaspoon n n
b. Askingthepatienttorecitethealphabet n
c. Monitoringthepatients blood pressure n n
d. Comparing thepatientsgrip strengthinbothhands n n
ANS:B
b b
AccidentsorstrokesthatdamageBrocasareamayresultintheinabilitytospeak(i.e., n
motor aphasia).Finemotor skills,bloodpressure control, and muscle strength arenotc ontrolledbythe
b b b b b b b b b b b b b
Brocaareaoftheleftfrontallobe.
b b b
3. The patient diagnosed with schizophrenia asks why psychotropic medications are a
b b b b b b b b b b
lways prescribed by the doctor. The nurses answer will be based on information that th e
b b b b b b b b b b b b b b b b
therapeuticactionofpsychotropicdrugsistheresultoftheireffecton:
b b b b b
a. Thetemporallobe;especially Wernickesarea b
b. Dendritesandtheirability to transmitelectricalimpulses b n
c. Theregulationofneurotransmittersespeciallydopamine b
d. Theperipheralnervoussystemsensitivity tothepsychotropic medications n b b
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
b sr sr sr sr
ANS:C
Medicationsused to treatpsychiatricdisordersoperate in andaroundthesynapticclefta nd b b b b b
have action at the neurotransmitter level, especially in the case of schizophrenia, on
b b b b b b b b b b b b b
dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral ne
b b b b b b b b b b b b b
rvoussystemarenotrelevant toeither schizophreniaorpsychotropicmedications.
b b b b b b
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with u
b b b b b b b b b b b b b b
nderstanding the anatomy and physiology of the neurologic system. The mentor woul d
b b b b b b b b b b b b b
basearesponseontheunderstandingthatitis:
b b b b b
Necessarybutgenerallyforpsychiatricnurseswhofocusprimarily on b
a. behavioralinterventions n
A complex undertakingthatadvancepracticepsychiatric nursesfrequentlyusei n
n n n b n
b. theirpractice
b
Importantprimarilyforthenursingassessmentofpatientswith braint n n
c. raumacausedcognitivesymptoms
b
Necessaryforplanningpsychiatriccareforallpatientsespeciallythose b
d. experiencingpsychiatricdisorders
b
ANS:D
Nurses mustunderstand thatmany symptomsof psychiatricdisordershave aneurolo gic
b b b sr b b
basis,althoughthesymptomsaremanifestedbehaviorally.Thisunderstandingfac ilitates
b b
effectivecareplanning.Thefoundation of knowledgeisnotusedexclusivelyb yadvanced
b sr n n b
practice psychiatric nurses nor is it relevant for only behavior therapies or brain trauma
b b b b b b b bn b b b b b b
sincedealingwiththe resultsofnormalandabnormalbrainfunction is a responsibility of
b b b b b b
allnursesprovidingalltypesofcare tothepsychiatricpatient.
b n
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herc
b b b b b sr b b b b b b b b b
hronicdepression?Which responseissupportedbyresearchdata?
b b sr b b b b
a. Toomuchstress hasbeenproventocauseallkindsofcancer. sr
b. Therehavebeennoresearchstudiesdoneon stressanddiseaseyet.
n n n n n
c. Stress does causethereleaseoffactorsthat suppress theimmunesystem.
n sr n n n b
d. There appearstobelittleconnectionbetweenstressanddiseasesofthebody
sr n n n
ANS:C
b b
Researchindicatesthatstresscausesareleaseofcorticotropin-
n n n
releasing factors that suppress the immune system. Studies indicate that psychiatric dis
b b b b b b b b b b b
orderssuch asmooddisorders aresometimesassociatedwithdecreasedfunctioningoft he
b b b b
immunesystem.Researchdoesnotsupportaconnectionbetweenmanycancersand stress.
b b
Thereisa significantamountofresearchaboutstressandthebody.Researchha
b n sshownthat b
therearesomeconnectionsbetweenstressandphysicaldisease.
b
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
b sr sr sr sr
6. Apatientwhohasaparietallobeinjury isbeing evaluatedforpsychiatricrehabilitat ion b b b
needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of
b b b b b b b b b b b b b b b
nursingintervention?
b
a. Expressionofemotion n
b. Detecting auditory stimuli n
c. Receiving visualimages n
d. Processingassociations
ANS:D
b b
Theparietallobeisresponsibleforassociating andprocessing sensoryinformation tha b nb
tallowsforfunctionssuch as following directions on amap, readingaclock, dressing self, b b b b b b n b
keeping appointments, and distinguishing right from left. Emotional expression is
b b b b b b b b b
associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe fun
b b b b b b b b sr b sr b b
ction.Receivingvisualimages isrelatedtooccipital lobefunction.
b b b b b b b
7. Atadmission, thenurselearnsthatsometimeagothepatient had an infarct in ther ightb sr b b b b b
cerebralcortex.Duringassessment,thenursewould expecttofind that thepatient:
b n n n n n b
a. Demonstrates major deficiencies in speech n n n n
b. Is unable to effectively hold a spoon in the lefthand
n n n n n n sr n n n
c. Has difficulty explaininghow to go about using the telephone
n n n n sr sr n n n
d. Cannotusehisrighthand to shave himselforcombhisownhair n n n n n sr sr n n n n n
ANS:B
b b
Thecerebralhemispheresareresponsibleforfunctionssuchascontrolofmuscles.The
n n n
right hemisphere mainly controls the motor and sensory functions on the left side of th e
b b b sr b b b b b b b b b b b
body.Damagetotheright sidewouldresultinimpairedfunctionontheleftsideofth ebody.
b b b
The motor cortex controls voluntary motor activity. Brocas area controls moto r speech.
b b b b bn b b b b b b b b
Cognitive functions are attributedtotheassociationcortex.
b n b b b
Therightsideof the bodysmotoractivityiscontrolledbytheleftcerebralcortex.
n b sr b b n
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The p
b b b b b b b b b b b b
atientwillbedischarged on lowdosesofhaloperidol. Thenursewillneed to individu alize
b b b b b b b
the patients medication teachingby:
b b n b
a. Including thepatients caregiver in the education n n n n n n
b. Being careful to stress the importance of taking the medication as prescribed
b b b b b b b b b b b
Providingtheeducationatatimewhenthepatientisemotionallycalmandr
b n n
c. elaxed
Encouragingthepatienttocrushordissolvethemedicationtohelpwiths n n
d. wallowing
b
ANS:A
WWW.TESTBANKTANK.COM
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
b 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
b sr sr sr sr
Stahl'sEssentialPsychopharmacology
NeuroscientificBasisandPracticalApplications 5thEditionTestbank/StudyGuide n b b
Chapter1Chemicalneurotransmission
MULTIPLECHOICE
1. A patient with depression mentions to the nurse, My mother says depression is a c
b b b b b b b b b b b b b b
hemicaldisorder. What does she mean? Thenurses response is based on the theoryth at
b b b b b b b b b b b b b
depressionprimarilyinvolveswhichofthefollowingneurotransmitters?
b b b
a. Cortisoland GABA n
b. COMTandglutamate
c. Monamineandglycine n
d. Serotoninandnorepinephrine n
ANS:D
b b
Onepossiblecauseofdepressionis thoughttoinvolveoneormoreneurotransmitters.
n n n n n
Serotonin and norepinephrine have been found to be important in the regulation of dep
b b b b b b b b b b b b b
ression. There is no research to support that the other options play a significant role in t he
b b b b b b b b b b b b b b b b b b
developmentofdepression.
b
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
b b b b b b b b b b b b
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this d
b b b b b b b b b b b b b b b
iagnosis?
b
a. Observingthepatientpickupaspoon n n
b. Askingthepatienttorecitethealphabet n
c. Monitoringthepatients blood pressure n n
d. Comparing thepatientsgrip strengthinbothhands n n
ANS:B
b b
AccidentsorstrokesthatdamageBrocasareamayresultintheinabilitytospeak(i.e., n
motor aphasia).Finemotor skills,bloodpressure control, and muscle strength arenotc ontrolledbythe
b b b b b b b b b b b b b
Brocaareaoftheleftfrontallobe.
b b b
3. The patient diagnosed with schizophrenia asks why psychotropic medications are a
b b b b b b b b b b
lways prescribed by the doctor. The nurses answer will be based on information that th e
b b b b b b b b b b b b b b b b
therapeuticactionofpsychotropicdrugsistheresultoftheireffecton:
b b b b b
a. Thetemporallobe;especially Wernickesarea b
b. Dendritesandtheirability to transmitelectricalimpulses b n
c. Theregulationofneurotransmittersespeciallydopamine b
d. Theperipheralnervoussystemsensitivity tothepsychotropic medications n b b
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
b sr sr sr sr
ANS:C
Medicationsused to treatpsychiatricdisordersoperate in andaroundthesynapticclefta nd b b b b b
have action at the neurotransmitter level, especially in the case of schizophrenia, on
b b b b b b b b b b b b b
dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral ne
b b b b b b b b b b b b b
rvoussystemarenotrelevant toeither schizophreniaorpsychotropicmedications.
b b b b b b
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with u
b b b b b b b b b b b b b b
nderstanding the anatomy and physiology of the neurologic system. The mentor woul d
b b b b b b b b b b b b b
basearesponseontheunderstandingthatitis:
b b b b b
Necessarybutgenerallyforpsychiatricnurseswhofocusprimarily on b
a. behavioralinterventions n
A complex undertakingthatadvancepracticepsychiatric nursesfrequentlyusei n
n n n b n
b. theirpractice
b
Importantprimarilyforthenursingassessmentofpatientswith braint n n
c. raumacausedcognitivesymptoms
b
Necessaryforplanningpsychiatriccareforallpatientsespeciallythose b
d. experiencingpsychiatricdisorders
b
ANS:D
Nurses mustunderstand thatmany symptomsof psychiatricdisordershave aneurolo gic
b b b sr b b
basis,althoughthesymptomsaremanifestedbehaviorally.Thisunderstandingfac ilitates
b b
effectivecareplanning.Thefoundation of knowledgeisnotusedexclusivelyb yadvanced
b sr n n b
practice psychiatric nurses nor is it relevant for only behavior therapies or brain trauma
b b b b b b b bn b b b b b b
sincedealingwiththe resultsofnormalandabnormalbrainfunction is a responsibility of
b b b b b b
allnursesprovidingalltypesofcare tothepsychiatricpatient.
b n
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herc
b b b b b sr b b b b b b b b b
hronicdepression?Which responseissupportedbyresearchdata?
b b sr b b b b
a. Toomuchstress hasbeenproventocauseallkindsofcancer. sr
b. Therehavebeennoresearchstudiesdoneon stressanddiseaseyet.
n n n n n
c. Stress does causethereleaseoffactorsthat suppress theimmunesystem.
n sr n n n b
d. There appearstobelittleconnectionbetweenstressanddiseasesofthebody
sr n n n
ANS:C
b b
Researchindicatesthatstresscausesareleaseofcorticotropin-
n n n
releasing factors that suppress the immune system. Studies indicate that psychiatric dis
b b b b b b b b b b b
orderssuch asmooddisorders aresometimesassociatedwithdecreasedfunctioningoft he
b b b b
immunesystem.Researchdoesnotsupportaconnectionbetweenmanycancersand stress.
b b
Thereisa significantamountofresearchaboutstressandthebody.Researchha
b n sshownthat b
therearesomeconnectionsbetweenstressandphysicaldisease.
b
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
b sr sr sr sr
6. Apatientwhohasaparietallobeinjury isbeing evaluatedforpsychiatricrehabilitat ion b b b
needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of
b b b b b b b b b b b b b b b
nursingintervention?
b
a. Expressionofemotion n
b. Detecting auditory stimuli n
c. Receiving visualimages n
d. Processingassociations
ANS:D
b b
Theparietallobeisresponsibleforassociating andprocessing sensoryinformation tha b nb
tallowsforfunctionssuch as following directions on amap, readingaclock, dressing self, b b b b b b n b
keeping appointments, and distinguishing right from left. Emotional expression is
b b b b b b b b b
associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe fun
b b b b b b b b sr b sr b b
ction.Receivingvisualimages isrelatedtooccipital lobefunction.
b b b b b b b
7. Atadmission, thenurselearnsthatsometimeagothepatient had an infarct in ther ightb sr b b b b b
cerebralcortex.Duringassessment,thenursewould expecttofind that thepatient:
b n n n n n b
a. Demonstrates major deficiencies in speech n n n n
b. Is unable to effectively hold a spoon in the lefthand
n n n n n n sr n n n
c. Has difficulty explaininghow to go about using the telephone
n n n n sr sr n n n
d. Cannotusehisrighthand to shave himselforcombhisownhair n n n n n sr sr n n n n n
ANS:B
b b
Thecerebralhemispheresareresponsibleforfunctionssuchascontrolofmuscles.The
n n n
right hemisphere mainly controls the motor and sensory functions on the left side of th e
b b b sr b b b b b b b b b b b
body.Damagetotheright sidewouldresultinimpairedfunctionontheleftsideofth ebody.
b b b
The motor cortex controls voluntary motor activity. Brocas area controls moto r speech.
b b b b bn b b b b b b b b
Cognitive functions are attributedtotheassociationcortex.
b n b b b
Therightsideof the bodysmotoractivityiscontrolledbytheleftcerebralcortex.
n b sr b b n
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The p
b b b b b b b b b b b b
atientwillbedischarged on lowdosesofhaloperidol. Thenursewillneed to individu alize
b b b b b b b
the patients medication teachingby:
b b n b
a. Including thepatients caregiver in the education n n n n n n
b. Being careful to stress the importance of taking the medication as prescribed
b b b b b b b b b b b
Providingtheeducationatatimewhenthepatientisemotionallycalmandr
b n n
c. elaxed
Encouragingthepatienttocrushordissolvethemedicationtohelpwiths n n
d. wallowing
b
ANS:A
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