Test Bank For Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications (5TH) by Stahl All Chapters 1-14 Covered LATEST VERSION 2025/2026

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Stahl'sEssentialPsychopharmacology p
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Neuroscientific Basis and Practical Applications TESTBANK/STUDY GUIDE po po po po po po




Chapter 1 Chemical neurotransmission
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MULTIPLECHOICE
1. A patient with depression mentions to the nurse, My mother says depression
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is a chemical disorder. What does she mean? The nurses response is based on the
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theory that depression primarily involves which of the following neurotransmitters?
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a.
b. COMT and glutamate po po




c. Monamine and glycine po po




d. Serotoninandnorepinephrine
Cortisol and GABA
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ANS: D po



One possible cause of depression is thought to involve one or more neurotransmitters.
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Serotonin and norepinephrine have been found to be important in the regulation
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of depression. There is no research to support that the other options play a
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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
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damage to the Broca area. Which evaluation does the nurse conduct to reinforce
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this diagnosis?
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a. Observing the patient pick up a spoon po po po po po po




b. Asking the patient to recite the alphabet
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c. Monitoring the patients blood pressure po po po po




d. Comparing the patients grip strength in both hands po po po po po po po



ANS: B
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Accidentsor strokes that damage Brocas area may result in the inability to speak (i.e.,
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motor aphasia). Fine motor skills, blood pressure control, and muscle strength are not
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controlled by the Broca area of the left frontal lobe.
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3. The patient diagnosed with schizophrenia asks why psychotropic medications are
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always prescribed by the doctor. The nurses answer will be based on information that
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the therapeutic action of 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. Theregulation ofneurotransmitters especially dopamine po po po




d. Theperipheral nervous system sensitivity to the psychotropic medications
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ANS: C po



Medications used to treat psychiatric disorders operate in and around the synaptic cleft
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and have action at the neurotransmitter level, especially in the case of
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schizophrenia, on dopamine. The Wernickes area, dendrite function, or the
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sensitivity of the peripheral nervous system are not relevant to either
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schizophrenia or psychotropic medications.
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4. A student nurse mutters that it seems entirely unnecessary to have to struggle
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with understanding the anatomy and physiology of the neurologic system. The
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mentor would base a response on the understanding that it is:
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Necessary but generally for psychiatric nurses who focus primarily on
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a. behavioral interventions po




A complex undertaking that advance practice psychiatric nurses frequently use b. in their
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practice
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Important primarily for the nursing assessment of patients with brain
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c. traumacausedcognitivesymptoms

Necessary for planning psychiatric care for all patients especially those
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d. experiencingpsychiatricdisorders
ANS: D
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Nurses must understand that many symptoms of psychiatric disorders have a
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neurologic basis, although the symptoms are manifested behaviorally. This
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understanding facilitates effective care planning. The foundation of knowledge is not
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used exclusively by advanced practice psychiatric nurses nor is it relevant for
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only behavior therapies or brain trauma since dealing with the results of normal
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and abnormal brain function is a responsibility of all nurses providing all types of
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care to the psychiatric patient.
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5. A patient asks the nurse, My wife has breast cancer. Could it be caused by
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her chronic 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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