Test Bank For Stahl's Essential Psychopharmacology Neuroscientific
Basis and Practical Applications 5th Edition
TEST BANK FOR STAHL'S
ESSENTIAL
PSYCHOPHARMACOLOGY
NEUROSCIENTIFIC BASIS AND
PRACTICAL APPLICATIONS 5TH
EDITION
, 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 c hemical disorder. What does she mean? The nurses
response is based on the theoryth at depression primarily involves
which of the following neurotransmitters?
a. Cortisol and GABA
b. COMT and glutamate
c. Monamine and glycine
d. Serotonin and
norepinephrine ANS: D
One possible cause of depression is thought to involve one or more
neurotransmitters.
Serotonin and norepinephrine have been found to be important in the
regulation of dep ression. There is no research to support that the
other options play a significant role in t he 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 conduct to reinforce this d iagnosis?
sr
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 ANS: B
Accidents or strokes that damage Brocas area may result in the inability to
speak (i.e.,
sr
motor aphasia). Fine motor skills, blood pressure control, and muscle
strength are notc ontrolled by the Broca area of the left frontal lobe.
3. The patient diagnosed with schizophrenia asks why psychotropic
medications are a lways prescribed by the doctor. The nurses answer
will be based on information that th e therapeutic action of
sr
psychotropic drugs is the result of 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
, ANS: C
Medications used to treat psychiatric disorders operate in and around
the synaptic cleft a nd have action at the neurotransmitter level,
sr
especially in the case of schizophrenia, on dopamine. The Wernickes
area, dendrite function, or the sensitivity of the peripheral ne rvous
system are not relevant to either schizophrenia or psychotropic
medications.
4. A student nurse mutters that it seems entirely unnecessary to have
to struggle with understanding the anatomy and physiology of the
sr
neurologic system. The mentor woul d base a response on the
understanding that it is:
Necessary but generally for psychiatric nurses who focus primarily on sr sr
a. behavioral interventions
A complex undertaking that advance practice psychiatric
b. nurses frequently use i n their practice
sr sr
Important primarily for the nursing assessment of patients with sr
c. brain t raumacaused cognitive symptoms
sr
Necessary for planning psychiatric care for all patients especially sr
d. those experiencing psychiatric disorders
ANS:
D
Nurses must understand that many symptoms of psychiatric sr sr
disorders have a neurolo gic basis, although the symptoms are
manifested behaviorally. This understanding fac ilitates effective care
planning. The foundation of knowledge is not used exclusively b y
sr sr
advanced practice psychiatric nurses nor is it relevant for only
sr sr
behavior therapies or brain trauma since dealing with the results of sr
normal and abnormal brain function is a responsibility of all nurses
providing all types of care tothe psychiatric patient.
5. A patient asks the nurse, My wife has breast cancer. Could it be
sr
caused by herc hronic depression? Which response is supported
sr
by research data?
a. Too much stress has been proven to cause all kinds of cancer.
sr
b. There have been no research studies done on stress and disease yet.
c. Stress does cause the release of factors that suppress the immune
sr
system.
d. There appears to be little connection between stress and
sr
diseases of the body ANS: C
Research indicates that stress causes a release of corticotropin-
releasing factors that suppress the immune system. Studies indicate
Basis and Practical Applications 5th Edition
TEST BANK FOR STAHL'S
ESSENTIAL
PSYCHOPHARMACOLOGY
NEUROSCIENTIFIC BASIS AND
PRACTICAL APPLICATIONS 5TH
EDITION
, 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 c hemical disorder. What does she mean? The nurses
response is based on the theoryth at depression primarily involves
which of the following neurotransmitters?
a. Cortisol and GABA
b. COMT and glutamate
c. Monamine and glycine
d. Serotonin and
norepinephrine ANS: D
One possible cause of depression is thought to involve one or more
neurotransmitters.
Serotonin and norepinephrine have been found to be important in the
regulation of dep ression. There is no research to support that the
other options play a significant role in t he 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 conduct to reinforce this d iagnosis?
sr
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 ANS: B
Accidents or strokes that damage Brocas area may result in the inability to
speak (i.e.,
sr
motor aphasia). Fine motor skills, blood pressure control, and muscle
strength are notc ontrolled by the Broca area of the left frontal lobe.
3. The patient diagnosed with schizophrenia asks why psychotropic
medications are a lways prescribed by the doctor. The nurses answer
will be based on information that th e therapeutic action of
sr
psychotropic drugs is the result of 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
, ANS: C
Medications used to treat psychiatric disorders operate in and around
the synaptic cleft a nd have action at the neurotransmitter level,
sr
especially in the case of schizophrenia, on dopamine. The Wernickes
area, dendrite function, or the sensitivity of the peripheral ne rvous
system are not relevant to either schizophrenia or psychotropic
medications.
4. A student nurse mutters that it seems entirely unnecessary to have
to struggle with understanding the anatomy and physiology of the
sr
neurologic system. The mentor woul d base a response on the
understanding that it is:
Necessary but generally for psychiatric nurses who focus primarily on sr sr
a. behavioral interventions
A complex undertaking that advance practice psychiatric
b. nurses frequently use i n their practice
sr sr
Important primarily for the nursing assessment of patients with sr
c. brain t raumacaused cognitive symptoms
sr
Necessary for planning psychiatric care for all patients especially sr
d. those experiencing psychiatric disorders
ANS:
D
Nurses must understand that many symptoms of psychiatric sr sr
disorders have a neurolo gic basis, although the symptoms are
manifested behaviorally. This understanding fac ilitates effective care
planning. The foundation of knowledge is not used exclusively b y
sr sr
advanced practice psychiatric nurses nor is it relevant for only
sr sr
behavior therapies or brain trauma since dealing with the results of sr
normal and abnormal brain function is a responsibility of all nurses
providing all types of care tothe psychiatric patient.
5. A patient asks the nurse, My wife has breast cancer. Could it be
sr
caused by herc hronic depression? Which response is supported
sr
by research data?
a. Too much stress has been proven to cause all kinds of cancer.
sr
b. There have been no research studies done on stress and disease yet.
c. Stress does cause the release of factors that suppress the immune
sr
system.
d. There appears to be little connection between stress and
sr
diseases of the body ANS: C
Research indicates that stress causes a release of corticotropin-
releasing factors that suppress the immune system. Studies indicate
