Test Bank - Stahl's Essential Psychopharmacology 5th Edition Neuroscientific Basis and Practical Applications (Stephen M. Stahl, 2021), All Chapters 1-13

Stahl's Essential Psychopharmacology Neuroscientific Basis and Practica
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l Applications 5th Edition Testbank/Study Guide
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,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practica
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l Applications 5th Edition Testbank/Study Guide
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,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practica
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l Applications 5th Edition Testbank/Study Guide
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Stahl's Essential Psychopharmacology cm cm




Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide
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Chapter 1 Chemical neurotransmission
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MULTIPLE CHOICE cm


1. A patient with depression mentions to the nurse, My mother says depression i
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s a chemical disorder. What does she mean? The nurses response is based on th
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e theorythat depression primarily involves which of the following neurotransmitt
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ers?
a. Cortisol and GABA cm cm




b. COMT and glutamate cm cm




c. Monamine and glycine cm cm




d. Serotonin and norepinephrine cm cm



ANS: D cm


One possible cause of depression is thought to involve one or more neurotransmitt
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ers.Serotonin and norepinephrine have been found to be important in the regulatio
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n of depression. There is no research to support that the other options play a signi
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ficant role in the development of depression.
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2. A patient has experienced a stroke (cerebral vascular accident) that has resulte
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d indamage to the Broca area. Which evaluation does the nurse conduct to reinfo
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rce thisdiagnosis?
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a. Observing the patient pick up a spoon cm cm cm cm cm cm




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




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



ANS: B cm



Accidents or strokes that damage Brocas area may result in the inability to speak
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(i.e.,motor aphasia). Fine motor skills, blood pressure control, and muscle strength
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mare notcontrolled by the Broca area of the left frontal lobe.
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3. The patient diagnosed with schizophrenia asks why psychotropic medications ar
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e always prescribed by the doctor. The nurses answer will be based on informatio
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n thatthe 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. The regulation of neurotransmitters especially dopamine
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d. The peripheral nervous system sensitivity to the psychotropic medications
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, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practica
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l Applications 5th Edition Testbank/Study Guide
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ANS: C cm


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


a. onbehavioral interventions m
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A complex undertaking that advance practice psychiatric nurses frequently
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b. usein their practicem
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Important primarily for the nursing assessment of patients with br
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c. aintraumacaused cognitive symptoms
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Necessary for planning psychiatric care for all patients especially th cm cm cm cm cm cm cm cm cm


d. oseexperiencing psychiatric disorders m
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ANS: D cm


Nurses must understand that many symptoms of psychiatric disorders have a neur
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ologic basis, although the symptoms are manifested behaviorally. This understand
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ing facilitates effective care planning. The foundation of knowledge is notused ex
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clusively by advanced practice psychiatric nurses nor is it relevant for only behav
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ior therapies or brain trauma since dealing with the results of normal and abnorm
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al brain function is a responsibility of all nurses providing all types of care tothe
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psychiatric patient. cm


5. A patient asks the nurse, My wife has breast cancer. Could it be caused b
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y herchronic 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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b. There have been no research studies done on stress and disease yet.
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c. Stress does cause the release of factors that suppress the immune system.
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d. There appears to be little connection between stress and diseases of the body
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ANS: C cm


Research indicates that stress causes a release of corticotropin-
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releasing factors that suppress the immune system. Studies indicate that psychiatric
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disorders such as mooddisorders are sometimes associated with decreased functio
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ning of the immune system.Research does not support a connection between many
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mcancers and stress. There is a significant amount of research about stress and the
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body. Research has shown that there are some connections between stress and phy
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sical disease. cm