Test Bank for Stahl's Essential Psychopharmacology 5th Edition (2021) – Chapters 1-13 | Stephen M. Stahl

StahlsEssentialPsychopharmacology5thEdition
cxji cxji cxji cxji




Test Bank.
cxji cxji

, Stahl'sEssential Psychopharmacology cxji cxji




NeuroscientificBasisandPracticalApplications5th EditionTestbank/Study Guide cxji cxji cxji cxji cxji cxji cxji cxji




Chapter1 Chemicalneurotransmission cxji cxji cxji




MULTIPLECHOICE cxji




1. A patient with depression mentions to the nurse, My mother says depression is a
cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cx ji cx ji




chemicaldisorder.Whatdoes shemean?Thenursesresponseis basedonthetheory that
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji




depression primarily involves which of the following neurotransmitters?
cxji cxji cxji cxji cx ji cx ji cx ji cx ji




a. CortisolandGABA cxji cxji




b. COMTand glutamate cxji cxji




c. Monamineandglycine cxji cxji




d. Serotoninandnorepinephrine cxji cxji




ANS: D
cxji cxji




Onepossiblecause ofdepression isthought toinvolveoneormoreneurotransmitters.
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




Serotonin and norepinephrine have been found to be important in the regulation of cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




depression.Thereis noresearchtosupportthattheotheroptions playasignificant role in
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji cx ji




the development of depression.
cxji cxji cxji cxji




2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




diagnosis?
cxji




a. Observingthe patientpickup aspoon cxji cxji cxji cxji cxji cxji




b. Askingthepatienttorecitethe alphabet cxji cxji cxji cxji cxji cxji




c. Monitoringthepatientsbloodpressure cxji cxji cxji cxji




d. Comparingthepatientsgripstrengthinbothhands cxji cxji cxji cxji cxji cxji cxji




ANS: B
cxji cxji




Accidentsorstrokesthatdamage Brocas area mayresultintheinabilitytospeak(i.e., cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




motoraphasia).Finemotorskills,bloodpressurecontrol,andmusclestrengtharenot controlled by
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji cx ji




the Broca area of the left frontal lobe.
cxji cxji cxji cxji cxji cxji cxji cx ji




3. The patient diagnosed with schizophrenia asks why psychotropic medications are
cxji cxji cxji cxji cx ji cx ji cx ji cxji cx ji




alwaysprescribedbythedoctor.Thenursesanswerwillbebasedoninformationthat the
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji




therapeutic action of psychotropic drugs is the result of their effect on:
cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cx ji




a. Thetemporallobe;especiallyWernickesarea cxji cxji cxji cxji cxji




b. Dendritesandtheirabilitytotransmitelectricalimpulses cxji cxji cxji cxji cxji cxji cxji




c. Theregulationofneurotransmittersespeciallydopamine cxji cxji cxji cxji cxji




d. Theperipheralnervoussystemsensitivitytothepsychotropicmedications cxji cxji cxji cxji cxji cxji cxji cxji

,ANS:C cxji




Medicationsusedtotreatpsychiatricdisordersoperateinandaroundthesynapticcleft and cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji




have action at the neurotransmitter level, especially in the case of schizophrenia, on
cxji cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cx ji




dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cx ji




nervous system are not relevant to either schizophrenia or psychotropic medications.
cxji cx ji cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji




4. Astudentnursemuttersthatitseems entirelyunnecessarytohavetostrugglewith
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




understanding the anatomy and physiology of the neurologic system. The mentor
cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji




would base a response on the understanding that it is:
cxji cxji cxji cxji cxji cx ji cxji cx ji cx ji cx ji




Necessarybutgenerallyforpsychiatricnurseswhofocusprimarilyon cxji cxji cxji cxji cxji cxji cxji cxji cxji




a. behavioralinterventions cxji




Acomplexundertakingthatadvancepracticepsychiatricnursesfrequentlyuse in
cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji




b. their practice
cxji cxji




Importantprimarilyforthenursingassessmentofpatientswithbrain traumacaused cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji




c. cognitive symptoms
cxji cxji




Necessaryforplanningpsychiatriccareforallpatientsespeciallythose cxji cxji cxji cxji cxji cxji cxji cxji cxji




d. experiencing psychiatric disorders
cxji cxji cxji




ANS:D cxji




Nurses must understand that many symptoms of psychiatric disorders have a neurologic
cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji




basis, although the symptoms are manifested behaviorally. This understandingfacilitates
cxji cxji cxji cxji cxji cxji cx ji cx ji cx ji cxji




effectivecareplanning.Thefoundationofknowledgeisnot used exclusively by advanced
cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji




practice psychiatric nurses nor is it relevant for only behavior therapies or brain trauma
cxji cx ji cxji cxji cx ji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cx ji




since dealing with the results of normal and abnormalbrain function is a responsibility of
cxji cxji cxji cxji cxji cxji cx ji cx ji cx ji cxji cxji cxji cx ji cxji cxji




allnurses providing all types of care to the psychiatric patient.
cxji cxji cxji cxji cxji cxji cxji cxji cx ji cx ji cx ji




5. Apatientasksthe nurse,My wifehas breastcancer.Could it becausedby her
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




chronic depression? Which response is supported by research data?
cxji cxji cxji cxji cxji cx ji cx ji cx ji cxji




a. Toomuchstress has been proven to causeallkinds of cancer. cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




b. Therehave been noresearch studies doneonstress and diseaseyet. cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




c. Stressdoescause thereleaseoffactorsthatsuppress theimmunesystem. cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




d. Thereappears tobelittleconnectionbetweenstressanddiseasesofthebody ANS: cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji




C
cxji




Researchindicatesthatstresscausesareleaseofcorticotropin-releasingfactorsthat cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




suppress theimmunesystem. Studies indicatethatpsychiatricdisorders suchas mood cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




disordersaresometimesassociatedwithdecreasedfunctioningoftheimmunesystem.
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




Research does not support a connection between many cancers and stress. There is a
cxji cxji cxji cxji cxji cxji cx ji cx ji cxji cx ji cx ji cx ji cx ji cx ji




significant amount of research about stress and the body. Research has shown that there
cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cx ji cx ji cx ji




are some connections between stress and physical disease.
cxji cxji cxji cxji cx ji cx ji cx ji cx ji

, 6. A patient who has a parietal lobe injury is being evaluated for psychiatric
cxji cxji cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji




rehabilitationneeds.Oftheaspectsoffunctioninglisted,whichwillthenurseidentify as a
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji cx ji




focus of nursing intervention?
cxji cx ji cxji cxji




a. Expressionofemotion cxji cxji




b. Detectingauditorystimuli cxji cxji




c. Receivingvisualimages cxji cxji




d. Processing associations cxji




ANS: D
cxji cxji




Theparietallobeisresponsibleforassociatingandprocessingsensoryinformation
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




that allows for functions such as following directions on a map, reading a clock, dressing
cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cx ji cx ji cx ji




self, keeping appointments, and distinguishing right from left. Emotional expression is
cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji




associated with frontal lobe function. Detecting auditory stimuli is a temporallobe
cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cxji




function.Receivingvisualimagesisrelatedtooccipitallobefunction.
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




7. Atadmission,thenurselearnsthatsometimeagothe patienthadaninfarctinthe right
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji




cerebral cortex. During assessment, the nurse would expect to find that the patient:
cxji cx ji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cx ji cx ji cx ji




a. Demonstratesmajordeficienciesinspeech cxji cxji cxji cxji




b. Is unableto effectivelyhold aspooninthe left hand
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




c. Hasdifficultyexplaininghowtogoaboutusingthetelephone cxji cxji cxji cxji cxji cxji cxji cxji cxji




d. Cannotusehis righthandtoshavehimselforcombhisownhair ANS: cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji




B
cxji




Thecerebralhemispheresareresponsibleforfunctionssuchascontrolofmuscles.
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




Therighthemispheremainlycontrolsthemotorandsensoryfunctionsontheleftside of the
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji cx ji




body. Damage to the right side would result in impaired function on the left side of the
cxji cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cxji cx ji cx ji cx ji cx ji




body. The motor cortex controls voluntary motor activity. Brocas area controls motor
cxji cxji cx ji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji




speech. Cognitive functions are attributed to the association cortex.
cxji cxji cxji cxji cxji cx ji cx ji cx ji cx ji




Therightsideofthebodys motoractivityiscontrolled bythe leftcerebral cortex.
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




8. Apatientwithchronicschizophreniahadastrokeinvolvingthehippocampus.The
cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




patient will be discharged on low doses of haloperidol. The nurse will need to
cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cx ji cx ji cx ji cx ji cx ji




individualize the patients medication teaching by:
cxji cxji cxji cxji cx ji cx ji




a. Includingthepatientscaregiverintheeducation cxji cxji cxji cxji cxji cxji




b. Beingcarefultostresstheimportanceoftakingthemedicationasprescribed cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji




Providing the education at a time when the patient is emotionally calm and
cxji cxji cxji cxji cx ji cx ji cx ji cx ji cx ji cxji cx ji cx ji cx ji




c. relaxed
Encouragingthepatienttocrushordissolvethemedicationtohelpwith swallowing cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cxji cx ji




d.
ANS:A cxji




WWW.TESTBANKTANK.COM