,Table Of Content
Chapter 1. Chemical Neurotransmission
Chapter 2. Transporters, Receptors And Enzymes As Targets Of Psychopharmacological Drug
Action
Chapter 3. Ion Channels As Targets Of Psychopharmacological Drug Action
Chapter 4. Psychosis, Schizophrenia And The Neurotransmitter Networks Dopamine, Serotonin
And Glutamate
Chapter 5. Targeting Dopamine And Serotonin Receptors For Psychosis, Mood And Beyond: So-
Called ‘Antipsychotics’
Chapter 6. Mood Disorders And The Neurotransmitter Networks Norepinephrine And Gamma
Amino Butyric Acid (Gaba)
Chapter 7. Treatments For Mood Disorders: So-Called ‘Antidepressants’ And ‘Mood Stabilizers’
Chapter 8. Anxiety, Trauma And Treatment
Chapter 9. Chronic Pain And Its Treatment
Chapter 10. Disorders Of Sleep And Wakefulness And Their Treatment: Neurotransmitter
Networks For Histamine And Orexin
Chapter 11. Attention Deficit Hyperactivity Disorder And Its Treatment
Chapter 12. Dementia: Causes, Symptomatic Treatments And The Neurotransmitter Network
Acetylcholine
Chapter 13. Impulsivity, Compulsivity And Addiction;
,Chapter 1 Chemical Neurotransmission
Stahl: Stahl's Essential Psychopharmacology: Neuroscientific Basis And Practical Applications
5th Edition
MULTIPLE CHOICE
1. A Patient With Depression Mentions To The Nurse, My Mother Says Depression
Is A Chemical Disorder. What Does She Mean? The Nurses Response Is Based On
The Theory That 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 Depression. There Is No Research To Support That The Other
Options Play A Significant Role In The 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 Diagnosis?
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., Motor Aphasia). Fine Motor Skills, Blood Pressure Control, And Muscle
Strength Are Not Controlled By The Broca Area Of The Left Frontal Lobe.
3. The Patient Diagnosed With Schizophrenia Asks Why Psychotropic
Medications Are Always Prescribed By The Doctor. The Nurses Answer Will Be Based
On Information That The Therapeutic Action Of Psychotropic Drugs Is The Result Of
Their
a. Effect
TheOn:
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 And Have Action At The Neurotransmitter Level, Especially In The Case Of
Schizophrenia, On Dopamine. The Wernickes Area, Dendrite Function, Or The Sensitivity
Of The Peripheral Nervous 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 Neurologic System. The
Mentor Would Base A Response On The Understanding That It Is:
Necessary But Generally For Psychiatric Nurses Who Focus Primarily On
A. Behavioral Interventions
A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently Use
B. In Their Practice
Important Primarily For The Nursing Assessment Of Patients With Brain
C. Traumacaused Cognitive Symptoms
Necessary For Planning Psychiatric Care For All Patients Especially Those Experiencing
D. Psychiatric Disorders
ANS: D
Nurses Must Understand That Many Symptoms Of Psychiatric Disorders Have A
Neurologic Basis, Although The Symptoms Are Manifested Behaviorally. This
Understanding Facilitates Effective Care Planning. The Foundation Of Knowledge Is Not
Used Exclusively By Advanced Practice Psychiatric Nurses Nor Is It Relevant For Only
Behavior Therapies Or Brain Trauma Since Dealing With The Results Of Normal And
Abnormal Brain Function Is A Responsibility Of All Nurses Providing All Types Of Care
To The Psychiatric Patient.
5. A Patient Asks The Nurse, My Wife Has Breast Cancer. Could It Be Caused By
Her Chronic Depression? Which Response Is Supported By Research Data?
A. Too Much Stress Has Been Proven To Cause All Kinds Of Cancer.
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 System.
D. There Appears To Be Little Connection Between Stress And Diseases Of The Body
ANS: C
Research Indicates That Stress Causes A Release Of Corticotropin-Releasing Factors That
Suppress The Immune System. Studies Indicate That Psychiatric Disorders Such As Mood
Disorders Are Sometimes Associated With Decreased Functioning Of The Immune
System. Research Does Not Support A Connection Between Many Cancers And Stress.
There Is A Significant Amount Of Research About Stress And The Body. Research Has
Shown That There Are Some Connections Between Stress And Physical Disease.
Chapter 1. Chemical Neurotransmission
Chapter 2. Transporters, Receptors And Enzymes As Targets Of Psychopharmacological Drug
Action
Chapter 3. Ion Channels As Targets Of Psychopharmacological Drug Action
Chapter 4. Psychosis, Schizophrenia And The Neurotransmitter Networks Dopamine, Serotonin
And Glutamate
Chapter 5. Targeting Dopamine And Serotonin Receptors For Psychosis, Mood And Beyond: So-
Called ‘Antipsychotics’
Chapter 6. Mood Disorders And The Neurotransmitter Networks Norepinephrine And Gamma
Amino Butyric Acid (Gaba)
Chapter 7. Treatments For Mood Disorders: So-Called ‘Antidepressants’ And ‘Mood Stabilizers’
Chapter 8. Anxiety, Trauma And Treatment
Chapter 9. Chronic Pain And Its Treatment
Chapter 10. Disorders Of Sleep And Wakefulness And Their Treatment: Neurotransmitter
Networks For Histamine And Orexin
Chapter 11. Attention Deficit Hyperactivity Disorder And Its Treatment
Chapter 12. Dementia: Causes, Symptomatic Treatments And The Neurotransmitter Network
Acetylcholine
Chapter 13. Impulsivity, Compulsivity And Addiction;
,Chapter 1 Chemical Neurotransmission
Stahl: Stahl's Essential Psychopharmacology: Neuroscientific Basis And Practical Applications
5th Edition
MULTIPLE CHOICE
1. A Patient With Depression Mentions To The Nurse, My Mother Says Depression
Is A Chemical Disorder. What Does She Mean? The Nurses Response Is Based On
The Theory That 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 Depression. There Is No Research To Support That The Other
Options Play A Significant Role In The 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 Diagnosis?
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., Motor Aphasia). Fine Motor Skills, Blood Pressure Control, And Muscle
Strength Are Not Controlled By The Broca Area Of The Left Frontal Lobe.
3. The Patient Diagnosed With Schizophrenia Asks Why Psychotropic
Medications Are Always Prescribed By The Doctor. The Nurses Answer Will Be Based
On Information That The Therapeutic Action Of Psychotropic Drugs Is The Result Of
Their
a. Effect
TheOn:
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 And Have Action At The Neurotransmitter Level, Especially In The Case Of
Schizophrenia, On Dopamine. The Wernickes Area, Dendrite Function, Or The Sensitivity
Of The Peripheral Nervous 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 Neurologic System. The
Mentor Would Base A Response On The Understanding That It Is:
Necessary But Generally For Psychiatric Nurses Who Focus Primarily On
A. Behavioral Interventions
A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently Use
B. In Their Practice
Important Primarily For The Nursing Assessment Of Patients With Brain
C. Traumacaused Cognitive Symptoms
Necessary For Planning Psychiatric Care For All Patients Especially Those Experiencing
D. Psychiatric Disorders
ANS: D
Nurses Must Understand That Many Symptoms Of Psychiatric Disorders Have A
Neurologic Basis, Although The Symptoms Are Manifested Behaviorally. This
Understanding Facilitates Effective Care Planning. The Foundation Of Knowledge Is Not
Used Exclusively By Advanced Practice Psychiatric Nurses Nor Is It Relevant For Only
Behavior Therapies Or Brain Trauma Since Dealing With The Results Of Normal And
Abnormal Brain Function Is A Responsibility Of All Nurses Providing All Types Of Care
To The Psychiatric Patient.
5. A Patient Asks The Nurse, My Wife Has Breast Cancer. Could It Be Caused By
Her Chronic Depression? Which Response Is Supported By Research Data?
A. Too Much Stress Has Been Proven To Cause All Kinds Of Cancer.
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 System.
D. There Appears To Be Little Connection Between Stress And Diseases Of The Body
ANS: C
Research Indicates That Stress Causes A Release Of Corticotropin-Releasing Factors That
Suppress The Immune System. Studies Indicate That Psychiatric Disorders Such As Mood
Disorders Are Sometimes Associated With Decreased Functioning Of The Immune
System. Research Does Not Support A Connection Between Many Cancers And Stress.
There Is A Significant Amount Of Research About Stress And The Body. Research Has
Shown That There Are Some Connections Between Stress And Physical Disease.
