TEST BANK for Stahl's Essential
Psychopharmacology: Neuroscientific
Basis and Practical Applications 5th
Edition by Stephen M. Stahl
COMPLETE(LATEST) CHAPTERS 1-14 WITH
RATIONALES| A+ GRADED
CHAPTER 7 ANSWERS AT THE BACK OF CHAPTERS 7
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TABLE OF CONTENTS
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 and schizophrenia
Chapter 5 Antipsychotic agents
Chapter 6 Mood disorders
Chapter 7 Antidepressants
Chapter 8 Mood stabilizers
Chapter 9 Anxiety disorders and anxiolytics
Chapter 10 Chronic pain and its treatment
Chapter 11 Disorders of sleep and wakefulness and their treatment
Chapter 12 Attention deficit hyperactivity disorder and its treatment
Chapter 13 Dementia and its treatment
Chapter 14 Impulsivity, compulsivity, and addiction Ar
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Chapter 1 Chemical neurotransmission
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 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
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:
a. Necessary but generally for psychiatric nurses who focus primarily on behavioral interventions
b. A complex undertaking that advance practice psychiatric nurses frequently use in their practice
c. Important primarily for the nursing assessment of patients with brain traumacaused cognitive
symptoms
d. Necessary for planning psychiatric care for all patients especially those experiencing 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.
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d. There appears to be little connection between stress and diseases of the body
ANS: C
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