,TESTBANKFORSTAHL'SESSENTIALPSYCHOPHARMACOLOGY:
NEUROSCIENTIFICBASISANDPRACTICALAPPLICATIONS4THEDITION
Stahl'sEssentialPsychopharmacology
NeuroscientificBasisandPracticalApplicationsTESTBANK/STUDYGUIDE
Chapter1Chemicalneurotransmission
MULTIPLECHOICE
1. Apatientwithdepressionmentionstothenurse,Mymothersaysdepressionisa
,p ,p ,p
chemicaldisorder.Whatdoesshemean?Thenursesresponseisbasedonthe
j v ,p
j theorythatdepressionprimarilyinvolveswhichofthefollowing
v
neurotransmitters?
jv
a. CortisolandGABA
b. COMTandglutamate ,p
c. Monamineandglycine
d. Serotoninandnorepinephrine
ANS:D
Onepossiblecauseofdepressionisthoughttoinvolveoneormore
j neurotransmitters.Serotoninandnorepinephrinehavebeenfoundtobeimportantin
v ,p ,p
theregulationofdepression.Thereisnoresearchtosupportthattheotheroptionsplay
jv ,p ,p ,p j v
j asignificantroleinthedevelopmentofdepression.
v
2. A patient has experienced a stroke (cerebral vascular accident) that
hasresultedindamagetotheBrocaarea.Whichevaluationdoesthenurseconductto
jv ,p ,p j v
j reinforcethisdiagnosis?
v
a. Observingthepatientpickupaspoon ,p ,p
b. Askingthepatienttorecitethealphabet ,p ,p
c. Monitoringthepatientsbloodpressure ,p ,p ,p
d. Comparingthepatientsgripstrengthinbothhands ,p ,p
ANS:B
Accidents or strokes that damage Brocas area may result in the inability to speak
jv jv jv jv jv jv jv jv jv jv jv jv jv
(i.e.,motoraphasia). Fine motorskills, bloodpressure control, and musclestrength are
jv jv jv jv jv jv jv jv
notcontrolledbytheBrocaareaoftheleftfrontallobe.
jv
3. Thepatientdiagnosedwithschizophreniaaskswhypsychotropicmedicationsare
,p
alwaysprescribedbythedoctor.Thenursesanswerwillbebasedon
jv ,p
j informationthatthetherapeuticactionofpsychotropicdrugsistheresultoftheir
v ,p ,p
effecton:
j v
a. Thetemporallobe;especiallyWernickesarea
b. Dendritesandtheirabilitytotransmitelectricalimpulses ,p ,p
c. Theregulationofneurotransmittersespeciallydopamine
,p
,d. Theperipheralnervoussystemsensitivitytothepsychotropicmedications
, ANS:C
Medicationsusedtotreatpsychiatricdisordersoperateinandaroundthesynaptic
j cleftandhaveactionattheneurotransmitterlevel,especiallyinthecaseof
v
j schizophrenia,ondopamine.TheWernickesarea,dendritefunction,orthesensitivity
v
j oftheperipheralnervoussystemarenotrelevanttoeitherschizophreniaorpsychotropic
v ,p ,p
medications.
j v
4. Astudentnursemuttersthatitseemsentirelyunnecessarytohavetostruggle
,p ,p ,p
withunderstandingtheanatomyandphysiologyoftheneurologicsystem.The
jv ,p
j mentorwouldbasearesponseontheunderstandingthatitis:
v
Necessarybutgenerallyforpsychiatricnurseswhofocusprimarilyonbehavioral
,p ,p
a. interventions
jv
Acomplexundertakingthatadvancepracticepsychiatricnursesfrequentlyusein
,p
b. theirpractice
jv
Importantprimarilyforthenursingassessmentofpatientswithbraintraumacaused
c. cognitivesymptoms
jv
Necessaryforplanningpsychiatriccareforallpatientsespecially
d. thoseexperiencingpsychiatricdisorders
jv
ANS:D
Nursesmustunderstandthatmanysymptomsofpsychiatricdisordershavea
,p
j neurologicbasis,althoughthesymptomsaremanifestedbehaviorally.This
v
understandingfacilitateseffectivecareplanning.Thefoundationofknowledgeis
j v
notusedexclusivelybyadvancedpracticepsychiatricnursesnorisitrelevantforonly
j v ,p ,p
j behaviortherapiesorbraintraumasincedealingwiththeresultsofnormaland
v ,p j v
abnormalbrainfunctionisaresponsibilityofallnursesprovidingalltypesofcaretothe
j v ,p
psychiatricpatient.
j v
5. Apatientasksthenurse,Mywifehasbreastcancer.Coulditbecausedby
,p ,p ,p ,p
herchronicdepression?Whichresponseissupportedbyresearchdata?
jv
a. Toomuchstresshasbeenproventocauseallkindsofcancer. ,p
b. Therehavebeennoresearchstudiesdoneonstressanddiseaseyet.
,p ,p ,p ,p
c. Stressdoescausethereleaseoffactorsthatsuppresstheimmunesystem.
,p ,p ,p
d. Thereappearstobelittleconnectionbetweenstressanddiseasesofthebody ,p ,p
ANS:C
Researchindicatesthatstresscausesareleaseofcorticotropin-releasingfactorsthat
,p
j suppresstheimmunesystem.Studiesindicatethatpsychiatricdisorderssuchas
v ,p ,p
mooddisordersaresometimesassociatedwithdecreasedfunctioningoftheimmune
jv ,p
j system.Researchdoesnotsupportaconnectionbetweenmanycancersandstress.
v ,p
Thereisasignificantamountofresearchaboutstressandthebody. ,p
j Researchhasshownthattherearesomeconnectionsbetweenstressandphysicaldisease.
v ,p ,p ,p
NEUROSCIENTIFICBASISANDPRACTICALAPPLICATIONS4THEDITION
Stahl'sEssentialPsychopharmacology
NeuroscientificBasisandPracticalApplicationsTESTBANK/STUDYGUIDE
Chapter1Chemicalneurotransmission
MULTIPLECHOICE
1. Apatientwithdepressionmentionstothenurse,Mymothersaysdepressionisa
,p ,p ,p
chemicaldisorder.Whatdoesshemean?Thenursesresponseisbasedonthe
j v ,p
j theorythatdepressionprimarilyinvolveswhichofthefollowing
v
neurotransmitters?
jv
a. CortisolandGABA
b. COMTandglutamate ,p
c. Monamineandglycine
d. Serotoninandnorepinephrine
ANS:D
Onepossiblecauseofdepressionisthoughttoinvolveoneormore
j neurotransmitters.Serotoninandnorepinephrinehavebeenfoundtobeimportantin
v ,p ,p
theregulationofdepression.Thereisnoresearchtosupportthattheotheroptionsplay
jv ,p ,p ,p j v
j asignificantroleinthedevelopmentofdepression.
v
2. A patient has experienced a stroke (cerebral vascular accident) that
hasresultedindamagetotheBrocaarea.Whichevaluationdoesthenurseconductto
jv ,p ,p j v
j reinforcethisdiagnosis?
v
a. Observingthepatientpickupaspoon ,p ,p
b. Askingthepatienttorecitethealphabet ,p ,p
c. Monitoringthepatientsbloodpressure ,p ,p ,p
d. Comparingthepatientsgripstrengthinbothhands ,p ,p
ANS:B
Accidents or strokes that damage Brocas area may result in the inability to speak
jv jv jv jv jv jv jv jv jv jv jv jv jv
(i.e.,motoraphasia). Fine motorskills, bloodpressure control, and musclestrength are
jv jv jv jv jv jv jv jv
notcontrolledbytheBrocaareaoftheleftfrontallobe.
jv
3. Thepatientdiagnosedwithschizophreniaaskswhypsychotropicmedicationsare
,p
alwaysprescribedbythedoctor.Thenursesanswerwillbebasedon
jv ,p
j informationthatthetherapeuticactionofpsychotropicdrugsistheresultoftheir
v ,p ,p
effecton:
j v
a. Thetemporallobe;especiallyWernickesarea
b. Dendritesandtheirabilitytotransmitelectricalimpulses ,p ,p
c. Theregulationofneurotransmittersespeciallydopamine
,p
,d. Theperipheralnervoussystemsensitivitytothepsychotropicmedications
, ANS:C
Medicationsusedtotreatpsychiatricdisordersoperateinandaroundthesynaptic
j cleftandhaveactionattheneurotransmitterlevel,especiallyinthecaseof
v
j schizophrenia,ondopamine.TheWernickesarea,dendritefunction,orthesensitivity
v
j oftheperipheralnervoussystemarenotrelevanttoeitherschizophreniaorpsychotropic
v ,p ,p
medications.
j v
4. Astudentnursemuttersthatitseemsentirelyunnecessarytohavetostruggle
,p ,p ,p
withunderstandingtheanatomyandphysiologyoftheneurologicsystem.The
jv ,p
j mentorwouldbasearesponseontheunderstandingthatitis:
v
Necessarybutgenerallyforpsychiatricnurseswhofocusprimarilyonbehavioral
,p ,p
a. interventions
jv
Acomplexundertakingthatadvancepracticepsychiatricnursesfrequentlyusein
,p
b. theirpractice
jv
Importantprimarilyforthenursingassessmentofpatientswithbraintraumacaused
c. cognitivesymptoms
jv
Necessaryforplanningpsychiatriccareforallpatientsespecially
d. thoseexperiencingpsychiatricdisorders
jv
ANS:D
Nursesmustunderstandthatmanysymptomsofpsychiatricdisordershavea
,p
j neurologicbasis,althoughthesymptomsaremanifestedbehaviorally.This
v
understandingfacilitateseffectivecareplanning.Thefoundationofknowledgeis
j v
notusedexclusivelybyadvancedpracticepsychiatricnursesnorisitrelevantforonly
j v ,p ,p
j behaviortherapiesorbraintraumasincedealingwiththeresultsofnormaland
v ,p j v
abnormalbrainfunctionisaresponsibilityofallnursesprovidingalltypesofcaretothe
j v ,p
psychiatricpatient.
j v
5. Apatientasksthenurse,Mywifehasbreastcancer.Coulditbecausedby
,p ,p ,p ,p
herchronicdepression?Whichresponseissupportedbyresearchdata?
jv
a. Toomuchstresshasbeenproventocauseallkindsofcancer. ,p
b. Therehavebeennoresearchstudiesdoneonstressanddiseaseyet.
,p ,p ,p ,p
c. Stressdoescausethereleaseoffactorsthatsuppresstheimmunesystem.
,p ,p ,p
d. Thereappearstobelittleconnectionbetweenstressanddiseasesofthebody ,p ,p
ANS:C
Researchindicatesthatstresscausesareleaseofcorticotropin-releasingfactorsthat
,p
j suppresstheimmunesystem.Studiesindicatethatpsychiatricdisorderssuchas
v ,p ,p
mooddisordersaresometimesassociatedwithdecreasedfunctioningoftheimmune
jv ,p
j system.Researchdoesnotsupportaconnectionbetweenmanycancersandstress.
v ,p
Thereisasignificantamountofresearchaboutstressandthebody. ,p
j Researchhasshownthattherearesomeconnectionsbetweenstressandphysicaldisease.
v ,p ,p ,p
