Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
v v v v v v
, v Applications 5th Edition Test Bank
v
v
v v
Chapter v1 vChemical vneurotransmission
MULTIPLE vCHOICE
v
1. A vpatient vwith vdepression vmentions vto vthe vnurse, vMy vmother vsays vdepression vis va vchemical
vdisorder. vWhat vdoes vshe vmean? vThe vnurses vresponse vis vbased von vthe vtheory vthat vdepression
vprimarily vinvolves vwhich vof vthe vfollowing vneurotransmitters?
a. Cortisol vand vGABA
b. COMT vand vglutamate
c. Monamine vand vglycine
d. Serotonin vand vnorepinephrine
ANS: vD
v
One vpossible vcause vof vdepression vis vthought vto vinvolve vone vor vmore vneurotransmitters. vSerotonin
vand vnorepinephrine vhave vbeen vfound vto vbe vimportant vin vthe vregulation vof vdepression. vThere vis vno
vresearch vto vsupport vthat vthe vother voptions vplay va vsignificant vrole vin vthe vdevelopment vof
vdepression.
2. A vpatient vhas vexperienced va vstroke v(cerebral vvascular vaccident) vthat vhas vresulted vin vdamage
vto vthe vBroca varea. vWhich vevaluation vdoes vthe vnurse vconduct vto vreinforce vthis vdiagnosis?
a. Observing vthe vpatient vpick vup va vspoon
b. Asking vthe vpatient vto vrecite vthe valphabet
c. Monitoring vthe vpatients vblood vpressure
d. Comparing vthe vpatients vgrip vstrength vin vboth
hands vANS: vB
v
Accidents vor vstrokes vthat vdamage vBrocas varea vmay vresult vin vthe vinability vto vspeak v(i.e., vmotor vaphasia).
vFine vmotor vskills, vblood vpressure vcontrol, vand vmuscle vstrength vare vnot vcontrolled vby vthe vBroca varea
vof vthe vleft vfrontal vlobe.
3. The vpatient vdiagnosed vwith vschizophrenia vasks vwhy vpsychotropic vmedications vare valways
vprescribed vby vthe vdoctor. vThe vnurses vanswer vwill vbe vbased von vinformation vthat vthe vtherapeutic vaction
vof vpsychotropic vdrugs vis vthe vresult vof vtheir veffect von:
a. The vtemporal vlobe; vespecially vWernickes varea
,b. Dendrites vand vtheir vability vto vtransmit velectrical vimpulses
c. The vregulation vof vneurotransmitters vespecially vdopamine
d. The vperipheral vnervous vsystem vsensitivity vto vthe vpsychotropic vmedications
ANS: vC
Medications vused vto vtreat vpsychiatric vdisorders voperate vin vand varound vthe vsynaptic vcleft vand vhave
vaction vat vthe vneurotransmitter vlevel, vespecially vin vthe vcase vof vschizophrenia, von vdopamine. vThe
vWernickes varea, vdendrite vfunction, vor vthe vsensitivity vof vthe vperipheral vnervous vsystem vare vnot
vrelevant vto veither vschizophrenia vor vpsychotropic vmedications.
4. A vstudent vnurse vmutters vthat vit vseems ventirely vunnecessary vto vhave vto vstruggle vwith
vunderstanding vthe vanatomy vand vphysiology vof vthe vneurologic vsystem. vThe vmentor vwould
vbase va vresponse von vthe vunderstanding vthat vit vis:
a. Necessary vbut vgenerally vfor vpsychiatric vnurses vwho vfocus vprimarily von vbehavioral vinterventions
b. A vcomplex vundertaking vthat vadvance vpractice vpsychiatric vnurses vfrequently vuse vin vtheir vpractice
c. Important vprimarily vfor vthe vnursing vassessment vof vpatients vwith vbrain vtraumacaused
vcognitive vsymptoms
d. Necessary vfor vplanning vpsychiatric vcare vfor vall vpatients vespecially vthose vexperiencing
vpsychiatric vdisorders
ANS: vD
Nurses vmust vunderstand vthat vmany vsymptoms vof vpsychiatric vdisorders vhave va vneurologic vbasis,
valthough vthe vsymptoms vare vmanifested vbehaviorally. vThis vunderstanding vfacilitates veffective vcare
vplanning. vThe vfoundation vof vknowledge vis vnot vused vexclusively vby vadvanced vpractice vpsychiatric
vnurses vnor vis vit vrelevant vfor vonly vbehavior vtherapies vor vbrain vtrauma vsince vdealing vwith vthe vresults vof
vnormal vand vabnormal vbrain vfunction vis va vresponsibility vof vall vnurses vproviding vall vtypes vof vcare vto vthe
vpsychiatric vpatient.
5. A vpatient vasks vthe vnurse, vMy vwife vhas vbreast vcancer. vCould vit vbe vcaused vby vher
vchronic vdepression? vWhich vresponse vis vsupported vby vresearch vdata?
, a. Too vmuch vstress vhas vbeen vproven vto vcause vall vkinds vof vcancer.
b. There vhave vbeen vno vresearch vstudies vdone von vstress vand vdisease vyet.
c. Stress vdoes vcause vthe vrelease vof vfactors vthat vsuppress vthe vimmune vsystem.
d. There vappears vto vbe vlittle vconnection vbetween vstress vand vdiseases vof vthe
body vANS: vC
v
Research vindicates vthat vstress vcauses va vrelease vof vcorticotropin-releasing vfactors vthat vsuppress vthe
vimmune vsystem. vStudies vindicate vthat vpsychiatric vdisorders vsuch vas vmood vdisorders vare vsometimes
vassociated vwith vdecreased vfunctioning vof vthe vimmune vsystem. vResearch vdoes vnot vsupport va
vconnection vbetween vmany vcancers vand vstress. vThere vis va vsignificant vamount vof vresearch vabout vstress
vand vthe vbody. vResearch vhas vshown vthat vthere vare vsome vconnections vbetween vstress vand vphysical
vdisease.
6. A vpatient vwho vhas va vparietal vlobe vinjury vis vbeing vevaluated vfor vpsychiatric vrehabilitation
vneeds. vOf vthe vaspects vof vfunctioning vlisted, vwhich vwill vthe vnurse videntify vas va vfocus vof vnursing
vintervention?
a. Expression vof vemotion
b. Detecting vauditory vstimuli
c. Receiving vvisual vimages
d. Processing vassociations
ANS: vD
v
The vparietal vlobe vis vresponsible vfor vassociating vand vprocessing vsensory vinformation vthat vallows vfor
vfunctions vsuch vas vfollowing vdirections von va vmap, vreading va vclock, vdressing vself, vkeeping vappointments,
vand vdistinguishing vright vfrom vleft. vEmotional vexpression vis vassociated vwith vfrontal vlobe vfunction.
Detecting vauditory vstimuli vis va vtemporal vlobe vfunction. vReceiving vvisual vimages vis vrelated vto voccipital vlobe
vfunction.
7. At vadmission, vthe vnurse vlearns vthat vsome vtime vago vthe vpatient vhad van vinfarct vin vthe
vright vcerebral vcortex. vDuring vassessment, vthe vnurse vwould vexpect vto vfind vthat vthe vpatient:
a. Demonstrates vmajor vdeficiencies vin vspeech
b. Is vunable vto veffectively vhold va vspoon vin vthe vleft vhand
c. Has vdifficulty vexplaining vhow vto vgo vabout vusing vthe vtelephone
d. Cannot vuse vhis vright vhand vto vshave vhimself vor vcomb vhis vown vhair
v v v v v v
, v Applications 5th Edition Test Bank
v
v
v v
Chapter v1 vChemical vneurotransmission
MULTIPLE vCHOICE
v
1. A vpatient vwith vdepression vmentions vto vthe vnurse, vMy vmother vsays vdepression vis va vchemical
vdisorder. vWhat vdoes vshe vmean? vThe vnurses vresponse vis vbased von vthe vtheory vthat vdepression
vprimarily vinvolves vwhich vof vthe vfollowing vneurotransmitters?
a. Cortisol vand vGABA
b. COMT vand vglutamate
c. Monamine vand vglycine
d. Serotonin vand vnorepinephrine
ANS: vD
v
One vpossible vcause vof vdepression vis vthought vto vinvolve vone vor vmore vneurotransmitters. vSerotonin
vand vnorepinephrine vhave vbeen vfound vto vbe vimportant vin vthe vregulation vof vdepression. vThere vis vno
vresearch vto vsupport vthat vthe vother voptions vplay va vsignificant vrole vin vthe vdevelopment vof
vdepression.
2. A vpatient vhas vexperienced va vstroke v(cerebral vvascular vaccident) vthat vhas vresulted vin vdamage
vto vthe vBroca varea. vWhich vevaluation vdoes vthe vnurse vconduct vto vreinforce vthis vdiagnosis?
a. Observing vthe vpatient vpick vup va vspoon
b. Asking vthe vpatient vto vrecite vthe valphabet
c. Monitoring vthe vpatients vblood vpressure
d. Comparing vthe vpatients vgrip vstrength vin vboth
hands vANS: vB
v
Accidents vor vstrokes vthat vdamage vBrocas varea vmay vresult vin vthe vinability vto vspeak v(i.e., vmotor vaphasia).
vFine vmotor vskills, vblood vpressure vcontrol, vand vmuscle vstrength vare vnot vcontrolled vby vthe vBroca varea
vof vthe vleft vfrontal vlobe.
3. The vpatient vdiagnosed vwith vschizophrenia vasks vwhy vpsychotropic vmedications vare valways
vprescribed vby vthe vdoctor. vThe vnurses vanswer vwill vbe vbased von vinformation vthat vthe vtherapeutic vaction
vof vpsychotropic vdrugs vis vthe vresult vof vtheir veffect von:
a. The vtemporal vlobe; vespecially vWernickes varea
,b. Dendrites vand vtheir vability vto vtransmit velectrical vimpulses
c. The vregulation vof vneurotransmitters vespecially vdopamine
d. The vperipheral vnervous vsystem vsensitivity vto vthe vpsychotropic vmedications
ANS: vC
Medications vused vto vtreat vpsychiatric vdisorders voperate vin vand varound vthe vsynaptic vcleft vand vhave
vaction vat vthe vneurotransmitter vlevel, vespecially vin vthe vcase vof vschizophrenia, von vdopamine. vThe
vWernickes varea, vdendrite vfunction, vor vthe vsensitivity vof vthe vperipheral vnervous vsystem vare vnot
vrelevant vto veither vschizophrenia vor vpsychotropic vmedications.
4. A vstudent vnurse vmutters vthat vit vseems ventirely vunnecessary vto vhave vto vstruggle vwith
vunderstanding vthe vanatomy vand vphysiology vof vthe vneurologic vsystem. vThe vmentor vwould
vbase va vresponse von vthe vunderstanding vthat vit vis:
a. Necessary vbut vgenerally vfor vpsychiatric vnurses vwho vfocus vprimarily von vbehavioral vinterventions
b. A vcomplex vundertaking vthat vadvance vpractice vpsychiatric vnurses vfrequently vuse vin vtheir vpractice
c. Important vprimarily vfor vthe vnursing vassessment vof vpatients vwith vbrain vtraumacaused
vcognitive vsymptoms
d. Necessary vfor vplanning vpsychiatric vcare vfor vall vpatients vespecially vthose vexperiencing
vpsychiatric vdisorders
ANS: vD
Nurses vmust vunderstand vthat vmany vsymptoms vof vpsychiatric vdisorders vhave va vneurologic vbasis,
valthough vthe vsymptoms vare vmanifested vbehaviorally. vThis vunderstanding vfacilitates veffective vcare
vplanning. vThe vfoundation vof vknowledge vis vnot vused vexclusively vby vadvanced vpractice vpsychiatric
vnurses vnor vis vit vrelevant vfor vonly vbehavior vtherapies vor vbrain vtrauma vsince vdealing vwith vthe vresults vof
vnormal vand vabnormal vbrain vfunction vis va vresponsibility vof vall vnurses vproviding vall vtypes vof vcare vto vthe
vpsychiatric vpatient.
5. A vpatient vasks vthe vnurse, vMy vwife vhas vbreast vcancer. vCould vit vbe vcaused vby vher
vchronic vdepression? vWhich vresponse vis vsupported vby vresearch vdata?
, a. Too vmuch vstress vhas vbeen vproven vto vcause vall vkinds vof vcancer.
b. There vhave vbeen vno vresearch vstudies vdone von vstress vand vdisease vyet.
c. Stress vdoes vcause vthe vrelease vof vfactors vthat vsuppress vthe vimmune vsystem.
d. There vappears vto vbe vlittle vconnection vbetween vstress vand vdiseases vof vthe
body vANS: vC
v
Research vindicates vthat vstress vcauses va vrelease vof vcorticotropin-releasing vfactors vthat vsuppress vthe
vimmune vsystem. vStudies vindicate vthat vpsychiatric vdisorders vsuch vas vmood vdisorders vare vsometimes
vassociated vwith vdecreased vfunctioning vof vthe vimmune vsystem. vResearch vdoes vnot vsupport va
vconnection vbetween vmany vcancers vand vstress. vThere vis va vsignificant vamount vof vresearch vabout vstress
vand vthe vbody. vResearch vhas vshown vthat vthere vare vsome vconnections vbetween vstress vand vphysical
vdisease.
6. A vpatient vwho vhas va vparietal vlobe vinjury vis vbeing vevaluated vfor vpsychiatric vrehabilitation
vneeds. vOf vthe vaspects vof vfunctioning vlisted, vwhich vwill vthe vnurse videntify vas va vfocus vof vnursing
vintervention?
a. Expression vof vemotion
b. Detecting vauditory vstimuli
c. Receiving vvisual vimages
d. Processing vassociations
ANS: vD
v
The vparietal vlobe vis vresponsible vfor vassociating vand vprocessing vsensory vinformation vthat vallows vfor
vfunctions vsuch vas vfollowing vdirections von va vmap, vreading va vclock, vdressing vself, vkeeping vappointments,
vand vdistinguishing vright vfrom vleft. vEmotional vexpression vis vassociated vwith vfrontal vlobe vfunction.
Detecting vauditory vstimuli vis va vtemporal vlobe vfunction. vReceiving vvisual vimages vis vrelated vto voccipital vlobe
vfunction.
7. At vadmission, vthe vnurse vlearns vthat vsome vtime vago vthe vpatient vhad van vinfarct vin vthe
vright vcerebral vcortex. vDuring vassessment, vthe vnurse vwould vexpect vto vfind vthat vthe vpatient:
a. Demonstrates vmajor vdeficiencies vin vspeech
b. Is vunable vto veffectively vhold va vspoon vin vthe vleft vhand
c. Has vdifficulty vexplaining vhow vto vgo vabout vusing vthe vtelephone
d. Cannot vuse vhis vright vhand vto vshave vhimself vor vcomb vhis vown vhair
