Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide sr sr sr sr
ANS: C sr
Medications used to treat psychiatric disorders operate in and around the synaptic clefta
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nd have action at the neurotransmitter level, especially in the case of schizophrenia, on
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dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral ne
sr sr sr sr sr sr sr sr sr sr sr sr
rvous system are not relevant to either schizophrenia or psychotropic medications.
sr sr sr sr sr sr sr sr sr sr
4. A student nurse mutters that it seems entirely unnecessary to have to struggle withu
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nderstanding the anatomy and physiology of the neurologic system. The mentor woul
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d base a response on the understanding that it is:
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Necessary but generally for psychiatric nurses who focus primarily on sr sr sr sr sr sr sr sr sr sr
a. behavioral interventions sr
A complex undertaking that advance practice psychiatric nurses frequently usei
sr sr sr sr sr sr sr sr sr sr
b. n their practice
sr sr
Important primarily for the nursing assessment of patients with braintsr sr sr sr sr sr sr sr sr sr
c. raumacaused cognitive symptoms sr sr
Necessary for planning psychiatric care for all patients especially those
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d. experiencing psychiatric disorders sr sr
ANS: D sr
Nurses must understand that many symptoms of psychiatric disorders have a neurolo
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gic basis, although the symptoms are manifested behaviorally. This understanding fac
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ilitates effective care planning. The foundation of knowledge is notused exclusively b
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y advanced practice psychiatric nurses nor is it relevant for only behavior therapies or
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
brain trauma since dealing with the results of normal and abnormal brain function is a
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responsibility of all nurses providing all types of care tothe psychiatric patient.sr sr sr sr sr sr sr sr sr sr sr sr
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herc
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
hronic depression? Which response is supported by research data?
sr sr sr sr sr sr sr sr
a. Too much stress has been proven to cause all kinds of cancer. sr sr sr sr sr sr sr sr sr sr sr
b. There have been no research studies done on stress and disease yet.
sr sr sr sr sr sr sr sr sr sr sr
c. Stress does cause the release of factors that suppress the immune system. sr sr sr sr sr sr sr sr sr sr sr
d. There appears to be little connection between stress and diseases of the body sr sr sr sr sr sr sr sr sr sr sr sr
ANS: C sr
Research indicates that stress causes a release of corticotropin-
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releasing factors that suppress the immune system. Studies indicate that psychiatric dis
sr sr sr sr sr sr sr sr sr sr sr
orders such as mooddisorders are sometimes associated with decreased functioning of t
sr sr sr sr sr sr sr sr sr sr sr sr
he immune system.Research does not support a connection between many cancers and
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stress. There is a significant amount of research about stress and the body. Research ha
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
s shown that there are some connections between stress and physical disease.
sr sr sr sr sr sr sr sr sr sr sr
WWW.TESTBANKTANK.COM dr.j
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide sr sr sr sr
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitat
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ion needs. Of the aspects of functioning listed, which will the nurse identifyas a focus
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of nursing intervention?
sr sr
a. Expression of emotion sr sr
b. Detecting auditory stimuli sr sr
c. Receiving visual images sr sr
d. Processing associations sr
ANS: D sr
The parietal lobe is responsible for associating and processing sensory information tha
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t allows for functions such as following directions on a map, reading a clock, dressing
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self, keeping appointments, and distinguishing right from left. Emotional expression is
sr sr sr sr sr sr sr sr sr sr s
associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe fun
r sr sr sr sr sr sr sr sr sr sr sr sr
ction. Receiving visual images is related to occipital lobe function.
sr sr sr sr sr sr sr sr sr
7. At admission, the nurse learns that some time ago the patient had an infarct in ther
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
ight cerebral cortex. During assessment, the nurse would expect to find that the patie
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nt:
a. Demonstrates major deficiencies in speech sr sr sr sr
b. Is unable to effectively hold a spoon in the left hand
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c. Has difficulty explaining how to go about using the telephone sr sr sr sr sr sr sr sr sr
d. Cannot use his right hand to shave himself or comb his own hair sr sr sr sr sr sr sr sr sr sr sr sr
ANS: B sr
The cerebral hemispheres are responsible for functions such as control of muscles. The
sr sr sr sr sr sr sr sr sr sr sr sr
right hemisphere mainly controls the motor and sensory functions on the left sideof th
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
e body. Damage to the right side would result in impaired function on the left side of th
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
e body. The motor cortex controls voluntary motor activity. Brocas area controls moto
sr sr sr sr sr sr sr sr sr sr sr sr
r speech. Cognitive functions are attributed to the association cortex.
sr sr sr sr sr sr sr sr sr
The right side of the bodys motor activity is controlled by the left cerebral cortex.
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Thep
sr sr sr sr sr sr sr sr sr sr sr sr
atient will be discharged on low doses of haloperidol. The nurse will need to individu
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
alize the patients medication teaching by:
sr sr sr sr sr
a. Including the patients caregiver in the education sr sr sr sr sr sr
b. Being careful to stress the importance of taking the medication as prescribed
sr sr sr sr sr sr sr sr sr sr sr
Providing the education at a time when the patient is emotionally calm andr
sr sr sr sr sr sr sr sr sr sr sr sr sr
c. elaxed
Encouraging the patient to crush or dissolve the medication to help withs sr sr sr sr sr sr sr sr sr sr sr sr
d. wallowing
ANS: A sr
WWW.TESTBANKTANK.COM dr.j
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide sr sr sr sr
The hippocampus plays a major role in short-
sr sr sr sr sr sr sr
term memory and, hence, in learning. Taking the medication as prescribed and providi
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ng the education at a time when the patient is calm and relaxed is information or consi
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
derations that all patients should begiven. The medication does not necessarily need to
sr sr sr sr sr sr sr sr sr sr sr sr sr s
be crushed or dissolved since the stroke would not have caused difficulty with swallo
r sr sr sr sr sr sr sr sr sr sr sr sr sr
wing.
9. The physician tells the nurse, The medication Im prescribing for the patient en
sr sr sr sr sr sr sr sr sr sr sr sr
hances the g- sr sr
aminobutyric acid (GABA) system. Which patient behavior willprovide evidenc sr sr sr sr sr sr sr sr sr
e that the medication therapy is successful?
sr sr sr sr sr sr
a. The patient is actively involved in playing cards with other patients.
sr sr sr sr sr sr sr sr sr sr
b. The patient reports that, I dont feel as anxious as I did a couple of days ago.
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
c. The patient reports that both auditory and visual hallucinations have decreased.
sr sr sr sr sr sr sr sr sr sr
d. The patient says that, I am much happier than before I came to the hospital.
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
ANS: B sr
GABA is the principle inhibitory neurotransmitter. The medication should provide an
sr sr sr sr sr sr sr sr sr sr sr
antianxiety effect. Alertness, psychotic behaviors, and mood elevation are not generall
sr sr sr sr sr sr sr sr sr sr
y affected by g-aminobutyric acid.
sr sr sr sr
10. The patients family asks whether a diagnosis of Parkinsons disease creates ani
sr sr sr sr sr sr sr sr sr sr sr sr
ncreased risk for any mental health issues. What question would the nurse ask toa
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ssess for such a comorbid condition?
sr sr sr sr sr
a. Has your father exhibited any signs of depression? sr sr sr sr sr sr sr
b. Does your father seem to experience mood swings?
sr sr sr sr sr sr sr
c. Have you noticed your father talking about seeing things you cant see?
sr sr sr sr sr sr sr sr sr sr sr
d. Is your dad preoccupied with behaviors that he needs to repeat over and over?
sr sr sr sr sr sr sr sr sr sr sr sr sr
ANS: A sr
Serotonin and its close chemical relatives, dopamine and norepinephrine, are the neur
sr sr sr sr sr sr sr sr sr sr sr
otransmitters that are most widely involved in various forms of depression. Mostresea
sr sr sr sr sr sr sr sr sr sr sr sr
rchers agree that the immediate cause of parkinsonism is a deficiency of dopamine an
sr sr sr sr sr sr sr sr sr sr sr sr sr
d so a patient with Parkinsons disease should be monitored for depression, The other
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
mental health disorders (bipolar disorder, hallucinations, and obsessive compulsive di
sr sr sr sr sr sr sr sr sr
sorder) have not been connected to Parkinsons disease.
sr sr sr sr sr sr sr
11. Which explanation for the prescription of donepezil (Aricept) would the nurse
sr sr sr sr sr sr sr sr sr sr sr
provide for a patient in the early stage of Alzheimers disease?
sr sr sr sr sr sr sr sr sr sr
a. It will increase the metabolism of excess GABA. sr sr sr sr sr sr sr
b. Excess dopamine will be prevented from attaching to receptor sites.
sr sr sr sr sr sr sr sr sr
c. Serotonin deficiency will be managed through a prolonged reuptake period.sr sr sr sr sr sr sr sr sr
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
sr sr sr sr sr sr sr sr
ANS: D sr
WWW.TESTBANKTANK.COM dr.j
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide sr sr sr sr
Decreased levels of acetylcholine are thought to produce many of the behavioral symp
sr sr sr sr sr sr sr sr sr sr sr sr
toms of Alzheimers disease. The inhibiting action the drug has on cholinesterasewill sl
sr sr sr sr sr sr sr sr sr sr sr sr sr
ow down the breakdown of acetylcholine and so delay the onset of symptoms. The oth
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
er neurotransmitters (GABA, dopamine, and serotonin) are not currently believed to pl
sr sr sr sr sr sr sr sr sr sr sr
ay a role in Alzheimers disease.
sr sr sr sr sr
12. There remains a stigma attached to psychiatric illnesses. The psychiatric nurse
sr sr sr sr sr sr sr sr sr sr sr
makes the greatest impact on this sociological problem when:
sr sr sr sr sr sr sr sr
a. Providing educational programming for patients and the public sr sr sr sr sr sr sr
b. Arranging for adequate and appropriate social support for the patient sr sr sr sr sr sr sr sr sr
c. Assisting the patient to achieve the maximum level of independent functioning
sr sr sr sr sr sr sr sr sr sr
Regularly praising the patient for seeking and complying with appropriatet
sr sr sr sr sr sr sr sr sr sr
d. reatment
ANS: A sr
Much of the stigma attached to psychiatric illness is due to a lack of understanding oft
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
he biologic basis of these disorders. Therefore, effective patient, family, and public tea
sr sr sr sr sr sr sr sr sr sr sr sr
ching is an important function of the role of the psychiatric mental health nurse.
sr sr sr sr sr sr sr sr sr sr sr sr sr
While the remaining options are appropriate, they are not directed towards eliminatings
sr sr sr sr sr sr sr sr sr sr sr sr
ocial stigma but rather empowering the patient.
sr sr sr sr sr sr
13. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned that
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
my husband has several close relatives with the same disorder. Does this problem runi
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
n families? The response based on recent discoveries in the field of genetics would be:
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
a. Your children should be monitored closely for the disorder. sr sr sr sr sr sr sr sr
b. Research tends to support a familiar tendency to schizophrenia.
sr sr sr sr sr sr sr sr
c. There is no concrete evidence; it is just as likely a coincidence. sr sr sr sr sr sr sr sr sr sr sr
d. Only bipolar disorder has been identified to have a genetic component.sr sr sr sr sr sr sr sr sr sr
ANS: B sr
Familial tendencies appear with several psychiatric disorders including schizophrenia.
sr sr sr sr sr sr sr sr sr
To insinuate that the children are at such risk would not be supported by research.
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
14. A patient whose symptoms of mild depression have been managed with antidepre
sr sr sr sr sr sr sr sr sr sr sr
ssants is concerned about the affect of accepting a promotion that will require workin
sr sr sr sr sr sr sr sr sr sr sr sr sr
g the night shift. What will be the basis of the response the nurse givesto address the pa
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
tients concern? sr
a. The connection between a new job and possible depression does exist.
sr sr sr sr sr sr sr sr sr sr
b. The medication can be adjusted to manage any increase in depression.
sr sr sr sr sr sr sr sr sr sr
c. The interruption in normal wake-sleep patterns can influence mood disorders.
sr sr sr sr sr sr sr sr sr
WWW.TESTBANKTANK.COM dr.j
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide sr sr sr sr
ANS: C sr
Medications used to treat psychiatric disorders operate in and around the synaptic clefta
sr sr sr sr sr sr sr sr sr sr sr sr sr
nd have action at the neurotransmitter level, especially in the case of schizophrenia, on
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral ne
sr sr sr sr sr sr sr sr sr sr sr sr
rvous system are not relevant to either schizophrenia or psychotropic medications.
sr sr sr sr sr sr sr sr sr sr
4. A student nurse mutters that it seems entirely unnecessary to have to struggle withu
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
nderstanding the anatomy and physiology of the neurologic system. The mentor woul
sr sr sr sr sr sr sr sr sr sr sr
d base a response on the understanding that it is:
sr sr sr sr sr sr sr sr sr
Necessary but generally for psychiatric nurses who focus primarily on sr sr sr sr sr sr sr sr sr sr
a. behavioral interventions sr
A complex undertaking that advance practice psychiatric nurses frequently usei
sr sr sr sr sr sr sr sr sr sr
b. n their practice
sr sr
Important primarily for the nursing assessment of patients with braintsr sr sr sr sr sr sr sr sr sr
c. raumacaused cognitive symptoms sr sr
Necessary for planning psychiatric care for all patients especially those
sr sr sr sr sr sr sr sr sr sr
d. experiencing psychiatric disorders sr sr
ANS: D sr
Nurses must understand that many symptoms of psychiatric disorders have a neurolo
sr sr sr sr sr sr sr sr sr sr sr
gic basis, although the symptoms are manifested behaviorally. This understanding fac
sr sr sr sr sr sr sr sr sr sr
ilitates effective care planning. The foundation of knowledge is notused exclusively b
sr sr sr sr sr sr sr sr sr sr sr sr
y advanced practice psychiatric nurses nor is it relevant for only behavior therapies or
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
brain trauma since dealing with the results of normal and abnormal brain function is a
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
responsibility of all nurses providing all types of care tothe psychiatric patient.sr sr sr sr sr sr sr sr sr sr sr sr
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herc
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
hronic depression? Which response is supported by research data?
sr sr sr sr sr sr sr sr
a. Too much stress has been proven to cause all kinds of cancer. sr sr sr sr sr sr sr sr sr sr sr
b. There have been no research studies done on stress and disease yet.
sr sr sr sr sr sr sr sr sr sr sr
c. Stress does cause the release of factors that suppress the immune system. sr sr sr sr sr sr sr sr sr sr sr
d. There appears to be little connection between stress and diseases of the body sr sr sr sr sr sr sr sr sr sr sr sr
ANS: C sr
Research indicates that stress causes a release of corticotropin-
sr sr sr sr sr sr sr sr
releasing factors that suppress the immune system. Studies indicate that psychiatric dis
sr sr sr sr sr sr sr sr sr sr sr
orders such as mooddisorders are sometimes associated with decreased functioning of t
sr sr sr sr sr sr sr sr sr sr sr sr
he immune system.Research does not support a connection between many cancers and
sr sr sr sr sr sr sr sr sr sr sr sr sr
stress. There is a significant amount of research about stress and the body. Research ha
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
s shown that there are some connections between stress and physical disease.
sr sr sr sr sr sr sr sr sr sr sr
WWW.TESTBANKTANK.COM dr.j
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide sr sr sr sr
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitat
sr sr sr sr sr sr sr sr sr sr sr sr sr
ion needs. Of the aspects of functioning listed, which will the nurse identifyas a focus
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
of nursing intervention?
sr sr
a. Expression of emotion sr sr
b. Detecting auditory stimuli sr sr
c. Receiving visual images sr sr
d. Processing associations sr
ANS: D sr
The parietal lobe is responsible for associating and processing sensory information tha
sr sr sr sr sr sr sr sr sr sr sr
t allows for functions such as following directions on a map, reading a clock, dressing
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
self, keeping appointments, and distinguishing right from left. Emotional expression is
sr sr sr sr sr sr sr sr sr sr s
associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe fun
r sr sr sr sr sr sr sr sr sr sr sr sr
ction. Receiving visual images is related to occipital lobe function.
sr sr sr sr sr sr sr sr sr
7. At admission, the nurse learns that some time ago the patient had an infarct in ther
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
ight cerebral cortex. During assessment, the nurse would expect to find that the patie
sr sr sr sr sr sr sr sr sr sr sr sr sr
nt:
a. Demonstrates major deficiencies in speech sr sr sr sr
b. Is unable to effectively hold a spoon in the left hand
sr sr sr sr sr sr sr sr sr sr
c. Has difficulty explaining how to go about using the telephone sr sr sr sr sr sr sr sr sr
d. Cannot use his right hand to shave himself or comb his own hair sr sr sr sr sr sr sr sr sr sr sr sr
ANS: B sr
The cerebral hemispheres are responsible for functions such as control of muscles. The
sr sr sr sr sr sr sr sr sr sr sr sr
right hemisphere mainly controls the motor and sensory functions on the left sideof th
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
e body. Damage to the right side would result in impaired function on the left side of th
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
e body. The motor cortex controls voluntary motor activity. Brocas area controls moto
sr sr sr sr sr sr sr sr sr sr sr sr
r speech. Cognitive functions are attributed to the association cortex.
sr sr sr sr sr sr sr sr sr
The right side of the bodys motor activity is controlled by the left cerebral cortex.
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Thep
sr sr sr sr sr sr sr sr sr sr sr sr
atient will be discharged on low doses of haloperidol. The nurse will need to individu
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
alize the patients medication teaching by:
sr sr sr sr sr
a. Including the patients caregiver in the education sr sr sr sr sr sr
b. Being careful to stress the importance of taking the medication as prescribed
sr sr sr sr sr sr sr sr sr sr sr
Providing the education at a time when the patient is emotionally calm andr
sr sr sr sr sr sr sr sr sr sr sr sr sr
c. elaxed
Encouraging the patient to crush or dissolve the medication to help withs sr sr sr sr sr sr sr sr sr sr sr sr
d. wallowing
ANS: A sr
WWW.TESTBANKTANK.COM dr.j
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide sr sr sr sr
The hippocampus plays a major role in short-
sr sr sr sr sr sr sr
term memory and, hence, in learning. Taking the medication as prescribed and providi
sr sr sr sr sr sr sr sr sr sr sr sr
ng the education at a time when the patient is calm and relaxed is information or consi
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
derations that all patients should begiven. The medication does not necessarily need to
sr sr sr sr sr sr sr sr sr sr sr sr sr s
be crushed or dissolved since the stroke would not have caused difficulty with swallo
r sr sr sr sr sr sr sr sr sr sr sr sr sr
wing.
9. The physician tells the nurse, The medication Im prescribing for the patient en
sr sr sr sr sr sr sr sr sr sr sr sr
hances the g- sr sr
aminobutyric acid (GABA) system. Which patient behavior willprovide evidenc sr sr sr sr sr sr sr sr sr
e that the medication therapy is successful?
sr sr sr sr sr sr
a. The patient is actively involved in playing cards with other patients.
sr sr sr sr sr sr sr sr sr sr
b. The patient reports that, I dont feel as anxious as I did a couple of days ago.
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
c. The patient reports that both auditory and visual hallucinations have decreased.
sr sr sr sr sr sr sr sr sr sr
d. The patient says that, I am much happier than before I came to the hospital.
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
ANS: B sr
GABA is the principle inhibitory neurotransmitter. The medication should provide an
sr sr sr sr sr sr sr sr sr sr sr
antianxiety effect. Alertness, psychotic behaviors, and mood elevation are not generall
sr sr sr sr sr sr sr sr sr sr
y affected by g-aminobutyric acid.
sr sr sr sr
10. The patients family asks whether a diagnosis of Parkinsons disease creates ani
sr sr sr sr sr sr sr sr sr sr sr sr
ncreased risk for any mental health issues. What question would the nurse ask toa
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
ssess for such a comorbid condition?
sr sr sr sr sr
a. Has your father exhibited any signs of depression? sr sr sr sr sr sr sr
b. Does your father seem to experience mood swings?
sr sr sr sr sr sr sr
c. Have you noticed your father talking about seeing things you cant see?
sr sr sr sr sr sr sr sr sr sr sr
d. Is your dad preoccupied with behaviors that he needs to repeat over and over?
sr sr sr sr sr sr sr sr sr sr sr sr sr
ANS: A sr
Serotonin and its close chemical relatives, dopamine and norepinephrine, are the neur
sr sr sr sr sr sr sr sr sr sr sr
otransmitters that are most widely involved in various forms of depression. Mostresea
sr sr sr sr sr sr sr sr sr sr sr sr
rchers agree that the immediate cause of parkinsonism is a deficiency of dopamine an
sr sr sr sr sr sr sr sr sr sr sr sr sr
d so a patient with Parkinsons disease should be monitored for depression, The other
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
mental health disorders (bipolar disorder, hallucinations, and obsessive compulsive di
sr sr sr sr sr sr sr sr sr
sorder) have not been connected to Parkinsons disease.
sr sr sr sr sr sr sr
11. Which explanation for the prescription of donepezil (Aricept) would the nurse
sr sr sr sr sr sr sr sr sr sr sr
provide for a patient in the early stage of Alzheimers disease?
sr sr sr sr sr sr sr sr sr sr
a. It will increase the metabolism of excess GABA. sr sr sr sr sr sr sr
b. Excess dopamine will be prevented from attaching to receptor sites.
sr sr sr sr sr sr sr sr sr
c. Serotonin deficiency will be managed through a prolonged reuptake period.sr sr sr sr sr sr sr sr sr
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
sr sr sr sr sr sr sr sr
ANS: D sr
WWW.TESTBANKTANK.COM dr.j
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide sr sr sr sr
Decreased levels of acetylcholine are thought to produce many of the behavioral symp
sr sr sr sr sr sr sr sr sr sr sr sr
toms of Alzheimers disease. The inhibiting action the drug has on cholinesterasewill sl
sr sr sr sr sr sr sr sr sr sr sr sr sr
ow down the breakdown of acetylcholine and so delay the onset of symptoms. The oth
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
er neurotransmitters (GABA, dopamine, and serotonin) are not currently believed to pl
sr sr sr sr sr sr sr sr sr sr sr
ay a role in Alzheimers disease.
sr sr sr sr sr
12. There remains a stigma attached to psychiatric illnesses. The psychiatric nurse
sr sr sr sr sr sr sr sr sr sr sr
makes the greatest impact on this sociological problem when:
sr sr sr sr sr sr sr sr
a. Providing educational programming for patients and the public sr sr sr sr sr sr sr
b. Arranging for adequate and appropriate social support for the patient sr sr sr sr sr sr sr sr sr
c. Assisting the patient to achieve the maximum level of independent functioning
sr sr sr sr sr sr sr sr sr sr
Regularly praising the patient for seeking and complying with appropriatet
sr sr sr sr sr sr sr sr sr sr
d. reatment
ANS: A sr
Much of the stigma attached to psychiatric illness is due to a lack of understanding oft
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
he biologic basis of these disorders. Therefore, effective patient, family, and public tea
sr sr sr sr sr sr sr sr sr sr sr sr
ching is an important function of the role of the psychiatric mental health nurse.
sr sr sr sr sr sr sr sr sr sr sr sr sr
While the remaining options are appropriate, they are not directed towards eliminatings
sr sr sr sr sr sr sr sr sr sr sr sr
ocial stigma but rather empowering the patient.
sr sr sr sr sr sr
13. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned that
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
my husband has several close relatives with the same disorder. Does this problem runi
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
n families? The response based on recent discoveries in the field of genetics would be:
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
a. Your children should be monitored closely for the disorder. sr sr sr sr sr sr sr sr
b. Research tends to support a familiar tendency to schizophrenia.
sr sr sr sr sr sr sr sr
c. There is no concrete evidence; it is just as likely a coincidence. sr sr sr sr sr sr sr sr sr sr sr
d. Only bipolar disorder has been identified to have a genetic component.sr sr sr sr sr sr sr sr sr sr
ANS: B sr
Familial tendencies appear with several psychiatric disorders including schizophrenia.
sr sr sr sr sr sr sr sr sr
To insinuate that the children are at such risk would not be supported by research.
sr sr sr sr sr sr sr sr sr sr sr sr sr sr
14. A patient whose symptoms of mild depression have been managed with antidepre
sr sr sr sr sr sr sr sr sr sr sr
ssants is concerned about the affect of accepting a promotion that will require workin
sr sr sr sr sr sr sr sr sr sr sr sr sr
g the night shift. What will be the basis of the response the nurse givesto address the pa
sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr sr
tients concern? sr
a. The connection between a new job and possible depression does exist.
sr sr sr sr sr sr sr sr sr sr
b. The medication can be adjusted to manage any increase in depression.
sr sr sr sr sr sr sr sr sr sr
c. The interruption in normal wake-sleep patterns can influence mood disorders.
sr sr sr sr sr sr sr sr sr
WWW.TESTBANKTANK.COM dr.j
