Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
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Applications 5th Edition Testbank/Study Guide
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WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr src
Applications 5th Edition Testbank/Study Guide sr sr sr sr
Stahl'sEssentialPsychopharmacology c c
NeuroscientificcBasiscandcPracticalcApplicationsc 5thcEditioncTestbank/StudycGuide
Chapter 1 Chemical neurotransmission
c c c
MULTIPLE CHOICE c
1. A patient with depression mentions to the nurse, My mother says depression is a c he
c c c c c c c c c c c c c c c
mical disorder. What does she mean? The nurses response is based on the theoryth at de
c c c c c c c c c c c c c c c
pression primarily involves which of the following neurotransmitters?
c c c c c c c
a. Cortisol and GABA c c
b. COMT and glutamate c c
c. Monamine and glycine c c
d. Serotonin and norepinephrine c c c
ANS: D c
One possible cause of depression is thought to involve one or more neurotransmitters.
c c c c c c c c c c c c
Serotonin and norepinephrine have been found to be important in the regulation of dep re
c c c c c c c c c c c c c c
ssion. There is no research to support that the other options play a significant role in t he de
c c c c c c c c c c c c c c c c c c
velopment of depression. c c
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in da
c c c c c c c c c c c c c
mage to the Broca area. Which evaluation does the nurse conduct to reinforce this d iagn
c c c c c c c c c c c c c sr c
osis?
a. Observing the patient pick up a spoon c c c c c c
b. Asking the patient to recite the alphabet c c c c c c
c. Monitoring the patients blood pressure c c c c
d. Comparing the patients grip strength in both hands c c c c c c c c
ANS: B c
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
c c c c c c c c c c c c c c sr
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are notc on
c c c c c c c c c c c c c
trolled by the Broca area of the left frontal lobe.
c c c c c c c c c
3. The patient diagnosed with schizophrenia asks why psychotropic medications are a l
c c c c c c c c c c c
ways prescribed by the doctor. The nurses answer will be based on information that th e t
c c c c c c c c c c c c c sr c c
herapeutic action of psychotropic drugs is the result of their effect on:
c c c c c c c c c c c
a. The temporal lobe; especially Wernickes area c c c c c
b. Dendrites and their ability to transmit electrical impulses c c c c c c c
c. The regulation of neurotransmitters especially dopamine
c c c c c
d. The peripheral nervous system sensitivity to the psychotropic medications
c c c c c c c c
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,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr src
Applications 5th Edition Testbank/Study Guide sr sr sr sr
ANS: C c
Medications used to treat psychiatric disorders operate in and around the synaptic cleft a nd
c c c c c c c c c c c c sr c
have action at the neurotransmitter level, especially in the case of schizophrenia, on dopa
c c c c c c c c c c c c c c
mine. The Wernickes area, dendrite function, or the sensitivity of the peripheral ne rvous s
c c c c c c c c c c c c c c
ystem are not relevant to either schizophrenia or psychotropic medications.
c c c c c c c c c
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with u nd
c c c c c c c c c c c c c sr c
erstanding the anatomy and physiology of the neurologic system. The mentor woul d ba
c c c c c c c c c c c c c
se a response on the understanding that it is:
c c c c c c c c
Necessary but generally for psychiatric nurses who focus primarily on c c c c c c c c sr sr
a. behavioral interventions c
A complex undertaking that advance practice psychiatric nurses frequently use i n t
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b. heir practice c
Important primarily for the nursing assessment of patients with brain t raumacause
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c. d cognitive symptoms
c c
Necessary for planning psychiatric care for all patients especially those experienci c c c c c c sr c c c
d. ng psychiatric disorders c c
ANS: D c
Nurses must understand that many symptoms of psychiatric disorders have a neurolo gi
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c basis, although the symptoms are manifested behaviorally. This understanding fac ilitat
c c c c c c c c c c c
es effective care planning. The foundation of knowledge is not used exclusively b y adva
c c c c c sr c c c sr c c c c
nced practice psychiatric nurses nor is it relevant for only behavior therapies or brain tra
c c c sr sr c c c c c c c c c
uma since dealing with the results of normal and abnormal brain function is a responsibil
c c c c sr c c c c c c c c c
ity of all nurses providing all types of care tothe psychiatric patient.
c c c c c c c c c c c
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herc hr
c c c c c sr c c c c c c c c c c
onic depression? Which response is supported by research data?
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a. Too much stress has been proven to cause all kinds of cancer. c c sr c c c c c c c c
b. There have been no research studies done on stress and disease yet.
c c c c c c c c c c c
c. Stress does cause the release of factors that suppress the immune system. c sr c c c c c c c c c
d. There appears to be little connection between stress and diseases of the body A sr c c c c c c c c c c c c
NS: C c
Research indicates that stress causes a release of corticotropin-
c c c c c c c c
releasing factors that suppress the immune system. Studies indicate that psychiatric dis or
c c c c c c c c c c c c
ders such as mooddisorders are sometimes associated with decreased functioning of t he i
c c c c c c c c c c c c c
mmune system.Research does not support a connection between many cancers and stress
c c c c c c c c c c c
. There is a significant amount of research about stress and the body. Research ha s shown
c c c c c c c c c c c c c c c c c
that there are some connections between stress and physical disease.
c c c c c c c c c
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, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr src
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 io
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n needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of nu
c c c c c c c c c c c c c c c c
rsing intervention? c
a. Expression of emotion c c
b. Detecting auditory stimuli c c
c. Receiving visual images c c
d. Processing associations c c
ANS: D c
The parietal lobe is responsible for associating and processing sensory information tha
c c c c c c c c c c c
t allows for functions such as following directions on a map, reading a clock, dressing self
c c c c c c c c c c c c c c c
, keeping appointments, and distinguishing right from left. Emotional expression is associ
c c c c c c c c c c c
ated with frontal lobe function. Detecting auditory stimuli is a temporal lobe fun ction. Re
c c c c c c c sr c sr c c c c
ceiving visual images is related to occipital lobe function.
c c c c c c c c
7. At admission, the nurse learns that some time ago the patient had an infarct in ther ig
c c c c c c c c c c sr c c c c c
ht cerebral cortex. During assessment, the nurse would expect to find that the patie nt:
c c c c c c c c c c c c c c
a. Demonstrates major deficiencies in speech c c c c
b. Is unable to effectively hold a spoon in the left hand
c c c c c c sr c c c
c. Has difficulty explaining how to go about using the telephone
c c c c sr sr c c c
d. Cannot use his right hand to shave himself or comb his own hair A c c c c c sr sr c c c c c c
NS: B c
The cerebral hemispheres are responsible for functions such as control of muscles. The
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right hemisphere mainly controls the motor and sensory functions on the left side of th e
c c c sr c c c c c c c c sr c c c
body. Damage to the right side would result in impaired function on the left side of th e bo
c c c c sr c c c c c c c c c c c c c
dy. The motor cortex controls voluntary motor activity. Brocas area controls moto r spee
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ch. Cognitive functions are attributed to the association cortex.
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The right side of the bodys motor activity is controlled by the left cerebral cortex.
c c c sr sr c c c c c c c c c
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The p at
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ient will be discharged on low doses of haloperidol. The nurse will need to individu aliz
c sr c c c c c c c c c c c c c
e the patients medication teaching by:
c sr c c c
a. Including the patients caregiver in the education c c c c c c
b. Being careful to stress the importance of taking the medication as prescribed P
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roviding the education at a time when the patient is emotionally calm and r
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c. elaxed
Encouraging the patient to crush or dissolve the medication to help withs wallo
c c c c c c c c c c c c
d. wing
ANS: A c
WWW.TESTBANKTANK.COM
sr sr sr sr sr sr src
Applications 5th Edition Testbank/Study Guide
sr sr sr sr
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr src
Applications 5th Edition Testbank/Study Guide sr sr sr sr
Stahl'sEssentialPsychopharmacology c c
NeuroscientificcBasiscandcPracticalcApplicationsc 5thcEditioncTestbank/StudycGuide
Chapter 1 Chemical neurotransmission
c c c
MULTIPLE CHOICE c
1. A patient with depression mentions to the nurse, My mother says depression is a c he
c c c c c c c c c c c c c c c
mical disorder. What does she mean? The nurses response is based on the theoryth at de
c c c c c c c c c c c c c c c
pression primarily involves which of the following neurotransmitters?
c c c c c c c
a. Cortisol and GABA c c
b. COMT and glutamate c c
c. Monamine and glycine c c
d. Serotonin and norepinephrine c c c
ANS: D c
One possible cause of depression is thought to involve one or more neurotransmitters.
c c c c c c c c c c c c
Serotonin and norepinephrine have been found to be important in the regulation of dep re
c c c c c c c c c c c c c c
ssion. There is no research to support that the other options play a significant role in t he de
c c c c c c c c c c c c c c c c c c
velopment of depression. c c
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in da
c c c c c c c c c c c c c
mage to the Broca area. Which evaluation does the nurse conduct to reinforce this d iagn
c c c c c c c c c c c c c sr c
osis?
a. Observing the patient pick up a spoon c c c c c c
b. Asking the patient to recite the alphabet c c c c c c
c. Monitoring the patients blood pressure c c c c
d. Comparing the patients grip strength in both hands c c c c c c c c
ANS: B c
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
c c c c c c c c c c c c c c sr
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are notc on
c c c c c c c c c c c c c
trolled by the Broca area of the left frontal lobe.
c c c c c c c c c
3. The patient diagnosed with schizophrenia asks why psychotropic medications are a l
c c c c c c c c c c c
ways prescribed by the doctor. The nurses answer will be based on information that th e t
c c c c c c c c c c c c c sr c c
herapeutic action of psychotropic drugs is the result of their effect on:
c c c c c c c c c c c
a. The temporal lobe; especially Wernickes area c c c c c
b. Dendrites and their ability to transmit electrical impulses c c c c c c c
c. The regulation of neurotransmitters especially dopamine
c c c c c
d. The peripheral nervous system sensitivity to the psychotropic medications
c c c c c c c c
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr src
Applications 5th Edition Testbank/Study Guide sr sr sr sr
ANS: C c
Medications used to treat psychiatric disorders operate in and around the synaptic cleft a nd
c c c c c c c c c c c c sr c
have action at the neurotransmitter level, especially in the case of schizophrenia, on dopa
c c c c c c c c c c c c c c
mine. The Wernickes area, dendrite function, or the sensitivity of the peripheral ne rvous s
c c c c c c c c c c c c c c
ystem are not relevant to either schizophrenia or psychotropic medications.
c c c c c c c c c
4. A student nurse mutters that it seems entirely unnecessary to have to struggle with u nd
c c c c c c c c c c c c c sr c
erstanding the anatomy and physiology of the neurologic system. The mentor woul d ba
c c c c c c c c c c c c c
se a response on the understanding that it is:
c c c c c c c c
Necessary but generally for psychiatric nurses who focus primarily on c c c c c c c c sr sr
a. behavioral interventions c
A complex undertaking that advance practice psychiatric nurses frequently use i n t
c c c c c c c sr c sr c c
b. heir practice c
Important primarily for the nursing assessment of patients with brain t raumacause
c c c c c c c sr c sr c
c. d cognitive symptoms
c c
Necessary for planning psychiatric care for all patients especially those experienci c c c c c c sr c c c
d. ng psychiatric disorders c c
ANS: D c
Nurses must understand that many symptoms of psychiatric disorders have a neurolo gi
c c c c c sr sr c c c c c
c basis, although the symptoms are manifested behaviorally. This understanding fac ilitat
c c c c c c c c c c c
es effective care planning. The foundation of knowledge is not used exclusively b y adva
c c c c c sr c c c sr c c c c
nced practice psychiatric nurses nor is it relevant for only behavior therapies or brain tra
c c c sr sr c c c c c c c c c
uma since dealing with the results of normal and abnormal brain function is a responsibil
c c c c sr c c c c c c c c c
ity of all nurses providing all types of care tothe psychiatric patient.
c c c c c c c c c c c
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herc hr
c c c c c sr c c c c c c c c c c
onic depression? Which response is supported by research data?
c c sr c c c c c
a. Too much stress has been proven to cause all kinds of cancer. c c sr c c c c c c c c
b. There have been no research studies done on stress and disease yet.
c c c c c c c c c c c
c. Stress does cause the release of factors that suppress the immune system. c sr c c c c c c c c c
d. There appears to be little connection between stress and diseases of the body A sr c c c c c c c c c c c c
NS: C c
Research indicates that stress causes a release of corticotropin-
c c c c c c c c
releasing factors that suppress the immune system. Studies indicate that psychiatric dis or
c c c c c c c c c c c c
ders such as mooddisorders are sometimes associated with decreased functioning of t he i
c c c c c c c c c c c c c
mmune system.Research does not support a connection between many cancers and stress
c c c c c c c c c c c
. There is a significant amount of research about stress and the body. Research ha s shown
c c c c c c c c c c c c c c c c c
that there are some connections between stress and physical disease.
c c c c c c c c c
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr src
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 io
c c c c c c c c c c c c c c
n needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of nu
c c c c c c c c c c c c c c c c
rsing intervention? c
a. Expression of emotion c c
b. Detecting auditory stimuli c c
c. Receiving visual images c c
d. Processing associations c c
ANS: D c
The parietal lobe is responsible for associating and processing sensory information tha
c c c c c c c c c c c
t allows for functions such as following directions on a map, reading a clock, dressing self
c c c c c c c c c c c c c c c
, keeping appointments, and distinguishing right from left. Emotional expression is associ
c c c c c c c c c c c
ated with frontal lobe function. Detecting auditory stimuli is a temporal lobe fun ction. Re
c c c c c c c sr c sr c c c c
ceiving visual images is related to occipital lobe function.
c c c c c c c c
7. At admission, the nurse learns that some time ago the patient had an infarct in ther ig
c c c c c c c c c c sr c c c c c
ht cerebral cortex. During assessment, the nurse would expect to find that the patie nt:
c c c c c c c c c c c c c c
a. Demonstrates major deficiencies in speech c c c c
b. Is unable to effectively hold a spoon in the left hand
c c c c c c sr c c c
c. Has difficulty explaining how to go about using the telephone
c c c c sr sr c c c
d. Cannot use his right hand to shave himself or comb his own hair A c c c c c sr sr c c c c c c
NS: B c
The cerebral hemispheres are responsible for functions such as control of muscles. The
c c c sr c c c c c c c c
right hemisphere mainly controls the motor and sensory functions on the left side of th e
c c c sr c c c c c c c c sr c c c
body. Damage to the right side would result in impaired function on the left side of th e bo
c c c c sr c c c c c c c c c c c c c
dy. The motor cortex controls voluntary motor activity. Brocas area controls moto r spee
c c c sr c c c c c c c c c
ch. Cognitive functions are attributed to the association cortex.
c sr c c c c c c
The right side of the bodys motor activity is controlled by the left cerebral cortex.
c c c sr sr c c c c c c c c c
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The p at
c c sr c c c c c c c c sr c
ient will be discharged on low doses of haloperidol. The nurse will need to individu aliz
c sr c c c c c c c c c c c c c
e the patients medication teaching by:
c sr c c c
a. Including the patients caregiver in the education c c c c c c
b. Being careful to stress the importance of taking the medication as prescribed P
c c c c c c c sr c c c c
roviding the education at a time when the patient is emotionally calm and r
c c c c c c c c c c c c sr
c. elaxed
Encouraging the patient to crush or dissolve the medication to help withs wallo
c c c c c c c c c c c c
d. wing
ANS: A c
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