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, Stahl's Essential Psychopharmacology
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide
Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. A patient with depression mentions to the nurse, My mother says
depression is a c hemical disorder. What does she mean? The nurses
response is based on the theoryth at 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 dep ression. There is no research to support that the other
options play a significant role in t he 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 d iagnosis?
sr
a. Observing the patient pick up a spoon
b. Asking the patient to recite the alphabet
c. Monitoring the patients blood pressure
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, 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.,
sr
motor aphasia). Fine motor skills, blood pressure control, and muscle strength
are notc ontrolled by the Broca area of the left frontal lobe.
3. The patient diagnosed with schizophrenia asks why psychotropic
medications are a lways prescribed by the doctor. The nurses answer will be
based on information that th e therapeutic action of psychotropic drugs is the
sr
result of their effect on:
a. The temporal lobe; especially Wernickes area
b. Dendrites and their ability to transmit electrical impulses
c. The regulation of neurotransmitters especially dopamine
d. The peripheral nervous system sensitivity to the psychotropic medications
WWW.TESTBANKTANK.COM
, 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
Medications used to treat psychiatric disorders operate in and around the
synaptic cleft a nd have action at the neurotransmitter level, especially in the
sr
case of schizophrenia, on dopamine. The Wernickes area, dendrite function, or
the sensitivity of the peripheral ne rvous 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 u nderstanding the anatomy and physiology of the neurologic
sr
system. The mentor woul d base a response on the understanding that it is:
Necessary but generally for psychiatric nurses who focus primarily on sr sr
a. behavioral interventions
A complex undertaking that advance practice psychiatric
b. nurses frequently use i n their practice
sr sr
Important primarily for the nursing assessment of patients with brain t sr sr
c. raumacaused cognitive symptoms
Necessary for planning psychiatric care for all patients especially those sr
d. experiencing psychiatric disorders
ANS: D
Nurses must understand that many symptoms of psychiatric disorders have a sr sr
neurolo gic basis, although the symptoms are manifested behaviorally. This
understanding fac ilitates effective care planning. The foundation of sr
knowledge is not used exclusively b y advanced practice psychiatric
sr
nurses nor is it relevant for only behavior therapies or brain trauma since
sr sr
dealing with the results of normal and abnormal brain function is a
sr
responsibility of all nurses providing all types of care tothe psychiatric patient.
5. A patient asks the nurse, My wife has breast cancer. Could it be caused
sr
by herc hronic depression? Which response is supported by researchsr
data?
WWW.TESTBANKTANK.COM
All Chapters Included
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide
Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. A patient with depression mentions to the nurse, My mother says
depression is a c hemical disorder. What does she mean? The nurses
response is based on the theoryth at 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 dep ression. There is no research to support that the other
options play a significant role in t he 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 d iagnosis?
sr
a. Observing the patient pick up a spoon
b. Asking the patient to recite the alphabet
c. Monitoring the patients blood pressure
WWW.TESTBANKTANK.COM
, 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.,
sr
motor aphasia). Fine motor skills, blood pressure control, and muscle strength
are notc ontrolled by the Broca area of the left frontal lobe.
3. The patient diagnosed with schizophrenia asks why psychotropic
medications are a lways prescribed by the doctor. The nurses answer will be
based on information that th e therapeutic action of psychotropic drugs is the
sr
result of their effect on:
a. The temporal lobe; especially Wernickes area
b. Dendrites and their ability to transmit electrical impulses
c. The regulation of neurotransmitters especially dopamine
d. The peripheral nervous system sensitivity to the psychotropic medications
WWW.TESTBANKTANK.COM
, 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
Medications used to treat psychiatric disorders operate in and around the
synaptic cleft a nd have action at the neurotransmitter level, especially in the
sr
case of schizophrenia, on dopamine. The Wernickes area, dendrite function, or
the sensitivity of the peripheral ne rvous 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 u nderstanding the anatomy and physiology of the neurologic
sr
system. The mentor woul d base a response on the understanding that it is:
Necessary but generally for psychiatric nurses who focus primarily on sr sr
a. behavioral interventions
A complex undertaking that advance practice psychiatric
b. nurses frequently use i n their practice
sr sr
Important primarily for the nursing assessment of patients with brain t sr sr
c. raumacaused cognitive symptoms
Necessary for planning psychiatric care for all patients especially those sr
d. experiencing psychiatric disorders
ANS: D
Nurses must understand that many symptoms of psychiatric disorders have a sr sr
neurolo gic basis, although the symptoms are manifested behaviorally. This
understanding fac ilitates effective care planning. The foundation of sr
knowledge is not used exclusively b y advanced practice psychiatric
sr
nurses nor is it relevant for only behavior therapies or brain trauma since
sr sr
dealing with the results of normal and abnormal brain function is a
sr
responsibility of all nurses providing all types of care tothe psychiatric patient.
5. A patient asks the nurse, My wife has breast cancer. Could it be caused
sr
by herc hronic depression? Which response is supported by researchsr
data?
WWW.TESTBANKTANK.COM
