Complete Test Bank For Prescriber's Guide: Stahl's Essential Psychopharmacology 8th Edition By Stephen M. Stahl Complete Guide.

,STAHLS ESSENTIAL PSYCHOPATHOLOGY
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Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide ss ss ss ss ss ss ss ss

Chapter 1 Chemical neurotransmission
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MULTIPLE CHOICE s s




1. A patient with depression mentions to the nurse, My mother says depression is a
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chemical disorder. What does she mean? The nurses response is based on the
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theory that depression primarily involves which of the following
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neurotransmitters?
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Cortisoland GABA s ss




COMT and glutamate ss s s




c. Monamine and glycine ss ss




d. Serotoninandnorepinephrine

ANS: D bb




One possible causeof depression is thought tobbinvolvekkonekkorbbmore neurotransmitters.
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ss Serotonin and norepinephrine have been found tokkbe important in the regulation of
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ss depression. There is no research to support thatkkthekkother options play a significant role
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ss in the development of depression.
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2. A patient has experienced a stroke (cerebralkkvascular accident) that has resulted in
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ss damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
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ss diagnosis?

a. Observing the patient pick up a spoon ss s s s s ss s s s s




b. Asking the patientkktok recite the alphabet
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c. Monitoringthe patients blood pressure s ss ss ss




d. Comparingkkthekkpatients grip strength in both hands ss ss ss ss ss




ANS: B bb




Accidents or strokes that damage Brocas areamay result in the inability to speak(i.e., motor
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s s aphasia). s s Fine s s motor s s skills, s s blood s s pressure s s control, s s and s s muscle

,s s strength b b are not controlled by the Broca area of the left frontal lobe.
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3. The patient diagnosed with schizophrenia asks why psychotropic medications are always
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ss prescribed by the doctor. The nurses answer will be based on information that the
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ss therapeutic action of psychotropic drugs is the result of their effect on:
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a. The temporal lobe; especially Wernickes area
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b. Dendritesand their ability totransmit electrical impulses
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c. Theregulation of neurotransmitters especiallydopamine
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d. Theperipheral nervous systemsensitivity to the psychotropic medications
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, ANS: C bb




Medications used totreat psychiatricdisordersoperate in andaround thesynaptic cleft and
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ss have action at the neurotransmitter level, especially in the case of
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ss dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
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ss nervous system are not relevant to either schizophrenia or psychotropic medications.
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4. Abbstudent nursebbmutters that it seems entirely unnecessary to have to struggle with
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ss understanding the anatomy and physiology of the neurologic system. The mentor would
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ss base a response on the understanding that it is:
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Necessarybut generally for psychiatricbbnurseswho focus primarily on ss ss ss s ss ss ss




a. behavioral interventions ss




Acomplex undertakingthat advance practice psychiatric nurses frequentlyuse in their
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b. ss practice

Important primarily forthenursingassessment ofpatientsbbwithbrain traumacaused
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c. ss cognitive symptoms ss




Necessary for planningbbpsychiatric carebbfor allpatients especially those
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d. ss experiencing psychiatric disorders ss ss




ANS:D s




Nurses must understand that many symptoms of psychiatric disorders have a neurologic
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ss basis, although the symptoms are manifested behaviorally. This understandingfacilitates
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ss effective care planning. The foundation ofknowledge is not used exclusively by advanced
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ss practice psychiatric nurses nor is it relevant for only behavior therapies or brain trauma
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ss since dealing with the results of normal and abnormal brain function is a responsibility ofall
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ss nurses providing all types of careto the psychiatric patient.
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5. A patient asks the nurse, Mywife hasbreastcancer. Could it becaused byher chronic
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ss depression? Which response is supported by research data?
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a. Too much stress has beenproven to cause allkinds of cancer.
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b. There have been no research studies done on stress and diseaseyet.
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