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