FULL TEST BANK Stahl's Essential Psychopharmacology: Neuroscientific Basis and Practical Applications 5th Edition by Stephen M. Stahl (Author) With 100% Verified Questions And Answers Graded A+.

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Stahl's Essential Psychopharmacology h1 h1



Neuroscientific Basis and Practical Applications TESTBANK/STUDY GUIDE h1 h1 h1 h1 h1 h1




Chapter 1 Chemical neurotransmissionh1 h1 h1



MULTIPLE CHOICE h1



1. A patient with depression mentions to the nurse, My mother says depression is
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a 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 neurotransmitters?
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a.
b. COMT and glutamate h1 h1




c. Monamine and glycine h1 h1




d. Serotonin and norepinephrine h1 h1


Cortisol and GABA
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ANS: D h1



One possible cause of depression is thought to involve one or more
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neurotransmitters. Serotonin and norepinephrine have been found to be important
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in the regulation of depression. There is no research to support that the other
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options play a significant role in the development of depression.
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2. A patient has experienced a stroke (cerebral vascular accident) that has resulted
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in damage to the Broca area. Which evaluation does the nurse conduct to reinforce
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this diagnosis?
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a. Observing the patient pick up a spoon h1 h1 h1 h1 h1 h1




b. Asking the patient to recite the alphabet
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c. Monitoring the patients blood pressure h1 h1 h1 h1




d. Comparing the patients grip strength in both h1 h1 h1 h1 h1 h1



hands ANS: B
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Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
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motor aphasia). Fine motor skills, blood pressure control, and muscle strength are not
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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
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always prescribed by the doctor. The nurses answer will be based on information
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that the therapeutic action of psychotropic drugs is the result of their effect on:
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a. The temporal lobe; especially Wernickes area h1 h1 h1 h1 h1




b. Dendrites and their ability to transmit electrical impulses
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Page 1 of 143 h1 h1 h1

, c. The regulation of neurotransmitters especially dopamine
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d. The peripheral nervous system sensitivity to the psychotropic medications
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ANS: C h1



Medications used to treat psychiatric disorders operate in and around the synaptic
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cleft and have action at the neurotransmitter level, especially in the case of
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schizophrenia, on dopamine. The Wernickes area, dendrite function, or the
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sensitivity of the peripheral nervous system are not relevant to either
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schizophrenia or psychotropic medications.
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4. A student nurse mutters that it seems entirely unnecessary to have to struggle
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with understanding the anatomy and physiology of the neurologic system. The
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mentor would base a response on the understanding that it is:
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Necessary but generally for psychiatric nurses who focus primarily on
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a. behavioral interventions h1




A complex undertaking that advance practice psychiatric nurses frequently use b. in their
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practice
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Important primarily for the nursing assessment of patients with brain
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c. traumacaused cognitive symptoms h1 h1




Necessary for planning psychiatric care for all patients especially those h1 h1 h1 h1 h1 h1 h1 h1 h1



d. experiencing psychiatric disorders h1 h1



ANS: D
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Nurses must understand that many symptoms of psychiatric disorders have a
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neurologic basis, although the symptoms are manifested behaviorally. This
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understanding facilitates effective care planning. The foundation of knowledge is
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not used exclusively by advanced practice psychiatric nurses nor is it relevant for
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only behavior therapies or brain trauma since dealing with the results of normal
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and abnormal brain function is a responsibility of all nurses providing all types of
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care to the psychiatric patient.
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5. A patient asks the nurse, My wife has breast cancer. Could it be caused
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by her chronic 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.
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