Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical A
x x x x x x x
pplications 5th Edition Testbank/Study Guide x x x x
Stahl's Essential Psychopharmacology 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 ch
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 theorythat
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
ANS: D x
One possible cause of depression is thought to involve one or more neurotransmitters.S
x x x x x x x x x x x x x
erotonin and norepinephrine have been found to be important in the regulation of depre
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 the
x x x x x x x x x x x x x x x x x
development of depression. x x
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted ind
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 thisdia
x x x x x x x x x x x x x x
gnosis?
a. Observing the patient pick up a spoon x x x x x x
b. Asking the patient to recite the alphabet
x 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
ANS: B x
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,m
x x x x x x x x x x x x x x x
otor aphasia). Fine motor skills, blood pressure control, and muscle strength are notcont
x x x x x x x x x x x x x
rolled 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 al
x x x x x x x x x x
ways prescribed by the doctor. The nurses answer will be based on information thatthe
x x x x x x x x x x x x x x x
therapeutic 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 A
x x x x x x x
pplications 5th Edition Testbank/Study Guide x x x x
ANS: C x
Medications used to treat psychiatric disorders operate in and around the synaptic clefta
x x x x x x x x x x x x x
nd have action at the neurotransmitter level, especially in the case of schizophrenia, on d
x x x x x x x x x x x x x x
opamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral nerv
x x x x x x x x x x x x
ous 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 withu
x x x x x x x x x x x x x x
nderstanding the anatomy and physiology of the neurologic system. The mentor woul
x x x x x x x x x x x
d base a response on the understanding that it is:
x x x x x x x x x
Necessary but generally for psychiatric nurses who focus primarily onb x x x x x x x x x x
a. ehavioral interventions x
A complex undertaking that advance practice psychiatric nurses frequently usei
x x x x x x x x x x
b. n their practice
x x
Important primarily for the nursing assessment of patients with braintr
x x x x x x x x x x
c. aumacaused cognitive symptoms x x
Necessary for planning psychiatric care for all patients especially thosee
x x x x x x x x x x
d. xperiencing psychiatric disorders x x
ANS: D x
Nurses must understand that many symptoms of psychiatric disorders have a neurologi
x x x x x x x x x x x
c basis, although the symptoms are manifested behaviorally. This understanding facilit
x x x x x x x x x x
ates effective care planning. The foundation of knowledge is notused exclusively by ad
x x x x x x x x x x x x x
vanced practice psychiatric nurses nor is it relevant for only behavior therapies or brain
x x x x x x x x x x x x x
xtrauma since dealing with the results of normal and abnormal brain function is a respo
x x x x x x x x x x x x x x
nsibility of all nurses providing all types of care tothe psychiatric patient.
x 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 herch
x x x x x x x x x x x x x x x x
ronic depression? Which response is supported by research data?
x x x x x x x x
a. Too much stress has been proven to cause all kinds of cancer.
x x x 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 x x x x x x x x x x
d. There appears to be little connection between stress and diseases of the body
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
x x x x x x x x x x x
orders such as mooddisorders are sometimes associated with decreased functioning of t
x x x x x x x x x x x x
he immune system.Research does not support a connection between many cancers and s
x x x x x x x x x x x x x
tress. There is a significant amount of research about stress and the body. Research has s
x x x x x x x x x x x x x x x
hown 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 A
x x x x x x x
pplications 5th Edition Testbank/Study Guide x x x x
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitati
x x x x x x x x x x x x x
on needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of
x x x x x x x x x x x x x x x x x
nursing intervention? x
a. Expression of emotion x x
b. Detecting auditory stimuli x x
c. Receiving visual images x x
d. Processing associations x
ANS: D x
The parietal lobe is responsible for associating and processing sensory information that
x x x x x x x x x x x x
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
f, keeping appointments, and distinguishing right from left. Emotional expression is ass
x x x x x x x x x x x
ociated with frontal lobe function. Detecting auditory stimuli is a temporal lobe functio
x x x x x x x x x x x x
n. Receiving visual images is related to occipital lobe function.
x x x x x x x x x
7. At admission, the nurse learns that some time ago the patient had an infarct in theri
x x x x x x x x x x x x x x x x
ght cerebral cortex. During assessment, the nurse would expect to find that the patient
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 x x x x
c. Has difficulty explaining how to go about using the telephone
x x x x x x x x x
d. Cannot use his right hand to shave himself or comb his own hair x x x x x x 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 x x x x x x x x x x
right hemisphere mainly controls the motor and sensory functions on the left sideof the
x x x x x x x x x x x x x x x
body. Damage to the right side would result in impaired function on the left side of the b
x x x x x x x x x x x x x x x x x
ody. The motor cortex controls voluntary motor activity. Brocas area controls motor sp
x x x x x x x x x x x x
eech. Cognitive functions are attributed to the association cortex.
x x x x x x x x
The right side of the bodys motor activity is controlled by the left cerebral cortex.
x x x x x x x x x x x x x x
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Thep
x x x x x x x x x x x x
atient will be discharged on low doses of haloperidol. The nurse will need to individual
x x x x x x x x x x x x x x
ize the patients medication teaching by:
x x 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
x x x x x x x x x x x
Providing the education at a time when the patient is emotionally calm andre
x x x x x x x x x x x x x
c. laxed
Encouraging the patient to crush or dissolve the medication to help withs
x x x x x x x x x x x x
d. wallowing
ANS: A x
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical A
x x x x x x x
pplications 5th Edition Testbank/Study Guide x x x x
The hippocampus plays a major role in short-
x x x x x x x
term memory and, hence, in learning. Taking the medication as prescribed and providi
x x x x x x x x x x x x
ng the education at a time when the patient is calm and relaxed is information or consid
x x x x x x x x x x x x x x x x
erations that all patients should begiven. The medication does not necessarily need to b
x x x x x x x x x x x x x x
e crushed or dissolved since the stroke would not have caused difficulty with swallowi
x x x x x x x x x x x x x
ng.
9. The physician tells the nurse, The medication Im prescribing for the patient en
x x x x x x x x x x x x
hances the g- x x
aminobutyric acid (GABA) system. Which patient behavior willprovide evidenc
x x x x x x x x x
e that the medication therapy is successful?
x x x x x x
a. The patient is actively involved in playing cards with other patients.
x x x x x x x x x x
b. The patient reports that, I dont feel as anxious as I did a couple of days ago.
x x x x x x x x x x x x x x x x
c. The patient reports that both auditory and visual hallucinations have decreased.
x x x x x x x x x x
d. The patient says that, I am much happier than before I came to the hospital.
x x x x x x x x x x x x x x
ANS: B x
GABA is the principle inhibitory neurotransmitter. The medication should provide ana
x x x x x x x x x x x
ntianxiety effect. Alertness, psychotic behaviors, and mood elevation are not generally
x x x x x x x x x x x
affected by g-aminobutyric acid. x x x
10. The patients family asks whether a diagnosis of Parkinsons disease creates ani
x x x x x x x x x x x x
ncreased risk for any mental health issues. What question would the nurse ask toas
x x x x x x x x x x x x x x
sess for such a comorbid condition?
x x x x x
a. Has your father exhibited any signs of depression? x x x x x x x
b. Does your father seem to experience mood swings?
x x x x x x x
c. Have you noticed your father talking about seeing things you cant see?
x x x x x x x x x x x
d. Is your dad preoccupied with behaviors that he needs to repeat over and over?
x x x x x x x x x x x x x
ANS: A x
Serotonin and its close chemical relatives, dopamine and norepinephrine, are the neuro
x x x x x x x x x x x
transmitters that are most widely involved in various forms of depression. Mostresearc
x x x x x x x x x x x x
hers agree that the immediate cause of parkinsonism is a deficiency of dopamine and s
x x x x x x x x x x x x x x
o a patient with Parkinsons disease should be monitored for depression, The other ment
x x x x x x x x x x x x x
al health disorders (bipolar disorder, hallucinations, and obsessive compulsive disorde
x x x x x x x x x
r) have not been connected to Parkinsons disease.
x x x x x x x
11. Which explanation for the prescription of donepezil (Aricept) would the nursep
x x x x x x x x x x x
rovide for a patient in the early stage of Alzheimers disease?
x x x x x x x x x x
a. It will increase the metabolism of excess GABA.
x x x x x x x
b. Excess dopamine will be prevented from attaching to receptor sites.
x x x x x x x x x
c. Serotonin deficiency will be managed through a prolonged reuptake period.
x x x x x x x x x
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
x x x x x x x x
ANS: D x
WWW.TESTBANKTANK.COM
x x x x x x x
pplications 5th Edition Testbank/Study Guide x x x x
Stahl's Essential Psychopharmacology 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 ch
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 theorythat
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
ANS: D x
One possible cause of depression is thought to involve one or more neurotransmitters.S
x x x x x x x x x x x x x
erotonin and norepinephrine have been found to be important in the regulation of depre
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 the
x x x x x x x x x x x x x x x x x
development of depression. x x
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted ind
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 thisdia
x x x x x x x x x x x x x x
gnosis?
a. Observing the patient pick up a spoon x x x x x x
b. Asking the patient to recite the alphabet
x 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
ANS: B x
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,m
x x x x x x x x x x x x x x x
otor aphasia). Fine motor skills, blood pressure control, and muscle strength are notcont
x x x x x x x x x x x x x
rolled 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 al
x x x x x x x x x x
ways prescribed by the doctor. The nurses answer will be based on information thatthe
x x x x x x x x x x x x x x x
therapeutic 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 A
x x x x x x x
pplications 5th Edition Testbank/Study Guide x x x x
ANS: C x
Medications used to treat psychiatric disorders operate in and around the synaptic clefta
x x x x x x x x x x x x x
nd have action at the neurotransmitter level, especially in the case of schizophrenia, on d
x x x x x x x x x x x x x x
opamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral nerv
x x x x x x x x x x x x
ous 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 withu
x x x x x x x x x x x x x x
nderstanding the anatomy and physiology of the neurologic system. The mentor woul
x x x x x x x x x x x
d base a response on the understanding that it is:
x x x x x x x x x
Necessary but generally for psychiatric nurses who focus primarily onb x x x x x x x x x x
a. ehavioral interventions x
A complex undertaking that advance practice psychiatric nurses frequently usei
x x x x x x x x x x
b. n their practice
x x
Important primarily for the nursing assessment of patients with braintr
x x x x x x x x x x
c. aumacaused cognitive symptoms x x
Necessary for planning psychiatric care for all patients especially thosee
x x x x x x x x x x
d. xperiencing psychiatric disorders x x
ANS: D x
Nurses must understand that many symptoms of psychiatric disorders have a neurologi
x x x x x x x x x x x
c basis, although the symptoms are manifested behaviorally. This understanding facilit
x x x x x x x x x x
ates effective care planning. The foundation of knowledge is notused exclusively by ad
x x x x x x x x x x x x x
vanced practice psychiatric nurses nor is it relevant for only behavior therapies or brain
x x x x x x x x x x x x x
xtrauma since dealing with the results of normal and abnormal brain function is a respo
x x x x x x x x x x x x x x
nsibility of all nurses providing all types of care tothe psychiatric patient.
x 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 herch
x x x x x x x x x x x x x x x x
ronic depression? Which response is supported by research data?
x x x x x x x x
a. Too much stress has been proven to cause all kinds of cancer.
x x x 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 x x x x x x x x x x
d. There appears to be little connection between stress and diseases of the body
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
x x x x x x x x x x x
orders such as mooddisorders are sometimes associated with decreased functioning of t
x x x x x x x x x x x x
he immune system.Research does not support a connection between many cancers and s
x x x x x x x x x x x x x
tress. There is a significant amount of research about stress and the body. Research has s
x x x x x x x x x x x x x x x
hown 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 A
x x x x x x x
pplications 5th Edition Testbank/Study Guide x x x x
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitati
x x x x x x x x x x x x x
on needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of
x x x x x x x x x x x x x x x x x
nursing intervention? x
a. Expression of emotion x x
b. Detecting auditory stimuli x x
c. Receiving visual images x x
d. Processing associations x
ANS: D x
The parietal lobe is responsible for associating and processing sensory information that
x x x x x x x x x x x x
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
f, keeping appointments, and distinguishing right from left. Emotional expression is ass
x x x x x x x x x x x
ociated with frontal lobe function. Detecting auditory stimuli is a temporal lobe functio
x x x x x x x x x x x x
n. Receiving visual images is related to occipital lobe function.
x x x x x x x x x
7. At admission, the nurse learns that some time ago the patient had an infarct in theri
x x x x x x x x x x x x x x x x
ght cerebral cortex. During assessment, the nurse would expect to find that the patient
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 x x x x
c. Has difficulty explaining how to go about using the telephone
x x x x x x x x x
d. Cannot use his right hand to shave himself or comb his own hair x x x x x x 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 x x x x x x x x x x
right hemisphere mainly controls the motor and sensory functions on the left sideof the
x x x x x x x x x x x x x x x
body. Damage to the right side would result in impaired function on the left side of the b
x x x x x x x x x x x x x x x x x
ody. The motor cortex controls voluntary motor activity. Brocas area controls motor sp
x x x x x x x x x x x x
eech. Cognitive functions are attributed to the association cortex.
x x x x x x x x
The right side of the bodys motor activity is controlled by the left cerebral cortex.
x x x x x x x x x x x x x x
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Thep
x x x x x x x x x x x x
atient will be discharged on low doses of haloperidol. The nurse will need to individual
x x x x x x x x x x x x x x
ize the patients medication teaching by:
x x 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
x x x x x x x x x x x
Providing the education at a time when the patient is emotionally calm andre
x x x x x x x x x x x x x
c. laxed
Encouraging the patient to crush or dissolve the medication to help withs
x x x x x x x x x x x x
d. wallowing
ANS: A x
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical A
x x x x x x x
pplications 5th Edition Testbank/Study Guide x x x x
The hippocampus plays a major role in short-
x x x x x x x
term memory and, hence, in learning. Taking the medication as prescribed and providi
x x x x x x x x x x x x
ng the education at a time when the patient is calm and relaxed is information or consid
x x x x x x x x x x x x x x x x
erations that all patients should begiven. The medication does not necessarily need to b
x x x x x x x x x x x x x x
e crushed or dissolved since the stroke would not have caused difficulty with swallowi
x x x x x x x x x x x x x
ng.
9. The physician tells the nurse, The medication Im prescribing for the patient en
x x x x x x x x x x x x
hances the g- x x
aminobutyric acid (GABA) system. Which patient behavior willprovide evidenc
x x x x x x x x x
e that the medication therapy is successful?
x x x x x x
a. The patient is actively involved in playing cards with other patients.
x x x x x x x x x x
b. The patient reports that, I dont feel as anxious as I did a couple of days ago.
x x x x x x x x x x x x x x x x
c. The patient reports that both auditory and visual hallucinations have decreased.
x x x x x x x x x x
d. The patient says that, I am much happier than before I came to the hospital.
x x x x x x x x x x x x x x
ANS: B x
GABA is the principle inhibitory neurotransmitter. The medication should provide ana
x x x x x x x x x x x
ntianxiety effect. Alertness, psychotic behaviors, and mood elevation are not generally
x x x x x x x x x x x
affected by g-aminobutyric acid. x x x
10. The patients family asks whether a diagnosis of Parkinsons disease creates ani
x x x x x x x x x x x x
ncreased risk for any mental health issues. What question would the nurse ask toas
x x x x x x x x x x x x x x
sess for such a comorbid condition?
x x x x x
a. Has your father exhibited any signs of depression? x x x x x x x
b. Does your father seem to experience mood swings?
x x x x x x x
c. Have you noticed your father talking about seeing things you cant see?
x x x x x x x x x x x
d. Is your dad preoccupied with behaviors that he needs to repeat over and over?
x x x x x x x x x x x x x
ANS: A x
Serotonin and its close chemical relatives, dopamine and norepinephrine, are the neuro
x x x x x x x x x x x
transmitters that are most widely involved in various forms of depression. Mostresearc
x x x x x x x x x x x x
hers agree that the immediate cause of parkinsonism is a deficiency of dopamine and s
x x x x x x x x x x x x x x
o a patient with Parkinsons disease should be monitored for depression, The other ment
x x x x x x x x x x x x x
al health disorders (bipolar disorder, hallucinations, and obsessive compulsive disorde
x x x x x x x x x
r) have not been connected to Parkinsons disease.
x x x x x x x
11. Which explanation for the prescription of donepezil (Aricept) would the nursep
x x x x x x x x x x x
rovide for a patient in the early stage of Alzheimers disease?
x x x x x x x x x x
a. It will increase the metabolism of excess GABA.
x x x x x x x
b. Excess dopamine will be prevented from attaching to receptor sites.
x x x x x x x x x
c. Serotonin deficiency will be managed through a prolonged reuptake period.
x x x x x x x x x
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
x x x x x x x x
ANS: D x
WWW.TESTBANKTANK.COM
