Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
6 6 6 6 6 6 6
Applications 8th Edition Testbank/Study Guide
6 6 6 6
Stahl's Essential Psychopharmacology
45 45
Neuroscientific45Basis45and45Practical45Applications45 5th45Edition45Testbank/Study45Guide
Chapter45145Chemical45neurotransmission
MULTIPLE45CHOICE
1. A45patient45with45depression45mentions45to45the45nurse,45My45mother45says45depress
ion45is45a45c45hemical45disorder.45What45does45she45mean?45The45nurses45response45is45b
WWW.TESTBANKTANK.COM
,ased45on45the45theoryth
at45depression45primarily45involves45which45of45the45following45neurotransmitters?
a. Cortisol45and45GABA
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, b. COMT45and45glutamate
c. Monamine45and45glycine
d. Serotonin45and45norepinephrine
ANS:45D
One45possible45cause45of45depression45is45thought45to45involve45one45or45more45neurotra
nsmitters.45Serotonin45and45norepinephrine45have45been45found45to45be45important45in45th
e45regulation45of45dep45ression.45There45is45no45research45to45support45that45the45other45o
ptions45play45a45significant45role45in45the45development45of45depression.
2. A45patient45has45experienced45a45stroke45(cerebral45vascular45accident)45that45has45r
esulted45in45damage45to45the45Broca45area.45Which45evaluation45does45the45nurse45condu
ct45to45reinforce45thisd45iagnosis?
a. Observing45the45patient45pick45up45a45spoon
b. Asking45the45patient45to45recite45the45alphabet
c. Monitoring45the45patients45blood45pressure
d. Comparing45the45patients45grip45strength45in45both45hands
ANS:45B
Accidents45or45strokes45that45damage45Brocas45area45may45result45in45the45inability45to45s
peak45(i.e.,45motor45aphasia).45Fine45motor45skills,45blood45pressure45control,45and45musc
le45strength45are45notc45ontrolled45by45the45Broca45area45of45the45left45frontal45lobe.
3. The45patient45diagnosed45with45schizophrenia45asks45why45psychotropic45medication
s45are45a45lways45prescribed45by45the45doctor.45The45nurses45answer45will45be45based45on45
information45thatth45e45therapeutic45action45of45psychotropic45drugs45is45the45result45of
45their45effect45on:
a. The45temporal45lobe;45especially45Wernickes45area
b. Dendrites45and45their45ability45to45transmit45electrical45impulses
c. The45regulation45of45neurotransmitters45especially45dopamine
d. The45peripheral45nervous45system45sensitivity45to45the45psychotropic45medications
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, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical 4
6 6 6 6 6 6 6
5 Applications 8th Edition Testbank/Study Guide
6 6 6 6
ANS:45C
Medications45used45to45treat45psychiatric45disorders45operate45in45and45around45the45syna
ptic45cleft45and45have45action45at45the45neurotransmitter45level,45especially45in45the45case4
5of45schizophrenia,45o45n45dopamine.45The45Wernickes45area,45dendrite45function,45or45th
e45sensitivity45of45the45peripheral45nervous45system45are45not45relevant45to45either45schiz
ophrenia45or45psychotropic45medications.
4. A45student45nurse45mutters45that45it45seems45entirely45unnecessary45to45have45to45stru
ggle45with45understanding45the45anatomy45and45physiology45of45the45neurologic45syste
m.45The45mentor45wo45uld45base45a45response45on45the45understanding45that45it45is:
Necessary45but45generally45for45psychiatric45nurses45who45focus45primarily6on64 5
a. behavioral45interventions
A45complex45undertaking45that45advance45practice45psychiatric45nurses6frequentl
b. y45usei45n45their45practice
Important45primarily45for45the45nursing45assessment45of45patients6with45braint45ra
c. umacaused45cognitive45symptoms
Necessary45for45planning45psychiatric45care45for45all6patients45especially45those45exp
d. eriencing45psychiatric45disorders
ANS:45D
Nurses45must45understand45that45many45symptoms6of6psychiatric45disorders45have45a45
neurolo45gic45basis,45although45the45symptoms45are45manifested45behaviorally.45This45
understanding45fa45cilitates45effective45care45planning.45The45foundation6of45knowledg
e45is45notused45exclusively45by45advanced45practice45psychiatric45nurses6nor45is45it45rel
evant45for45only45behavior45therapies45or45brain45trauma45since45dealing45with6the6result
s45of45normal45and45abnormal45brain45function45i45s45a45responsibility45of45all45nurses45p
roviding45all45types45of45care45tothe45psychiatric45patient.
5. A45patient45asks45the45nurse,45My6wife45has45breast45cancer.45Could45it45be45caus
ed45by45her45chronic45depression?45Which6response45is45supported45by45research4
5data?
a. Too45much45stress6has45been45proven45to45cause45all45kinds45of45cancer.
b. There45have45been45no45research45studies45done45on45stress45and45disease45yet.
c. Stress45does6cause45the45release45of45factors45that45suppress45the45immune45system.
d. There6appears45to45be45little45connection45between45stress45and45diseases45of45the45bo
dy
ANS:45C
Research45indicates45that45stress45causes45a45release45of45corticotropin-
releasing45factors45that45suppress45the45immune45system.45Studies45indicate45that45psychi
atric45dis45orders45such45as45mooddisorders45are45sometimes45associated45with45decreas
ed45functioning45of45the45immune45system.Research45does45not45support45a45connection
45between45many45cancers45an45d45stress.45There45is45a45significant45amount45of45researc
h45about45stress45and45the45body.45Research45has45shown45that45there45are45some45conne
ctions45between45stress45and45physical45disease.
WWW.TESTBANKTANK.COM
6 6 6 6 6 6 6
Applications 8th Edition Testbank/Study Guide
6 6 6 6
Stahl's Essential Psychopharmacology
45 45
Neuroscientific45Basis45and45Practical45Applications45 5th45Edition45Testbank/Study45Guide
Chapter45145Chemical45neurotransmission
MULTIPLE45CHOICE
1. A45patient45with45depression45mentions45to45the45nurse,45My45mother45says45depress
ion45is45a45c45hemical45disorder.45What45does45she45mean?45The45nurses45response45is45b
WWW.TESTBANKTANK.COM
,ased45on45the45theoryth
at45depression45primarily45involves45which45of45the45following45neurotransmitters?
a. Cortisol45and45GABA
WWW.TESTBANKTANK.COM
, b. COMT45and45glutamate
c. Monamine45and45glycine
d. Serotonin45and45norepinephrine
ANS:45D
One45possible45cause45of45depression45is45thought45to45involve45one45or45more45neurotra
nsmitters.45Serotonin45and45norepinephrine45have45been45found45to45be45important45in45th
e45regulation45of45dep45ression.45There45is45no45research45to45support45that45the45other45o
ptions45play45a45significant45role45in45the45development45of45depression.
2. A45patient45has45experienced45a45stroke45(cerebral45vascular45accident)45that45has45r
esulted45in45damage45to45the45Broca45area.45Which45evaluation45does45the45nurse45condu
ct45to45reinforce45thisd45iagnosis?
a. Observing45the45patient45pick45up45a45spoon
b. Asking45the45patient45to45recite45the45alphabet
c. Monitoring45the45patients45blood45pressure
d. Comparing45the45patients45grip45strength45in45both45hands
ANS:45B
Accidents45or45strokes45that45damage45Brocas45area45may45result45in45the45inability45to45s
peak45(i.e.,45motor45aphasia).45Fine45motor45skills,45blood45pressure45control,45and45musc
le45strength45are45notc45ontrolled45by45the45Broca45area45of45the45left45frontal45lobe.
3. The45patient45diagnosed45with45schizophrenia45asks45why45psychotropic45medication
s45are45a45lways45prescribed45by45the45doctor.45The45nurses45answer45will45be45based45on45
information45thatth45e45therapeutic45action45of45psychotropic45drugs45is45the45result45of
45their45effect45on:
a. The45temporal45lobe;45especially45Wernickes45area
b. Dendrites45and45their45ability45to45transmit45electrical45impulses
c. The45regulation45of45neurotransmitters45especially45dopamine
d. The45peripheral45nervous45system45sensitivity45to45the45psychotropic45medications
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical 4
6 6 6 6 6 6 6
5 Applications 8th Edition Testbank/Study Guide
6 6 6 6
ANS:45C
Medications45used45to45treat45psychiatric45disorders45operate45in45and45around45the45syna
ptic45cleft45and45have45action45at45the45neurotransmitter45level,45especially45in45the45case4
5of45schizophrenia,45o45n45dopamine.45The45Wernickes45area,45dendrite45function,45or45th
e45sensitivity45of45the45peripheral45nervous45system45are45not45relevant45to45either45schiz
ophrenia45or45psychotropic45medications.
4. A45student45nurse45mutters45that45it45seems45entirely45unnecessary45to45have45to45stru
ggle45with45understanding45the45anatomy45and45physiology45of45the45neurologic45syste
m.45The45mentor45wo45uld45base45a45response45on45the45understanding45that45it45is:
Necessary45but45generally45for45psychiatric45nurses45who45focus45primarily6on64 5
a. behavioral45interventions
A45complex45undertaking45that45advance45practice45psychiatric45nurses6frequentl
b. y45usei45n45their45practice
Important45primarily45for45the45nursing45assessment45of45patients6with45braint45ra
c. umacaused45cognitive45symptoms
Necessary45for45planning45psychiatric45care45for45all6patients45especially45those45exp
d. eriencing45psychiatric45disorders
ANS:45D
Nurses45must45understand45that45many45symptoms6of6psychiatric45disorders45have45a45
neurolo45gic45basis,45although45the45symptoms45are45manifested45behaviorally.45This45
understanding45fa45cilitates45effective45care45planning.45The45foundation6of45knowledg
e45is45notused45exclusively45by45advanced45practice45psychiatric45nurses6nor45is45it45rel
evant45for45only45behavior45therapies45or45brain45trauma45since45dealing45with6the6result
s45of45normal45and45abnormal45brain45function45i45s45a45responsibility45of45all45nurses45p
roviding45all45types45of45care45tothe45psychiatric45patient.
5. A45patient45asks45the45nurse,45My6wife45has45breast45cancer.45Could45it45be45caus
ed45by45her45chronic45depression?45Which6response45is45supported45by45research4
5data?
a. Too45much45stress6has45been45proven45to45cause45all45kinds45of45cancer.
b. There45have45been45no45research45studies45done45on45stress45and45disease45yet.
c. Stress45does6cause45the45release45of45factors45that45suppress45the45immune45system.
d. There6appears45to45be45little45connection45between45stress45and45diseases45of45the45bo
dy
ANS:45C
Research45indicates45that45stress45causes45a45release45of45corticotropin-
releasing45factors45that45suppress45the45immune45system.45Studies45indicate45that45psychi
atric45dis45orders45such45as45mooddisorders45are45sometimes45associated45with45decreas
ed45functioning45of45the45immune45system.Research45does45not45support45a45connection
45between45many45cancers45an45d45stress.45There45is45a45significant45amount45of45researc
h45about45stress45and45the45body.45Research45has45shown45that45there45are45some45conne
ctions45between45stress45and45physical45disease.
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