Stahl's EssentialPsychopharmacologyNeuroscientificBasisandPractica
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l Applications 5thEdition Test bank / StudyGuide
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Stahl'sEssentialPsychopharmacology
Neuroscientific- Basis- and- Practical- Appli
, cations- 5th- Edition- Testbank/Study- Guide
Chapter-1-Chemicalneurotransmission
MULTIPLE- CHOICE
1. A-patient-with-depression-mentions-to-the-nurse,-My-mother-says-depression-is-a-
che- micaldisorder.-Whatdoes-she-mean?-Thenurses-response-is-based-on-the-theor- y-
that-de
pression-primarily-involves-which-of-the-following-neurotransmitters?
a. Cortisoland-GABA
b. COMTandglutamate
c. Monamineandglycine
d. Serotoninandnorepinephrine-
ANS:-D
Onepossible-causeofdepression- is- thought- to- involveone-or- moreneurotransmitters.
Serotonin-and-norepinephrine- have-been-found- to- beimportant-in- the- regulation- of- d-e-
pre- ssion.- There-is- no- research- to-support- that- theother- options- play- a- significant-
role- i- n- the- d- evelopment- of- depression.
2. Apatienthas-experienced- astroke(cerebral-vascular-accident)-thathasresulted- in-
da- mage-to- the-Broca-area.-Which- evaluationdoes-thenurseconduct-to-reinforce-thi-s
diagn
osis?
a. Observing-thepatient-pick-up- aspoon
b. Asking-thepatient- to- recitethe- alphabet
c. Monitoringthepatientsbloodpressure
d. Comparingthepatients-gripstrength- in-bothhands-
A- NS:-B
Accidentsorstrokes-thatdamage-Brocas-area-may-result-in-the-inability-to-speak-(i.e.,
motor-aphasia).-Finemotorskills,-bloodpressure-control,-andmusclestrength-arenot- controll-
ed- by- the- Broca- area- of- the- left- frontal- lobe.
3. The-patient-diagnosed-with-schizophrenia-asks-why-psychotropic-medications-ar- e-
al- waysprescribed-by-thedoctor.-The-nurses-answer-willbebased-on-information-th-at-
- the- t- herapeutic- action- of- psychotropic- drugs- is- the-result- of- their- effect- on:
a. Thetemporal-lobe;-especially-Wernickes-area
b. Dendrites-and-theirability-totransmit-electrical-impulses
c. Theregulation-ofneurotransmitters- especiallydopamine
d. Theperipheral-nervous-systemsensitivity- to-thepsychotropicmedications
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr drJw
- - -Applications 5th Edition Testbank/Study Guide
s dr dr dr dr
ANS:-C
Medicationsused- to- treatpsychiatric- disordersoperate- in- and- aroundthe- synaptic- clef-
t-an-d-have-action-at-the-neurotransmitter-level,-especially-in-the-case of-schizophre-nia,-
J
o-n-dop-amine.-The-Wernickes-area,-dendrite-function,-orthe-sensitivity-of-the-
peripheral-nervous-system-are-not-relevant-to-either-schizophrenia-or-psychotropic-
medications.
4. A-studentnursemutters-that- itseems- entirelyunnecessary- tohave- to-struggle-with-
un- derstanding-the-anatomy-and-physiology-of-the-neurologic- system.-The- ment-or-
w- ould- base- a- response- on- the- understanding- that- it- is:
Necessarybutgenerally- forpsychiatricnurses-who-focus-primarily- on dr
a. behavioralinterventions
Acomplex-undertakingthatadvancepracticepsychiatricnurses- frequentlyuse
b. i
n t heir-practice
- - -
c. Importantprimarilyforthenursingassessmentofpatients with-brain J
traumacaus
d.- -ed-cognitive-symptoms
ANS: Necessaryforplanning-psychiatric-careforall- patients especially-those
J
-D experie
n cing- psychiatric- disorders
- -
Nurses must-understand-that-many-symptomswsof-psychiatric-disorders-have-aneurol-
J
o- gi- c-basis,-although- thesymptoms-are manifested-behaviorally.-This-understandin- g-
J
fa-cilit- ates-effectivecareplanning.wsThewsfoundation-of-knowledge-is-not- usedexcl-
usively-by- ad- vanced-practice-psychiatric-nurses-nor-is-it-relevant-for-only-behavior-
therapies-or-brain-t- rauma-sincewsdealingwith- the- results-of-normal-and-abnormal-br-
ain-function-is-a-responsi- bility-ofwsall-nurses-providing-all-types-of-care-to- the-psy-
chiatric-patient.
5. A-patient-asks-thenurse,wsMy- wife-has-breast-cancer.-Could-it-becaused-by-her-
chr- onic- depression?- Which- response-is-supported- by- research- data?
a. Toowsmuchwsstress-haswsbeenwsprovenwstowscausewsallkinds ofwscancer.
J
b. Therewshavewsbeenwsnowsresearchwsstudies donewsonwsstresswsanddiseaseyet.
J
c. Stressdoes-cause- thereleaseoffactorsthat-suppress- the- immune- system.
d. There-appears-to-be-little-connection-betweenstress-and-diseases-of-thebod-
y-A- NS:-C
Research-indicates-that-stress- causesarelease-of- corticotropin-
releasing-factors-thatsuppress-the-immune-system.-Studies-indicate-that- psychiatric- di-
so- rders- such-as- mooddisorders-aresometimes- associated- withdecreased- functioni-
ng o- f- the- immunesystem.Research-does-notsupportaconnection-between-many-canc-
J
ers-a-nd- stres
s.-There-is-a-significant-amount-of-research- about-stress-and-the-body.-Researc-h-h-
as- show- n- that- there- are-some- connections- between- stress- andphysical- disease.
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr drJw
- - -Applications 5th Edition Testbank/Study Guide
s dr dr dr dr
6. A-patientwho-has-aparietal-lobe-injury-is-being- evaluated-for-psychiatric-rehabil- ita-
tio- n- needs.- Of- the- aspects- of- functioning- listed,- which- will- the- nurse- identifyas-a-
focu- s-of-nu- rsing-intervention?
a. Expression-of-emotion
b. Detectingauditory-stimuli
c. Receivingvisualimages
d. Processingassociations-
ANS:-D
The-parietallobe-is-responsible-for-associating-and-processing-sensory- information-th
at-allowsfor-functions-such-as-following-directions-on-amap,-readingwsawsclock,-dressi-n-
g-s- elf,-keeping-appointments,-and-distinguishing-right-from-left.wsEmotional-expre-
ssio-n-is-as- sociated-with-frontal-lobe-function.-Detecting auditorywsstimuli- is a-tempor- J J
al-lob-e-functio
n.-Receiving-visual-images-is-related- to-occipital-lobe- function.
7. Atadmission,-thenurselearns-that-some-timeagothepatient had-an-infarct-in-the- J
rig- ht cerebral-cortex.-During-assessment,-the-nursewswouldwsexpect-to-find-that-the-
J
pat-ient:
a. Demonstratesmajor-deficiencies in-speech J
b. Is-unable to effectively-hold-aspoon in the left-hand
J J dr dr J
c. Hasdifficulty-explaining-how to go about-using the telephone
J dr J J J
d. Cannot-use-hisright-hand towsshavehimself-or-comb-hisown-hair-
J
A- NS:-B
The-cerebralhemispheres-arews-responsible-for-functions-such-as-control-of-muscles.-Th
e-right-hemisphere-mainlywscontrols-the-motor-and-sensory-functions-on-the-left-sid-
eof- the- body.-Damagewstowsthe-right-side would- result- in- impaired- function- on- thelef-t-
J
sideo- f- the-bo- dy.wsThewsmotor- cortex-controls-voluntary-motor-activity.-Brocas-ar-ea-
controls-motor-spee-ch.-Cognitive-functions-are-attributed-to-the-association-co-rtex.
The-rightwssideofwsthe-bodys-motoractivity-is-controlled-bytheleftcerebralcortex.
8. A-patientwith-chronicschizophreniahadastroke-involvingthe-hippocampus.- The
p-atientwswill-be-discharged-on-low-dosesof-haloperidol.-Thenurse-willneed-to-ind-
iviwsdualwsizewsthewspatients medicationwsteachingwsby:
J
a. Includingthepatients-caregiver-in-theeducation
b. Beingcareful-to-stress- the-importance-oftakingthemedication- as-prescribed-
Pr- oviding- the- education- at- a- time- when-the- patient- is-emotionally- calm
and
c. ANS:-A
d.
ws
l Applications 5thEdition Test bank / StudyGuide
ws ws ws ws ws
Stahl'sEssentialPsychopharmacology
Neuroscientific- Basis- and- Practical- Appli
, cations- 5th- Edition- Testbank/Study- Guide
Chapter-1-Chemicalneurotransmission
MULTIPLE- CHOICE
1. A-patient-with-depression-mentions-to-the-nurse,-My-mother-says-depression-is-a-
che- micaldisorder.-Whatdoes-she-mean?-Thenurses-response-is-based-on-the-theor- y-
that-de
pression-primarily-involves-which-of-the-following-neurotransmitters?
a. Cortisoland-GABA
b. COMTandglutamate
c. Monamineandglycine
d. Serotoninandnorepinephrine-
ANS:-D
Onepossible-causeofdepression- is- thought- to- involveone-or- moreneurotransmitters.
Serotonin-and-norepinephrine- have-been-found- to- beimportant-in- the- regulation- of- d-e-
pre- ssion.- There-is- no- research- to-support- that- theother- options- play- a- significant-
role- i- n- the- d- evelopment- of- depression.
2. Apatienthas-experienced- astroke(cerebral-vascular-accident)-thathasresulted- in-
da- mage-to- the-Broca-area.-Which- evaluationdoes-thenurseconduct-to-reinforce-thi-s
diagn
osis?
a. Observing-thepatient-pick-up- aspoon
b. Asking-thepatient- to- recitethe- alphabet
c. Monitoringthepatientsbloodpressure
d. Comparingthepatients-gripstrength- in-bothhands-
A- NS:-B
Accidentsorstrokes-thatdamage-Brocas-area-may-result-in-the-inability-to-speak-(i.e.,
motor-aphasia).-Finemotorskills,-bloodpressure-control,-andmusclestrength-arenot- controll-
ed- by- the- Broca- area- of- the- left- frontal- lobe.
3. The-patient-diagnosed-with-schizophrenia-asks-why-psychotropic-medications-ar- e-
al- waysprescribed-by-thedoctor.-The-nurses-answer-willbebased-on-information-th-at-
- the- t- herapeutic- action- of- psychotropic- drugs- is- the-result- of- their- effect- on:
a. Thetemporal-lobe;-especially-Wernickes-area
b. Dendrites-and-theirability-totransmit-electrical-impulses
c. Theregulation-ofneurotransmitters- especiallydopamine
d. Theperipheral-nervous-systemsensitivity- to-thepsychotropicmedications
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr drJw
- - -Applications 5th Edition Testbank/Study Guide
s dr dr dr dr
ANS:-C
Medicationsused- to- treatpsychiatric- disordersoperate- in- and- aroundthe- synaptic- clef-
t-an-d-have-action-at-the-neurotransmitter-level,-especially-in-the-case of-schizophre-nia,-
J
o-n-dop-amine.-The-Wernickes-area,-dendrite-function,-orthe-sensitivity-of-the-
peripheral-nervous-system-are-not-relevant-to-either-schizophrenia-or-psychotropic-
medications.
4. A-studentnursemutters-that- itseems- entirelyunnecessary- tohave- to-struggle-with-
un- derstanding-the-anatomy-and-physiology-of-the-neurologic- system.-The- ment-or-
w- ould- base- a- response- on- the- understanding- that- it- is:
Necessarybutgenerally- forpsychiatricnurses-who-focus-primarily- on dr
a. behavioralinterventions
Acomplex-undertakingthatadvancepracticepsychiatricnurses- frequentlyuse
b. i
n t heir-practice
- - -
c. Importantprimarilyforthenursingassessmentofpatients with-brain J
traumacaus
d.- -ed-cognitive-symptoms
ANS: Necessaryforplanning-psychiatric-careforall- patients especially-those
J
-D experie
n cing- psychiatric- disorders
- -
Nurses must-understand-that-many-symptomswsof-psychiatric-disorders-have-aneurol-
J
o- gi- c-basis,-although- thesymptoms-are manifested-behaviorally.-This-understandin- g-
J
fa-cilit- ates-effectivecareplanning.wsThewsfoundation-of-knowledge-is-not- usedexcl-
usively-by- ad- vanced-practice-psychiatric-nurses-nor-is-it-relevant-for-only-behavior-
therapies-or-brain-t- rauma-sincewsdealingwith- the- results-of-normal-and-abnormal-br-
ain-function-is-a-responsi- bility-ofwsall-nurses-providing-all-types-of-care-to- the-psy-
chiatric-patient.
5. A-patient-asks-thenurse,wsMy- wife-has-breast-cancer.-Could-it-becaused-by-her-
chr- onic- depression?- Which- response-is-supported- by- research- data?
a. Toowsmuchwsstress-haswsbeenwsprovenwstowscausewsallkinds ofwscancer.
J
b. Therewshavewsbeenwsnowsresearchwsstudies donewsonwsstresswsanddiseaseyet.
J
c. Stressdoes-cause- thereleaseoffactorsthat-suppress- the- immune- system.
d. There-appears-to-be-little-connection-betweenstress-and-diseases-of-thebod-
y-A- NS:-C
Research-indicates-that-stress- causesarelease-of- corticotropin-
releasing-factors-thatsuppress-the-immune-system.-Studies-indicate-that- psychiatric- di-
so- rders- such-as- mooddisorders-aresometimes- associated- withdecreased- functioni-
ng o- f- the- immunesystem.Research-does-notsupportaconnection-between-many-canc-
J
ers-a-nd- stres
s.-There-is-a-significant-amount-of-research- about-stress-and-the-body.-Researc-h-h-
as- show- n- that- there- are-some- connections- between- stress- andphysical- disease.
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr drJw
- - -Applications 5th Edition Testbank/Study Guide
s dr dr dr dr
6. A-patientwho-has-aparietal-lobe-injury-is-being- evaluated-for-psychiatric-rehabil- ita-
tio- n- needs.- Of- the- aspects- of- functioning- listed,- which- will- the- nurse- identifyas-a-
focu- s-of-nu- rsing-intervention?
a. Expression-of-emotion
b. Detectingauditory-stimuli
c. Receivingvisualimages
d. Processingassociations-
ANS:-D
The-parietallobe-is-responsible-for-associating-and-processing-sensory- information-th
at-allowsfor-functions-such-as-following-directions-on-amap,-readingwsawsclock,-dressi-n-
g-s- elf,-keeping-appointments,-and-distinguishing-right-from-left.wsEmotional-expre-
ssio-n-is-as- sociated-with-frontal-lobe-function.-Detecting auditorywsstimuli- is a-tempor- J J
al-lob-e-functio
n.-Receiving-visual-images-is-related- to-occipital-lobe- function.
7. Atadmission,-thenurselearns-that-some-timeagothepatient had-an-infarct-in-the- J
rig- ht cerebral-cortex.-During-assessment,-the-nursewswouldwsexpect-to-find-that-the-
J
pat-ient:
a. Demonstratesmajor-deficiencies in-speech J
b. Is-unable to effectively-hold-aspoon in the left-hand
J J dr dr J
c. Hasdifficulty-explaining-how to go about-using the telephone
J dr J J J
d. Cannot-use-hisright-hand towsshavehimself-or-comb-hisown-hair-
J
A- NS:-B
The-cerebralhemispheres-arews-responsible-for-functions-such-as-control-of-muscles.-Th
e-right-hemisphere-mainlywscontrols-the-motor-and-sensory-functions-on-the-left-sid-
eof- the- body.-Damagewstowsthe-right-side would- result- in- impaired- function- on- thelef-t-
J
sideo- f- the-bo- dy.wsThewsmotor- cortex-controls-voluntary-motor-activity.-Brocas-ar-ea-
controls-motor-spee-ch.-Cognitive-functions-are-attributed-to-the-association-co-rtex.
The-rightwssideofwsthe-bodys-motoractivity-is-controlled-bytheleftcerebralcortex.
8. A-patientwith-chronicschizophreniahadastroke-involvingthe-hippocampus.- The
p-atientwswill-be-discharged-on-low-dosesof-haloperidol.-Thenurse-willneed-to-ind-
iviwsdualwsizewsthewspatients medicationwsteachingwsby:
J
a. Includingthepatients-caregiver-in-theeducation
b. Beingcareful-to-stress- the-importance-oftakingthemedication- as-prescribed-
Pr- oviding- the- education- at- a- time- when-the- patient- is-emotionally- calm
and
c. ANS:-A
d.
