StahlsEssentialPsychopharmacology5thEdition
bb bb bb bb
Test Bank.
bb bb
, Stahl'sEssential Psychopharmacology bb bb
NeuroscientificBasisandPracticalApplications5th EditionTestbank/Study Guide bb bb bb bb bb bb bb bb
Chapter1 Chemicalneurotransmission bb bb bb
MULTIPLECHOICE bb
1. A patient with depression mentions to the nurse, My mother says depression is a
bb bb bb bb bb bb bb bb bb bb bb bb bb
chemicaldisorder.Whatdoesshemean?Thenurses responseis basedonthetheory that
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
depression primarily involves which of the following neurotransmitters?
bb bb bb bb bb bb bb bb
a. CortisolandGABA bb bb
b. COMT and glutamate bb bb
c. Monamineandglycine bb bb
d. Serotoninandnorepinephrine b b
ANS: D
bb bb
Onepossible cause ofdepression isthought toinvolveoneormoreneurotransmitters.
bb bb bb bb bb bb bb bb bb bb bb bb
Serotonin and norepinephrine have been found to be important in the regulation of
bb b bb bb bb bb b bb bb b b b
depression.Thereis noresearch tosupport thattheotheroptions play asignificant role in
bb bb b bb bb b bb bb b bb bb bb bb b bb bb
the development of depression.
bb bb bb bb
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
bb b bb bb b bb bb bb bb bb bb b
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
bb bb bb bb bb bb bb bb bb bb bb bb b bb
diagnosis?
bb
a. Observingthe patient pickup aspoon bb bb bb bb bb bb
b. Askingthepatient torecitethe alphabet bb bb bb bb bb bb
c. Monitoringthepatientsbloodpressure b b bb b
d. Comparingthepatientsgripstrengthinbothhands b b bb b b b b
ANS: B
bb bb
Accidentsorstrokesthatdamage Brocas area mayresultintheinability tospeak (i.e.,
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
motoraphasia).Finemotorskills,bloodpressurecontrol,andmusclestrengtharenot controlled by
bb bb bb b b bb b bb bb bb bb bb bb bb
the Broca area of the left frontal lobe.
bb bb bb bb bb bb bb bb
3. The patient diagnosed with schizophrenia asks why psychotropic medications are
bb bb bb bb bb bb bb bb bb
alwaysprescribedbythedoctor.Thenursesanswerwillbebasedoninformationthat the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
therapeutic action of psychotropic drugs is the result of their effect on:
bb bb bb bb bb bb bb bb bb bb bb bb
a. Thetemporallobe;especiallyWernickesarea b b bb bb bb
b. Dendritesandtheirabilitytotransmitelectricalimpulses bb bb bb bb bb bb bb
c. Theregulationofneurotransmittersespeciallydopamine
b b b b b
d. Theperipheralnervoussystemsensitivitytothepsychotropicmedications
b bb bb b bb bb bb b
,ANS: C bb
Medicationsusedtotreatpsychiatricdisordersoperateinandaroundthesynapticcleft and bb bb bb b bb bb bb bb bb bb b bb bb
have action at the neurotransmitter level, especially in the case of schizophrenia, on
bb bb bb bb bb bb bb bb bb bb bb bb bb
dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
bb bb bb bb bb bb bb bb bb bb bb bb
nervous system are not relevant to either schizophrenia or psychotropic medications.
bb bb bb bb bb bb bb bb bb bb bb
4. Astudentnursemutters thatitseems entirelyunnecessarytohavetostrugglewith
bb bb bb bb bb bb bb bb bb bb bb bb bb
understanding the anatomy and physiology of the neurologic system. The mentor would
bb bb bb bb bb bb bb bb bb bb bb bb
base a response on the understanding that it is:
bb bb bb bb bb bb bb bb bb
Necessarybutgenerallyforpsychiatricnurseswhofocusprimarilyon b b bb b bb bb bb bb bb
a. behavioralinterventions b
Acomplexundertakingthatadvancepracticepsychiatricnursesfrequentlyuse in
b b bb b bb b bb b b bb
b. their practice
bb bb
Importantprimarilyforthenursingassessmentofpatientswithbrain traumacaused bb b b bb b bb b b bb bb
c. cognitive symptoms
bb bb
Necessaryforplanningpsychiatriccareforallpatientsespeciallythose bb b b bb bb b b bb bb
d. experiencing psychiatric disorders
bb bb bb
ANS: D bb
Nurses must understand that many symptoms of psychiatric disorders have a neurologic
bb bb bb bb bb bb bb bb bb bb bb
basis, although the symptoms are manifested behaviorally. This understandingfacilitates
bb bb bb bb bb bb bb bb bb b
effectivecareplanning.Thefoundationofknowledgeisnot used exclusively by advanced
bb bb b b bb b b b b bb bb bb bb
practice psychiatric nurses nor is it relevant for only behavior therapies or brain trauma
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
since dealing with the results of normal and abnormalbrain function is aresponsibility of all
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
nurses providing all types of care to the psychiatric patient.
bb bb bb bb bb bb bb bb bb bb
5. A patientasks the nurse,My wifehas breastcancer.Could it becausedby her chronic
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
depression? Which response is supported by research data?
bb bb bb bb bb bb bb bb
a. Too much stress has been proven to causeallkinds of cancer. bb bb bb bb bb bb bb bb bb bb bb
b. Therehave been noresearch studies done onstress anddisease yet. bb bb bb bb bb bb bb bb bb bb bb
c. Stressdoescause thereleaseoffactorsthatsuppress theimmune system. bb bb bb bb bb bb bb bb bb bb bb
d. Thereappears tobelittleconnectionbetweenstressanddiseases ofthebody ANS:
bb bb bb bb bb bb bb bb bb bb bb bb bb
C
bb
Researchindicatesthatstresscausesareleaseofcorticotropin-releasingfactorsthat
bb bb b bb bb bb bb bb b bb
suppress theimmunesystem. Studies indicate thatpsychiatric disorders such as mood
bb bb bb bb bb bb bb bb bb bb bb
disordersaresometimesassociatedwithdecreasedfunctioningoftheimmunesystem.
bb bb bb bb bb b bb b b b bb
Research does not support a connection between many cancers and stress. There is a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
significant amount of research about stress and the body. Research has shown that there are
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
some connections between stress and physical disease.
bb bb bb bb bb bb bb
, 6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation
bb bb bb bb bb bb bb bb bb bb bb bb bb
needs.Oftheaspectsoffunctioninglisted,whichwillthenurseidentify as a focus of nursing
bb b bb bb bb b bb b bb bb bb b bb bb bb bb bb
intervention?
bb
a. Expressionofemotion b b
b. Detectingauditorystimuli b b
c. Receivingvisualimages b b
d. Processing associations bb
ANS: D
bb bb
Theparietallobeisresponsibleforassociatingandprocessingsensoryinformation
b b bb bb bb bb bb bb bb bb
that allows for functions such as following directions on a map, reading a clock, dressing
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
self, keeping appointments, and distinguishing right from left. Emotional expression is
bb bb bb bb bb bb bb bb bb bb bb
associated with frontal lobe function. Detecting auditory stimuli is a temporallobe
bb bb bb bb bb bb bb bb bb bb bb b
function.Receivingvisualimagesisrelatedtooccipitallobefunction.
bb bb bb bb bb bb bb bb bb bb
7. At admission,thenurselearnsthatsometime agothe patienthadaninfarctinthe right
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
cerebral cortex. During assessment, the nurse would expect to find that the patient:
bb bb bb bb bb bb bb bb bb bb bb bb bb
a. Demonstratesmajordeficienciesinspeech bb b bb b
b. Is unableto effectively hold aspoon inthe left hand
bb bb bb bb bb bb bb bb bb bb
c. Hasdifficultyexplaininghowto goabout usingthetelephone
b bb bb bb bb bb bb bb bb
d. Cannotusehis righthandtoshavehimselforcombhis ownhair ANS: bb bb bb bb bb bb bb bb bb bb bb bb bb
B
bb
Thecerebralhemispheresareresponsible forfunctions suchascontrolofmuscles.
b bb bb bb bb bb bb bb bb bb bb
Therighthemispheremainlycontrolsthemotorandsensoryfunctionsontheleftside of the
bb bb bb b bb bb bb bb bb bb bb bb bb bb bb
body. Damage to the right side would result in impaired function on the left side of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
body. The motor cortex controls voluntary motor activity. Brocas area controls motor
bb bb bb bb bb bb bb bb bb bb bb bb
speech. Cognitive functions are attributed to the association cortex.
bb bb bb bb bb bb bb bb bb
Therightsideofthebodys motoractivityiscontrolledbythe leftcerebral cortex.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
8. Apatientwithchronicschizophreniahadastrokeinvolvingthehippocampus.The
bb bb b b bb b bb b bb bb b
patient will be discharged on low doses of haloperidol. The nurse will need to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
individualize the patients medication teaching by:
bb bb bb bb bb bb
a. Includingthepatients caregiverintheeducation bb bb bb bb bb bb
b. Beingcarefultostresstheimportanceoftakingthemedicationasprescribed
bb bb bb bb b bb bb bb bb bb bb
Providing the education at a time when the patient is emotionally calm and
bb bb bb bb bb bb bb bb bb bb bb bb bb
c. relaxed
Encouragingthepatienttocrushordissolvethemedicationtohelpwith swallowing bb bb b b bb bb bb bb b bb bb bb
d.
ANS: A bb
WWW.TESTBANKTANK.COM
bb bb bb bb
Test Bank.
bb bb
, Stahl'sEssential Psychopharmacology bb bb
NeuroscientificBasisandPracticalApplications5th EditionTestbank/Study Guide bb bb bb bb bb bb bb bb
Chapter1 Chemicalneurotransmission bb bb bb
MULTIPLECHOICE bb
1. A patient with depression mentions to the nurse, My mother says depression is a
bb bb bb bb bb bb bb bb bb bb bb bb bb
chemicaldisorder.Whatdoesshemean?Thenurses responseis basedonthetheory that
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
depression primarily involves which of the following neurotransmitters?
bb bb bb bb bb bb bb bb
a. CortisolandGABA bb bb
b. COMT and glutamate bb bb
c. Monamineandglycine bb bb
d. Serotoninandnorepinephrine b b
ANS: D
bb bb
Onepossible cause ofdepression isthought toinvolveoneormoreneurotransmitters.
bb bb bb bb bb bb bb bb bb bb bb bb
Serotonin and norepinephrine have been found to be important in the regulation of
bb b bb bb bb bb b bb bb b b b
depression.Thereis noresearch tosupport thattheotheroptions play asignificant role in
bb bb b bb bb b bb bb b bb bb bb bb b bb bb
the development of depression.
bb bb bb bb
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
bb b bb bb b bb bb bb bb bb bb b
damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
bb bb bb bb bb bb bb bb bb bb bb bb b bb
diagnosis?
bb
a. Observingthe patient pickup aspoon bb bb bb bb bb bb
b. Askingthepatient torecitethe alphabet bb bb bb bb bb bb
c. Monitoringthepatientsbloodpressure b b bb b
d. Comparingthepatientsgripstrengthinbothhands b b bb b b b b
ANS: B
bb bb
Accidentsorstrokesthatdamage Brocas area mayresultintheinability tospeak (i.e.,
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
motoraphasia).Finemotorskills,bloodpressurecontrol,andmusclestrengtharenot controlled by
bb bb bb b b bb b bb bb bb bb bb bb bb
the Broca area of the left frontal lobe.
bb bb bb bb bb bb bb bb
3. The patient diagnosed with schizophrenia asks why psychotropic medications are
bb bb bb bb bb bb bb bb bb
alwaysprescribedbythedoctor.Thenursesanswerwillbebasedoninformationthat the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
therapeutic action of psychotropic drugs is the result of their effect on:
bb bb bb bb bb bb bb bb bb bb bb bb
a. Thetemporallobe;especiallyWernickesarea b b bb bb bb
b. Dendritesandtheirabilitytotransmitelectricalimpulses bb bb bb bb bb bb bb
c. Theregulationofneurotransmittersespeciallydopamine
b b b b b
d. Theperipheralnervoussystemsensitivitytothepsychotropicmedications
b bb bb b bb bb bb b
,ANS: C bb
Medicationsusedtotreatpsychiatricdisordersoperateinandaroundthesynapticcleft and bb bb bb b bb bb bb bb bb bb b bb bb
have action at the neurotransmitter level, especially in the case of schizophrenia, on
bb bb bb bb bb bb bb bb bb bb bb bb bb
dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
bb bb bb bb bb bb bb bb bb bb bb bb
nervous system are not relevant to either schizophrenia or psychotropic medications.
bb bb bb bb bb bb bb bb bb bb bb
4. Astudentnursemutters thatitseems entirelyunnecessarytohavetostrugglewith
bb bb bb bb bb bb bb bb bb bb bb bb bb
understanding the anatomy and physiology of the neurologic system. The mentor would
bb bb bb bb bb bb bb bb bb bb bb bb
base a response on the understanding that it is:
bb bb bb bb bb bb bb bb bb
Necessarybutgenerallyforpsychiatricnurseswhofocusprimarilyon b b bb b bb bb bb bb bb
a. behavioralinterventions b
Acomplexundertakingthatadvancepracticepsychiatricnursesfrequentlyuse in
b b bb b bb b bb b b bb
b. their practice
bb bb
Importantprimarilyforthenursingassessmentofpatientswithbrain traumacaused bb b b bb b bb b b bb bb
c. cognitive symptoms
bb bb
Necessaryforplanningpsychiatriccareforallpatientsespeciallythose bb b b bb bb b b bb bb
d. experiencing psychiatric disorders
bb bb bb
ANS: D bb
Nurses must understand that many symptoms of psychiatric disorders have a neurologic
bb bb bb bb bb bb bb bb bb bb bb
basis, although the symptoms are manifested behaviorally. This understandingfacilitates
bb bb bb bb bb bb bb bb bb b
effectivecareplanning.Thefoundationofknowledgeisnot used exclusively by advanced
bb bb b b bb b b b b bb bb bb bb
practice psychiatric nurses nor is it relevant for only behavior therapies or brain trauma
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
since dealing with the results of normal and abnormalbrain function is aresponsibility of all
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
nurses providing all types of care to the psychiatric patient.
bb bb bb bb bb bb bb bb bb bb
5. A patientasks the nurse,My wifehas breastcancer.Could it becausedby her chronic
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
depression? Which response is supported by research data?
bb bb bb bb bb bb bb bb
a. Too much stress has been proven to causeallkinds of cancer. bb bb bb bb bb bb bb bb bb bb bb
b. Therehave been noresearch studies done onstress anddisease yet. bb bb bb bb bb bb bb bb bb bb bb
c. Stressdoescause thereleaseoffactorsthatsuppress theimmune system. bb bb bb bb bb bb bb bb bb bb bb
d. Thereappears tobelittleconnectionbetweenstressanddiseases ofthebody ANS:
bb bb bb bb bb bb bb bb bb bb bb bb bb
C
bb
Researchindicatesthatstresscausesareleaseofcorticotropin-releasingfactorsthat
bb bb b bb bb bb bb bb b bb
suppress theimmunesystem. Studies indicate thatpsychiatric disorders such as mood
bb bb bb bb bb bb bb bb bb bb bb
disordersaresometimesassociatedwithdecreasedfunctioningoftheimmunesystem.
bb bb bb bb bb b bb b b b bb
Research does not support a connection between many cancers and stress. There is a
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
significant amount of research about stress and the body. Research has shown that there are
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
some connections between stress and physical disease.
bb bb bb bb bb bb bb
, 6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation
bb bb bb bb bb bb bb bb bb bb bb bb bb
needs.Oftheaspectsoffunctioninglisted,whichwillthenurseidentify as a focus of nursing
bb b bb bb bb b bb b bb bb bb b bb bb bb bb bb
intervention?
bb
a. Expressionofemotion b b
b. Detectingauditorystimuli b b
c. Receivingvisualimages b b
d. Processing associations bb
ANS: D
bb bb
Theparietallobeisresponsibleforassociatingandprocessingsensoryinformation
b b bb bb bb bb bb bb bb bb
that allows for functions such as following directions on a map, reading a clock, dressing
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
self, keeping appointments, and distinguishing right from left. Emotional expression is
bb bb bb bb bb bb bb bb bb bb bb
associated with frontal lobe function. Detecting auditory stimuli is a temporallobe
bb bb bb bb bb bb bb bb bb bb bb b
function.Receivingvisualimagesisrelatedtooccipitallobefunction.
bb bb bb bb bb bb bb bb bb bb
7. At admission,thenurselearnsthatsometime agothe patienthadaninfarctinthe right
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
cerebral cortex. During assessment, the nurse would expect to find that the patient:
bb bb bb bb bb bb bb bb bb bb bb bb bb
a. Demonstratesmajordeficienciesinspeech bb b bb b
b. Is unableto effectively hold aspoon inthe left hand
bb bb bb bb bb bb bb bb bb bb
c. Hasdifficultyexplaininghowto goabout usingthetelephone
b bb bb bb bb bb bb bb bb
d. Cannotusehis righthandtoshavehimselforcombhis ownhair ANS: bb bb bb bb bb bb bb bb bb bb bb bb bb
B
bb
Thecerebralhemispheresareresponsible forfunctions suchascontrolofmuscles.
b bb bb bb bb bb bb bb bb bb bb
Therighthemispheremainlycontrolsthemotorandsensoryfunctionsontheleftside of the
bb bb bb b bb bb bb bb bb bb bb bb bb bb bb
body. Damage to the right side would result in impaired function on the left side of the
bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb bb
body. The motor cortex controls voluntary motor activity. Brocas area controls motor
bb bb bb bb bb bb bb bb bb bb bb bb
speech. Cognitive functions are attributed to the association cortex.
bb bb bb bb bb bb bb bb bb
Therightsideofthebodys motoractivityiscontrolledbythe leftcerebral cortex.
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
8. Apatientwithchronicschizophreniahadastrokeinvolvingthehippocampus.The
bb bb b b bb b bb b bb bb b
patient will be discharged on low doses of haloperidol. The nurse will need to
bb bb bb bb bb bb bb bb bb bb bb bb bb bb
individualize the patients medication teaching by:
bb bb bb bb bb bb
a. Includingthepatients caregiverintheeducation bb bb bb bb bb bb
b. Beingcarefultostresstheimportanceoftakingthemedicationasprescribed
bb bb bb bb b bb bb bb bb bb bb
Providing the education at a time when the patient is emotionally calm and
bb bb bb bb bb bb bb bb bb bb bb bb bb
c. relaxed
Encouragingthepatienttocrushordissolvethemedicationtohelpwith swallowing bb bb b b bb bb bb bb b bb bb bb
d.
ANS: A bb
WWW.TESTBANKTANK.COM
