Test Bank - Stahl’s Essential Psychopharmacology, 5th Edition Test Bank – Comprehensive Psychopharmacology Practice Questions, Solutions & Exam Prep | Stephen M. Stahl (ISBN-)

StahlsEssentialPsychopharmacology5thEdition
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Test Bank.
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, Stahl'sEssential Psychopharmacology xx xx




NeuroscientificBasisandPracticalApplications5th EditionTestbank/Study Guide xx xx xx xx xx xx xx xx




Chapter1 Chemicalneurotransmission xx xx xx




MULTIPLECHOICE xx




1. A patient with depression mentions to the nurse, My mother says depression is a
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chemicaldisorder.Whatdoesshemean?Thenurses responseis basedonthetheory that
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depression primarily involves which of the following neurotransmitters?
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a. CortisolandGABA xx xx




b. COMT and glutamate xx xx




c. Monamineandglycine xx xx




d. Serotoninandnorepinephrine x x




ANS: D
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Onepossible cause ofdepression isthought toinvolveoneormoreneurotransmitters.
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Serotonin and norepinephrine have been found to be important in the regulation of
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depression.Thereis noresearch tosupport thattheotheroptions play asignificant role in
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the development of depression.
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2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
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damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
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diagnosis?
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a. Observingthe patient pickup aspoon xx xx xx xx xx xx




b. Askingthepatient torecitethe alphabet xx xx xx xx xx xx




c. Monitoringthepatientsbloodpressure x x xx x




d. Comparingthepatientsgripstrengthinbothhands x x xx x x x x




ANS: B
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Accidentsorstrokesthatdamage Brocas area mayresultintheinability tospeak (i.e.,
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motoraphasia).Finemotorskills,bloodpressurecontrol,andmusclestrengtharenot controlled by
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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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alwaysprescribedbythedoctor.Thenursesanswerwillbebasedoninformationthat the
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therapeutic action of psychotropic drugs is the result of their effect on:
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a. Thetemporallobe;especiallyWernickesarea x x xx xx xx




b. Dendritesandtheirabilitytotransmitelectricalimpulses xx xx xx xx xx xx xx




c. Theregulationofneurotransmittersespeciallydopamine
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d. Theperipheralnervoussystemsensitivitytothepsychotropicmedications
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,ANS: C xx




Medicationsusedtotreatpsychiatricdisordersoperateinandaroundthesynapticcleft and xx xx xx x xx xx xx xx xx xx x xx xx




have action at the neurotransmitter level, especially in the case of schizophrenia, on
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dopamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral
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nervous system are not relevant to either schizophrenia or psychotropic medications.
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4. Astudentnursemutters thatitseems entirelyunnecessarytohavetostrugglewith
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understanding the anatomy and physiology of the neurologic system. The mentor would
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base a response on the understanding that it is:
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Necessarybutgenerallyforpsychiatricnurseswhofocusprimarilyon x x xx x xx xx xx xx xx




a. behavioralinterventions x




Acomplexundertakingthatadvancepracticepsychiatricnursesfrequentlyuse in
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b. their practice
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Importantprimarilyforthenursingassessmentofpatientswithbrain traumacaused xx x x xx x xx x x xx xx




c. cognitive symptoms
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Necessaryforplanningpsychiatriccareforallpatientsespeciallythose xx x x xx xx x x xx xx




d. experiencing psychiatric disorders
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ANS: D xx




Nurses must understand that many symptoms of psychiatric disorders have a neurologic
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basis, although the symptoms are manifested behaviorally. This understandingfacilitates
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effectivecareplanning.Thefoundationofknowledgeisnot used exclusively by advanced
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practice psychiatric nurses nor is it relevant for only behavior therapies or brain trauma
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since dealing with the results of normal and abnormalbrain function is aresponsibility of all
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nurses providing all types of care to the psychiatric patient.
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5. A patientasks the nurse,My wifehas breastcancer.Could it becausedby her chronic
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depression? Which response is supported by research data?
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a. Too much stress has been proven to causeallkinds of cancer. xx xx xx xx xx xx xx xx xx xx xx




b. Therehave been noresearch studies done onstress anddisease yet. xx xx xx xx xx xx xx xx xx xx xx




c. Stressdoescause thereleaseoffactorsthatsuppress theimmune system. xx xx xx xx xx xx xx xx xx xx xx




d. Thereappears tobelittleconnectionbetweenstressanddiseases ofthebody ANS:
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C
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Researchindicatesthatstresscausesareleaseofcorticotropin-releasingfactorsthat
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suppress theimmunesystem. Studies indicate thatpsychiatric disorders such as mood
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disordersaresometimesassociatedwithdecreasedfunctioningoftheimmunesystem.
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Research does not support a connection between many cancers and stress. There is a
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significant amount of research about stress and the body. Research has shown that there are
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some connections between stress and physical disease.
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, 6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation
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needs.Oftheaspectsoffunctioninglisted,whichwillthenurseidentify as a focus of nursing
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intervention?
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a. Expressionofemotion x x




b. Detectingauditorystimuli x x




c. Receivingvisualimages x x




d. Processing associations xx




ANS: D
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Theparietallobeisresponsibleforassociatingandprocessingsensoryinformation
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that allows for functions such as following directions on a map, reading a clock, dressing
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self, keeping appointments, and distinguishing right from left. Emotional expression is
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associated with frontal lobe function. Detecting auditory stimuli is a temporallobe
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function.Receivingvisualimagesisrelatedtooccipitallobefunction.
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7. At admission,thenurselearnsthatsometime agothe patienthadaninfarctinthe right
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cerebral cortex. During assessment, the nurse would expect to find that the patient:
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a. Demonstratesmajordeficienciesinspeech xx x xx x




b. Is unableto effectively hold aspoon inthe left hand
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c. Hasdifficultyexplaininghowto goabout usingthetelephone
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d. Cannotusehis righthandtoshavehimselforcombhis ownhair ANS: xx xx xx xx xx xx xx xx xx xx xx xx xx




B
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Thecerebralhemispheresareresponsible forfunctions suchascontrolofmuscles.
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Therighthemispheremainlycontrolsthemotorandsensoryfunctionsontheleftside of the
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body. Damage to the right side would result in impaired function on the left side of the
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body. The motor cortex controls voluntary motor activity. Brocas area controls motor
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speech. Cognitive functions are attributed to the association cortex.
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Therightsideofthebodys motoractivityiscontrolledbythe leftcerebral cortex.
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8. Apatientwithchronicschizophreniahadastrokeinvolvingthehippocampus.The
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patient will be discharged on low doses of haloperidol. The nurse will need to
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individualize the patients medication teaching by:
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a. Includingthepatients caregiverintheeducation xx xx xx xx xx xx




b. Beingcarefultostresstheimportanceoftakingthemedicationasprescribed
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Providing the education at a time when the patient is emotionally calm and
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c. relaxed
Encouragingthepatienttocrushordissolvethemedicationtohelpwith swallowing xx xx x x xx xx xx xx x xx xx xx




d.
ANS: A xx




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