PSYCHOPHARMACOLOGY 5TH EDITION
TEST BANK Questions and Answers
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1. A patient with depression mentions to the nurse, My mother says depres-
sion is a chemical disorder. What does she mean? The nurses response is based
on the theory that depression primarily involves which of the following
neurotransmitters?
a. Cortisol and GABA
b. COMT and glutamate
c. Monamine and glycine
d. Serotonin and norepinephrine
Answer: d. Serotonin and norepinephrine
,2. A patient has experienced a stroke (cerebral vascular accident) that has re-
sulted in damage to the Broca area. Which evaluation does the nurse conduct
to reinforce this diagnosis?
a. Observing the patient pick up a spoon
b. Asking the patient to recite the alphabet
c. Monitoring the patients blood pressure
d. Comparing the patients grip strength in both
Answer: b. Asking the patient to recite the alphabet
3. The patient diagnosed with schizophrenia asks why psychotropic medica-
tions are always prescribed by the doctor. The nurses answer will be based on
information that the therapeutic action of psychotropic drugs is the result of
their effect on:
a. The temporal lobe; especially Wernickes area
b. Dendrites and their ability to transmit electrical impulses
c. The regulation of neurotransmitters especially dopamine
d. The peripheral nervous system sensitivity to the psychotropic medications-
Answer: c. The regulation of neurotransmitters especially dopamine
,4. A student nurse mutters that it seems entirely unnecessary to have to
struggle with understanding the anatomy and physiology of the neurologic
system. The mentor would base a response on the understanding that it is:
a. Necessary but generally for psychiatric nurses who focus primarily on
behavioral interventions
b. A complex undertaking that advance practice psychiatric nurses frequently
use in their practice
c. Important primarily for the nursing assessment of patients with brain
trauma caused cognitive symptoms
d. Necessary for planning psychiatric care for all patients especially those
experiencing psychiatric disorders
Answer: d. Necessary for planning psychiatric care for all patients especially those experiencing
psychiatric disorders
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by
her chronic depression? Which response is supported by research data?
a. Too much stress has been proven to cause all kinds of cancer.
b. There have been no research studies done on stress and disease yet.
c. Stress does cause the release of factors that suppress the immune system.
, d. There appears to be little connection between stress and diseases of the
body
Answer: c. Stress does cause the release of factors that suppress the immune system.
6. A patient who has a parietal lobe injury is being evaluated for psychiatric
rehabilitation needs. Of the aspects of functioning listed, which will the nurse
identify as a focus of nursing intervention?
a. Expression of emotion
b. Detecting auditory stimuli
c. Receiving visual images
d. Processing associations
Answer: d. Processing associations
7. At admission, the nurse learns that some time ago the patient had an infarct
in the right cerebral cortex. During assessment, the nurse would expect to
find that the patient:
a. Demonstrates major deficiencies in speech
b. Is unable to effectively hold a spoon in the left hand
c. Has difficulty explaining how to go about using the telephone
d. Cannot use his right hand to shave himself or comb his own