TB Stahls Essential Psychopharmacology 4th Edition Test BankT
z z z z z z z z
ank 100% Questions And Answers Graded A
z z z z z z
Stahl's Essential Psychopharmacology z z
NeuroscientificzBasiszandzPracticalzApplicationszTESTBANK/STUDYzGUIDE
Chapter 1 Chemical neurotransmission
z z z
MULTIPLE CHOICE z
1. A patient with depression mentions to the nurse, My mother says depression is a che
z z z z z z z z z z z z z z
mical disorder. What does she mean? The nurses response is based on the theorythat de
z z z z z z z z z z z z z z z
pression primarily involves which of the following neurotransmitters?
z z z z z z z
a. Cortisol and GABA z z
b. COMT and glutamate z z
c. Monamine and glycine z z
d. Serotonin and norepinephrine z z
ANS: D z
One possible cause of depression is thought to involve one or more neurotransmitters.Se
z z z z z z z z z z z z z
rotonin and norepinephrine have been found to be important in the regulation of depressi
z z z z z z z z z z z z z
on. There is no research to support that the other options play a significant role in the dev
z z z z z z z z z z z z z z z z z
elopment of depression. z z
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted inda
z z z z z z z z z z z z z
mage to the Broca area. Which evaluation does the nurse conduct to reinforce thisdiag
z z z z z z z z z z z z z z
nosis?
a. Observing the patient pick up a spoon z z z z z z
b. Asking the patient to recite the alphabet z z z z z z
c. Monitoring the patients blood pressure z z z z
d. Comparing the patients grip strength in both hands z z z z z z z
ANS: B z
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,m
z z z z z z z z z z z z z z z
otor aphasia). Fine motor skills, blood pressure control, and muscle strength are notcont
z z z z z z z z z z z z z
rolled by the Broca area of the left frontal lobe.
z z z z z z z z z
3. The patient diagnosed with schizophrenia asks why psychotropic medications are al
z z z z z z z z z z
ways prescribed by the doctor. The nurses answer will be based on information thatthe t
z z z z z z z z z z z z z z z
herapeutic action of psychotropic drugs is the result of their effect on:
z z z z z z z z z z z
a. The temporal lobe; especially Wernickes area z z z z z
b. Dendrites and their ability to transmit electrical impulses z z z z z z z
c. The regulation of neurotransmitters especially dopamine
z z z z z
d. The peripheral nervous system sensitivity to the psychotropic medications
z z z z z z z z
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,TB Stahls Essential Psychopharmacology 4th Edition Test BankT
z z z z z z z z
ank 100% Questions And Answers Graded A
z z z z z z
ANS: C z
Medications used to treat psychiatric disorders operate in and around the synaptic cleftan
z z z z z z z z z z z z z
d have action at the neurotransmitter level, especially in the case of schizophrenia, on do
z z z z z z z z z z z z z z
pamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral nervo
z z z z z z z z z z z z
us system are not relevant to either schizophrenia or psychotropic medications.
z z z z z z z z z z
4. A student nurse mutters that it seems entirely unnecessary to have to struggle withun
z z z z z z z z z z z z z z
derstanding the anatomy and physiology of the neurologic system. The mentor would
z z z z z z z z z z z z
base a response on the understanding that it is:
z z z z z z z z
Necessary but generally for psychiatric nurses who focus primarily onb z z z z z z z z z z
a. ehavioral interventions z
A complex undertaking that advance practice psychiatric nurses frequently usein
z z z z z z z z z z
b. their practice
z z
Important primarily for the nursing assessment of patients with braintraumacaused
z z z z z z z z z z z
c. cognitive symptoms z
Necessary for planning psychiatric care for all patients especially thoseexperiencin
z z z z z z z z z z
d. g psychiatric disorders
z z
ANS: D z
Nurses must understand that many symptoms of psychiatric disorders have a neurologic
z z z z z z z z z z z z
basis, although the symptoms are manifested behaviorally. This understanding facilitate
z z z z z z z z z
s effective care planning. The foundation of knowledge is notused exclusively by advanc
z z z z z z z z z z z z z
ed practice psychiatric nurses nor is it relevant for only behavior therapies or brain traum
z z z z z z z z z z z z z z
a since dealing with the results of normal and abnormal brain function is a responsibility
z z z z z z z z z z z z z z z
of all nurses providing all types of care tothe psychiatric patient.
z z z z z z z z z z z
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herchr
z z z z z z z z z z z z z z z z
onic depression? Which response is supported by research data?
z z z z z z z z
a. Too much stress has been proven to cause all kinds of cancer.
z z z z z z z z z z z
b. There have been no research studies done on stress and disease yet.
z z z z z z z z z z z
c. Stress does cause the release of factors that suppress the immune system.
z z z z z z z z z z z
d. There appears to be little connection between stress and diseases of the body
z z z z z z z z z z z z
ANS: C z
Research indicates that stress causes a release of corticotropin-
z z z z z z z z
releasing factors that suppress the immune system. Studies indicate that psychiatric diso
z z z z z z z z z z z
rders such as mooddisorders are sometimes associated with decreased functioning of the
z z z z z z z z z z z z z
immune system.Research does not support a connection between many cancers and stre
z z z z z z z z z z z z
ss. There is a significant amount of research about stress and the body. Research has sho
z z z z z z z z z z z z z z z
wn that there are some connections between stress and physical disease.
z z z z z z z z z z
WWW.TESTBANKTANK.COM
,TB Stahls Essential Psychopharmacology 4th Edition Test BankT
z z z z z z z z
ank 100% Questions And Answers Graded A
z z z z z z
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitatio
z z z z z z z z z z z z z
n needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of nu
z z z z z z z z z z z z z z z z z
rsing intervention? z
a. Expression of emotion z z
b. Detecting auditory stimuli z z
c. Receiving visual images z z
d. Processing associations z
ANS: D z
The parietal lobe is responsible for associating and processing sensory information that
z z z z z z z z z z z z
allows for functions such as following directions on a map, reading a clock, dressing self
z z z z z z z z z z z z z z
, keeping appointments, and distinguishing right from left. Emotional expression is asso
z z z z z z z z z z z
ciated with frontal lobe function. Detecting auditory stimuli is a temporal lobe function.
z z z z z z z z z z z z z
Receiving visual images is related to occipital lobe function.
z z z z z z z z
7. At admission, the nurse learns that some time ago the patient had an infarct in therig
z z z z z z z z z z z z z z z z
ht cerebral cortex. During assessment, the nurse would expect to find that the patient:
z z z z z z z z z z z z z
a. Demonstrates major deficiencies in speech z z z z
b. Is unable to effectively hold a spoon in the left hand
z z z z z z z z z z
c. Has difficulty explaining how to go about using the telephone
z z z z z z z z z
d. Cannot use his right hand to shave himself or comb his own hair z z z z z z z z z z z z
ANS: B z
The cerebral hemispheres are responsible for functions such as control of muscles. The r
z z z z z z z z z z z z z
ight hemisphere mainly controls the motor and sensory functions on the left sideof the bo
z z z z z z z z z z z z z z z
dy. Damage to the right side would result in impaired function on the left side of the bod
z z z z z z z z z z z z z z z z z
y. The motor cortex controls voluntary motor activity. Brocas area controls motor speec
z z z z z z z z z z z z
h. Cognitive functions are attributed to the association cortex.
z z z z z z z z
The right side of the bodys motor activity is controlled by the left cerebral cortex.
z z z z z z z z z z z z z z
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Thepa
z z z z z z z z z z z z
tient will be discharged on low doses of haloperidol. The nurse will need to individuali
z z z z z z z z z z z z z z
ze the patients medication teaching by:
z z z z z
a. Including the patients caregiver in the education z z z z z z
b. Being careful to stress the importance of taking the medication as prescribed
z z z z z z z z z z z
Providing the education at a time when the patient is emotionally calm andrelaxed
z z z z z z z z z z z z z
c.
Encouraging the patient to crush or dissolve the medication to help withswallowing
z z z z z z z z z z z z
d.
ANS: A z
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, TB Stahls Essential Psychopharmacology 4th Edition Test BankT
z z z z z z z z
ank 100% Questions And Answers Graded A
z z z z z z
The hippocampus plays a major role in short-
z z z z z z z
term memory and, hence, in learning. Taking the medication as prescribed and providin
z z z z z z z z z z z z
g the education at a time when the patient is calm and relaxed is information or considera
z z z z z z z z z z z z z z z z
tions that all patients should begiven. The medication does not necessarily need to be cru
z z z z z z z z z z z z z z z
shed or dissolved since the stroke would not have caused difficulty with swallowing.
z z z z z z z z z z z z
9. The physician tells the nurse, The medication Im prescribing for the patient enh
z z z z z z z z z z z z
ances the g- z z
aminobutyric acid (GABA) system. Which patient behavior willprovide evidencez z z z z z z z z
zthat the medication therapy is successful?
z z z z z
a. The patient is actively involved in playing cards with other patients.
z z z z z z z z z z
b. The patient reports that, I dont feel as anxious as I did a couple of days ago.
z z z z z z z z z z z z z z z z
c. The patient reports that both auditory and visual hallucinations have decreased.
z z z z z z z z z z
d. The patient says that, I am much happier than before I came to the hospital.
z z z z z z z z z z z z z z
ANS: B z
GABA is the principle inhibitory neurotransmitter. The medication should provide anant
z z z z z z z z z z z
ianxiety effect. Alertness, psychotic behaviors, and mood elevation are not generally aff
z z z z z z z z z z z
ected by g-aminobutyric acid.
z z z
10. The patients family asks whether a diagnosis of Parkinsons disease creates anin
z z z z z z z z z z z z
creased risk for any mental health issues. What question would the nurse ask toasse
z z z z z z z z z z z z z z
ss for such a comorbid condition?
z z z z z
a. Has your father exhibited any signs of depression? z z z z z z z
b. Does your father seem to experience mood swings?
z z z z z z z
c. Have you noticed your father talking about seeing things you cant see?z z z z z z z z z z z
d. Is your dad preoccupied with behaviors that he needs to repeat over and over?
z z z z z z z z z z z z z
ANS: A z
Serotonin and its close chemical relatives, dopamine and norepinephrine, are the neurotr
z z z z z z z z z z z
ansmitters that are most widely involved in various forms of depression. Mostresearcher
z z z z z z z z z z z z
s agree that the immediate cause of parkinsonism is a deficiency of dopamine and so a pa
z z z z z z z z z z z z z z z z
tient with Parkinsons disease should be monitored for depression, The other mental heal
z z z z z z z z z z z z
th disorders (bipolar disorder, hallucinations, and obsessive compulsive disorder) have
z z z z z z z z z z
not been connected to Parkinsons disease.
z z z z z
11. Which explanation for the prescription of donepezil (Aricept) would the nursepr
z z z z z z z z z z z
ovide for a patient in the early stage of Alzheimers disease?
z z z z z z z z z z
a. It will increase the metabolism of excess GABA. z z z z z z z
b. Excess dopamine will be prevented from attaching to receptor sites.
z z z z z z z z z
c. Serotonin deficiency will be managed through a prolonged reuptake period. z z z z z z z z z
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
z z z z z z z z
ANS: D z
WWW.TESTBANKTANK.COM
z z z z z z z z
ank 100% Questions And Answers Graded A
z z z z z z
Stahl's Essential Psychopharmacology z z
NeuroscientificzBasiszandzPracticalzApplicationszTESTBANK/STUDYzGUIDE
Chapter 1 Chemical neurotransmission
z z z
MULTIPLE CHOICE z
1. A patient with depression mentions to the nurse, My mother says depression is a che
z z z z z z z z z z z z z z
mical disorder. What does she mean? The nurses response is based on the theorythat de
z z z z z z z z z z z z z z z
pression primarily involves which of the following neurotransmitters?
z z z z z z z
a. Cortisol and GABA z z
b. COMT and glutamate z z
c. Monamine and glycine z z
d. Serotonin and norepinephrine z z
ANS: D z
One possible cause of depression is thought to involve one or more neurotransmitters.Se
z z z z z z z z z z z z z
rotonin and norepinephrine have been found to be important in the regulation of depressi
z z z z z z z z z z z z z
on. There is no research to support that the other options play a significant role in the dev
z z z z z z z z z z z z z z z z z
elopment of depression. z z
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted inda
z z z z z z z z z z z z z
mage to the Broca area. Which evaluation does the nurse conduct to reinforce thisdiag
z z z z z z z z z z z z z z
nosis?
a. Observing the patient pick up a spoon z z z z z z
b. Asking the patient to recite the alphabet z z z z z z
c. Monitoring the patients blood pressure z z z z
d. Comparing the patients grip strength in both hands z z z z z z z
ANS: B z
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,m
z z z z z z z z z z z z z z z
otor aphasia). Fine motor skills, blood pressure control, and muscle strength are notcont
z z z z z z z z z z z z z
rolled by the Broca area of the left frontal lobe.
z z z z z z z z z
3. The patient diagnosed with schizophrenia asks why psychotropic medications are al
z z z z z z z z z z
ways prescribed by the doctor. The nurses answer will be based on information thatthe t
z z z z z z z z z z z z z z z
herapeutic action of psychotropic drugs is the result of their effect on:
z z z z z z z z z z z
a. The temporal lobe; especially Wernickes area z z z z z
b. Dendrites and their ability to transmit electrical impulses z z z z z z z
c. The regulation of neurotransmitters especially dopamine
z z z z z
d. The peripheral nervous system sensitivity to the psychotropic medications
z z z z z z z z
WWW.TESTBANKTANK.COM
,TB Stahls Essential Psychopharmacology 4th Edition Test BankT
z z z z z z z z
ank 100% Questions And Answers Graded A
z z z z z z
ANS: C z
Medications used to treat psychiatric disorders operate in and around the synaptic cleftan
z z z z z z z z z z z z z
d have action at the neurotransmitter level, especially in the case of schizophrenia, on do
z z z z z z z z z z z z z z
pamine. The Wernickes area, dendrite function, or the sensitivity of the peripheral nervo
z z z z z z z z z z z z
us system are not relevant to either schizophrenia or psychotropic medications.
z z z z z z z z z z
4. A student nurse mutters that it seems entirely unnecessary to have to struggle withun
z z z z z z z z z z z z z z
derstanding the anatomy and physiology of the neurologic system. The mentor would
z z z z z z z z z z z z
base a response on the understanding that it is:
z z z z z z z z
Necessary but generally for psychiatric nurses who focus primarily onb z z z z z z z z z z
a. ehavioral interventions z
A complex undertaking that advance practice psychiatric nurses frequently usein
z z z z z z z z z z
b. their practice
z z
Important primarily for the nursing assessment of patients with braintraumacaused
z z z z z z z z z z z
c. cognitive symptoms z
Necessary for planning psychiatric care for all patients especially thoseexperiencin
z z z z z z z z z z
d. g psychiatric disorders
z z
ANS: D z
Nurses must understand that many symptoms of psychiatric disorders have a neurologic
z z z z z z z z z z z z
basis, although the symptoms are manifested behaviorally. This understanding facilitate
z z z z z z z z z
s effective care planning. The foundation of knowledge is notused exclusively by advanc
z z z z z z z z z z z z z
ed practice psychiatric nurses nor is it relevant for only behavior therapies or brain traum
z z z z z z z z z z z z z z
a since dealing with the results of normal and abnormal brain function is a responsibility
z z z z z z z z z z z z z z z
of all nurses providing all types of care tothe psychiatric patient.
z z z z z z z z z z z
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herchr
z z z z z z z z z z z z z z z z
onic depression? Which response is supported by research data?
z z z z z z z z
a. Too much stress has been proven to cause all kinds of cancer.
z z z z z z z z z z z
b. There have been no research studies done on stress and disease yet.
z z z z z z z z z z z
c. Stress does cause the release of factors that suppress the immune system.
z z z z z z z z z z z
d. There appears to be little connection between stress and diseases of the body
z z z z z z z z z z z z
ANS: C z
Research indicates that stress causes a release of corticotropin-
z z z z z z z z
releasing factors that suppress the immune system. Studies indicate that psychiatric diso
z z z z z z z z z z z
rders such as mooddisorders are sometimes associated with decreased functioning of the
z z z z z z z z z z z z z
immune system.Research does not support a connection between many cancers and stre
z z z z z z z z z z z z
ss. There is a significant amount of research about stress and the body. Research has sho
z z z z z z z z z z z z z z z
wn that there are some connections between stress and physical disease.
z z z z z z z z z z
WWW.TESTBANKTANK.COM
,TB Stahls Essential Psychopharmacology 4th Edition Test BankT
z z z z z z z z
ank 100% Questions And Answers Graded A
z z z z z z
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitatio
z z z z z z z z z z z z z
n needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of nu
z z z z z z z z z z z z z z z z z
rsing intervention? z
a. Expression of emotion z z
b. Detecting auditory stimuli z z
c. Receiving visual images z z
d. Processing associations z
ANS: D z
The parietal lobe is responsible for associating and processing sensory information that
z z z z z z z z z z z z
allows for functions such as following directions on a map, reading a clock, dressing self
z z z z z z z z z z z z z z
, keeping appointments, and distinguishing right from left. Emotional expression is asso
z z z z z z z z z z z
ciated with frontal lobe function. Detecting auditory stimuli is a temporal lobe function.
z z z z z z z z z z z z z
Receiving visual images is related to occipital lobe function.
z z z z z z z z
7. At admission, the nurse learns that some time ago the patient had an infarct in therig
z z z z z z z z z z z z z z z z
ht cerebral cortex. During assessment, the nurse would expect to find that the patient:
z z z z z z z z z z z z z
a. Demonstrates major deficiencies in speech z z z z
b. Is unable to effectively hold a spoon in the left hand
z z z z z z z z z z
c. Has difficulty explaining how to go about using the telephone
z z z z z z z z z
d. Cannot use his right hand to shave himself or comb his own hair z z z z z z z z z z z z
ANS: B z
The cerebral hemispheres are responsible for functions such as control of muscles. The r
z z z z z z z z z z z z z
ight hemisphere mainly controls the motor and sensory functions on the left sideof the bo
z z z z z z z z z z z z z z z
dy. Damage to the right side would result in impaired function on the left side of the bod
z z z z z z z z z z z z z z z z z
y. The motor cortex controls voluntary motor activity. Brocas area controls motor speec
z z z z z z z z z z z z
h. Cognitive functions are attributed to the association cortex.
z z z z z z z z
The right side of the bodys motor activity is controlled by the left cerebral cortex.
z z z z z z z z z z z z z z
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Thepa
z z z z z z z z z z z z
tient will be discharged on low doses of haloperidol. The nurse will need to individuali
z z z z z z z z z z z z z z
ze the patients medication teaching by:
z z z z z
a. Including the patients caregiver in the education z z z z z z
b. Being careful to stress the importance of taking the medication as prescribed
z z z z z z z z z z z
Providing the education at a time when the patient is emotionally calm andrelaxed
z z z z z z z z z z z z z
c.
Encouraging the patient to crush or dissolve the medication to help withswallowing
z z z z z z z z z z z z
d.
ANS: A z
WWW.TESTBANKTANK.COM
, TB Stahls Essential Psychopharmacology 4th Edition Test BankT
z z z z z z z z
ank 100% Questions And Answers Graded A
z z z z z z
The hippocampus plays a major role in short-
z z z z z z z
term memory and, hence, in learning. Taking the medication as prescribed and providin
z z z z z z z z z z z z
g the education at a time when the patient is calm and relaxed is information or considera
z z z z z z z z z z z z z z z z
tions that all patients should begiven. The medication does not necessarily need to be cru
z z z z z z z z z z z z z z z
shed or dissolved since the stroke would not have caused difficulty with swallowing.
z z z z z z z z z z z z
9. The physician tells the nurse, The medication Im prescribing for the patient enh
z z z z z z z z z z z z
ances the g- z z
aminobutyric acid (GABA) system. Which patient behavior willprovide evidencez z z z z z z z z
zthat the medication therapy is successful?
z z z z z
a. The patient is actively involved in playing cards with other patients.
z z z z z z z z z z
b. The patient reports that, I dont feel as anxious as I did a couple of days ago.
z z z z z z z z z z z z z z z z
c. The patient reports that both auditory and visual hallucinations have decreased.
z z z z z z z z z z
d. The patient says that, I am much happier than before I came to the hospital.
z z z z z z z z z z z z z z
ANS: B z
GABA is the principle inhibitory neurotransmitter. The medication should provide anant
z z z z z z z z z z z
ianxiety effect. Alertness, psychotic behaviors, and mood elevation are not generally aff
z z z z z z z z z z z
ected by g-aminobutyric acid.
z z z
10. The patients family asks whether a diagnosis of Parkinsons disease creates anin
z z z z z z z z z z z z
creased risk for any mental health issues. What question would the nurse ask toasse
z z z z z z z z z z z z z z
ss for such a comorbid condition?
z z z z z
a. Has your father exhibited any signs of depression? z z z z z z z
b. Does your father seem to experience mood swings?
z z z z z z z
c. Have you noticed your father talking about seeing things you cant see?z z z z z z z z z z z
d. Is your dad preoccupied with behaviors that he needs to repeat over and over?
z z z z z z z z z z z z z
ANS: A z
Serotonin and its close chemical relatives, dopamine and norepinephrine, are the neurotr
z z z z z z z z z z z
ansmitters that are most widely involved in various forms of depression. Mostresearcher
z z z z z z z z z z z z
s agree that the immediate cause of parkinsonism is a deficiency of dopamine and so a pa
z z z z z z z z z z z z z z z z
tient with Parkinsons disease should be monitored for depression, The other mental heal
z z z z z z z z z z z z
th disorders (bipolar disorder, hallucinations, and obsessive compulsive disorder) have
z z z z z z z z z z
not been connected to Parkinsons disease.
z z z z z
11. Which explanation for the prescription of donepezil (Aricept) would the nursepr
z z z z z z z z z z z
ovide for a patient in the early stage of Alzheimers disease?
z z z z z z z z z z
a. It will increase the metabolism of excess GABA. z z z z z z z
b. Excess dopamine will be prevented from attaching to receptor sites.
z z z z z z z z z
c. Serotonin deficiency will be managed through a prolonged reuptake period. z z z z z z z z z
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
z z z z z z z z
ANS: D z
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