, 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 d
z z z z z z z z z z z z z z z
epression 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 z
ANS: D z
One possible cause of depression is thought to involve one or more neurotransmitters.
z z z z z z z z z z z z
Serotonin and norepinephrine have been found to be important in the regulation ofde
z z z z z z z z z z z z z
pression. There is no research to support that the other options play a significantrole i
z z z z z z z z z z z z z z z
n the development of depression.
z z 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 z
ANS: B z
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
z z z z z z z z z z z z z z
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are notco
z z z z z z z z z z z z z
ntrolled 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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,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 on z z z z z z z z z
a. behavioral 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 braintr
z z z z z z z z z z
c. aumacaused cognitive symptoms z z
Necessary for planning psychiatric care for all patients especially thosee
z z z z z z z z z z
d. xperiencing psychiatric disorders z z
ANS: D z
Nurses must understand that many symptoms of psychiatric disorders have a neurologi
z z z z z z z z z z z
c basis, although the symptoms are manifested behaviorally. This understanding facilit
z z z z z z z z z z
ates effective care planning. The foundation of knowledge is notused exclusively by ad
z z z z z z z z z z z z z
vanced practice psychiatric nurses nor is it relevant for only behavior therapies or brain
z z z z z z z z z z z z z z
trauma since dealing with the results of normal and abnormal brain function is a respon
z z z z z z z z z z z z z z
sibility of all nurses providing all types of care tothe psychiatric patient.
z 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 bodyA
z z z z z z z z z z z z z
NS: C z
Research indicates that stress causes a release of corticotropin-releasing factors that
z z z z z z z z z z
suppress the immune system. Studies indicate that psychiatric disorders such as mooddi
z z z z z z z z z z z z
sorders are sometimes associated with decreased functioning of the immune system.Res
z z z z z z z z z z z
earch does not support a connection between many cancers and stress. There is a signific
z z z z z z z z z z z z z z
ant amount of research about stress and the body. Research has shown that there are som
z z z z z z z z z z z z z z z
e connections between stress and physical disease.
z z z z z z
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, 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 n
z z z z z z z z z z z z z z z z z
ursing intervention? z
a. Expression of emotion z z
b. Detecting auditory stimuli z z
c. Receiving visual images z z
d. Processing associations z z
ANS: D z
The parietal lobe is responsible for associating and processing sensory information
z z z z z z z z z z
that allows for functions such as following directions on a map, reading a clock, dressin
z z z z z z z z z z z z z z
g self, keeping appointments, and distinguishing right from left. Emotional expression i
z z z z z z z z z z z
s associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe fun
z z z z z z z z z z z z z
ction. Receiving visual images is related to occipital lobe function.
z 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 hairA z z z z z z z z z z z z z
NS: B z
The cerebral hemispheres are responsible for functions such as control of muscles.
z z z z z z z z z z z
The right hemisphere mainly controls the motor and sensory functions on the left sideof
z z z z z z z z z z z z z z z
the body. Damage to the right side would result in impaired function on the left side of th
z z z z z z z z z z z z z z z z z
e body. The motor cortex controls voluntary motor activity. Brocas area controls motor
z z z z z z z z z z z z z
speech. 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 individualiz
z z z z z z z z z z z z z z
e 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 prescribedPr
z z z z z z z z z z z z
oviding the education at a time when the patient is emotionally calm and
z z z z z z z z z z z z
c. relaxed
Encouraging the patient to crush or dissolve the medication to help withs
z z z z z z z z z z z z
d. wallowing
ANS: A z
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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 d
z z z z z z z z z z z z z z z
epression 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 z
ANS: D z
One possible cause of depression is thought to involve one or more neurotransmitters.
z z z z z z z z z z z z
Serotonin and norepinephrine have been found to be important in the regulation ofde
z z z z z z z z z z z z z
pression. There is no research to support that the other options play a significantrole i
z z z z z z z z z z z z z z z
n the development of depression.
z z 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 z
ANS: B z
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
z z z z z z z z z z z z z z
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are notco
z z z z z z z z z z z z z
ntrolled 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
,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 on z z z z z z z z z
a. behavioral 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 braintr
z z z z z z z z z z
c. aumacaused cognitive symptoms z z
Necessary for planning psychiatric care for all patients especially thosee
z z z z z z z z z z
d. xperiencing psychiatric disorders z z
ANS: D z
Nurses must understand that many symptoms of psychiatric disorders have a neurologi
z z z z z z z z z z z
c basis, although the symptoms are manifested behaviorally. This understanding facilit
z z z z z z z z z z
ates effective care planning. The foundation of knowledge is notused exclusively by ad
z z z z z z z z z z z z z
vanced practice psychiatric nurses nor is it relevant for only behavior therapies or brain
z z z z z z z z z z z z z z
trauma since dealing with the results of normal and abnormal brain function is a respon
z z z z z z z z z z z z z z
sibility of all nurses providing all types of care tothe psychiatric patient.
z 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 bodyA
z z z z z z z z z z z z z
NS: C z
Research indicates that stress causes a release of corticotropin-releasing factors that
z z z z z z z z z z
suppress the immune system. Studies indicate that psychiatric disorders such as mooddi
z z z z z z z z z z z z
sorders are sometimes associated with decreased functioning of the immune system.Res
z z z z z z z z z z z
earch does not support a connection between many cancers and stress. There is a signific
z z z z z z z z z z z z z z
ant amount of research about stress and the body. Research has shown that there are som
z z z z z z z z z z z z z z z
e connections between stress and physical disease.
z z z z z z
WWW.TESTBANKTANK.COM
, 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 n
z z z z z z z z z z z z z z z z z
ursing intervention? z
a. Expression of emotion z z
b. Detecting auditory stimuli z z
c. Receiving visual images z z
d. Processing associations z z
ANS: D z
The parietal lobe is responsible for associating and processing sensory information
z z z z z z z z z z
that allows for functions such as following directions on a map, reading a clock, dressin
z z z z z z z z z z z z z z
g self, keeping appointments, and distinguishing right from left. Emotional expression i
z z z z z z z z z z z
s associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe fun
z z z z z z z z z z z z z
ction. Receiving visual images is related to occipital lobe function.
z 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 hairA z z z z z z z z z z z z z
NS: B z
The cerebral hemispheres are responsible for functions such as control of muscles.
z z z z z z z z z z z
The right hemisphere mainly controls the motor and sensory functions on the left sideof
z z z z z z z z z z z z z z z
the body. Damage to the right side would result in impaired function on the left side of th
z z z z z z z z z z z z z z z z z
e body. The motor cortex controls voluntary motor activity. Brocas area controls motor
z z z z z z z z z z z z z
speech. 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 individualiz
z z z z z z z z z z z z z z
e 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 prescribedPr
z z z z z z z z z z z z
oviding the education at a time when the patient is emotionally calm and
z z z z z z z z z z z z
c. relaxed
Encouraging the patient to crush or dissolve the medication to help withs
z z z z z z z z z z z z
d. wallowing
ANS: A z
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