Test Bank For Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Applications 5th Edition Complete Guide 2022.pdf

Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr dr m



Applications 5th Edition Testbank/Study Guide
dr dr dr dr




Stahl's Essential Psychopharmacology
m m



Neuroscientific mBasismandm PracticalmAppli




WWW.TESTBANKTANK.COM

,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr dr m



Applications 5th Edition Testbank/Study Guide dr dr dr dr




cationsm 5thmEditionmTestbank/Study mGuide

Chapter 1 Chemical neurotransmission
m m m

MULTIPLE CHOICE m


1. A patient with depression mentions to the nurse, My mother says depression is
m m m m m m m m m m m m m


a chemical disorder. What does she mean? The nurses response is based on the the
m m m m m m m m m m m m m m


ory that depression primarily involves which of the following neurotransmitters?
m m m m m m m m m


a. Cortisol and GABA m m



b. COMT and glutamate m m



c. Monamine and glycine m m



d. Serotonin and norepinephrine m m


mANS: D m


One possible cause of depression is thought to involve one or more neurotransmitters.
m m m m m m m m m m m m dr



Serotonin and norepinephrine have been found to be important in the regulation of d
m m m m m m m m m m m m m

e pression. There is no research to support that the other options play a significant ro
m m m m m m m m m m m m m m m


le i n the development of depression.
m m m m m m


2. A patient has experienced a stroke (cerebral vascular accident) that has resulted i
m m m m m m m m m m m m


n damage to the Broca area. Which evaluation does the nurse conduct to reinforce
dr m m m m m m m m m m m m m m


this diagnosis?dr m



a. Observing the patient pick up a spoon m m m m m m



b. Asking the patient to recite the alphabet
m m m m m m



c. Monitoring the patients blood pressure m m m m



d. Comparing the patients grip strength in both hand m m m m m m m


s ANS: B
m m


Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
m m m m m m m m m m m m m m dr



motor aphasia). Fine motor skills, blood pressure control, and muscle strength are not contr
m m m m m m m m m m m m dr m



olled by the Broca area of the left frontal lobe.
m m m m m m m m m


3. The patient diagnosed with schizophrenia asks why psychotropic medications are
m m m m m m m m m


malways prescribed by the doctor. The nurses answer will be based on information th
m m m m m m m m m m m m m

at the therapeutic action of psychotropic drugs is the result of their effect on:
dr m m m m m m m m m m m m m


a. The temporal lobe; especially Wernickes area
m m m m m


b. Dendrites and their ability to transmit electrical impulses m m m m m m m



c. The regulation of neurotransmitters especially dopamine
m m m m m



d. The peripheral nervous system sensitivity to the psychotropic medications
m m m m m m m m




WWW.TESTBANKTANK.COM

,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr dr m



Applications 5th Edition Testbank/Study Guide dr dr dr dr




ANS: C m


Medications used to treat psychiatric disorders operate in and around the synaptic clef
m m m m m m m m m m m m


t and have action at the neurotransmitter level, especially in the case of schizophreni
dr m m m m m m m m m m m m m

a, o n dopamine. The Wernickes area, dendrite function, or the sensitivity of the perip
m m m m m m m m m m m m m m


heral nervous system are not relevant to either schizophrenia or psychotropic medicat
m m m m m m m m m m m


ions.
4. A student nurse mutters that it seems entirely unnecessary to have to struggle wit
m m m m m m m m m m m m m

h understanding the anatomy and physiology of the neurologic system. The mento
dr m m m m m m m m m m m


r w ould base a response on the understanding that it is:
m m m m m m m m m m m


Necessary but generally for psychiatric nurses who focus primarily on
m m m m m m m m dr dr



a. behavioral interventions m



A complex undertaking that advance practice psychiatric nurses frequently use
m m m m m m m dr m dr



b. min their practice
m m



Important primarily for the nursing assessment of patients with brain traumac
m m m m m m m m m dr m



c. aused cognitive symptoms m m


Necessary for planning psychiatric care for all patients especially those exper
m m m m m m dr m m dr m



d. iencing psychiatric disorders m m


ANS: D m


Nurses must understand that many symptoms of psychiatric disorders have a neurol
m m m m m dr m m m m m


o gic basis, although the symptoms are manifested behaviorally. This understanding
m m m m m m m m m m


mfa cilitates effective care planning. The foundation of knowledge is not used exclusi
m m m m m dr dr m m m dr m

vely by advanced practice psychiatric nurses nor is it relevant for only behavior the
m m m m m dr m m m m m m m


rapies or brain trauma since dealing with the results of normal and abnormal brain f
m m m m m m dr dr m m m m m m


unction is a responsibility of all nurses providing all types of care to the psychiatric
m m m m m m m m m m m m dr m


mpatient.
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by h
m m m m m dr m m m m m m m m m


er chronic depression? Which response is supported by research data?
m m m dr m m m m m


a. Too much stress has been proven to cause all kinds of cancer.
m m dr m m m m m m m m



b. There have been no research studies done on stress and disease yet.
m m m m m m m m m m m



c. Stress does cause the release of factors that suppress the immune system.
m dr m m m m m m m m m


d. There appears to be little connection between stress and diseases of the bod
dr m m m m m m m m m m m


y ANS: C
m m


Research indicates that stress causes a release of corticotropin-
m m m m m m m m

releasing factors that suppress the immune system. Studies indicate that psychiatric d
m m m m m m m m m m m


i sorders such as mood disorders are sometimes associated with decreased functionin
m m m m r m m m m m m


g o f the immune system.Research does not support a connection between many canc
m m m m m m m m m m m m m


ers a nd stress. There is a significant amount of research about stress and the body.
m m m m m m m m m m m m m m m m

Researc h has shown that there are some connections between stress and physical di
m m m m m m m m m m m m m


sease.



WWW.TESTBANKTANK.COM

, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
dr dr dr dr dr dr dr m



Applications 5th Edition Testbank/Study Guide dr dr dr dr




6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilit
m m m m m m m m m m m m m


a tion needs. Of the aspects of functioning listed, which will the nurse identifyas a f
m m m m m m m m m m m m m m m


ocu s of nursing intervention?
m m m m


a. Expression of emotion m m



b. Detecting auditory stimuli m m


c. Receiving visual images m m



d. Processing associations m


mANS: D m


The parietal lobe is responsible for associating and processing sensory information th
m m m m m m m m m dr m

at allows for functions such as following directions on a map, reading a clock, dressi
m m m m m m m m m m m m dr m


n g self, keeping appointments, and distinguishing right from left. Emotional express
m m m m m m m m m m m

io n is associated with frontal lobe function. Detecting auditory stimuli is a temporal
m m m m m m m m m m dr m m

mlob e function. Receiving visual images is related to occipital lobe function.
m m m m m m m m m m dr



7. At admission, the nurse learns that some time ago the patient had an infarct in th
m m m m m m m m m m m m m m m

e right cerebral cortex. During assessment, the nurse would expect to find that the
dr m m m m m m m m dr m m m m


mpat ient: m


a. Demonstrates major deficiencies in speech m m m m



b. Is unable to effectively hold a spoon in the left hand
m m m m m m dr dr m m



c. Has difficulty explaining how to go about using the telephone
m m m m dr m m m m


d. Cannot use his right hand to shave himself or comb his own haim m m m m dr m m m m m m


r ANS: B
m m


The cerebral hemispheres are responsible for functions such as control of muscles. Th
m m m dr m m m m m m m m

e right hemisphere mainly controls the motor and sensory functions on the left sideo
m m m m m m m m m m m m m

f the body. Damage to the right side would result in impaired function on the left sid
m m m m m m m m m m m m m m m m


e o f the body. The motor cortex controls voluntary motor activity. Brocas area contr
m m m m m m dr m m m m m m m


ols motor speech. Cognitive functions are attributed to the association cortex.
m m m dr m m m m m m


The right side of the bodys motor activity is controlled by the left cerebral cortex.
m m m m dr m m m m m m m m m

8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The
m m dr m m m m m m m m


patient will be discharged on low doses of haloperidol. The nurse will need to ind
dr m m dr dr m m m m m m m m m m m


ivi dualize the patients medication teaching by:
m dr dr m m m


a. Including the patients caregiver in the education m m m m m m


b. Being careful to stress the importance of taking the medication as prescribe
m m m m m m m m m m m



d Providing the education at a time when the patient is emotionally calm a
m m m m m m m m m m m m m



nd dr



c. relaxed
Encouraging the patient to crush or dissolve the medication to help with swallo
m m m m m m m m m m m dr m



d. wing
ANS: A m




WWW.TESTBANKTANK.COM