Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
pr pr pr pr pr pr pr
Applications 5th Edition Testbank/Study Guide
pr pr pr pr
Stahl'sEssentialPsychopharmacology
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
pr pr pr pr pr pr pr
Applications 5th Edition Testbank/Study Guide
pr pr pr pr
NeuroscientificgBasisandPracticalApplications5thEditiongTestbank/StudyGuide
Chapter1Chemicalneurotransmission
MULTIPLECHOICE
1. Agpatientgwithgdepressiongmentionsgtogthegnurse,gMygmothergsaysgdepressiongisgag
chemicaldisorder.Whatdoesshemean?gThenursesresponseisbasedonthetheorygthatgde
pressiongprimarilyginvolvesgwhichgofgthegfollowinggneurotransmitters?
a. CortisolandGABA
b. COMTandglutamate
c. Monamineandglycine
d. Serotoninandnorepinephrineg
ANS:gD
Onepossiblecauseofdepressionisthoughttoinvolveoneormoreneurotransmitters. pr
Serotoningandgnorepinephrineghavegbeengfoundtogbeimportantgingtheregulationgofdegp
ression.Thereisnoresearchtosupportthattheotheroptionsplayasignificantroleigngthegdev
elopmentgofgdepression.
2. Apatienthasexperiencedastroke(cerebralvascularaccident)thathasresultedin damag pr
etotheBrocaarea.Whichevaluationdoesthenurseconducttoreinforcethis diagnosis?
pr
a. Observingthepatientpickupgaspoon
b. Askingthepatientgtorecitethealphabet
c. Monitoringthepatientsbloodpressure
d. ComparingthepatientsgripstrengthinbothhandsgA
NS:gB
AccidentsorstrokesthatdamageBrocasareamayresultintheinabilitytospeak(i.e., pr
motoraphasia).Finemotorskills,bloodpressurecontrol,andmusclestrengtharenot controlledgbygt
pr
hegBrocagareagofgthegleftgfrontalglobe.
3. Thegpatientgdiagnosedgwithgschizophreniagasksgwhygpsychotropicgmedicationsgareg
alwaysprescribedbythedoctor.Thenursesanswerwillbebasedoninformationthat thegthe pr
rapeuticgactiongofgpsychotropicgdrugsgisgthegresultgoftheirgeffectgon:
a. Thetemporallobe;especiallyWernickesarea
b. Dendritesandtheirabilitytotransmitelectricalimpulses
c. Theregulationofneurotransmittersespeciallydopamine
d. Theperipheralnervoussystemsensitivitytothepsychotropicmedications
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,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
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Applications 5th Edition Testbank/Study Guide
pr pr pr pr
ANS:C
Medicationsusedtotreatpsychiatricdisordersoperateinandaroundthesynapticcleft andha pr
veactionattheneurotransmitterlevel,especiallyinthecaseofschizophrenia,o gndopamine.g
TheWernickesgarea,dendritegfunction,gorthesensitivitygofgtheperipheralgnervousgsystem
garegnotgrelevantgtogeithergschizophreniagorgpsychotropicgmedications.
4. Astudentnursemuttersthatitseemsentirelyunnecessarytohavetostrugglewith unders pr
tandingtheganatomygandgphysiologygofgthegneurologicgsystem.gThegmentorgwgouldgb
asegagresponsegongthegunderstandinggthatgitgis:
Necessarybutgenerallyforpsychiatricnurseswhofocusprimarily on pr pr
a. behavioralinterventions
Acomplexundertakingthatadvancepracticepsychiatricnurses frequentlyuse ingthe pr pr
b. irgpractice
Importantprimarilyforthenursingassessmentofpatientswithbrain traumacausedg pr
c. cognitivegsymptoms
Necessaryforplanningpsychiatriccareforall patientsespeciallythose experiencin pr pr
d. ggpsychiatricgdisorders
ANS:D
Nursesmustunderstandgthatmanysymptoms ofpsychiatricgdisordershaveganeurologgic
pr
basis,galthoughgthesymptomsaremanifestedbehaviorally.gThisunderstandinggfagcilitat
eseffectivecareplanning.The foundation ofknowledgeisnot usedexclusivelygbygadvan
pr pr pr
cedgpracticegpsychiatricgnurses norisgitrelevantgforgonlygbehaviorgtherapiesgorgbraingtr
pr
aumagsincegdealingwith the resultsgofnormalgandgabnormalgbraingfunctiongisgagrespon
pr pr
sibilitygofallgnursesgprovidinggallgtypesgofcaregto thegpsychiatricgpatient. pr
5. Apatientasksthenurse,My wifehasbreastcancer.Coulditbecausedbyhergchronic
pr
gdepression?gWhich responsegisgsupportedgbygresearchgdata?
pr
a. Toomuchstress hasbeenproventocauseallkindsofcancer.
pr
b. Therehavegbeennoresearchstudiesdoneonstressanddiseaseyet.
c. Stressdoes causethereleaseoffactorsthatsuppresstheimmunesystem.
pr
d. There appearstobeglittleconnectiongbetweenstressanddiseasesofthebodygAN
pr
S:gC
Researchindicatesthatstresscausesareleaseofcorticotropin-
releasingfactorsthatsuppresstheimmunesystem.Studiesindicatethatpsychiatricdigsorder
ssuchasmood disordersaresometimesassociatedwithdecreasedfunctioningogftheimmun
r
esystem.Researchdoesnotsupportaconnectionbetweenmanycancersagndstress.Thereisa
gsignificantamountofresearch gaboutstressandthebody.Researcghghasgshowngthatgtherega
regsomegconnectionsgbetweengstressgandphysicalgdisease.
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, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
pr pr pr pr pr pr pr
Applications 5th Edition Testbank/Study Guide
pr pr pr pr
6. Apatientwhohasaparietallobeinjuryisbeingevaluatedforpsychiatricrehabilitagtiongne
eds.Oftheaspectsgofgfunctioningglisted,whichgwillthenurseidentifyasgagfocugsgofgnursin
ggintervention?
a. Expressionofemotion
b. Detectingauditorystimuli
c. Receivingvisualimages
d. Processingassociations
gANS:gD
Theparietallobeisresponsibleforassociatingandprocessingsensory informationth pr
atallowsforfunctionssuchasfollowingdirectionsonamap,readinga clock,dressingggself,g pr
keepinggappointments,gandgdistinguishinggrightgfromgleft.gEmotionalgexpressiognisass
ociatedwithfrontallobefunction.Detectingauditorystimuli isagtemporallobgegfunction.g pr
Receivinggvisualgimagesgisgrelatedgtogoccipitalglobe function. pr
7. Atadmission,thenurselearnsthatsometimeagothepatienthadaninfarctinthe rightcer pr
ebralcortex.Duringgassessment,thenursegwould expecttogfindgthatthegpatgient: pr
a. Demonstratesmajordeficienciesinspeech
b. Isunabletoeffectivelyholdaspoon in thelefthand pr pr
c. Hasdifficultyexplaininghowto goaboutusingthetelephone pr
d. Cannotusehisrighthandto shavehimselforcombhisownhairgANS:
pr
gB
Thecerebralhemispheresare responsibleforfunctionssuchascontrolofmuscles.Th
pr
egrightghemispheregmainlygcontrolsgthegmotorgandgsensorygfunctionsgongthegleftgsideof
gthebody.Damagetotherightsidewouldresultinimpairedfunctionontheleftsideo gfgthebod
y.gThegmotor cortexgcontrolsvoluntarygmotorgactivity.gBrocasgareagcontrolsgmotorgspe
pr
ech.gCognitive functionsgaregattributedgtogthegassociationgcortex.
pr
Therightsideofthe bodysmotoractivityiscontrolledbytheleftcerebralcortex.
pr
8. Apatientwith chronicschizophreniahadastrokeinvolvingthehippocampus.The patie
pr pr
ntgwill be dischargedgonglowdosesofghaloperidol.gThenursegwillneedgtoindivigdualize
pr pr p
the patientsgmedicationgteachinggby:
r pr
a. Includingthepatientscaregiverintheeducation
b. BeingcarefultostresstheimportanceoftakingthemedicationasprescribedgProvi
dinggthegeducationgatgagtimegwhengthegpatientgisgemotionallygcalmgand pr
c. relaxed
Encouragingthepatienttocrushordissolvethemedicationtohelpwith swallowing pr
d.
ANS:A
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pr pr pr pr pr pr pr
Applications 5th Edition Testbank/Study Guide
pr pr pr pr
Stahl'sEssentialPsychopharmacology
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
pr pr pr pr pr pr pr
Applications 5th Edition Testbank/Study Guide
pr pr pr pr
NeuroscientificgBasisandPracticalApplications5thEditiongTestbank/StudyGuide
Chapter1Chemicalneurotransmission
MULTIPLECHOICE
1. Agpatientgwithgdepressiongmentionsgtogthegnurse,gMygmothergsaysgdepressiongisgag
chemicaldisorder.Whatdoesshemean?gThenursesresponseisbasedonthetheorygthatgde
pressiongprimarilyginvolvesgwhichgofgthegfollowinggneurotransmitters?
a. CortisolandGABA
b. COMTandglutamate
c. Monamineandglycine
d. Serotoninandnorepinephrineg
ANS:gD
Onepossiblecauseofdepressionisthoughttoinvolveoneormoreneurotransmitters. pr
Serotoningandgnorepinephrineghavegbeengfoundtogbeimportantgingtheregulationgofdegp
ression.Thereisnoresearchtosupportthattheotheroptionsplayasignificantroleigngthegdev
elopmentgofgdepression.
2. Apatienthasexperiencedastroke(cerebralvascularaccident)thathasresultedin damag pr
etotheBrocaarea.Whichevaluationdoesthenurseconducttoreinforcethis diagnosis?
pr
a. Observingthepatientpickupgaspoon
b. Askingthepatientgtorecitethealphabet
c. Monitoringthepatientsbloodpressure
d. ComparingthepatientsgripstrengthinbothhandsgA
NS:gB
AccidentsorstrokesthatdamageBrocasareamayresultintheinabilitytospeak(i.e., pr
motoraphasia).Finemotorskills,bloodpressurecontrol,andmusclestrengtharenot controlledgbygt
pr
hegBrocagareagofgthegleftgfrontalglobe.
3. Thegpatientgdiagnosedgwithgschizophreniagasksgwhygpsychotropicgmedicationsgareg
alwaysprescribedbythedoctor.Thenursesanswerwillbebasedoninformationthat thegthe pr
rapeuticgactiongofgpsychotropicgdrugsgisgthegresultgoftheirgeffectgon:
a. Thetemporallobe;especiallyWernickesarea
b. Dendritesandtheirabilitytotransmitelectricalimpulses
c. Theregulationofneurotransmittersespeciallydopamine
d. Theperipheralnervoussystemsensitivitytothepsychotropicmedications
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
pr pr pr pr pr pr pr
Applications 5th Edition Testbank/Study Guide
pr pr pr pr
ANS:C
Medicationsusedtotreatpsychiatricdisordersoperateinandaroundthesynapticcleft andha pr
veactionattheneurotransmitterlevel,especiallyinthecaseofschizophrenia,o gndopamine.g
TheWernickesgarea,dendritegfunction,gorthesensitivitygofgtheperipheralgnervousgsystem
garegnotgrelevantgtogeithergschizophreniagorgpsychotropicgmedications.
4. Astudentnursemuttersthatitseemsentirelyunnecessarytohavetostrugglewith unders pr
tandingtheganatomygandgphysiologygofgthegneurologicgsystem.gThegmentorgwgouldgb
asegagresponsegongthegunderstandinggthatgitgis:
Necessarybutgenerallyforpsychiatricnurseswhofocusprimarily on pr pr
a. behavioralinterventions
Acomplexundertakingthatadvancepracticepsychiatricnurses frequentlyuse ingthe pr pr
b. irgpractice
Importantprimarilyforthenursingassessmentofpatientswithbrain traumacausedg pr
c. cognitivegsymptoms
Necessaryforplanningpsychiatriccareforall patientsespeciallythose experiencin pr pr
d. ggpsychiatricgdisorders
ANS:D
Nursesmustunderstandgthatmanysymptoms ofpsychiatricgdisordershaveganeurologgic
pr
basis,galthoughgthesymptomsaremanifestedbehaviorally.gThisunderstandinggfagcilitat
eseffectivecareplanning.The foundation ofknowledgeisnot usedexclusivelygbygadvan
pr pr pr
cedgpracticegpsychiatricgnurses norisgitrelevantgforgonlygbehaviorgtherapiesgorgbraingtr
pr
aumagsincegdealingwith the resultsgofnormalgandgabnormalgbraingfunctiongisgagrespon
pr pr
sibilitygofallgnursesgprovidinggallgtypesgofcaregto thegpsychiatricgpatient. pr
5. Apatientasksthenurse,My wifehasbreastcancer.Coulditbecausedbyhergchronic
pr
gdepression?gWhich responsegisgsupportedgbygresearchgdata?
pr
a. Toomuchstress hasbeenproventocauseallkindsofcancer.
pr
b. Therehavegbeennoresearchstudiesdoneonstressanddiseaseyet.
c. Stressdoes causethereleaseoffactorsthatsuppresstheimmunesystem.
pr
d. There appearstobeglittleconnectiongbetweenstressanddiseasesofthebodygAN
pr
S:gC
Researchindicatesthatstresscausesareleaseofcorticotropin-
releasingfactorsthatsuppresstheimmunesystem.Studiesindicatethatpsychiatricdigsorder
ssuchasmood disordersaresometimesassociatedwithdecreasedfunctioningogftheimmun
r
esystem.Researchdoesnotsupportaconnectionbetweenmanycancersagndstress.Thereisa
gsignificantamountofresearch gaboutstressandthebody.Researcghghasgshowngthatgtherega
regsomegconnectionsgbetweengstressgandphysicalgdisease.
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
pr pr pr pr pr pr pr
Applications 5th Edition Testbank/Study Guide
pr pr pr pr
6. Apatientwhohasaparietallobeinjuryisbeingevaluatedforpsychiatricrehabilitagtiongne
eds.Oftheaspectsgofgfunctioningglisted,whichgwillthenurseidentifyasgagfocugsgofgnursin
ggintervention?
a. Expressionofemotion
b. Detectingauditorystimuli
c. Receivingvisualimages
d. Processingassociations
gANS:gD
Theparietallobeisresponsibleforassociatingandprocessingsensory informationth pr
atallowsforfunctionssuchasfollowingdirectionsonamap,readinga clock,dressingggself,g pr
keepinggappointments,gandgdistinguishinggrightgfromgleft.gEmotionalgexpressiognisass
ociatedwithfrontallobefunction.Detectingauditorystimuli isagtemporallobgegfunction.g pr
Receivinggvisualgimagesgisgrelatedgtogoccipitalglobe function. pr
7. Atadmission,thenurselearnsthatsometimeagothepatienthadaninfarctinthe rightcer pr
ebralcortex.Duringgassessment,thenursegwould expecttogfindgthatthegpatgient: pr
a. Demonstratesmajordeficienciesinspeech
b. Isunabletoeffectivelyholdaspoon in thelefthand pr pr
c. Hasdifficultyexplaininghowto goaboutusingthetelephone pr
d. Cannotusehisrighthandto shavehimselforcombhisownhairgANS:
pr
gB
Thecerebralhemispheresare responsibleforfunctionssuchascontrolofmuscles.Th
pr
egrightghemispheregmainlygcontrolsgthegmotorgandgsensorygfunctionsgongthegleftgsideof
gthebody.Damagetotherightsidewouldresultinimpairedfunctionontheleftsideo gfgthebod
y.gThegmotor cortexgcontrolsvoluntarygmotorgactivity.gBrocasgareagcontrolsgmotorgspe
pr
ech.gCognitive functionsgaregattributedgtogthegassociationgcortex.
pr
Therightsideofthe bodysmotoractivityiscontrolledbytheleftcerebralcortex.
pr
8. Apatientwith chronicschizophreniahadastrokeinvolvingthehippocampus.The patie
pr pr
ntgwill be dischargedgonglowdosesofghaloperidol.gThenursegwillneedgtoindivigdualize
pr pr p
the patientsgmedicationgteachinggby:
r pr
a. Includingthepatientscaregiverintheeducation
b. BeingcarefultostresstheimportanceoftakingthemedicationasprescribedgProvi
dinggthegeducationgatgagtimegwhengthegpatientgisgemotionallygcalmgand pr
c. relaxed
Encouragingthepatienttocrushordissolvethemedicationtohelpwith swallowing pr
d.
ANS:A
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