NSG 552 Exam 1 (Stahl’s Essential
Psychopharmacology 5th Edition Test Bank)
(Wilkes University) Comprehensive Practice
Questions & Correct Answers
A patient with depression mentions to the nurse, My mother says depression 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
A patient has experienced a stroke (cerebral vascular accident) that has
resulted 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
,The nurse is caring for a patient who has experienced damage to the parietal
lobes of the brain. The nurse anticipates that the patient with have difficulty
with which of the following?
A) Perceiving sensory input
B) Calculating a math problem
C) Seeing objects in front of him
D) Speaking fluently - answer-B) Calculating a math problem
A patient has been diagnosed with memory dysfunction associated with
Alzheimers disease. The nurse determines that damage to the patients brain
includes deterioration of temporal lobe structures and the nerves of which of
the following?
A) Basal ganglia
B) Limbic system
C) Frontal lobe
D) Hippocampus - answer-D) Hippocampus
The nurse is caring for a hospitalized patient who has a disorder of the
hypothalamus. When developing the patients plan of care, in which of the
following areas would the nurse anticipate a problem?
A) Sleep
B) Constipation
C) Speech
D) Motor activity - answer-A) Sleep
,A patient who is scheduled to undergo a sleep deprivation
electroencephalogram (EEG) in the morning is experiencing moderate anxiety
about the procedure. Based on an understanding of this test, which of the
following would the nurse avoid?
A) Explaining in depth what to expect during the upcoming procedure
B) Administering a benzodiazepine medication prescribed for anxiety
C) Taking a thorough history of her use of prescribed and illicit drugs
D) Giving her a noncaffeinated beverage of her choice - answer-B)
Administering a benzodiazepine medication prescribed for anxiety
The patient diagnosed with schizophrenia asks why psychotropic medications
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
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
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.
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
Psychopharmacology 5th Edition Test Bank)
(Wilkes University) Comprehensive Practice
Questions & Correct Answers
A patient with depression mentions to the nurse, My mother says depression 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
A patient has experienced a stroke (cerebral vascular accident) that has
resulted 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
,The nurse is caring for a patient who has experienced damage to the parietal
lobes of the brain. The nurse anticipates that the patient with have difficulty
with which of the following?
A) Perceiving sensory input
B) Calculating a math problem
C) Seeing objects in front of him
D) Speaking fluently - answer-B) Calculating a math problem
A patient has been diagnosed with memory dysfunction associated with
Alzheimers disease. The nurse determines that damage to the patients brain
includes deterioration of temporal lobe structures and the nerves of which of
the following?
A) Basal ganglia
B) Limbic system
C) Frontal lobe
D) Hippocampus - answer-D) Hippocampus
The nurse is caring for a hospitalized patient who has a disorder of the
hypothalamus. When developing the patients plan of care, in which of the
following areas would the nurse anticipate a problem?
A) Sleep
B) Constipation
C) Speech
D) Motor activity - answer-A) Sleep
,A patient who is scheduled to undergo a sleep deprivation
electroencephalogram (EEG) in the morning is experiencing moderate anxiety
about the procedure. Based on an understanding of this test, which of the
following would the nurse avoid?
A) Explaining in depth what to expect during the upcoming procedure
B) Administering a benzodiazepine medication prescribed for anxiety
C) Taking a thorough history of her use of prescribed and illicit drugs
D) Giving her a noncaffeinated beverage of her choice - answer-B)
Administering a benzodiazepine medication prescribed for anxiety
The patient diagnosed with schizophrenia asks why psychotropic medications
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
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
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.
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
