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Stahl's Essential Psychopharmacology
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide
Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. 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
ANS: D
One possible cause of depression is thought to involve one or more
neurotransmitters. Serotonin and norepinephrine have been found to be
important in the regulation of depression. There is no research to support that
the other options play a significant role in the development of depression.
2. 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 hands
ANS: B
Accidents or strokes that damage Brocas area may result in the inability to
speak (i.e., motor aphasia). Fine motor skills, blood pressure control, and
muscle strength are not controlled by the Broca area of the left frontal lobe.
3. 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
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,ANS: C
Medications used to treat psychiatric disorders operate in and around the
synaptic cleft and have action at the neurotransmitter level, especially in the
case of schizophrenia, on dopamine. The Wernickes area, dendrite function, or
the sensitivity of the peripheral nervous system are not relevant to either
schizophrenia or psychotropic medications.
4. 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:
Necessary but generally for psychiatric nurses who focus primarily on
a. behavioral interventions
A complex undertaking thatdvance
a practice psychiatric nurses frequently
b. use in their practice
Important primarily for the nursing assessment of patients with brain
c. traumacaused cognitive symptoms
Necessary for planning psychiatric care for all patients especially those
d. experiencing psychiatric disorders
ANS: D
Nurses must understand that many symptoms of psychiatric disorders have a
neurologic basis, although the symptoms are manifested behaviorally. This
understanding facilitates effective care planning. The foundation of knowledge
is not used exclusively by advanced practice psychiatric nurses nor is it relevant
for only behavior therapies or brain trauma since dealing with the results of
normal and abnormal brain function is a responsibility of all nurses providing
all types of care to the psychiatric patient.
5. 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
ANS: C
Research indicates that stress causes a release of corticotropin-releasing factors
that suppress the immune system. Studies indicate that psychiatric disorders
such as mood disorders are sometimes associated with decreased functioning of
the immune system. Research does not support a connection between many
cancers and stress. There is a significant amount of research about stress and
the body. Research has shown that there are some connections between stress
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, and physical disease.
WWW.TESTBANKTANK.COM Geekbano
Stahl's Essential Psychopharmacology
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study Guide
Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. 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
ANS: D
One possible cause of depression is thought to involve one or more
neurotransmitters. Serotonin and norepinephrine have been found to be
important in the regulation of depression. There is no research to support that
the other options play a significant role in the development of depression.
2. 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 hands
ANS: B
Accidents or strokes that damage Brocas area may result in the inability to
speak (i.e., motor aphasia). Fine motor skills, blood pressure control, and
muscle strength are not controlled by the Broca area of the left frontal lobe.
3. 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
,WWW.TESTBANKTANK.COM Geekbano
,ANS: C
Medications used to treat psychiatric disorders operate in and around the
synaptic cleft and have action at the neurotransmitter level, especially in the
case of schizophrenia, on dopamine. The Wernickes area, dendrite function, or
the sensitivity of the peripheral nervous system are not relevant to either
schizophrenia or psychotropic medications.
4. 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:
Necessary but generally for psychiatric nurses who focus primarily on
a. behavioral interventions
A complex undertaking thatdvance
a practice psychiatric nurses frequently
b. use in their practice
Important primarily for the nursing assessment of patients with brain
c. traumacaused cognitive symptoms
Necessary for planning psychiatric care for all patients especially those
d. experiencing psychiatric disorders
ANS: D
Nurses must understand that many symptoms of psychiatric disorders have a
neurologic basis, although the symptoms are manifested behaviorally. This
understanding facilitates effective care planning. The foundation of knowledge
is not used exclusively by advanced practice psychiatric nurses nor is it relevant
for only behavior therapies or brain trauma since dealing with the results of
normal and abnormal brain function is a responsibility of all nurses providing
all types of care to the psychiatric patient.
5. 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
ANS: C
Research indicates that stress causes a release of corticotropin-releasing factors
that suppress the immune system. Studies indicate that psychiatric disorders
such as mood disorders are sometimes associated with decreased functioning of
the immune system. Research does not support a connection between many
cancers and stress. There is a significant amount of research about stress and
the body. Research has shown that there are some connections between stress
WWW.TESTBANKTANK.COM Geekbano
, and physical disease.
WWW.TESTBANKTANK.COM Geekbano
