Stahl’sdhEssentialdhPsychopharmacologydh5thdhEditiondhTestdhBank
dh
, Stahl’s Essential Psy
dh dh
th
chopharmacology 5 E dhdh
dh
dition Test Bank
dh dh
, Stahl's Essential Psychopharmacology
dh dh
NeuroscientificdhBasisdhanddhPracticaldhApplicationsdh5thdhEditiondhTestbank/StudydhGuide
Chapterdh1dhChemicaldhneurotransmission
MULTIPLEdhCHOICE
1. Adhpatientdhwithdhdepressiondhmentionsdhtodhthedhnurse,dhMydhmotherdhsaysdhdepress
iondhisdhadhchemicaldhdisorder.dhWhatdhdoesdhshedhmean?dhThedhnursesdhresponsedhisdhbas
eddhondhthedhtheory
thatdhdepressiondhprimarilydhinvolvesdhwhichdhofdhthedhfollowingdhneurotransmitters?
a. CortisoldhanddhGABA
b. COMTdhanddhglutamate
c. Monaminedhanddhglycine
d. Serotonindhanddhnorepinephrin
edhANS:dhD
Onedhpossibledhcausedhofdhdepressiondhisdhthoughtdhtodhinvolvedhonedhordhmoredhneurotransmitters.
Serotonindhanddhnorepinephrinedhhavedhbeendhfounddhtodhbedhimportantdhindhthedhregula
tiondhofdhdepression.dhTheredhisdhnodhresearchdhtodhsupportdhthatdhthedhotherdhoptionsdhpl
aydhadhsignificantdhroledhindhthedhdevelopmentdhofdhdepression.
2. Adhpatientdhhasdhexperienceddhadhstrokedh(cerebraldhvasculardhaccident)dhthatdhhasdhresultedd
hindhdamagedhtodhthedhBrocadharea.dhWhichdhevaluationdhdoesdhthedhnursedhconductdhtodhreinfor
cedhthisdhdiagnosis?
a. Observingdhthedhpatientdhpickdhupdhadhspoon
b. Askingdhthedhpatientdhtodhrecitedhthedhalphabet
c. Monitoringdhthedhpatientsdhblooddhpressure
d. Comparingdhthedhpatientsdhgripdhstrengthdhindhbothdhha
ndsdhANS:dhB
AccidentsdhordhstrokesdhthatdhdamagedhBrocasdhareadhmaydhresultdhindhthedhinabilitydhtodhspeakdh(i.e.,
motordhaphasia).dhFinedhmotordhskills,dhblooddhpressuredhcontrol,dhanddhmuscledhstrengthdh
aredhnotdhcontrolleddhbydhthedhBrocadhareadhofdhthedhleftdhfrontaldhlobe.
3. Thedhpatientdhdiagnoseddhwithdhschizophreniadhasksdhwhydhpsychotropicdhmedicatio
nsdharedhalwaysdhprescribeddhbydhthedhdoctor.dhThedhnursesdhanswerdhwilldhbedhbaseddhondhi
nformationdhthatdhthedhtherapeuticdhactiondhofdhpsychotropicdhdrugsdhisdhthedhresultdhofdht
heirdheffectdhon:
a. Thedhtemporaldhlobe;dhespeciallydhWernickesdharea
b. Dendritesdhanddhtheirdhabilitydhtodhtransmitdhelectricaldhimpulses
c. Thedhregulationdhofdhneurotransmittersdhespeciallydhdopamine
d. Thedhperipheraldhnervousdhsystemdhsensitivitydhtodhthedhpsychotropicdhmedications
m
, ANS:dhC
Medicationsdhuseddhtodhtreatdhpsychiatricdhdisordersdhoperatedhindhanddharounddhthedhsynapti
cdhcleftdhanddhhavedhactiondhatdhthedhneurotransmitterdhlevel,dhespeciallydhindhthedhcasedhofd
hschizophrenia,dhondhdopamine.dhThedhWernickesdharea,dhdendritedhfunction,dhordhthedhse
nsitivitydhofdhthedhperipheraldhnervousdhsystemdharedhnotdhrelevantdhtodheitherdhschizophre
niadhordhpsychotropicdhmedications.
4. Adhstudentdhnursedhmuttersdhthatdhitdhseemsdhentirelydhunnecessarydhtodhhavedhtodhstrugg
ledhwithdhunderstandingdhthedhanatomydhanddhphysiologydhofdhthedhneurologicdhsystem.d
hThedhmentor
woulddhbasedhadhresponsedhondhthedhunderstandingdhthatdhitdhis:
Necessarydhbutdhgenerallydhfordhpsychiatricdhnursesdhwhodhfocusdhprimarilydhon
dh
a. behavioraldhinterventions
Adhcomplexdhundertakingdhthatdhadvancedhpracticedhpsychiatricdhnursesdhfrequentlydh
b. usedhindhtheirdhpractice
Importantdhprimarilydhfordhthedhnursingdhassessmentdhofdhpatientsdhwithdhbraindhtrau
c. macauseddhcognitivedhsymptoms
Necessarydhfordhplanningdhpsychiatricdhcaredhfordhalldhpatientsdhespeciallydhthosedhex
d. periencingdhpsychiatricdhdisorders
ANS:dh
D
Nursesdhmustdhunderstanddhthatdhmanydhsymptomsdhofdhpsychiatricdhdisordersdhhavedhadh
neurologicdhbasis,dhalthoughdhthedhsymptomsdharedhmanifesteddhbehaviorally.dhThisdhund
erstandingdhfacilitatesdheffectivedhcaredhplanning.dhThedhfoundationdhofdhknowledgedhisdhnot
dhuseddhexclusivelydhbydhadvanceddhpracticedhpsychiatricdhnursesdhnordhisdhitdhrelevantdhfo
rdhonlydhbehaviordhtherapiesdhordhbraindhtraumadhsincedhdealingdhwithdhthedhresultsdhofdhno
rmaldhanddhabnormaldhbraindhfunctiondhisdhadhresponsibilitydhofdhalldhnursesdhprovidingdhalld
htypesdhofdhcaredhtodhthedhpsychiatricdhpatient.
5. Adhpatientdhasksdhthedhnurse,dhMydhwifedhhasdhbreastdhcancer.dhCoulddhitdhbedhcauseddhbydhher
chronicdhdepression?dhWhichdhresponsedhisdhsupporteddhbydhresearchdhdata?
a. Toodhmuchdhstressdhhasdhbeendhprovendhtodhcausedhalldhkindsdhofdhcancer.
b. Theredhhavedhbeendhnodhresearchdhstudiesdhdonedhondhstressdhanddhdiseasedhyet.
c. Stressdhdoesdhcausedhthedhreleasedhofdhfactorsdhthatdhsuppressdhthedhimmunedhsystem.
d. Theredhappearsdhtodhbedhlittledhconnectiondhbetweendhstressdhanddhdiseasesdhofdhth
edhbodydhANS:dhC
Researchdhindicatesdhthatdhstressdhcausesdhadhreleasedhofdhcorticotropin-releasingdhfactorsdhthat
suppressdhthedhimmunedhsystem.dhStudiesdhindicatedhthatdhpsychiatricdhdisordersdhsuchdhasdh
mooddhdisordersdharedhsometimesdhassociateddhwithdhdecreaseddhfunctioningdhofdhthedhimm
unedhsystem.dhResearchdhdoesdhnotdhsupportdhadhconnectiondhbetweendhmanydhcancersdhan
ddhstress.dhTheredhisdhadhsignificantdhamountdhofdhresearchdhaboutdhstressdhanddhthedhbody.d
hResearchdhhasdhshowndhthatdhtheredharedhsomedhconnectionsdhbetweendhstressdhanddhphys
m
dh
, Stahl’s Essential Psy
dh dh
th
chopharmacology 5 E dhdh
dh
dition Test Bank
dh dh
, Stahl's Essential Psychopharmacology
dh dh
NeuroscientificdhBasisdhanddhPracticaldhApplicationsdh5thdhEditiondhTestbank/StudydhGuide
Chapterdh1dhChemicaldhneurotransmission
MULTIPLEdhCHOICE
1. Adhpatientdhwithdhdepressiondhmentionsdhtodhthedhnurse,dhMydhmotherdhsaysdhdepress
iondhisdhadhchemicaldhdisorder.dhWhatdhdoesdhshedhmean?dhThedhnursesdhresponsedhisdhbas
eddhondhthedhtheory
thatdhdepressiondhprimarilydhinvolvesdhwhichdhofdhthedhfollowingdhneurotransmitters?
a. CortisoldhanddhGABA
b. COMTdhanddhglutamate
c. Monaminedhanddhglycine
d. Serotonindhanddhnorepinephrin
edhANS:dhD
Onedhpossibledhcausedhofdhdepressiondhisdhthoughtdhtodhinvolvedhonedhordhmoredhneurotransmitters.
Serotonindhanddhnorepinephrinedhhavedhbeendhfounddhtodhbedhimportantdhindhthedhregula
tiondhofdhdepression.dhTheredhisdhnodhresearchdhtodhsupportdhthatdhthedhotherdhoptionsdhpl
aydhadhsignificantdhroledhindhthedhdevelopmentdhofdhdepression.
2. Adhpatientdhhasdhexperienceddhadhstrokedh(cerebraldhvasculardhaccident)dhthatdhhasdhresultedd
hindhdamagedhtodhthedhBrocadharea.dhWhichdhevaluationdhdoesdhthedhnursedhconductdhtodhreinfor
cedhthisdhdiagnosis?
a. Observingdhthedhpatientdhpickdhupdhadhspoon
b. Askingdhthedhpatientdhtodhrecitedhthedhalphabet
c. Monitoringdhthedhpatientsdhblooddhpressure
d. Comparingdhthedhpatientsdhgripdhstrengthdhindhbothdhha
ndsdhANS:dhB
AccidentsdhordhstrokesdhthatdhdamagedhBrocasdhareadhmaydhresultdhindhthedhinabilitydhtodhspeakdh(i.e.,
motordhaphasia).dhFinedhmotordhskills,dhblooddhpressuredhcontrol,dhanddhmuscledhstrengthdh
aredhnotdhcontrolleddhbydhthedhBrocadhareadhofdhthedhleftdhfrontaldhlobe.
3. Thedhpatientdhdiagnoseddhwithdhschizophreniadhasksdhwhydhpsychotropicdhmedicatio
nsdharedhalwaysdhprescribeddhbydhthedhdoctor.dhThedhnursesdhanswerdhwilldhbedhbaseddhondhi
nformationdhthatdhthedhtherapeuticdhactiondhofdhpsychotropicdhdrugsdhisdhthedhresultdhofdht
heirdheffectdhon:
a. Thedhtemporaldhlobe;dhespeciallydhWernickesdharea
b. Dendritesdhanddhtheirdhabilitydhtodhtransmitdhelectricaldhimpulses
c. Thedhregulationdhofdhneurotransmittersdhespeciallydhdopamine
d. Thedhperipheraldhnervousdhsystemdhsensitivitydhtodhthedhpsychotropicdhmedications
m
, ANS:dhC
Medicationsdhuseddhtodhtreatdhpsychiatricdhdisordersdhoperatedhindhanddharounddhthedhsynapti
cdhcleftdhanddhhavedhactiondhatdhthedhneurotransmitterdhlevel,dhespeciallydhindhthedhcasedhofd
hschizophrenia,dhondhdopamine.dhThedhWernickesdharea,dhdendritedhfunction,dhordhthedhse
nsitivitydhofdhthedhperipheraldhnervousdhsystemdharedhnotdhrelevantdhtodheitherdhschizophre
niadhordhpsychotropicdhmedications.
4. Adhstudentdhnursedhmuttersdhthatdhitdhseemsdhentirelydhunnecessarydhtodhhavedhtodhstrugg
ledhwithdhunderstandingdhthedhanatomydhanddhphysiologydhofdhthedhneurologicdhsystem.d
hThedhmentor
woulddhbasedhadhresponsedhondhthedhunderstandingdhthatdhitdhis:
Necessarydhbutdhgenerallydhfordhpsychiatricdhnursesdhwhodhfocusdhprimarilydhon
dh
a. behavioraldhinterventions
Adhcomplexdhundertakingdhthatdhadvancedhpracticedhpsychiatricdhnursesdhfrequentlydh
b. usedhindhtheirdhpractice
Importantdhprimarilydhfordhthedhnursingdhassessmentdhofdhpatientsdhwithdhbraindhtrau
c. macauseddhcognitivedhsymptoms
Necessarydhfordhplanningdhpsychiatricdhcaredhfordhalldhpatientsdhespeciallydhthosedhex
d. periencingdhpsychiatricdhdisorders
ANS:dh
D
Nursesdhmustdhunderstanddhthatdhmanydhsymptomsdhofdhpsychiatricdhdisordersdhhavedhadh
neurologicdhbasis,dhalthoughdhthedhsymptomsdharedhmanifesteddhbehaviorally.dhThisdhund
erstandingdhfacilitatesdheffectivedhcaredhplanning.dhThedhfoundationdhofdhknowledgedhisdhnot
dhuseddhexclusivelydhbydhadvanceddhpracticedhpsychiatricdhnursesdhnordhisdhitdhrelevantdhfo
rdhonlydhbehaviordhtherapiesdhordhbraindhtraumadhsincedhdealingdhwithdhthedhresultsdhofdhno
rmaldhanddhabnormaldhbraindhfunctiondhisdhadhresponsibilitydhofdhalldhnursesdhprovidingdhalld
htypesdhofdhcaredhtodhthedhpsychiatricdhpatient.
5. Adhpatientdhasksdhthedhnurse,dhMydhwifedhhasdhbreastdhcancer.dhCoulddhitdhbedhcauseddhbydhher
chronicdhdepression?dhWhichdhresponsedhisdhsupporteddhbydhresearchdhdata?
a. Toodhmuchdhstressdhhasdhbeendhprovendhtodhcausedhalldhkindsdhofdhcancer.
b. Theredhhavedhbeendhnodhresearchdhstudiesdhdonedhondhstressdhanddhdiseasedhyet.
c. Stressdhdoesdhcausedhthedhreleasedhofdhfactorsdhthatdhsuppressdhthedhimmunedhsystem.
d. Theredhappearsdhtodhbedhlittledhconnectiondhbetweendhstressdhanddhdiseasesdhofdhth
edhbodydhANS:dhC
Researchdhindicatesdhthatdhstressdhcausesdhadhreleasedhofdhcorticotropin-releasingdhfactorsdhthat
suppressdhthedhimmunedhsystem.dhStudiesdhindicatedhthatdhpsychiatricdhdisordersdhsuchdhasdh
mooddhdisordersdharedhsometimesdhassociateddhwithdhdecreaseddhfunctioningdhofdhthedhimm
unedhsystem.dhResearchdhdoesdhnotdhsupportdhadhconnectiondhbetweendhmanydhcancersdhan
ddhstress.dhTheredhisdhadhsignificantdhamountdhofdhresearchdhaboutdhstressdhanddhthedhbody.d
hResearchdhhasdhshowndhthatdhtheredharedhsomedhconnectionsdhbetweendhstressdhanddhphys
m
