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, Stahl's Essential Psychopharmacology
Neuroscientific Basis and Practical Applications 5th Edition Testbank
Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. A patient with depression mentions to the nurse, My mother
says depression is a c hemical disorder. What does she mean? The
nurses response is based on the theoryth at 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 dep ression. There is no research to support that
the other options play a significant role in t he 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 d iagnosis?
sr
WWW.TESTBANKTANK.COM
, 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.,
sr
motor aphasia). Fine motor skills, blood pressure control, and
muscle strength are notc ontrolled by the Broca area of the left
frontal lobe.
3. The patient diagnosed with schizophrenia asks why psychotropic
medications are a lways prescribed by the doctor. The nurses
answer will be based on information that th e therapeutic action of
sr
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
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
sr sr sr sr
ANS: C
Medications used to treat psychiatric disorders operate in and
around the synaptic cleft a nd have action at the neurotransmitter
sr
level, especially in the case of schizophrenia, on dopamine. The
Wernickes area, dendrite function, or the sensitivity of the
peripheral ne rvous 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 u nderstanding the anatomy and physiology
sr
of the neurologic system. The mentor woul d base a response on
the understanding that it is:
Necessary but generally for psychiatric nurses who focus
primarily on sr sr
a. behavioral interventions
A complex undertaking that advance practice psychiatric
b. nurses frequently use i n their practice
sr sr
Important primarily for the nursing assessment of
c. patients with brain t raumacaused cognitive symptoms
sr sr
Necessary for planning psychiatric care for all patients sr
d. especially those experiencing psychiatric disorders
ANS:
D
Nurses must understand that many symptoms of psychiatric sr sr
disorders have a neurolo gic basis, although the symptoms are
manifested behaviorally. This understanding fac ilitates effective
care planning. The foundation of knowledge is not used exclusively sr sr
WWW.TESTBANKTANK.COM
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology
Neuroscientific Basis and Practical Applications 5th Edition Testbank
Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. A patient with depression mentions to the nurse, My mother
says depression is a c hemical disorder. What does she mean? The
nurses response is based on the theoryth at 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 dep ression. There is no research to support that
the other options play a significant role in t he 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 d iagnosis?
sr
WWW.TESTBANKTANK.COM
, 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.,
sr
motor aphasia). Fine motor skills, blood pressure control, and
muscle strength are notc ontrolled by the Broca area of the left
frontal lobe.
3. The patient diagnosed with schizophrenia asks why psychotropic
medications are a lways prescribed by the doctor. The nurses
answer will be based on information that th e therapeutic action of
sr
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
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical
sr sr sr sr sr sr sr
Applications 5th Edition Testbank/Study Guide
sr sr sr sr
ANS: C
Medications used to treat psychiatric disorders operate in and
around the synaptic cleft a nd have action at the neurotransmitter
sr
level, especially in the case of schizophrenia, on dopamine. The
Wernickes area, dendrite function, or the sensitivity of the
peripheral ne rvous 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 u nderstanding the anatomy and physiology
sr
of the neurologic system. The mentor woul d base a response on
the understanding that it is:
Necessary but generally for psychiatric nurses who focus
primarily on sr sr
a. behavioral interventions
A complex undertaking that advance practice psychiatric
b. nurses frequently use i n their practice
sr sr
Important primarily for the nursing assessment of
c. patients with brain t raumacaused cognitive symptoms
sr sr
Necessary for planning psychiatric care for all patients sr
d. especially those experiencing psychiatric disorders
ANS:
D
Nurses must understand that many symptoms of psychiatric sr sr
disorders have a neurolo gic basis, although the symptoms are
manifested behaviorally. This understanding fac ilitates effective
care planning. The foundation of knowledge is not used exclusively sr sr
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