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Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis yand
yPractical yApplications y4th yEdition yTestbank/Study yGuide




WWW.TESTBANKTANK.COM

,Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis yand
yPractical yApplications y4th yEdition yTestbank/Study yGuide



Stahl's Essential Psychopharmacology
y y

Neuroscientific yBasis yand yPractical yApplications y 5th yEdition yTestbank/Study yGuide

Chapter y1 yChemical yneurotransmission
MULTIPLE yCHOICE
1. A ypatient ywith ydepression ymentions yto ythe ynurse, yMy ymother ysays
ydepression yis ya ychemical ydisorder. yWhat ydoes yshe ymean? yThe ynurses yresponse
yis ybased yon ythe ytheoryythat ydepression yprimarily yinvolves ywhich yof ythe
yfollowing yneurotransmitters?

a. Cortisol yand yGABA
b. COMT yand yglutamate
c. Monamine yand yglycine
d. Serotonin yand ynorepinephrine
ANS: yD
One ypossible ycause yof ydepression yis ythought yto yinvolve yone yor ymore
yneurotransmitters.ySerotonin yand ynorepinephrine yhave ybeen yfound yto ybe yimportant
yin ythe yregulation yof ydepression. yThere yis yno yresearch yto ysupport ythat ythe yother
yoptions yplay ya ysignificant yrole yin ythe ydevelopment yof ydepression.
2. A ypatient yhas yexperienced ya ystroke y(cerebral yvascular yaccident) ythat yhas
yresulted yinydamage yto ythe yBroca yarea. yWhich yevaluation ydoes ythe ynurse yconduct
yto yreinforce ythisydiagnosis?

a. Observing ythe ypatient ypick yup ya yspoon
b. Asking ythe ypatient yto yrecite ythe yalphabet
c. Monitoring ythe ypatients yblood ypressure
d. Comparing ythe ypatients ygrip ystrength yin yboth yhands
ANS: yB
Accidents yor ystrokes ythat ydamage yBrocas yarea ymay yresult yin ythe yinability yto
yspeak y(i.e.,ymotor yaphasia). yFine ymotor yskills, yblood ypressure ycontrol, yand ymuscle
ystrength yare ynotycontrolled yby ythe yBroca yarea yof ythe yleft yfrontal ylobe.
3. The ypatient ydiagnosed ywith yschizophrenia yasks ywhy ypsychotropic ymedications
yare yalways yprescribed yby ythe ydoctor. yThe ynurses yanswer ywill ybe ybased yon
yinformation ythatythe ytherapeutic yaction yof ypsychotropic ydrugs yis ythe yresult yof
ytheir yeffect yon:

a. The ytemporal ylobe; yespecially yWernickes yarea
b. Dendrites yand ytheir yability yto ytransmit yelectrical yimpulses
c. The yregulation yof yneurotransmitters yespecially ydopamine
d. The yperipheral ynervous ysystem ysensitivity yto ythe ypsychotropic ymedications

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,Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis yand
yPractical yApplications y4th yEdition yTestbank/Study yGuide



ANS: yC
Medications yused yto ytreat ypsychiatric ydisorders yoperate yin yand yaround ythe
ysynaptic ycleftyand yhave yaction yat ythe yneurotransmitter ylevel, yespecially yin ythe ycase
yof yschizophrenia, yon ydopamine. yThe yWernickes yarea, ydendrite yfunction, yor ythe
ysensitivity yof ythe yperipheral ynervous ysystem yare ynot yrelevant yto yeither
yschizophrenia yor ypsychotropic ymedications.
4. A ystudent ynurse ymutters ythat yit yseems yentirely yunnecessary yto yhave yto
ystruggle ywithyunderstanding ythe yanatomy yand yphysiology yof ythe yneurologic
ysystem. yThe ymentor ywould ybase ya yresponse yon ythe yunderstanding ythat yit yis:

Necessary ybut ygenerally yfor ypsychiatric ynurses ywho yfocus
a. yprimarily yonybehavioral yinterventions

A ycomplex yundertaking ythat yadvance ypractice ypsychiatric ynurses yfrequently
b. yuseyin ytheir ypractice

Important yprimarily yfor ythe ynursing yassessment yof ypatients ywith
c. ybrainytraumacaused ycognitive ysymptoms

Necessary yfor yplanning ypsychiatric ycare yfor yall ypatients yespecially
d. ythoseyexperiencing ypsychiatric ydisorders

ANS: yD
Nurses ymust yunderstand ythat ymany ysymptoms yof ypsychiatric ydisorders yhave ya
yneurologic ybasis, yalthough ythe ysymptoms yare ymanifested ybehaviorally. yThis
yunderstanding yfacilitates yeffective ycare yplanning. yThe yfoundation yof yknowledge
yis ynotyused yexclusively yby yadvanced ypractice ypsychiatric ynurses ynor yis yit
yrelevant yfor yonly ybehavior ytherapies yor ybrain ytrauma ysince ydealing ywith ythe
yresults yof ynormal yand yabnormal ybrain yfunction yis ya yresponsibility yof yall ynurses
yproviding yall ytypes yof ycare ytoythe ypsychiatric ypatient.
5. A ypatient yasks ythe ynurse, yMy ywife yhas ybreast ycancer. yCould yit ybe ycaused
yby yherychronic ydepression? yWhich yresponse yis ysupported yby yresearch ydata?

a. Too ymuch ystress yhas ybeen yproven yto ycause yall ykinds yof ycancer.
b. There yhave ybeen yno yresearch ystudies ydone yon ystress yand ydisease yyet.
c. Stress ydoes ycause ythe yrelease yof yfactors ythat ysuppress ythe yimmune ysystem.
d. There yappears yto ybe ylittle yconnection ybetween ystress yand ydiseases yof ythe
ybody

ANS: yC
Research yindicates ythat ystress ycauses ya yrelease yof ycorticotropin-releasing yfactors
ythat ysuppress ythe yimmune ysystem. yStudies yindicate ythat ypsychiatric ydisorders
ysuch yas ymoodydisorders yare ysometimes yassociated ywith ydecreased yfunctioning yof
ythe yimmune ysystem.yResearch ydoes ynot ysupport ya yconnection ybetween ymany
ycancers yand ystress. yThere yis ya ysignificant yamount yof yresearch yabout ystress yand
ythe ybody. yResearch yhas yshown ythat ythere yare ysome yconnections ybetween ystress
yand yphysical ydisease.




WWW.TESTBANKTANK.COM

, Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis yand
yPractical yApplications y4th yEdition yTestbank/Study yGuide



6. A ypatient ywho yhas ya yparietal ylobe yinjury yis ybeing yevaluated yfor ypsychiatric
yrehabilitation yneeds. yOf ythe yaspects yof yfunctioning ylisted, ywhich ywill ythe ynurse
yidentifyyas ya yfocus yof ynursing yintervention?

a. Expression yof yemotion
b. Detecting yauditory ystimuli
c. Receiving yvisual yimages
d. Processing yassociations
ANS: yD
The yparietal ylobe yis yresponsible yfor yassociating yand yprocessing ysensory
yinformation ythat yallows yfor yfunctions ysuch yas yfollowing ydirections yon ya ymap,
yreading ya yclock, ydressing yself, ykeeping yappointments, yand ydistinguishing yright
yfrom yleft. yEmotional yexpression yis yassociated ywith yfrontal ylobe yfunction.
yDetecting yauditory ystimuli yis ya ytemporal ylobe yfunction. yReceiving yvisual yimages
yis yrelated yto yoccipital ylobe yfunction.
7. At yadmission, ythe ynurse ylearns ythat ysome ytime yago ythe ypatient yhad yan
yinfarct yin ytheyright ycerebral ycortex. yDuring yassessment, ythe ynurse ywould yexpect
yto yfind ythat ythe ypatient:

a. Demonstrates ymajor ydeficiencies yin yspeech
b. Is yunable yto yeffectively yhold ya yspoon yin ythe yleft yhand
c. Has ydifficulty yexplaining yhow yto ygo yabout yusing ythe ytelephone
d. Cannot yuse yhis yright yhand yto yshave yhimself yor ycomb yhis yown yhair
ANS: yB
The ycerebral yhemispheres yare yresponsible yfor yfunctions ysuch yas ycontrol yof
ymuscles. yThe yright yhemisphere ymainly ycontrols ythe ymotor yand ysensory yfunctions
yon ythe yleft ysideyof ythe ybody. yDamage yto ythe yright yside ywould yresult yin yimpaired
yfunction yon ythe yleft yside yof ythe ybody. yThe ymotor ycortex ycontrols yvoluntary
ymotor yactivity. yBrocas yarea ycontrols ymotor yspeech. yCognitive yfunctions yare
yattributed yto ythe yassociation ycortex.
The yright yside yof ythe ybodys ymotor yactivity yis ycontrolled yby ythe yleft ycerebral ycortex.
8. A ypatient ywith ychronic yschizophrenia yhad ya ystroke yinvolving ythe yhippocampus.
yTheypatient ywill ybe ydischarged yon ylow ydoses yof yhaloperidol. yThe ynurse ywill
yneed yto yindividualize ythe ypatients ymedication yteaching yby:

a. Including ythe ypatients ycaregiver yin ythe yeducation
b. Being ycareful yto ystress ythe yimportance yof ytaking ythe ymedication yas
yprescribed

Providing ythe yeducation yat ya ytime ywhen ythe ypatient yis yemotionally
c. ycalm yandyrelaxed

Encouraging ythe ypatient yto ycrush yor ydissolve ythe ymedication yto yhelp
d. ywithyswallowing

ANS: yA
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