Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis
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Practical Applications 4th Edition Testbank/Study Guide
WWW.TESTBANKTANK.COM
,Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis
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yand
q
Practical Applications 4th Edition Testbank/Study Guide
Stahl's Essential Psychopharmacology q q
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study q q q q q q q
qGuide
Chapter 1 Chemical neurotransmission
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MULTIPLE CHOICE q
1. A patient with depression mentions to the nurse, My mother says
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depression is a chemical disorder. What does she mean? The nurses
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response is based on the theorythat depression primarily involves which of
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the following neurotransmitters?
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a. Cortisol and GABA q q
b. COMT and glutamate q q
c. Monamine and glycine q q
d. Serotonin and q
qnorepinephrine ANS: D q q
One possible cause of depression is thought to involve one or more
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neurotransmitters.Serotonin and norepinephrine have been found to be q q q q q q q
important in the regulation of depression. There is no research to support
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that the other options play a significant role in the development of
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depression.
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2. A patient has experienced a stroke (cerebral vascular accident) that has
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resulted indamage to the Broca area. Which evaluation does the nurse
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conduct to reinforce thisdiagnosis?
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a. Observing the patient pick up a spoon q q q q q q
b. Asking the patient to recite the alphabet q q q q q q
c. Monitoring the patients blood pressure q q q q
d. Comparing the patients grip strength in both q q q q q q
qhands ANS: B q q
Accidents or strokes that damage Brocas area may result in the inability to
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speak (i.e.,motor aphasia). Fine motor skills, blood pressure control, and muscle
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strength are notcontrolled by the Broca area of the left frontal lobe.
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3. The patient diagnosed with schizophrenia asks why psychotropic
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medications are always prescribed by the doctor. The nurses answer will be
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based on information thatthe therapeutic action of psychotropic drugs is the
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result of their effect on:
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a. The temporal lobe; especially Wernickes area q q q q q
b. Dendrites and their ability to transmit electrical impulses q q q q q q q
c. The regulation of neurotransmitters especially dopamine
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,Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis
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yand
q
d.
PracticalTheApplications
qperipheral nervous
q qsystem Testbank/Study
4th Edition sensitivity to the psychotropic
q q q qGuide qmedications
, Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis
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yand
q
Practical Applications 4th Edition Testbank/Study Guide
ANS: C q
Medications used to treat psychiatric disorders operate in and around the
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synaptic cleftand have action at the neurotransmitter level, especially in the
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case of schizophrenia, on dopamine. The Wernickes area, dendrite function,
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or the sensitivity of the peripheral nervous system are not relevant to either
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schizophrenia or psychotropic medications.
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4. A student nurse mutters that it seems entirely unnecessary to have to
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struggle withunderstanding the anatomy and physiology of the neurologic
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system. The mentor would base a response on the understanding that it
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yis:
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Necessary but generally for psychiatric nurses who focus q q q q q q q
a. primarily onbehavioral interventions q q
A complex undertaking that advance practice psychiatric ynurses
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b. frequently usein their practice
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Important primarily for the nursing assessment of patients with
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c. braintraumacaused cognitive symptoms
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Necessary for planning psychiatric care for yall ypatients especially
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d. thoseexperiencing psychiatric disorders
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ANS:
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Nurses must understand that many symptoms yof psychiatric disorders have a
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neurologic basis, although the symptoms yare ymanifested behaviorally. This
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understanding facilitates effective care yplanning. The foundation of
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knowledge is notused exclusively by advanced ypractice psychiatric nurses
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nor is it relevant for only behavior therapies or brain trauma since
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dealing with the results of normal and abnormal ybrain function is a
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responsibility of all nurses providing all types of care ytothe psychiatric
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patient.
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5. A patient asks the ynurse, yMy wife has breast cancer. Could it be
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caused by herchronic depression? Which response is supported by
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research data?
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a. Too much ystress has been proven to cause all kinds of cancer.
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b. There yhave been no research studies done on stress and disease yet.
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c.
Stress does cause the release of factors that suppress the immune system.
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d.
There appears to be little connection between stress and diseases of theq q q q q q q q q q q
ybody
ANS: C q
Research indicates that stress causes a release of corticotropin-releasing
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factors that suppress the immune system. Studies indicate that psychiatric
q q q q q q q q q q
disorders such as mooddisorders are sometimes associated with decreased
q q q q q q q q q
functioning of the immune system.Research does not support a connection
q q q q q q q q q q
q q q q
yand
q
Practical Applications 4th Edition Testbank/Study Guide
WWW.TESTBANKTANK.COM
,Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis
q q q q
yand
q
Practical Applications 4th Edition Testbank/Study Guide
Stahl's Essential Psychopharmacology q q
Neuroscientific Basis and Practical Applications 5th Edition Testbank/Study q q q q q q q
qGuide
Chapter 1 Chemical neurotransmission
q q q
MULTIPLE CHOICE q
1. A patient with depression mentions to the nurse, My mother says
q q q q q q q q q q q
depression is a chemical disorder. What does she mean? The nurses
q q q q q q q q q q q
response is based on the theorythat depression primarily involves which of
q q q q q q q q q q q
the following neurotransmitters?
q q q
a. Cortisol and GABA q q
b. COMT and glutamate q q
c. Monamine and glycine q q
d. Serotonin and q
qnorepinephrine ANS: D q q
One possible cause of depression is thought to involve one or more
q q q q q q q q q q q
neurotransmitters.Serotonin and norepinephrine have been found to be q q q q q q q
important in the regulation of depression. There is no research to support
q q q q q q q q q q q q
that the other options play a significant role in the development of
q q q q q q q q q q q q
depression.
q
2. A patient has experienced a stroke (cerebral vascular accident) that has
q q q q q q q q q q
resulted indamage to the Broca area. Which evaluation does the nurse
q q q q q q q q q q q
conduct to reinforce thisdiagnosis?
q q q q
a. Observing the patient pick up a spoon q q q q q q
b. Asking the patient to recite the alphabet q q q q q q
c. Monitoring the patients blood pressure q q q q
d. Comparing the patients grip strength in both q q q q q q
qhands ANS: B q q
Accidents or strokes that damage Brocas area may result in the inability to
q q q q q q q q q q q q
speak (i.e.,motor aphasia). Fine motor skills, blood pressure control, and muscle
q q q q q q q q q q
strength are notcontrolled by the Broca area of the left frontal lobe.
q q q q q q q q q q q q
3. The patient diagnosed with schizophrenia asks why psychotropic
q q q q q q q
medications are always prescribed by the doctor. The nurses answer will be
q q q q q q q q q q q q
based on information thatthe therapeutic action of psychotropic drugs is the
q q q q q q q q q q q
result of their effect on:
q q q q q
a. The temporal lobe; especially Wernickes area q q q q q
b. Dendrites and their ability to transmit electrical impulses q q q q q q q
c. The regulation of neurotransmitters especially dopamine
q q q q q
,Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis
q q q q
yand
q
d.
PracticalTheApplications
qperipheral nervous
q qsystem Testbank/Study
4th Edition sensitivity to the psychotropic
q q q qGuide qmedications
, Stahl's yEssential yPsychopharmacology yNeuroscientific yBasis
q q q q
yand
q
Practical Applications 4th Edition Testbank/Study Guide
ANS: C q
Medications used to treat psychiatric disorders operate in and around the
q q q q q q q q q q
synaptic cleftand have action at the neurotransmitter level, especially in the
q q q q q q q q q q
case of schizophrenia, on dopamine. The Wernickes area, dendrite function,
q q q q q q q q q q
or the sensitivity of the peripheral nervous system are not relevant to either
q q q q q q q q q q q q q
schizophrenia or psychotropic medications.
q q q q
4. A student nurse mutters that it seems entirely unnecessary to have to
q q q q q q q q q q q
struggle withunderstanding the anatomy and physiology of the neurologic
q q q q q q q q q
system. The mentor would base a response on the understanding that it
q q q q q q q q q q q q
yis:
q
Necessary but generally for psychiatric nurses who focus q q q q q q q
a. primarily onbehavioral interventions q q
A complex undertaking that advance practice psychiatric ynurses
q q q q q q q
b. frequently usein their practice
q q q q
Important primarily for the nursing assessment of patients with
q q q q q q q q
c. braintraumacaused cognitive symptoms
q q q
Necessary for planning psychiatric care for yall ypatients especially
q q q q q q q q
d. thoseexperiencing psychiatric disorders
q q q
ANS:
qD
Nurses must understand that many symptoms yof psychiatric disorders have a
q q q q q q q q q q
neurologic basis, although the symptoms yare ymanifested behaviorally. This
q q q q q q q q q
understanding facilitates effective care yplanning. The foundation of
q q q q q q q q
knowledge is notused exclusively by advanced ypractice psychiatric nurses
q q q q q q q q q
nor is it relevant for only behavior therapies or brain trauma since
q q q q q q q q q q q q
dealing with the results of normal and abnormal ybrain function is a
q q q q q q q q q q q q
responsibility of all nurses providing all types of care ytothe psychiatric
q q q q q q q q q q q
patient.
q
5. A patient asks the ynurse, yMy wife has breast cancer. Could it be
q q q q q q q q q q q q
caused by herchronic depression? Which response is supported by
q q q q q q q q q
research data?
q q
a. Too much ystress has been proven to cause all kinds of cancer.
q q q q q q q q q q q
b. There yhave been no research studies done on stress and disease yet.
q q q q q q q q q q q
c.
Stress does cause the release of factors that suppress the immune system.
q q q q q q q q q q q
d.
There appears to be little connection between stress and diseases of theq q q q q q q q q q q
ybody
ANS: C q
Research indicates that stress causes a release of corticotropin-releasing
q q q q q q q q
factors that suppress the immune system. Studies indicate that psychiatric
q q q q q q q q q q
disorders such as mooddisorders are sometimes associated with decreased
q q q q q q q q q
functioning of the immune system.Research does not support a connection
q q q q q q q q q q
