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TESTBANK -STAHL’S ESSENTIAL PSYCHOPHARMACOLOGY NEUROSCIENTIFIC BASIS AND PRACTICAL APPLICATIONS 5TH EDITION
TESTBANK -STAHL’S ESSENTIAL PSYCHOPHARMACOLOGY NEUROSCIENTIFIC BASIS AND PRACTICAL APPLICATIONS 5TH EDITION
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TESTBANK -STAHL’S ESSENTIAL PSYCHOPHARMACOLOGYNEUROSCIENTIFIC BASIS AND PRACTICAL APPLICATIONS
5TH EDITION
,Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE
1. A client with depression mentions to the caregiver, My mother says depression is a
chemical disorder. What does she mean? The caregivers 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
SELECT ANSWER:-D
Explanation:->>>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 client has experienced a stroke (cerebral vascular accident) that has resulted in damage to the
Broca area. Which evaluation does the caregiver conduct to reinforce this diagnosis?
a. Observing the client pick up a spoon
b. Asking the client to recite the alphabet
c. Monitoring the clients blood pressure
d. Comparing the clients grip strength in both hands
SELECT ANSWER:-B
Explanation:->>>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 notcontrolled by the
Broca area of the left frontal lobe.
3. The client diagnosed with schizophrenia asks why psychotropic medications are
always prescribed by the doctor. The caregivers 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
,SELECT ANSWER:-C
Explanation:->>>Medications used to treat psychiatric disorders operate in and around the
synaptic cleftand 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 learner caregiver 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 caregivers who focus primarily on
a. behavioral interventions
A complex undertaking that advance practice psychiatric caregivers frequently usein their
b. practice
c. Important primarily for the nursing assessment of clients with braintraumacaused
cognitive symptoms
d. Necessary for planning psychiatric care for all clients especially thoseexperiencing
SELECT psychiatric disorders
ANSWE
R:-D
Explanation:->>>Caregivers 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 notused
exclusively by advanced practice psychiatric caregivers 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 caregivers providing all types of care to the psychiatric client
5. A client asks the caregiver, 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
SELECT ANSWER:-C
Explanation:->>>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
and physical disease.
, 6. A client who has a parietal lobe injury is being evaluated for psychiatric rehabilitation needs.
Of the aspects of functioning listed, which will the caregiver identifyas a focus of nursing
intervention?
a. Expression of emotion
b. Detecting auditory stimuli
c. Receiving visual images
d. Processing associations
SELECT ANSWER:-D
Explanation:->>>The parietal lobe is responsible for associating and processing sensory information
that allows for functions such as following directions on a map, reading a clock, dressing self,
keeping appointments, and distinguishing right from left. Emotional expression is associated
with frontal lobe function. Detecting auditory stimuli is a temporal lobe function. Receiving
visual images is related to occipital lobe function.
7. At admission, the caregiver learns that some time ago the client had an infarct in theright
cerebral cortex. During assessment, the caregiver would expect to find that the client:
a. Demonstrates major deficiencies in speech
b. Is unable to effectively hold a spoon in the left hand
c. Has difficulty explaining how to go about using the telephone
d. Cannot use his right hand to shave himself or comb his own hair
SELECT ANSWER:-B
Explanation:->>>The cerebral hemispheres are responsible for functions such as control of muscles.
The right hemisphere mainly controls the motor and sensory functions on the left sideof the
body. Damage to the right side would result in impaired function on the left side of the body.
The motor cortex controls voluntary motor activity. Brocas area controls motor speech.
Cognitive functions are attributed to the association cortex.
The right side of the bodys motor activity is controlled by the left cerebral cortex.
8. A client with chronic schizophrenia had a stroke involving the hippocampus. Theclient will
be discharged on low doses of haloperidol. The caregiver will need to individualize the clients
medication teaching by:
a. Including the clients caregiver in the education
b. Being careful to stress the importance of taking the medication as prescribedProviding
the education at a time when the client is emotionally calm and
c. relaxed
Encouraging the client to crush or dissolve the medication to help withswallowing
d.
SELECT
ANSWE
R:-A
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