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  • October 2, 2024
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Stahl's Essential
Psychopharmacology 5th
Edition
Test Bank

, Stahl's Essential Psychopharmacology
z z

Neuroscientific zBasis zand zPractical zApplications zTESTBANK/STUDY
zGUIDE


Chapter z1 zChemical zneurotransmission
MULTIPLE zCHOICE
1. A zpatient zwith zdepression zmentions zto zthe znurse, zMy zmother zsays zdepression
zis za zchemical zdisorder. zWhat zdoes zshe zmean? zThe znurses zresponse zis zbased zon
zthe ztheoryzthat zdepression zprimarily zinvolves zwhich zof zthe zfollowing
zneurotransmitters?

a. Cortisol zand zGABA
b. COMT zand zglutamate
c. Monamine zand zglycine
d. Serotonin zand znorepinephrine
ANS: zD
One zpossible zcause zof zdepression zis zthought zto zinvolve zone zor zmore
zneurotransmitters.zSerotonin zand znorepinephrine zhave zbeen zfound zto zbe zimportant
zin zthe zregulation zof zdepression. zThere zis zno zresearch zto zsupport zthat zthe zother
zoptions zplay za zsignificant zrole zin zthe zdevelopment zof zdepression.
2. A zpatient zhas zexperienced za zstroke z(cerebral zvascular zaccident) zthat zhas
zresulted zin zdamage zto zthe zBroca zarea. zWhich zevaluation zdoes zthe znurse zconduct
zto zreinforce zthiszdiagnosis?

a. Observing zthe zpatient zpick zup za zspoon
b. Asking zthe zpatient zto zrecite zthe zalphabet
c. Monitoring zthe zpatients zblood zpressure
d. Comparing zthe zpatients zgrip zstrength zin zboth zhands
ANS: zB
Accidents zor zstrokes zthat zdamage zBrocas zarea zmay zresult zin zthe zinability zto
zspeak z(i.e., zmotor zaphasia). zFine zmotor zskills, zblood zpressure zcontrol, zand zmuscle
zstrength zare znotzcontrolled zby zthe zBroca zarea zof zthe zleft zfrontal zlobe.
3. The zpatient zdiagnosed zwith zschizophrenia zasks zwhy zpsychotropic zmedications
zare zalways zprescribed zby zthe zdoctor. zThe znurses zanswer zwill zbe zbased zon
zinformation zthatzthe ztherapeutic zaction zof zpsychotropic zdrugs zis zthe zresult zof ztheir
zeffect zon:

a. The ztemporal zlobe; zespecially zWernickes zarea
b. Dendrites zand ztheir zability zto ztransmit zelectrical zimpulses
c. The zregulation zof zneurotransmitters zespecially zdopamine
d. The zperipheral znervous zsystem zsensitivity zto zthe zpsychotropic zmedications

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,ANS: zC
Medications zused zto ztreat zpsychiatric zdisorders zoperate zin zand zaround zthe zsynaptic
zcleftzand zhave zaction zat zthe zneurotransmitter zlevel, zespecially zin zthe zcase zof
zschizophrenia, zon zdopamine. zThe zWernickes zarea, zdendrite zfunction, zor zthe
zsensitivity zof zthe zperipheral znervous zsystem zare znot zrelevant zto zeither
zschizophrenia zor zpsychotropic zmedications.
4. A zstudent znurse zmutters zthat zit zseems zentirely zunnecessary zto zhave zto zstruggle
zwithzunderstanding zthe zanatomy zand zphysiology zof zthe zneurologic zsystem. zThe
zmentor zwould zbase za zresponse zon zthe zunderstanding zthat zit zis:

Necessary zbut zgenerally zfor zpsychiatric znurses zwho zfocus zprimarily
a. zonzbehavioral zinterventions

A zcomplex zundertaking zthat zadvance zpractice zpsychiatric znurses zfrequently
b. zusezin ztheir zpractice

Important zprimarily zfor zthe znursing zassessment zof zpatients zwith
c. zbrainztraumacaused zcognitive zsymptoms

Necessary zfor zplanning zpsychiatric zcare zfor zall zpatients zespecially
d. zthosezexperiencing zpsychiatric zdisorders

ANS: zD
Nurses zmust zunderstand zthat zmany zsymptoms zof zpsychiatric zdisorders zhave za
zneurologic zbasis, zalthough zthe zsymptoms zare zmanifested zbehaviorally. zThis
zunderstanding zfacilitates zeffective zcare zplanning. zThe zfoundation zof zknowledge
zis znotzused zexclusively zby zadvanced zpractice zpsychiatric znurses znor zis zit zrelevant
zfor zonly zbehavior ztherapies zor zbrain ztrauma zsince zdealing zwith zthe zresults zof
znormal zand zabnormal zbrain zfunction zis za zresponsibility zof zall znurses zproviding
zall ztypes zof zcare ztozthe zpsychiatric zpatient.
5. A zpatient zasks zthe znurse, zMy zwife zhas zbreast zcancer. zCould zit zbe zcaused
zby zherzchronic zdepression? zWhich zresponse zis zsupported zby zresearch zdata?

a. Too zmuch zstress zhas zbeen zproven zto zcause zall zkinds zof zcancer.
b. There zhave zbeen zno zresearch zstudies zdone zon zstress zand zdisease zyet.
c. Stress zdoes zcause zthe zrelease zof zfactors zthat zsuppress zthe zimmune zsystem.
d. There zappears zto zbe zlittle zconnection zbetween zstress zand zdiseases zof zthe zbody
ANS: zC
Research zindicates zthat zstress zcauses za zrelease zof zcorticotropin-releasing zfactors
zthat zsuppress zthe zimmune zsystem. zStudies zindicate zthat zpsychiatric zdisorders zsuch
zas zmoodzdisorders zare zsometimes zassociated zwith zdecreased zfunctioning zof zthe
zimmune zsystem.zResearch zdoes znot zsupport za zconnection zbetween zmany zcancers
zand zstress. zThere zis za zsignificant zamount zof zresearch zabout zstress zand zthe zbody.
zResearch zhas zshown zthat zthere zare zsome zconnections zbetween zstress zand zphysical
zdisease.




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, 6. A zpatient zwho zhas za zparietal zlobe zinjury zis zbeing zevaluated zfor zpsychiatric
zrehabilitation zneeds. zOf zthe zaspects zof zfunctioning zlisted, zwhich zwill zthe znurse
zidentifyzas za zfocus zof znursing zintervention?

a. Expression zof zemotion
b. Detecting zauditory zstimuli
c. Receiving zvisual zimages
d. Processing zassociations
ANS: zD
The zparietal zlobe zis zresponsible zfor zassociating zand zprocessing zsensory
zinformation zthat zallows zfor zfunctions zsuch zas zfollowing zdirections zon za zmap,
zreading za zclock, zdressing zself, zkeeping zappointments, zand zdistinguishing zright
zfrom zleft. zEmotional zexpression zis zassociated zwith zfrontal zlobe zfunction.
zDetecting zauditory zstimuli zis za ztemporal zlobe zfunction. zReceiving zvisual zimages
zis zrelated zto zoccipital zlobe zfunction.
7. At zadmission, zthe znurse zlearns zthat zsome ztime zago zthe zpatient zhad zan zinfarct
zin zthezright zcerebral zcortex. zDuring zassessment, zthe znurse zwould zexpect zto zfind
zthat zthe zpatient:

a. Demonstrates zmajor zdeficiencies zin zspeech
b. Is zunable zto zeffectively zhold za zspoon zin zthe zleft zhand
c. Has zdifficulty zexplaining zhow zto zgo zabout zusing zthe ztelephone
d. Cannot zuse zhis zright zhand zto zshave zhimself zor zcomb zhis zown zhair
ANS: zB
The zcerebral zhemispheres zare zresponsible zfor zfunctions zsuch zas zcontrol zof
zmuscles. zThe zright zhemisphere zmainly zcontrols zthe zmotor zand zsensory zfunctions
zon zthe zleft zsidezof zthe zbody. zDamage zto zthe zright zside zwould zresult zin zimpaired
zfunction zon zthe zleft zside zof zthe zbody. zThe zmotor zcortex zcontrols zvoluntary zmotor
zactivity. zBrocas zarea zcontrols zmotor zspeech. zCognitive zfunctions zare zattributed zto
zthe zassociation zcortex.
The zright zside zof zthe zbodys zmotor zactivity zis zcontrolled zby zthe zleft zcerebral zcortex.
8. A zpatient zwith zchronic zschizophrenia zhad za zstroke zinvolving zthe zhippocampus.
zThezpatient zwill zbe zdischarged zon zlow zdoses zof zhaloperidol. zThe znurse zwill zneed
zto zindividualize zthe zpatients zmedication zteaching zby:

a. Including zthe zpatients zcaregiver zin zthe zeducation
b. Being zcareful zto zstress zthe zimportance zof ztaking zthe zmedication zas zprescribed
Providing zthe zeducation zat za ztime zwhen zthe zpatient zis zemotionally
c. zcalm zandzrelaxed

Encouraging zthe zpatient zto zcrush zor zdissolve zthe zmedication zto zhelp
d. zwithzswallowing

ANS: zA

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