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STAHL'S ESSENTIAL PSYCHOPHARMACOLOGY 5TH EDITION
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,Table of contents
Chapter 1 Chemical Neurotransmission
Chapter 2 Transporters, Receptors, and Enzymes as Targets of Psychopharmacological Drug Action
Chapter 3 Ion Channels as Targets of Psychopharmacological Drug Action
Chapter 4 Psychosis, Schizophrenia, and the Neurotransmitter Networks Dopamine, Serotonin, and Glutamate
Chapter 5 Targeting Dopamine and Serotonin Receptors for Psychosis, Mood, and Beyond: So-Called “Antipsych
Chapter 6 Mood Disorders and the Neurotransmitter Networks Norepinephrine and γ-Aminobutyric Acid (GABA)
Chapter 7 Treatments for Mood Disorders: So-Called “Antidepressants” and “Mood Stabilizers”
Chapter 8 Anxiety, Trauma, and Treatment
Chapter 9 Chronic Pain and Its Treatment
Chapter 10 Disorders of Sleep and Wakefulness and Their Treatment: Neurotransmitter Networks for Histamine a
Chapter 11 Attention Deficit Hyperactivity Disorder and Its Treatment
Chapter 12 Dementia: Causes, Symptomatic Treatments, and the Neurotransmitter Network
Acetylcholine
Chapter 13 Impulsivity, Compulsivity, and Addiction
,Chapter 1 Chemical Neurotransmission
MULTIPLE CHOICE
1. A Patient With Depression Mentions To The Nurse, My Mother Says Depression Is A Chemical
Disorder. What Does She Mean? The Nurse’s Response Is based on the Theory That Depression Primarily
Involves Which of the Following Neurotransmitters?
A. Cortisol and GABA
B. COMT and Glutamate
C. Monoamine and Glycine
D. Serotonin And Norepinephrine
ANSWER: 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 Depression. There Is No
Research To Support That The Other Options Play A Significant Role In The 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 Diagnosis?
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
ANSWER: B
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 Not Controlled By The
Broca Area Of The Left Frontal Lobe.
3. The Patient Diagnosed With Schizophrenia Asks Why Psychotropic Medications Are Always
Prescribed By The Doctor. The Nurse’s 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 Wernicke’s 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
, ANSWER: C
Medications Used To Treat Psychiatric Disorders Operate In And Around The Synaptic Cleft And Have
Action At The Neurotransmitter Level, Especially In The Case Of Schizophrenia, On Dopamine. The
Wernicke’s Area, Dendrite Function, Or The Sensitivity Of The Peripheral Nervous 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
Understanding The Anatomy And Physiology Of The Neurologic System. The Mentor Would Base A
Response On The Understanding That It Is:
A. Necessary But Generally For Psychiatric Nurses Who Focus Primarily On Behavioral Interventions
B. A Complex Undertaking That Advance Practice Psychiatric Nurses Frequently Use In Their
Practice
C. Important Primarily For The NURSING Assessment Of Patients With Brain Trauma Caused
Cognitive Symptoms
D. Necessary For Planning Psychiatric Care For All Patients Especially Those Experiencing Psychiatric
Disorders
ANSWER: D
Nurses 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 Not Used Exclusively By Advanced Practice Psychiatric Nurses
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 Nurses Providing All Types Of Care To The
Psychiatric Patient.
5. A Patient Asks The Nurse, 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
ANSWER: C