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FULL TEST BANK STAHL'S ESSENTIAL PSYCHOPHARMACOLOGY: NEUROSCIENTIFIC BASIS AND PRACTICAL APPLICATIONS 5TH EDITION BY STEPHEN M. STAHL (AUTHOR) WITH 100% VERIFIED QUESTIONS AND ANSWERS GRADED A+. $17.99
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FULL TEST BANK STAHL'S ESSENTIAL PSYCHOPHARMACOLOGY: NEUROSCIENTIFIC BASIS AND PRACTICAL APPLICATIONS 5TH EDITION BY STEPHEN M. STAHL (AUTHOR) WITH 100% VERIFIED QUESTIONS AND ANSWERS GRADED A+.
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symptoms nof nAlzheimers ndisease. nThe ninhibiting naction nthe ndrug nhas non ncholinesterase nwill nslow ndown nthe nbreakdown nof nacetylcholine nand nso ndelay nthe nonset nof nsymptoms. nThe nother nneurotransmitters n(GABA, ndopamine, nand nserotonin) nare nnot ncurrently nbelieved nto nplay...

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  • October 7, 2024
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FULL TEST BANK STAHL'S ESSENTIAL PSYCHOPHARMACOLOGY:
NEUROSCIENTIFIC BASIS AND PRACTICAL APPLICATIONS 5TH EDITION BY
STEPHEN M. STAHL (AUTHOR) WITH 100% VERIFIED QUESTIONS AND ANSWERS
GRADED A+.

,symptoms of Alzheimers disease. The inhibiting action the drug has on
n n n n n n n n n n


cholinesterasewill slow down the breakdown of acetylcholine and so delay the onset
n n n n n n n n n n n n n


of symptoms. The other neurotransmitters (GABA, dopamine, and serotonin) are not
n n n n n n n n n n n


ncurrently believed to play a role in Alzheimers disease.
n n n n n n n n


1. There remains a stigma attached to psychiatric illnesses. The psychiatric
n n n n n n n n n


nursemakes the greatest impact on this sociological problem when:
n n n n n n n n n n


a. Providing educational programming for patients and the public n n n n n n n


b. Arranging for adequate and appropriate social support for the patient n n n n n n n n n



c. Assisting the patient to achieve the maximum level of independent
n n n n n n n n n



n functioningRegularly praising the patient for seeking and complying with
n n n n n n n n n



appropriate n


d. treatment
ANS: A n


Much of the stigma attached to psychiatric illness is due to a lack of understanding
n n n n n n n n n n n n n n


ofthe biologic basis of these disorders. Therefore, effective patient, family, and
n n n n n n n n n n n n


public teaching is an important function of the role of the psychiatric mental health
n n n n n n n n n n n n n n


nurse.
n


While the remaining options are appropriate, they are not directed towards
n n n n n n n n n n


eliminatingsocial stigma but rather empowering the patient.
n n n n n n n n


2. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned
n n n n n n n n n n n n


thatmy husband has several close relatives with the same disorder. Does this problem
n n n n n n n n n n n n n n


runin families? The response based on recent discoveries in the field of genetics
n n n n n n n n n n n n n n


would be:
n n


a. Your children should be monitored closely for the disorder.
n n n n n n n n


b. Research tends to support a familiar tendency to schizophrenia. n n n n n n n n



c. There is no concrete evidence; it is just as likely a coincidence.
n n n n n n n n n n n


d. Only bipolar disorder has been identified to have a genetic
n n n n n n n n n


component.ANS: B
n n n


Familial tendencies appear with several psychiatric disorders including schizophrenia.
n n n n n n n n

To insinuate that the children are at such risk would not be supported by research.
n n n n n n n n n n n n n n


3. A patient whose symptoms of mild depression have been managed with
n n n n n n n n n n


antidepressants is concerned about the affect of accepting a promotion that will
n n n n n n n n n n n n


require working the night shift. What will be the basis of the response the nurse
n n n n n n n n n n n n n n n


givesto address the patients concern?
n n n n n n


a. The connection between a new job and possible depression does exist.
n n n n n n n n n n


b. The medication can be adjusted to manage any increase in depression.
n n n n n n n n n n



c. The interruption in normal wake-sleep patterns can influence mood disorders.
n n n n n n n n n

, The change in sleep routine can be managed with a healthy sleep
n n n n n n n n n n n


d. hygieneroutine.
n n


ANS: C n


Many psychiatric and medical disorders occur more frequently or are exacerbated
n n n n n n n n n n


when sleep patterns and biologic rhythms are disrupted. While the remaining
n n n n n n n n n n n


optionscontain true information regarding the management of depression that is a
n n n n n n n n n n n n


result of sleep disruption, they do not effectively address the patients concern.
n n n n n n n n n n n n


4. The nurse is discouraged because the patient exhibiting negative symptoms of
n n n n n n n n n n


schizophrenia has shown no improvement with the planned interventions to reduce
n n n n n n n n n n n


thesymptoms. The mentors remark that helps place the problem in perspective is:
n n n n n n n n n n n n n


a. You arent responsible for the behavior of any other person.
n n n n n n n n n


b. Patients can be perverse and cling to symptoms despite our efforts. n n n n n n n n n n



c. Negative symptoms have been associated with genetic pathology. n n n n n n n


d. It will take several trail and error attempts to get the right combination
n n n n n n n n n n n n


care.ANS: C
n n n


A complex disorder, such as schizophrenia, most likely has multiple contributing
n n n n n n n n n n


factors, including genetic predisposition, prenatal development, and the environment.
n n n n n n n n


nNurse frustration can be alleviated by helping the nurse realize that negative
n n n n n n n n n n n


nsymptoms may be the result of actual brain dysfunction, rather than psychologically
n n n n n n n n n n n


ndetermined behaviors; thus the remaining options are not appropriate since they do
n n n n n n n n n n n


notaddress the complexity of the problem.
n n n n n n n


MULTIPLE RESPONSE n


1. What assessment data would reinforce the diagnosis of temporal lobe injury
n n n n n n n n n n


inpatient who experienced head trauma? Select all that apply.
n n n n n n n n n n


a. Inability to balance a checkbook n n n n


b. Uncharacteristically aggressive n



c. Affect fluctuates dramatically n n


d. Increased interest in sexual behaviors n n n n



e. Difficulty remembering the names of family n n n n n


membersANS: C, D, E
n n n n n


The temporal lobe is involved with memory as well as increased sexual focus and
n n n n n n n n n n n n n

altered emotional responses. Personality and intellectual function is not centered in
n n n n n n n n n n


thetemporal lobe.
n n n


2. A patient has begun experiencing dysfunction of the hypothalamus. What
n n n n n n n n n


nursinginterventions will the nurse include in the patients plan of care? Select all
n n n n n n n n n n n n n n


that apply.
n n


a. Reinforcing clear physical boundaries n n n


b. Assisting the patient with completing daily menus n n n n n n

, c. Learning about healthy sleep hygiene habits n n n n n


d. Monitoring and recording temperature every 4 hours n n n n n n



e. Monitoring and recording blood pressure every 4 n n n n n n


nhoursANS: B, C, D
n n n n


The hypothalamus is responsible for regulation of sleep-rest patterns, body
n n n n n n n n n

temperature, and physical drives of hunger. Social appropriateness and blood
n n n n n n n n n


npressureis not controlled by the hypothalamus.
n n n n n n


3. The nurse is preparing a patient for a positron emission tomography (PET)
n n n n n n n n n n n


nscan.Which instructions will the nurse include? Select all that apply.
n n n n n n n n n n


There will likely be a 30 to 45 minute wait between the injection and the
n n n n n n n n n n n n n n


a. beginning of the scan. n n n


A blindfold and earplugs may be used to help decrease reaction to the
n n n n n n n n n n n n


b. environment during the scan. n n n


Make every attempt to lie still during the scan because movement will affect
n n n n n n n n n n n n


c. the imaging produced. n n


No food or fluids are to be ingested for at least 8 full hours before the scan and
n n n n n n n n n n n n n n n n n


d. none during the scan. n n n


Staying awake during the scan is important since the results are altered when
n n n n n n n n n n n n


e. the patient is in any phase of the sleep state.
n n n n n n n n n


ANS: A, B, C, E
n n n n


Appropriate patient preparation for a PET scan would include information
n n n n n n n n n


nregardingthe time interval between injection of the isotope and the actual scan, the
n n n n n n n n n n n n n


nfact that steps will be taken to minimize the effects of sights and sounds during the
n n n n n n n n n n n n n n n


nscan, lyingstill is critical to achieving a quality image, and that being asleep during
n n n n n n n n n n n n n n


nthe scan willalter the results. It is not necessary to fast before or during the scan.
n n n n n n n n n n n n n n n n


4. A patient with schizophrenia is described as having difficulty with executive
n n n n n n n n n n


nfunctions. What patient dysfunction can the nurse expect to assess
n n n n n n n n n


nbehaviorally?Select all that apply. n n n n


a. Invades the personal space of others frequently n n n n n n


b. Consistently fails to bring money when going to buy snacks n n n n n n n n n



c. Cannot remember the names of staff who often provide care
n n n n n n n n n


d. Requires repeated reinforcement on how to make a sandwichn n n n n n n n



e. Frequently speaks of hurting himself or of hurting other n n n n n n n n


npatientsANS: A, B, D n n n n


Executive functions include reasoning, planning, prioritizing, sequencing behavior,
n n n n n n n

insight, flexibility, judgment, focusing on tasks, responding to social cues, and
n n n n n n n n n n


nattending in appropriate ways to incoming stimuli. Memory is not considered an
n n n n n n n n n n n

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