Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Ap
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plications 8th Edition Testbank/Study Guide
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Stahl's Essential Psychopharmacology
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Neuroscientific,Basis,and,Practical,Applications, 5th,Edition,Testbank/Study,Guide
Chapter,1,Chemical,neurotransmission
MULTIPLE,CHOICE
1. A,patient,with,depression,mentions,to,the,nurse,,My,mother,says,depression,is,a,chem
ical,disorder.,What,does,she,mean?,The,nurses,response,is,based,on,the,theory,that,depre
ssion,primarily,involves,which,of,the,following,neurotransmitters?
a. Cortisol,and,GABA
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,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Ap
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plications 8th Edition Testbank/Study Guide
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b. COMT,and,glutamate
c. Monamine,and,glycine
d. Serotonin,and,norepinephrine
ANS:,D
One,possible,cause,of,depression,is,thought,to,involve,one,or,more,neurotransmitters.,Ser
otonin,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,develop
ment,of,depression.
2. A,patient,has,experienced,a,stroke,(cerebral,vascular,accident),that,has,resulted,in,da
mage,to,the,Broca,area.,Which,evaluation,does,the,nurse,conduct,to,reinforce,this,diagno
sis?
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
ANS:,B
Accidents,or,strokes,that,damage,Brocas,area,may,result,in,the,inability,to,speak,(i.e.,,mot
or,aphasia).,Fine,motor,skills,,blood,pressure,control,,and,muscle,strength,are,not,controll
ed,by,the,Broca,area,of,the,left,frontal,lobe.
3. The,patient,diagnosed,with,schizophrenia,asks,why,psychotropic,medications,are,alw
ays,prescribed,by,the,doctor.,The,nurses,answer,will,be,based,on,information,that,the,ther
apeutic,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
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,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Ap
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plications 8th Edition Testbank/Study Guide
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ANS:,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,dopam
ine.,The,Wernickes,area,,dendrite,function,,or,the,sensitivity,of,the,peripheral,nervous,syst
em,are,not,relevant,to,either,schizophrenia,or,psychotropic,medications.
4. A,student,nurse,mutters,that,it,seems,entirely,unnecessary,to,have,to,struggle,with,und
erstanding,the,anatomy,and,physiology,of,the,neurologic,system.,The,mentor,would,bas
e,a,response,on,the,understanding,that,it,is:
Necessary,but,generally,for,psychiatric,nurses,who,focus,primarily,on,be
a. havioral,interventions
A,complex,undertaking,that,advance,practice,psychiatric,nurses,frequently,use,in,t
b. heir,practice
Important,primarily,for,the,nursing,assessment,of,patients,with,brain,tra
c. umacaused,cognitive,symptoms
Necessary,for,planning,psychiatric,care,for,all,patients,especially,those,ex
d. periencing,psychiatric,disorders
ANS:,D
Nurses,must,understand,that,many,symptoms,of,psychiatric,disorders,have,a,neurologic,
basis,,although,the,symptoms,are,manifested,behaviorally.,This,understanding,facilitate
s,effective,care,planning.,The,foundation,of,knowledge,is,not,used,exclusively,by,advanc
ed,practice,psychiatric,nurses,nor,is,it,relevant,for,only,behavior,therapies,or,brain,traum
a,since,dealing,with,the,results,of,normal,and,abnormal,brain,function,is,a,responsibility,o
f,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,chro
nic,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
ANS:,C
Research,indicates,that,stress,causes,a,release,of,corticotropin-
releasing,factors,that,suppress,the,immune,system.,Studies,indicate,that,psychiatric,disor
ders,such,as,mood,disorders,are,sometimes,associated,with,decreased,functioning,of,the,i
mmune,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,th
at,there,are,some,connections,between,stress,and,physical,disease.
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, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Ap
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6. A,patient,who,has,a,parietal,lobe,injury,is,being,evaluated,for,psychiatric,rehabilitation,
needs.,Of,the,aspects,of,functioning,listed,,which,will,the,nurse,identify,as,a,focus,of,nursi
ng,intervention?
a. Expression,of,emotion
b. Detecting,auditory,stimuli
c. Receiving,visual,images
d. Processing,associations
ANS:,D
The,parietal,lobe,is,responsible,for,associating,and,processing,sensory,information,that,al
lows,for,functions,such,as,following,directions,on,a,map,,reading,a,clock,,dressing,self,,ke
eping,appointments,,and,distinguishing,right,from,left.,Emotional,expression,is,associate
d,with,frontal,lobe,function.,Detecting,auditory,stimuli,is,a,temporal,lobe,function.,Recei
ving,visual,images,is,related,to,occipital,lobe,function.
7. At,admission,,the,nurse,learns,that,some,time,ago,the,patient,had,an,infarct,in,the,right,
cerebral,cortex.,During,assessment,,the,nurse,would,expect,to,find,that,the,patient:
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
ANS:,B
The,cerebral,hemispheres,are,responsible,for,functions,such,as,control,of,muscles.,The,rig
ht,hemisphere,mainly,controls,the,motor,and,sensory,functions,on,the,left,side,of,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.,Cogni
tive,functions,are,attributed,to,the,association,cortex.
The,right,side,of,the,bodys,motor,activity,is,controlled,by,the,left,cerebral,cortex.
8. A,patient,with,chronic,schizophrenia,had,a,stroke,involving,the,hippocampus.,The,pati
ent,will,be,discharged,on,low,doses,of,haloperidol.,The,nurse,will,need,to,individualize,th
e,patients,medication,teaching,by:
a. Including,the,patients,caregiver,in,the,education
b. Being,careful,to,stress,the,importance,of,taking,the,medication,as,prescribed
Providing,the,education,at,a,time,when,the,patient,is,emotionally,calm,and,rela
c. xed
Encouraging,the,patient,to,crush,or,dissolve,the,medication,to,help,with,swa
d. llowing
ANS:,A
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