Complete Test Bank For Prescriber's Guide: Stahl's Essential Psychopharmacology 8th Edition By Stephen M. Stahl Complete Guide.Complete Test Bank For Prescriber's Guide: Stahl's Essential Psychopharmacology 8th Edition By Stephen M. Stahl Complete Guide.
b. COMT6and6glutamate
c. Monamine6and6glycine
d. Serotonin6and6norepinephrine
ANS:6D
One6possible6cause6of6depression6is6thought6to6involve6one6or6more6neurotransmitters.6
Serotonin6and6norepinephrine6have6been6found6to6be6important6in6the6regulation6of6dep
ression.6There6is6no6research6to6support6that6the6other6options6play6a6significant6role6in6
the6development6of6depression.
2. A6patient6has6experienced6a6stroke6(cerebral6vascular6accident)6that6has6resulted6in6
damage6to6the6Broca6area.6Which6evaluation6does6the6nurse6conduct6to6reinforce6this6d
iagnosis?
a. Observing6the6patient6pick6up6a6spoon
b. Asking6the6patient6to6recite6the6alphabet
c. Monitoring6the6patients6blood6pressure
d. Comparing6the6patients6grip6strength6in6both6hands
ANS:6B
Accidents6or6strokes6that6damage6Brocas6area6may6result6in6the6inability6to6speak6(i.e.,6
motor6aphasia).6Fine6motor6skills,6blood6pressure6control,6and6muscle6strength6are6not6c
ontrolled6by6the6Broca6area6of6the6left6frontal6lobe.
3. The6patient6diagnosed6with6schizophrenia6asks6why6psychotropic6medications6are6a
lways6prescribed6by6the6doctor.6The6nurses6answer6will6be6based6on6information6that6th
e6therapeutic6action6of6psychotropic6drugs6is6the6result6of6their6effect6on:
a. The6temporal6lobe;6especially6Wernickes6area
b. Dendrites6and6their6ability6to6transmit6electrical6impulses
c. The6regulation6of6neurotransmitters6especially6dopamine
d. The6peripheral6nervous6system6sensitivity6to6the6psychotropic6medications
6. A6patient6who6has6a6parietal6lobe6injury6is6being6evaluated6for6psychiatric6rehabilitat
ion6needs.6Of6the6aspects6of6functioning6listed,6which6will6the6nurse6identify6as6a6focus6
of6nursing6intervention?
a. Expression6of6emotion
b. Detecting6auditory6stimuli
c. Receiving6visual6images
d. Processing6associations
ANS:6D
The6parietal6lobe6is6responsible6for6associating6and6processing6sensory6information6tha
t6allows6for6functions6such6as6following6directions6on6a6map,6reading6a6clock,6dressing6
self,6keeping6appointments,6and6distinguishing6right6from6left.6Emotional6expression6is
6associated6with6frontal6lobe6function.6Detecting6auditory6stimuli6is6a6temporal6lobe6fu
nction.6Receiving6visual6images6is6related6to6occipital6lobe6function.
7. At6admission,6the6nurse6learns6that6some6time6ago6the6patient6had6an6infarct6in6the6r
ight6cerebral6cortex.6During6assessment,6the6nurse6would6expect6to6find6that6the6patie
nt:
a. Demonstrates6major6deficiencies6in6speech
b. Is6unable6to6effectively6hold6a6spoon6in6the6left6hand
c. Has6difficulty6explaining6how6to6go6about6using6the6telephone
d. Cannot6use6his6right6hand6to6shave6himself6or6comb6his6own6hair
ANS:6B
The6cerebral6hemispheres6are6responsible6for6functions6such6as6control6of6muscles.6Th
e6right6hemisphere6mainly6controls6the6motor6and6sensory6functions6on6the6left6side6of6t
he6body.6Damage6to6the6right6side6would6result6in6impaired6function6on6the6left6side6of6
the6body.6The6motor6cortex6controls6voluntary6motor6activity.6Brocas6area6controls6mo
tor6speech.6Cognitive6functions6are6attributed6to6the6association6cortex.
The6right6side6of6the6bodys6motor6activity6is6controlled6by6the6left6cerebral6cortex.
8. A6patient6with6chronic6schizophrenia6had6a6stroke6involving6the6hippocampus.6The6
patient6will6be6discharged6on6low6doses6of6haloperidol.6The6nurse6will6need6to6individ
ualize6the6patients6medication6teaching6by:
a. Including6the6patients6caregiver6in6the6education
b. Being6careful6to6stress6the6importance6of6taking6the6medication6as6prescribed
Providing6the6education6at6a6time6when6the6patient6is6emotionally6calm6and6r
c. elaxed
Encouraging6the6patient6to6crush6or6dissolve6the6medication6to6help6with6
d. swallowing
ANS:6A
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