100% tevredenheidsgarantie Direct beschikbaar na betaling Zowel online als in PDF Je zit nergens aan vast
Eerder door jou gezocht
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+.€16,83
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 keer bekeken 0 keer verkocht
Vak
PSY 586
Instelling
PSY 586
Boek
Stahl\'s Essential Psychopharmacology: Neuroscientific Basis and Practical Applications
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+.
1. A patient with depression mentions to the nurse, My mother says depression is a chem
t t t t t t t t t t t t t t
ical disorder. What does she mean? The nurses response is based on the theorythat depre
t t t t t t t t t t t t t t t
ssion primarily involves which of the following neurotransmitters?
t t t t t t t
a. Cortisol and GABA t t
b. COMT and glutamate t t
c. Monamine and glycine t t
d. Serotonin and norepinephrine t t
ANS: D t
One possible cause of depression is thought to involve one or more neurotransmitters.Sero
t t t t t t t t t t t t t
tonin and norepinephrine have been found to be important in the regulation of depression.
t t t t t t t t t t t t t t
There is no research to support that the other options play a significant role in the developm
t t t t t t t t t t t t t t t t
ent of depression.
t t
2. A patient has experienced a stroke (cerebral vascular accident) that has resulted indam
t t t t t t t t t t t t t
age to the Broca area. Which evaluation does the nurse conduct to reinforce thisdiagnosis
t t t t t t t t t t t t t t
?
a. Observing the patient pick up a spoon t t t t t t
b. Asking the patient to recite the alphabet t t t t t t
c. Monitoring the patients blood pressure t t t t
d. Comparing the patients grip strength in both hands t t t t t t t
ANS: B t
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,moto
t t t t t t t t t t t t t t t
r aphasia). Fine motor skills, blood pressure control, and muscle strength are notcontrolle
t t t t t t t t t t t t t
d by the Broca area of the left frontal lobe.
t t t t t t t t t
3. The patient diagnosed with schizophrenia asks why psychotropic medications are alw
t t t t t t t t t t
ays prescribed by the doctor. The nurses answer will be based on information thatthe thera
t t t t t t t t t t t t t t t
peutic action of psychotropic drugs is the result of their effect on:
t t t t t t t t t t t
a. The temporal lobe; especially Wernickes area t t t t t
b. Dendrites and their ability to transmit electrical impulses t t t t t t t
c. The regulation of neurotransmitters especially dopamine
t t t t t
d. The peripheral nervous system sensitivity to the psychotropic medications
t t t t t t t t
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Ap
t t t t t t t
plications 5th Edition Testbank/Study Guide t t t t
ANS: C t
Medications used to treat psychiatric disorders operate in and around the synaptic cleftand t t t t t t t t t t t t t t
have action at the neurotransmitter level, especially in the case of schizophrenia, on dopam
t t t t t t t t t t t t t
ine. The Wernickes area, dendrite function, or the sensitivity of the peripheral nervous syst
t t t t t t t t t t t t t
em are not relevant to either schizophrenia or psychotropic medications.
t t t t t t t t t
4. A student nurse mutters that it seems entirely unnecessary to have to struggle withunde
t t t t t t t t t t t t t t
rstanding the anatomy and physiology of the neurologic system. The mentor would base
t t t t t t t t t t t t t
a response on the understanding that it is:
t t t t t t t
Necessary but generally for psychiatric nurses who focus primarily onbe t t t t t t t t t t
a. havioral interventions t
A complex undertaking that advance practice psychiatric nurses frequently usein t
t t t t t t t t t t t
b. heir practice t
Important primarily for the nursing assessment of patients with braintra t t t t t t t t t t
c. umacaused cognitive symptoms t t
Necessary for planning psychiatric care for all patients especially thoseex t t t t t t t t t t
d. periencing psychiatric disorders t t
ANS: D t
Nurses must understand that many symptoms of psychiatric disorders have a neurologic
t t t t t t t t t t t t
basis, although the symptoms are manifested behaviorally. This understanding facilitate
t t t t t t t t t
s effective care planning. The foundation of knowledge is notused exclusively by advanc
t t t t t t t t t t t t t
ed practice psychiatric nurses nor is it relevant for only behavior therapies or brain trauma
t t t t t t t t t t t t t t
since dealing with the results of normal and abnormal brain function is a responsibility of
t t t t t t t t t t t t t t t t
all nurses providing all types of care tothe psychiatric patient.
t t t t t t t t t t
5. A patient asks the nurse, My wife has breast cancer. Could it be caused by herchro
t t t t t t t t t t t t t t t t
nic depression? Which response is supported by research data?
t t t t t t t t
a. Too much stress has been proven to cause all kinds of cancer. t t t t t t t t t t t
b. There have been no research studies done on stress and disease yet.
t t t t t t t t t t t
c. Stress does cause the release of factors that suppress the immune system. t t t t t t t t t t t
d. There appears to be little connection between stress and diseases of the body t t t t t t t t t t t t
ANS: C t
Research indicates that stress causes a release of corticotropin-
t t t t t t t t
releasing factors that suppress the immune system. Studies indicate that psychiatric disord
t t t t t t t t t t t
ers such as mooddisorders are sometimes associated with decreased functioning of the im
t t t t t t t t t t t t t
mune system.Research does not support a connection between many cancers and stress. T
t t t t t t t t t t t t t
here is a significant amount of research about stress and the body. Research has shown that
t t t t t t t t t t t t t t t t
there are some connections between stress and physical disease.
t t t t t t t t
WWW.TESTBANKTANK.COM
,Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Ap
t t t t t t t
plications 5th Edition Testbank/Study Guide t t t t
6. A patient who has a parietal lobe injury is being evaluated for psychiatric rehabilitation
t t t t t t t t t t t t t t
needs. Of the aspects of functioning listed, which will the nurse identifyas a focus of nursin
t t t t t t t t t t t t t t t t
g intervention?
t
a. Expression of emotion t t
b. Detecting auditory stimuli t t
c. Receiving visual images t t
d. Processing associations t
ANS: D t
The parietal lobe is responsible for associating and processing sensory information that all
t t t t t t t t t t t t
ows for functions such as following directions on a map, reading a clock, dressing self, kee
t t t t t t t t t t t t t t t
ping appointments, and distinguishing right from left. Emotional expression is associated
t t t t t t t t t t t
with frontal lobe function. Detecting auditory stimuli is a temporal lobe function. Receivi
t t t t t t t t t t t t
ng visual images is related to occipital lobe function.
t t t t t t t t
7. At admission, the nurse learns that some time ago the patient had an infarct in theright
t t t t t t t t t t t t t t t t t
cerebral cortex. During assessment, the nurse would expect to find that the patient:
t t t t t t t t t t t t
a. Demonstrates major deficiencies in speech t t t t
b. Is unable to effectively hold a spoon in the left hand
t t t t t t t t t t
c. Has difficulty explaining how to go about using the telephone t t t t t t t t t
d. Cannot use his right hand to shave himself or comb his own hair t t t t t t t t t t t t
ANS: B t
The cerebral hemispheres are responsible for functions such as control of muscles. The rig
t t t t t t t t t t t t t
ht hemisphere mainly controls the motor and sensory functions on the left sideof the body.
t t t t t t t t t t t t t t t t
Damage to the right side would result in impaired function on the left side of the body. The
t t t t t t t t t t t t t t t t t t
motor cortex controls voluntary motor activity. Brocas area controls motor speech. Cogni
t t t t t t t t t t t
tive functions are attributed to the association cortex.
t t t t t t t
The right side of the bodys motor activity is controlled by the left cerebral cortex.
t t t t t t t t t t t t t t
8. A patient with chronic schizophrenia had a stroke involving the hippocampus. Thepati
t t t t t t t t t t t t
ent will be discharged on low doses of haloperidol. The nurse will need to individualize th
t t t t t t t t t t t t t t t
e patients medication teaching by:
t t t t
a. Including the patients caregiver in the education t t t t t t
b. Being careful to stress the importance of taking the medication as prescribed
t t t t t t t t t t t
Providing the education at a time when the patient is emotionally calm andrela
t t t t t t t t t t t t t
c. xed
Encouraging the patient to crush or dissolve the medication to help withswa t t t t t t t t t t t t
d. llowing
ANS: A t
WWW.TESTBANKTANK.COM
, Stahl's Essential Psychopharmacology Neuroscientific Basis and Practical Ap
t t t t t t t
plications 5th Edition Testbank/Study Guide t t t t
The hippocampus plays a major role in short-
t t t t t t t
term memory and, hence, in learning. Taking the medication as prescribed and providing t
t t t t t t t t t t t t t
he education at a time when the patient is calm and relaxed is information or consideration
t t t t t t t t t t t t t t t
s that all patients should begiven. The medication does not necessarily need to be crushed
t t t t t t t t t t t t t t t t
or dissolved since the stroke would not have caused difficulty with swallowing.
t t t t t t t t t t t
9. The physician tells the nurse, The medication Im prescribing for the patient enha
t t t t t t t t t t t t
nces the g- t t
aminobutyric acid (GABA) system. Which patient behavior willprovide evidence t t t t t t t t t t t
hat the medication therapy is successful?
t t t t t
a. The patient is actively involved in playing cards with other patients.
t t t t t t t t t t
b. The patient reports that, I dont feel as anxious as I did a couple of days ago.
t t t t t t t t t t t t t t t t
c. The patient reports that both auditory and visual hallucinations have decreased.
t t t t t t t t t t
d. The patient says that, I am much happier than before I came to the hospital.
t t t t t t t t t t t t t t
ANS: B t
GABA is the principle inhibitory neurotransmitter. The medication should provide ananti
t t t t t t t t t t t
anxiety effect. Alertness, psychotic behaviors, and mood elevation are not generally affec
t t t t t t t t t t t
ted by g-aminobutyric acid.
t t t
10. The patients family asks whether a diagnosis of Parkinsons disease creates anincr
t t t t t t t t t t t t
eased risk for any mental health issues. What question would the nurse ask toassess fo
t t t t t t t t t t t t t t t
r such a comorbid condition?
t t t t
a. Has your father exhibited any signs of depression? t t t t t t t
b. Does your father seem to experience mood swings?
t t t t t t t
c. Have you noticed your father talking about seeing things you cant see?
t t t t t t t t t t t
d. Is your dad preoccupied with behaviors that he needs to repeat over and over?
t t t t t t t t t t t t t
ANS: A t
Serotonin and its close chemical relatives, dopamine and norepinephrine, are the neurotr
t t t t t t t t t t t
ansmitters that are most widely involved in various forms of depression. Mostresearchers
t t t t t t t t t t t t
agree that the immediate cause of parkinsonism is a deficiency of dopamine and so a patie
t t t t t t t t t t t t t t t t
nt with Parkinsons disease should be monitored for depression, The other mental health di
t t t t t t t t t t t t t
sorders (bipolar disorder, hallucinations, and obsessive compulsive disorder) have not be
t t t t t t t t t t
en connected to Parkinsons disease.
t t t t
11. Which explanation for the prescription of donepezil (Aricept) would the nursepro
t t t t t t t t t t t
vide for a patient in the early stage of Alzheimers disease?
t t t t t t t t t t
a. It will increase the metabolism of excess GABA. t t t t t t t
b. Excess dopamine will be prevented from attaching to receptor sites.
t t t t t t t t t
c. Serotonin deficiency will be managed through a prolonged reuptake period. t t t t t t t t t
d. The acetylcholine deficiency will be managed by inhibiting cholinesterase.
t t t t t t t t
ANS: D t
WWW.TESTBANKTANK.COM
Voordelen van het kopen van samenvattingen bij Stuvia op een rij:
Verzekerd van kwaliteit door reviews
Stuvia-klanten hebben meer dan 700.000 samenvattingen beoordeeld. Zo weet je zeker dat je de beste documenten koopt!
Snel en makkelijk kopen
Je betaalt supersnel en eenmalig met iDeal, creditcard of Stuvia-tegoed voor de samenvatting. Zonder lidmaatschap.
Focus op de essentie
Samenvattingen worden geschreven voor en door anderen. Daarom zijn de samenvattingen altijd betrouwbaar en actueel. Zo kom je snel tot de kern!
Veelgestelde vragen
Wat krijg ik als ik dit document koop?
Je krijgt een PDF, die direct beschikbaar is na je aankoop. Het gekochte document is altijd, overal en oneindig toegankelijk via je profiel.
Tevredenheidsgarantie: hoe werkt dat?
Onze tevredenheidsgarantie zorgt ervoor dat je altijd een studiedocument vindt dat goed bij je past. Je vult een formulier in en onze klantenservice regelt de rest.
Van wie koop ik deze samenvatting?
Stuvia is een marktplaats, je koop dit document dus niet van ons, maar van verkoper MASTERGRADE01. Stuvia faciliteert de betaling aan de verkoper.
Zit ik meteen vast aan een abonnement?
Nee, je koopt alleen deze samenvatting voor €16,83. Je zit daarna nergens aan vast.
