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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+.€17,79
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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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