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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+.
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
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,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
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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
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,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
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, 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
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