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
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cholinesterasewill slow down the breakdown of acetylcholine and so delay the onset
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of symptoms. The other neurotransmitters (GABA, dopamine, and serotonin) are not
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ncurrently believed to play a role in Alzheimers disease.
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1. There remains a stigma attached to psychiatric illnesses. The psychiatric
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nursemakes the greatest impact on this sociological problem when:
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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
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n functioningRegularly praising the patient for seeking and complying with
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appropriate n
d. treatment
ANS: A n
Much of the stigma attached to psychiatric illness is due to a lack of understanding
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ofthe biologic basis of these disorders. Therefore, effective patient, family, and
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public teaching is an important function of the role of the psychiatric mental health
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nurse.
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While the remaining options are appropriate, they are not directed towards
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eliminatingsocial stigma but rather empowering the patient.
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2. The wife of a patient with paranoid schizophrenia tells the nurse, Ive learned
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thatmy husband has several close relatives with the same disorder. Does this problem
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runin families? The response based on recent discoveries in the field of genetics
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would be:
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a. Your children should be monitored closely for the disorder.
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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.
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d. Only bipolar disorder has been identified to have a genetic
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component.ANS: B
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Familial tendencies appear with several psychiatric disorders including schizophrenia.
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To insinuate that the children are at such risk would not be supported by research.
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3. A patient whose symptoms of mild depression have been managed with
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antidepressants is concerned about the affect of accepting a promotion that will
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require working the night shift. What will be the basis of the response the nurse
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givesto address the patients concern?
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a. The connection between a new job and possible depression does exist.
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b. The medication can be adjusted to manage any increase in depression.
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c. The interruption in normal wake-sleep patterns can influence mood disorders.
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, The change in sleep routine can be managed with a healthy sleep
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d. hygieneroutine.
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ANS: C n
Many psychiatric and medical disorders occur more frequently or are exacerbated
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when sleep patterns and biologic rhythms are disrupted. While the remaining
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optionscontain true information regarding the management of depression that is a
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result of sleep disruption, they do not effectively address the patients concern.
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4. The nurse is discouraged because the patient exhibiting negative symptoms of
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schizophrenia has shown no improvement with the planned interventions to reduce
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thesymptoms. The mentors remark that helps place the problem in perspective is:
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a. You arent responsible for the behavior of any other person.
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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
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care.ANS: C
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A complex disorder, such as schizophrenia, most likely has multiple contributing
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factors, including genetic predisposition, prenatal development, and the environment.
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nNurse frustration can be alleviated by helping the nurse realize that negative
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nsymptoms may be the result of actual brain dysfunction, rather than psychologically
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ndetermined behaviors; thus the remaining options are not appropriate since they do
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notaddress the complexity of the problem.
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MULTIPLE RESPONSE n
1. What assessment data would reinforce the diagnosis of temporal lobe injury
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inpatient who experienced head trauma? Select all that apply.
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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
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The temporal lobe is involved with memory as well as increased sexual focus and
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altered emotional responses. Personality and intellectual function is not centered in
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thetemporal lobe.
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2. A patient has begun experiencing dysfunction of the hypothalamus. What
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nursinginterventions will the nurse include in the patients plan of care? Select all
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that apply.
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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
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The hypothalamus is responsible for regulation of sleep-rest patterns, body
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temperature, and physical drives of hunger. Social appropriateness and blood
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npressureis not controlled by the hypothalamus.
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3. The nurse is preparing a patient for a positron emission tomography (PET)
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nscan.Which instructions will the nurse include? Select all that apply.
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There will likely be a 30 to 45 minute wait between the injection and the
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a. beginning of the scan. n n n
A blindfold and earplugs may be used to help decrease reaction to the
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b. environment during the scan. n n n
Make every attempt to lie still during the scan because movement will affect
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c. the imaging produced. n n
No food or fluids are to be ingested for at least 8 full hours before the scan and
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d. none during the scan. n n n
Staying awake during the scan is important since the results are altered when
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e. the patient is in any phase of the sleep state.
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ANS: A, B, C, E
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Appropriate patient preparation for a PET scan would include information
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nregardingthe time interval between injection of the isotope and the actual scan, the
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nfact that steps will be taken to minimize the effects of sights and sounds during the
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nscan, lyingstill is critical to achieving a quality image, and that being asleep during
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nthe scan willalter the results. It is not necessary to fast before or during the scan.
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4. A patient with schizophrenia is described as having difficulty with executive
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nfunctions. What patient dysfunction can the nurse expect to assess
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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
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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,
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insight, flexibility, judgment, focusing on tasks, responding to social cues, and
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nattending in appropriate ways to incoming stimuli. Memory is not considered an
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