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Test Bank For Prescriber's Guide: Stahl's Essential Psychopharmacology 8th Edition By Stephen M. Stahl Complete Guide. $17.99   Add to cart
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Test Bank For Prescriber's Guide: Stahl's Essential Psychopharmacology 8th Edition By Stephen M. Stahl Complete Guide.
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Test Bank For Prescriber's Guide: Stahl's Essential Psychopharmacology 8th Edition By Stephen M. Stahl Complete Guide.

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  • October 15, 2024
  • 140
  • 2024/2025
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  • test bank for prescribers guide stahls essenti
  • prescribers guide stahls essential psychopharma

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,TEST BANK FOR STAHL'S ESSENTIAL PSYCHOPHARMACOLOGY:
ui ui ui ui ui ui




NEUROSCIENTIFIC BASIS AND PRACTICAL APPLICATIONS 4TH EDITION
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Stahl'sEssential Psychopharmacology ui ui




Neuroscientific Basis and Practical Applications TESTBANK/STUDYGUIDE ui ui ui ui ui ui




Chapter 1 Chemical neurotransmission ui ui ui




MULTIPLE CHOICE ui




1. A patient with depression mentions to the nurse, My mother says depression is a
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chemical disorder. What does she mean? The nurses response is based on the
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theorythat depression primarily involves which of the following
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neurotransmitters?
a. Cortisol and GABA ui ui




b. COMT and glutamate ui ui




c. Monamine and glycine ui ui




d. Serotonin and norepinephrine ui ui




ANS: D ui




One possible cause of depression is thought to involve one or more
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neurotransmitters.Serotonin and norepinephrine have been found to be important in
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the regulation of depression. There is no research to support that the other options
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play a significant role in the development of depression.
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2. A patient has experienced a stroke (cerebral vascular accident) that
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u has resulted indamage to the Broca area. Which evaluation does the nurse conduct to
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reinforce thisdiagnosis?
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a. Observing the patient pick up a spoon ui ui ui ui ui ui




b. Asking the patient to recite the alphabet ui ui ui ui ui ui




c. Monitoringthe patients blood pressure ui ui ui ui




d. Comparing the patients grip strength in both hands ui ui ui ui ui ui ui




ANS: B ui




Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
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motor aphasia). Fine motor skills, blood pressure control, and muscle strength are
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notcontrolled by the Broca area of the left frontal lobe.
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3. The patient diagnosed with schizophrenia asks why psychotropic medications
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are always prescribed by the doctor. The nurses answer will be based on
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information thatthe therapeutic action of psychotropic drugs is the result of their
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effect on:
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a. The temporal lobe; especially Wernickes area ui ui ui ui ui




b. Dendrites and their ability to transmit electrical impulses ui ui ui ui ui ui ui




c. The regulation of neurotransmitters especially dopamine
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d. The peripheral nervous systemsensitivity to the psychotropic medications
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,ANS: C ui




Medications used to treat psychiatric disorders operate in and around the synaptic ui ui ui ui ui ui ui ui ui ui ui




cleftand have action at the neurotransmitter level, especially in the case of
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schizophrenia, on dopamine. The Wernickes area, dendrite function, or the
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sensitivity of the peripheral nervous system are not relevant to either schizophrenia or
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psychotropic medications.
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4. Astudent nurse mutters that it seems entirely unnecessary to have to struggle
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withunderstanding the anatomy and physiology of the neurologic system. The
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mentor would base a response on the understanding that it is:
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Necessary but generally for psychiatric nurses who focus primarily onbehavioral ui ui ui ui ui ui ui ui ui




a. interventions ui




A complex undertaking that advance practice psychiatric nurses frequently usein
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b. their practice ui ui




Important primarily for the nursing assessment of patients with ui ui ui ui ui ui ui ui




c. braintraumacaused cognitive symptoms ui ui ui




Necessary for planning psychiatric care for all patients especially ui ui ui ui ui ui ui ui




d. thoseexperiencing psychiatric disorders
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ANS: D ui




Nurses must understand that many symptoms of psychiatric disorders have a
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neurologic basis, although the symptoms are manifested behaviorally. This
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understanding facilitates effective care planning. The foundation of knowledge is
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notused exclusively by advanced practice psychiatric nurses nor is it relevant for
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only behavior therapies or brain trauma since dealing with the results of normal and
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abnormal brain function is a responsibility of all nurses providing all types of care
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tothe psychiatric patient.
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5. A patient asks the nurse, My wife has breast cancer. Could it be caused by
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herchronic depression? Which response is supported by research data?
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a. Too much stress has been proven to cause all kinds of cancer. ui ui ui ui ui ui ui ui ui ui ui




b. There have been no research studies done on stress and disease yet. ui ui ui ui ui ui ui ui ui ui ui




c. Stress does cause the release of factors that suppress the immune system. ui ui ui ui ui ui ui ui ui ui ui




d. There appears to be little connection between stress and diseases of the body ui ui ui ui ui ui ui ui ui ui ui ui




ANS: C ui




Research indicates that stress causes a release of corticotropin-releasing factors that
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suppress the immune system. Studies indicate that psychiatric disorders such as
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mooddisorders are sometimes associated with decreased functioning of the immune
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system.Research does not support a connection between many cancers and stress.
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There is a significant amount of research about stress and the body.
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Research has shown that there are some connections between stress andphysical disease.
ui ui ui ui ui ui ui ui ui ui ui ui

, 6. A patient who has a parietal lobe injury is being evaluated for psychiatric
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rehabilitation needs. Of the aspects of functioning listed, which will the nurse
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identifyas a focus of nursing intervention?
ui ui ui ui ui ui




a. Expression of emotion ui ui




b. Detectingauditory stimuli ui ui




c. Receivingvisual images ui ui




d. Processingassociations ui




ANS: D ui




The parietal lobe is responsible for associating and processing sensory information that
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allows for functions such as following directions on a map, reading a clock, dressing
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self, keeping appointments, and distinguishing right from left. Emotional expression
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is associated with frontal lobe function. Detecting auditory stimuli is a temporal lobe
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function. Receiving visual images is related to occipital lobe function.
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7. At admission, the nurse learns that some time ago the patient had an infarct in
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theright cerebral cortex. During assessment, the nurse would expect to find that the
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patient:
ui




a. Demonstrates major deficiencies in speech ui ui ui ui




b. Is unable to effectively hold a spoon in the left hand
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c. Has difficulty explaining how to go about using the telephone ui ui ui ui ui ui ui ui ui




d. Cannot use his right hand to shave himself or comb his own hair ui ui ui ui ui ui ui ui ui ui ui ui




ANS: B ui




The cerebral hemispheres are responsible for functions such as control of muscles. The
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right hemisphere mainly controls the motor and sensory functions on the left sideof
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the body. Damage to the right side would result in impaired function on the left side of
ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui ui




the body. The motor cortex controls voluntary motor activity. Brocas area controls
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motor speech. Cognitive functions are attributed to the association cortex.
ui ui ui ui ui ui ui ui ui ui




The right side of thebodys motor activity is controlled by the left cerebral cortex.
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8. A patient with chronic schizophrenia had a stroke involving the hippocampus.
ui ui ui ui ui ui ui ui ui ui




Thepatient will be discharged on low doses of haloperidol. The nurse will need to
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individualize the patients medication teaching by:
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a. Including the patients caregiver in the education ui ui ui ui ui ui




b. Beingcareful to stress theimportance of taking the medication as prescribed
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Providing the education at a time when the patient is emotionally calm andrelaxed ui ui ui ui ui ui ui ui ui ui ui ui




c.
Encouraging the patient to crush or dissolve the medication to help ui ui ui ui ui ui ui ui ui ui




d. withswallowing
ui




ANS: A ui

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