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Test Bank For Stahl's Essential Psychopharmacology 5th Edition By Stephen M. Stahl | | 9781108838573 | Chapter 1-13 | Complete Questions And Answers A+$14.99
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Test Bank For Stahl's Essential Psychopharmacology 5th Edition By Stephen M. Stahl | | 9781108838573 | Chapter 1-13 | Complete Questions And Answers A+
Gear up for exams with the Test Bank for Stahl's Essential Psychopharmacology 5th Edition by Stephen M. Stahl. Benefit from an instantly downloadable, publisher-authenticated PDF covering Chapters 1-13. With its full set of questions and answers, it's the essential study companion for nursing stude...
Neuroscientific mBasis mand mPractical mApplications mTESTBANK/STUDY mGUIDE
Chapter 1 Chemical neurotransmission
m m m
MULTIPLE CHOICE m
1. A patient with depression mentions to the nurse, My mother says depression
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mis a chemical disorder. What does she mean? The nurses response is based on
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mthe theory
m
that depression primarily involves which of the following neurotransmitters?
m m m m m m m m
a. Cortisol and GABA m m
b. COMT and glutamate m m
c. Monamine and glycine m m
d. Serotonin and norepinephrine m m
mANS: D m
One possible cause of depression is thought to involve one or more neurotransmitters.
m m m m m m m m m m m m
Serotonin and norepinephrine have been found to be important in the
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mregulation of depression. There is no research to support that the other options
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mplay a significant role in the development of depression.
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2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
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mdamage to the Broca area. Which evaluation does the nurse conduct to reinforce this
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mdiagnosis?
a. Observing the patient pick up a spoon m m m m m m
b. Asking the patient to recite the alphabet
m m m m m m
c. Monitoring the patients blood pressure m m m m
d. Comparing the patients grip strength in both m m m m m m
mhands ANS: B m m
Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
m m m m m m m m m m m m m m
motor aphasia). Fine motor skills, blood pressure control, and muscle strength are not
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mcontrolled by the Broca area of the left frontal lobe.
m m m m m m m m m
3. The patient diagnosed with schizophrenia asks why psychotropic medications
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mare always prescribed by the doctor. The nurses answer will be based on
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minformation that the therapeutic action of psychotropic drugs is the result of their
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meffect on: m
a. The temporal lobe; especially Wernickes area
m m m m m
b. Dendrites and their ability to transmit electrical impulses
m m m m m m m
c. The regulation of neurotransmitters especially dopamine
m m m m m
d. The peripheral nervous system sensitivity to the psychotropic medications
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,ANS: C m
Medications used to treat psychiatric disorders operate in and around the synaptic
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mcleft and have action at the neurotransmitter level, especially in the case of
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mschizophrenia, on dopamine. The Wernickes area, dendrite function, or the
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msensitivity of the peripheral nervous system are not relevant to either
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mschizophrenia or psychotropic medications. m m m
4. A student nurse mutters that it seems entirely unnecessary to have to struggle
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mwith understanding the anatomy and physiology of the neurologic system. The
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mmentor would base a response on the understanding that it is:
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Necessary but generally for psychiatric nurses who focus primarily on
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a. behavioral interventions m
A complex undertaking that advance practice psychiatric nurses frequently
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b. use in their practice
m m m m
Important primarily for the nursing assessment of patients with brain
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c. mtraumacaused cognitive symptoms m m
Necessary for planning psychiatric care for all patients especially those
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d. mexperiencing psychiatric disorders m m
ANS:
mD
Nurses must understand that many symptoms of psychiatric disorders have a
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mneurologic basis, although the symptoms are manifested behaviorally. This
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munderstanding facilitates effective care planning. The foundation of knowledge is
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mnot used exclusively by advanced practice psychiatric nurses nor is it relevant for
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monly behavior therapies or brain trauma since dealing with the results of normal
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mand abnormal brain function is a responsibility of all nurses providing all types of
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mcare to the psychiatric patient.
m m m m
5. A patient asks the nurse, My wife has breast cancer. Could it be caused
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mby her chronic 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.
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b. There have been no research studies done on stress and disease yet.
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c. Stress does cause the release of factors that suppress the immune system.
m m m m m m m m m m m
d. There appears to be little connection between stress and diseases of the
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mbody ANS: C m m
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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mmood disorders are sometimes associated with decreased functioning of the
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mimmune system. Research does not support a connection between many cancers
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mand stress. There is a significant amount of research about stress and the body.
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mResearch has shown that there are some connections between stress and physical
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mdisease.
, 6. A patient who has a parietal lobe injury is being evaluated for psychiatric
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mrehabilitation needs. Of the aspects of functioning listed, which will the nurse
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midentify as a focus of nursing intervention?
m m m m m m
a. Expression of emotion m m
b. Detecting auditory stimuli m m
c. Receiving visual images m m
d. Processing
massociations ANS: D m m
The parietal lobe is responsible for associating and processing sensory information
m m m m m m m m m m
that allows for functions such as following directions on a map, reading a clock,
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mdressing self, keeping appointments, and distinguishing right from left. Emotional
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mexpression is associated with frontal lobe function. Detecting auditory stimuli is a
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mtemporal lobe function. Receiving visual images is related to occipital lobe
m m m m m m m m m m
mfunction.
7. At admission, the nurse learns that some time ago the patient had an infarct
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min the right cerebral cortex. During assessment, the nurse would expect to find
m m m m m m m m m m m m
mthat the patient:
m m
a. Demonstrates major deficiencies in speech m m m m
b. Is unable to effectively hold a spoon in the left hand
m m m m m m m m m m
c. Has difficulty explaining how to go about using the telephone
m m m m m m m m m
d. Cannot use his right hand to shave himself or comb his own
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mhair ANS: B m m
The cerebral hemispheres are responsible for functions such as control of muscles.
m m m m m m m m m m m
The right hemisphere mainly controls the motor and sensory functions on the left
m m m m m m m m m m m m
mside of the body. Damage to the right side would result in impaired function on
m m m m m m m m m m m m m m
mthe left side of the body. The motor cortex controls voluntary motor activity.
m m m m m m m m m m m m
mBrocas area controls motor speech. Cognitive functions are attributed to the
m m m m m m m m m m
massociation cortex. m
The right side of the bodys motor activity is controlled by the left cerebral cortex.
m m m m m m m m m m m m m m
8. A patient with chronic schizophrenia had a stroke involving the hippocampus.
m m m m m m m m m m
mThe patient will be discharged on low doses of haloperidol. The nurse will need
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mto individualize the patients medication teaching by:
m m m m m m
a. Including the patients caregiver in the education m m m m m m
b. Being careful to stress the importance of taking the medication as
m m m m m m m m m m
m prescribed Providing the education at a time when the patient is
m m m m m m m m m m
m emotionally calm and m m
c. A m
d.
ANS:
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