{"id":113206,"date":"2023-08-15T23:35:28","date_gmt":"2023-08-15T23:35:28","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113206"},"modified":"2023-08-15T23:35:30","modified_gmt":"2023-08-15T23:35:30","slug":"stahls-essential-psychopharmacology-5th-edition","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/stahls-essential-psychopharmacology-5th-edition\/","title":{"rendered":"Stahl’s Essential Psychopharmacology 5th Edition"},"content":{"rendered":"\n

Chapter 1 Chemical neurotransmission
MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. A patient with depression mentions to the nurse, My mother says depression is a
    chemical disorder. What does she mean? The nurses response is based on the theory
    that depression primarily involves which of the following neurotransmitters?
    a. Cortisol and GABA
    b. COMT and glutamate
    c. Monamine and glycine
    d. Serotonin and norepinephrine
    ANS: D
    One possible cause of depression is thought to involve one or more neurotransmitters.
    Serotonin and norepinephrine have been found to be important in the regulation of
    depression. There is no research to support that the other options play a significant
    role in the development of depression.<\/li>\n\n\n\n
  2. A patient has experienced a stroke (cerebral vascular accident) that has resulted in
    damage to the Broca area. Which evaluation does the nurse conduct to reinforce this
    diagnosis?
    a. Observing the patient pick up a spoon
    b. Asking the patient to recite the alphabet
    c. Monitoring the patients blood pressure
    d. Comparing the patients grip strength in both hands
    ANS: B
    Accidents or strokes that damage Brocas area may result in the inability to speak (i.e.,
    motor aphasia). Fine motor skills, blood pressure control, and muscle strength are not
    controlled by the Broca area of the left frontal lobe.<\/li>\n\n\n\n
  3. The patient diagnosed with schizophrenia asks why psychotropic medications are
    always prescribed by the doctor. The nurses answer will be based on information that
    the therapeutic action of psychotropic drugs is the result of their effect on:
    a. The temporal lobe; especially Wernickes area
    b. Dendrites and their ability to transmit electrical impulses
    c. The regulation of neurotransmitters especially dopamine
    d. The peripheral nervous system sensitivity to the psychotropic medications
    2 \/ 4
    WWW.TESTBANKTANK.COM
    ANS: C
    Medications used to treat psychiatric disorders operate in and around the synaptic cleft
    and have action at the neurotransmitter level, especially in the case of schizophrenia,
    on dopamine. The Wernickes area, dendrite function, or the sensitivity of the
    peripheral nervous system are not relevant to either schizophrenia or psychotropic
    medications.<\/li>\n\n\n\n
  4. A student nurse mutters that it seems entirely unnecessary to have to struggle with
    understanding the anatomy and physiology of the neurologic system. The mentor
    would base a response on the understanding that it is:
    a.
    Necessary but generally for psychiatric nurses who focus primarily on
    behavioral interventions
    b.
    A complex undertaking that advance practice psychiatric nurses frequently use
    in their practice
    c.
    Important primarily for the nursing assessment of patients with brain
    traumacaused cognitive symptoms
    d.
    Necessary for planning psychiatric care for all patients especially those
    experiencing psychiatric disorders
    ANS: D
    Nurses must understand that many symptoms of psychiatric disorders have a
    neurologic basis, although the symptoms are manifested behaviorally. This
    understanding facilitates effective care planning. The foundation of knowledge is not
    used exclusively by advanced practice psychiatric nurses nor is it relevant for only
    behavior therapies or brain trauma since dealing with the results of normal and
    abnormal brain function is a responsibility of all nurses providing all types of care to
    the psychiatric patient.<\/li>\n\n\n\n
  5. A patient asks the nurse, My wife has breast cancer. Could it be caused by her
    chronic depression? Which response is supported by research data?
    a. Too much stress has been proven to cause all kinds of cancer.
    b. There have been no research studies done on stress and disease yet.
    c. Stress does cause the release of factors that suppress the immune system.
    d. There appears to be little connection between stress and diseases of the body
    ANS: C
    Research indicates that stress causes a release of corticotropin-releasing factors that
    suppress the immune system. Studies indicate that psychiatric disorders such as mood
    disorders are sometimes associated with decreased functioning of the immune system.
    Research does not support a connection between many cancers and stress. There is a
    significant amount of research about stress and the body. Research has shown that
    there are some connections between stress and physical disease.
    3 \/ 4
    WWW.TESTBANKTANK.COM<\/li>\n\n\n\n
  6. A patient who has a parietal lobe injury is being evaluated for psychiatric
    rehabilitation needs. Of the aspects of functioning listed, which will the nurse identify
    as a focus of nursing intervention?
    a. Expression of emotion
    b. Detecting auditory stimuli
    c. Receiving visual images
    d. Processing associations
    ANS: D
    The parietal lobe is responsible for associating and processing sensory information
    that allows for functions such as following directions on a map, reading a clock,
    dressing self, keeping appointments, and distinguishing right from left. Emotional
    expression is associated with frontal lobe function. Detecting auditory stimuli is a
    temporal lobe function. Receiving visual images is related to occipital lobe function.<\/li>\n\n\n\n
  7. At admission, the nurse learns that some time ago the patient had an infarct in the
    right cerebral cortex. During assessment, the nurse would expect to find that the
    patient:
    a. Demonstrates major deficiencies in speech
    b. Is unable to effectively hold a spoon in the left hand
    c. Has difficulty explaining how to go about using the telephone
    d. Cannot use his right hand to shave himself or comb his own hair
    ANS: B
    The cerebral hemispheres are responsible for functions such as control of muscles.
    The right hemisphere mainly controls the motor and sensory functions on the left side
    of the body. Damage to the right side would result in impaired function on the left
    side of the body. The motor cortex controls voluntary motor activity. Brocas area
    controls motor speech. Cognitive functions are attributed to the association cortex.
    The right side of the bodys motor activity is controlled by the left cerebral cortex.<\/li>\n\n\n\n
  8. A patient with chronic schizophrenia had a stroke involving the hippocampus. The
    patient will be discharged on low doses of haloperidol. The nurse will need to
    individualize the patients medication teaching by:
    a. Including the patients caregiver in the education
    b. Being careful to stress the importance of taking the medication as prescribed
    c.
    Providing the education at a time when the patient is emotionally calm and
    relaxed
    d.
    Encouraging the patient to crush or dissolve the medication to help with
    swallowing
    ANS: A<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    Chapter 1 Chemical neurotransmissionMULTIPLE CHOICE<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113206","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113206","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113206"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113206\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113206"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113206"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113206"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}