NSG 552 EXAM 1 STAHLS

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NSG 552 EXAM 1 (STAHL’S

ESSENTIAL

PSYCHOPHARMACOLOGY 5 TH

EDITION TEST BANK) (WILKES

UNIVERSITY) COMPREHE NSIVE

PRACTICE QUESTIONS &

CORRECT ANSWER S

Question 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?

• Cortisol and GABA
• COMT and glutamate
• Monamine and glycine
• Serotonin and norepinephrine

CORRECT ANSWER : d. Serotonin and norepinephrine

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Question 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?

• Observing the patient pick up a spoon
• Asking the patient to recite the alphabet
• Monitoring the patients blood pressure
• Comparing the patients grip strength in both

CORRECT ANSWER : b. Asking the patient to recite

the alphabet

Question 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:

• The temporal lobe; especially Wernickes area
• Dendrites and their ability to transmit electrical

impulses

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• The regulation of neurotransmitters especially

dopamine

• The peripheral nervous system sensitivity to the

psychotropic medications

CORRECT ANSWER : c. The regulation of

neurotransmitters especially dopamine

Question 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:

• Necessary but generally for psychiatric nurses who

focus primarily on behavioral interventions

• A complex undertaking that advance practice

psychiatric nurses frequently use in their practice

• Important primarily for the nursing assessment of

patients with brain trauma caused cognitive symptoms

• Necessary for planning psychiatric care for all patients

especially those experiencing psychiatric disorders

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CORRECT ANSWER : d. Necessary for planning

psychiatric care for all patients especially those experiencing psychiatric disorders

Question 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?

• Too much stress has been proven to cause all kinds of

cancer.

• There have been no research studies done on stress and

disease yet.

• Stress does cause the release of factors that suppress the

immune system.

• There appears to be little connection between stress and

diseases of the body

CORRECT ANSWER : c. Stress does cause the release

of factors that suppress the immune system.