FULL TEST BANK!!!
Test Bank for Psychiatric Nursing by Keltner & Steele, 9th
Edition | All Chapters Included (Ch. 1-36) | 100% Complete
Guide Graded A+ Latest Version
1|Page
, Psychiatric Nursing 9th Edition Keltner Test
Bank
Chapter 01: Med, Meds, Milieu
Keltner: Psychiatric Nursing, 9th Edition
MULTIPLE
CHOICE
1. A newly licensed asks a nursing recruiter for a description of nursing practice in
the psychiatric setting. What is the nurse recruiter’s best response?
a. “The nurse primarily serves in a supportive role to members of the health
care delivery team.”
b. “The multidisciplinary approach eliminates the need to clearly define
the responsibilities of nursing in such a setting.”
c. “Nursing actions are identified by the institution that distinguishes nursing
from other mental health professions.”
d. “Nursing offers unique contributions to the psychotherapeutic
management of psychiatric patients.”
CORRECT
ANSWER:: D
Professional role overlap cannot be denied; however, nursing is unique in its focus on and
application of psychotherapeutic management. Neither the facility nor the
multidisciplinary team define the professional responsibilities of its members but rather
utilizes their unique skills to provide holistic care. Ideally, all team members support each
other and have functions within the team.
DIF: Cognitive level: Analyzing TOP: Nursing process:
Implementation MSC: Patient Needs: Safe, Effective Care Environment
N R I G B. C M
Ug pSroceNs s wTi llth e Onu rse focus upon
2. Which component of the nur sin
to address the responsibility to match individual patient needs with
appropriate services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
CORRECT
ANSWER:: C
Proper assessment is critical for being able to determine the appropriate level of services
NURSINGTB.CO
, Psychiatric Nursing 9th Edition Keltner Test
that will provide Bank
optimal care while considering patient input and at the lowest cost.
Planning and implementation utilizes the assessment data to identify and execute actions
(treatment plan) that will provide appropriate care. Evaluation validates the effectiveness
of the treatment plan.
DIF: Cognitive level: Applying TOP: Nursing process:
Assessment MSC: Patient Needs: Safe, Effective Care Environment
3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory
hallucinations and walks about the unit, muttering. Which nursing action demonstrates
the nurse’s understanding of effective psychotherapeutic management of this patient?
a. Discussing the disease process of schizophrenia with the patient and
their domestic partner
b. Minimizing contact between this patient and other patients to assure a
stress free milieu
c. Administering PRN medication when first observing the evidence that the patient
NURSINGTB.CO
, Psychiatric Nursing 9th Edition Keltner Test
Bank
may be hallucinating
d. Independently determining that behavior modification is appropriate to
decrease the patient’s paranoid thoughts
CORRECT ANSWER:: A
An understanding of psychopathology is the foundation on which the three components
of psychotherapeutic management rest; it facilitates therapeutic communication and
provides a basis for understanding psychopharmacology and milieu management.
Minimizing contact between the patient and others and administering PRN medication
indiscriminately are nontherapeutic interventions. Using behavior modification to decrease
the frequency of hallucinations would need to be incorporated into the plan of care by the
care team.
DIF: Cognitive level: Applying TOP: Nursing process:
Implementation MSC: Patient Needs: Safe, Effective Care Environment
4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt.
Which intervention is critical in assuring long-term, effective patient care as
described by psychotherapeutic management?
a. Involvement in group therapies
b. Focus of close supervision by the unit staff
c. Maintaining effective communication with support system
d. Frequently scheduled one-on-one time with nursing staff
CORRECT ANSWER:: D
A critical element of psychotherapeutic management is the presence of a therapeutic
nurse-patient relationship. One-on-one time with nursing staff will help in establishing
this connection. While the other options are appropriate and patient centered, the
nurse-patient relation is critical in the l o n g N RSdeIliNveGrT
- teUrm yoBf.qC
uaOliM
ty effective
care to this patient.
DIF: Cognitive level: Applying TOP: Nursing process:
Implementation MSC: Patient Needs: Psychosocial Integrity
5. A patient’s haloperidol dosage was reduced 2 weeks ago to decrease side effects.
What assessment question demonstrates the nurse’s understanding of the resulting
NURSINGTB.CO
Test Bank for Psychiatric Nursing by Keltner & Steele, 9th
Edition | All Chapters Included (Ch. 1-36) | 100% Complete
Guide Graded A+ Latest Version
1|Page
, Psychiatric Nursing 9th Edition Keltner Test
Bank
Chapter 01: Med, Meds, Milieu
Keltner: Psychiatric Nursing, 9th Edition
MULTIPLE
CHOICE
1. A newly licensed asks a nursing recruiter for a description of nursing practice in
the psychiatric setting. What is the nurse recruiter’s best response?
a. “The nurse primarily serves in a supportive role to members of the health
care delivery team.”
b. “The multidisciplinary approach eliminates the need to clearly define
the responsibilities of nursing in such a setting.”
c. “Nursing actions are identified by the institution that distinguishes nursing
from other mental health professions.”
d. “Nursing offers unique contributions to the psychotherapeutic
management of psychiatric patients.”
CORRECT
ANSWER:: D
Professional role overlap cannot be denied; however, nursing is unique in its focus on and
application of psychotherapeutic management. Neither the facility nor the
multidisciplinary team define the professional responsibilities of its members but rather
utilizes their unique skills to provide holistic care. Ideally, all team members support each
other and have functions within the team.
DIF: Cognitive level: Analyzing TOP: Nursing process:
Implementation MSC: Patient Needs: Safe, Effective Care Environment
N R I G B. C M
Ug pSroceNs s wTi llth e Onu rse focus upon
2. Which component of the nur sin
to address the responsibility to match individual patient needs with
appropriate services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
CORRECT
ANSWER:: C
Proper assessment is critical for being able to determine the appropriate level of services
NURSINGTB.CO
, Psychiatric Nursing 9th Edition Keltner Test
that will provide Bank
optimal care while considering patient input and at the lowest cost.
Planning and implementation utilizes the assessment data to identify and execute actions
(treatment plan) that will provide appropriate care. Evaluation validates the effectiveness
of the treatment plan.
DIF: Cognitive level: Applying TOP: Nursing process:
Assessment MSC: Patient Needs: Safe, Effective Care Environment
3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory
hallucinations and walks about the unit, muttering. Which nursing action demonstrates
the nurse’s understanding of effective psychotherapeutic management of this patient?
a. Discussing the disease process of schizophrenia with the patient and
their domestic partner
b. Minimizing contact between this patient and other patients to assure a
stress free milieu
c. Administering PRN medication when first observing the evidence that the patient
NURSINGTB.CO
, Psychiatric Nursing 9th Edition Keltner Test
Bank
may be hallucinating
d. Independently determining that behavior modification is appropriate to
decrease the patient’s paranoid thoughts
CORRECT ANSWER:: A
An understanding of psychopathology is the foundation on which the three components
of psychotherapeutic management rest; it facilitates therapeutic communication and
provides a basis for understanding psychopharmacology and milieu management.
Minimizing contact between the patient and others and administering PRN medication
indiscriminately are nontherapeutic interventions. Using behavior modification to decrease
the frequency of hallucinations would need to be incorporated into the plan of care by the
care team.
DIF: Cognitive level: Applying TOP: Nursing process:
Implementation MSC: Patient Needs: Safe, Effective Care Environment
4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt.
Which intervention is critical in assuring long-term, effective patient care as
described by psychotherapeutic management?
a. Involvement in group therapies
b. Focus of close supervision by the unit staff
c. Maintaining effective communication with support system
d. Frequently scheduled one-on-one time with nursing staff
CORRECT ANSWER:: D
A critical element of psychotherapeutic management is the presence of a therapeutic
nurse-patient relationship. One-on-one time with nursing staff will help in establishing
this connection. While the other options are appropriate and patient centered, the
nurse-patient relation is critical in the l o n g N RSdeIliNveGrT
- teUrm yoBf.qC
uaOliM
ty effective
care to this patient.
DIF: Cognitive level: Applying TOP: Nursing process:
Implementation MSC: Patient Needs: Psychosocial Integrity
5. A patient’s haloperidol dosage was reduced 2 weeks ago to decrease side effects.
What assessment question demonstrates the nurse’s understanding of the resulting
NURSINGTB.CO
