Test Bank For Keltner’s Psychiatric Nursing, 9th Edition By Debbie
Steele | 9780323791960 | Chapter 1- 21 | Complete Guide New Edition
2025 Graded A+
, Psychiatric Nursing 8th Edition Keltner Test Bank WQ WQ WQ WQ WQ WQ
Chapter 01: Med, Meds, Milieu
WQ WQ WQ WQ
Keltner: Psychiatric Nursing, 9th Edition
WQ WQ WQ WQ
MULTIPLE CHOICE WQ
1. A newly licensed asks a nursing recruiter for a description of nursing practice in the
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Qpsychiatric setting. What is the nurse recruiter’s best response?
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a. “The nurse primarily serves in a supportive role to members of the health care
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Qdelivery team.” WQ
b. “The multidisciplinary approach eliminates the need to clearly define the
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responsibilities of nursing in such a setting.”
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c. “Nursing actions are identified by the institution that distinguishes nursing from
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other mental health professions.”
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d. “Nursing offers unique contributions to the psychotherapeutic management of
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psychiatric patients.”
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CORRECT:: D W Q
Professional role overlap cannot be denied; however, nursing is unique in its focus on and a
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pplication of psychotherapeutic management. Neither the facility nor the multidisciplinary tea
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m define the professional responsibilities of its members but rather utilizes their unique skill
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
s to provide holistic care. Ideally, all team members support each other and have functions
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
within the team. WQ WQ
DIF: Cognitive level: Analyzing WQ WQ
TOP: Nursing process: Implementation MSC: Patient Needs: Safe, Effecti
W Q WQ WQ WQ W Q WQ WQ WQ
ve Care Environment
WQ WQ
Ug pSroceNss wTill theOnurse focus upon to address the
2. Which component of the nursin WQ WQ WQ WQ
N R I G B.C M WQ WQ WQ WQ WQ WQ
responsibility to match individual patient needs with appropriate services?
WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Planning
b. Evaluation
c. Assessment
d. Implementation
CORRECT:: C W Q
Proper assessment is critical for being able to determine the appropriate level of services that
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
will provide optimal care while considering patient input and at the lowest cost. Planning an
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
d implementation utilizes the assessment data to identify and execute actions (treatment plan
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) that will provide appropriate care. Evaluation validates the effectiveness of the treatment pla
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
n.
DIF: Cognitive level: Applying WQ WQ
TOP: Nursing process: Assessment MSC: Patient Needs: Safe, Effecti
W Q WQ WQ WQ W Q WQ WQ WQ
ve Care Environment
WQ WQ
3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
and walks about the unit, muttering. Which nursing action demonstrates the nurse’s underst
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
anding of effective psychotherapeutic management of this patient?
WQ WQ WQ WQ WQ WQ WQ
a. Discussing the disease process of schizophrenia with the patient and their WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
domestic partner WQ
b. Minimizing contact between this patient and other patients to assure a stress free WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
milieu Q
c. Administering PRN medication when first observing the evidence that the patient WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
NURSINGTB.COM
, Psychiatric Nursing 8th Edition Keltner Test Bank WQ WQ WQ WQ WQ WQ
may be hallucinating WQ WQ
d. Independently determining that behavior modification is appropriate to decrease WQ WQ WQ WQ WQ WQ WQ WQ WQ
the patient’s paranoid thoughts
WQ WQ WQ
CORRECT:: A W Q
An understanding of psychopathology is the foundation on which the three components of psy
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
chotherapeutic management rest; it facilitates therapeutic communication and provides a basis f
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
or understanding psychopharmacology and milieu management. Minimizing contact between t
WQ WQ WQ WQ WQ WQ WQ WQ WQ
he patient and others and administering PRN medication indiscriminately are nontherapeutic i
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
nterventions. Using behavior modification to decrease the frequency of hallucinations would n
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
eed to be incorporated into the plan of care by the care team.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: Cognitive level: Applying WQ WQ
TOP: Nursing process: Implementation MSC: Patient Needs: Safe, Effecti
W Q WQ WQ WQ W Q WQ WQ WQ
ve Care Environment
WQ WQ
4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
intervention is critical in assuring long-
Q WQ WQ WQ WQ WQ
term, effective patient care as described by psychotherapeutic management?
WQ WQ WQ WQ WQ WQ WQ WQ
a. Involvement in group therapies WQ WQ WQ
b. Focus of close supervision by the unit staff WQ WQ WQ WQ WQ WQ WQ
c. Maintaining effective communication with support system WQ WQ WQ WQ WQ
d. Frequently scheduled one-on-one time with nursing staff WQ WQ WQ WQ WQ WQ
CORRECT:: D W Q
A critical element of psychotherapeutic management is the presence of a therapeutic
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
nurse-patient relationship. One-on- WQ WQ
one time with nursing staff will help in establishing this connection. While the other option
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
s are appropriate and patient centered, the nurse-patient relation is critical in the l o n g N
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Q RSdeIliNveGrT
teUrm
W yB
of.qC
uaOliM
ty effective care to this patient. WQ WQ WQ WQ WQ WQ
DIF: Cognitive level: Applying WQ WQ
TOP: Nursing process: Implementation MSC: Patient Needs: Psychosocial
W Q WQ WQ WQ W Q WQ WQ
WQ Integrity
5. A patient’s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
assessment question demonstrates the nurse’s understanding of the resulting needs of the
Q WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
patient?
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a. “Will you have any difficulty getting your prescription refilled?”
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b. “Have you begun experiencing any forms of hallucinations?”
WQ WQ WQ WQ WQ WQ WQ
c. “What do you expect will occur since the dosage has been reduced?”
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
d. “What can I do to help you manage this reduction in haloperidol therapy?”
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
CORRECT:: B W Q
It will be necessary for the nurse to assess for exacerbation of the patient’s symptoms of psy
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
chosis as well as for a lessening of side effects. Dosage decrease might lead to the return or
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
worsening of positive symptoms such as hallucinations and delusions, and negative sympto
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ms such as blunted affect, social withdrawal, and poor grooming. While the other options m
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ay be appropriate assessment questions, they are not directed at the current needs of the patien
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
t; the identification of emerging psychotic behaviors.
WQ WQ WQ WQ WQ WQ
DIF: Cognitive level: Analyzing WQ WQ
TOP: Nursing process: Assessment MSC: Patient Needs: Physiologic
W Q WQ WQ WQ W Q WQ WQ WQ
Integrity
NURSINGTB.COM
, Psychiatric Nursing 8th Edition Keltner Test Bank WQ WQ WQ WQ WQ WQ
6. Which statement forms the foundation upon which a nurse should base the implementation of
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
psychotherapeutic management to the care of a patient with mental illness?
Q WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. The nurse’s role in patient care is supported by the multidisciplinary team.
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b. Omitting any one component will compromise the effectiveness of the treatment.
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c. The most important element of psychotherapeutic management is drug therapy.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
d. A therapeutic nurse-patient relationship is the most important aspect of treatment.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
CORRECT:: B W Q
When one element is missing, treatment is usually compromised. No single element is more
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
important than the others; however, patients’ needs govern the application of the components
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
and permit judicious use. The remaining options identify components of the psychotherapeut
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ic management process.
WQ WQ
DIF: Cognitive level: Analyzing WQ WQ
TOP: Nursing process: Analysis MSC: Patient Needs: Safe, Effecti
W Q WQ WQ WQ W Q WQ WQ WQ
ve Care Environment
WQ WQ
7. Which statement most accurately describes a nurse’s role regarding psychopharmacology?
WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. “You will need to frequently make decisions regarding the administration of PRN
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
medications to help the patient manage anger.”
Q WQ WQ WQ WQ WQ WQ
b. “It’s a nursing responsibility to adjust a medication dose to assure effective patient
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
responses.” Q
c. “Nurses administers medications while evaluating drug effectiveness is a medical
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
responsibility.”
d. “To best assure appropriate response, a patient’s questions about drug therapy
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
should be referred to the psychiatrist.”
Q WQ WQ WQ WQ WQ
CORRECT:: A W Q
Nursing assessment and analN UR
ysis SofNdI
TataGmigBh.t sCO
WQ u g gMe s t the need for PRN medication as pati WQ WQ
W
Q W
Q
WQ
W
Q
WQ WQ WQ WQ WQ WQ WQ WQ
ent anxiety increases or psychotic symptoms become more acute. The nurse is the health team
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
member who makes this determination. Nurses are responsible for monitoring drug
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
effectiveness as well as administering medication. Nurses should assume responsibility for t
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
eaching patients about the side effects of medications. Nurses cannot alter prescribed dosages
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
of medications unless they have prescriptive privileges.
WQ WQ WQ WQ WQ WQ
DIF: Cognitive level: Analyzing WQ WQ
TOP: Nursing process: Analysis MSC: Patient Needs: Safe, Effecti
W Q WQ WQ WQ W Q WQ WQ WQ
ve Care Environment
WQ WQ
8. When considering environmental aspects of milieu management, which intervention has the
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
highest priority for a patient admitted after a failed suicide attempt?
Q WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Sending the patient’s new medication prescriptions to the pharmacy
WQ WQ WQ WQ WQ WQ WQ WQ
b. Assigning a staff member to one-on-one observation of the patient WQ WQ WQ WQ WQ WQ WQ WQ WQ
c. Orienting the patient to the milieu’s public and private spaces WQ WQ WQ WQ WQ WQ WQ WQ WQ
d. Having all potentially dangerous items removed from the patient’s belongings
WQ WQ WQ WQ WQ WQ WQ WQ WQ
CORRECT:: B W Q
Milieu management provides a proactive approach to care. Safety overrides all other dimens
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ions of the milieu. Initiation of suicide precautions are the priority for this patient. All the rem
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
aining options are appropriate but none protect the patient from the risk of another attempt t
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o self-harm as effectively as one-on-one observation as part of suicide precautions.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: Cognitive level: Analyzing WQ WQ TOP: Nursing process: Implementation
W Q WQ WQ
NURSINGTB.COM
Steele | 9780323791960 | Chapter 1- 21 | Complete Guide New Edition
2025 Graded A+
, Psychiatric Nursing 8th Edition Keltner Test Bank WQ WQ WQ WQ WQ WQ
Chapter 01: Med, Meds, Milieu
WQ WQ WQ WQ
Keltner: Psychiatric Nursing, 9th Edition
WQ WQ WQ WQ
MULTIPLE CHOICE WQ
1. A newly licensed asks a nursing recruiter for a description of nursing practice in the
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
Qpsychiatric setting. What is the nurse recruiter’s best response?
WQ WQ WQ WQ WQ WQ WQ WQ
a. “The nurse primarily serves in a supportive role to members of the health care
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
Qdelivery team.” WQ
b. “The multidisciplinary approach eliminates the need to clearly define the
WQ WQ WQ WQ WQ WQ WQ WQ WQ W
responsibilities of nursing in such a setting.”
Q WQ WQ WQ WQ WQ WQ
c. “Nursing actions are identified by the institution that distinguishes nursing from
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
other mental health professions.”
Q WQ WQ WQ
d. “Nursing offers unique contributions to the psychotherapeutic management of
WQ WQ WQ WQ WQ WQ WQ WQ W
psychiatric patients.”
Q WQ
CORRECT:: D W Q
Professional role overlap cannot be denied; however, nursing is unique in its focus on and a
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
pplication of psychotherapeutic management. Neither the facility nor the multidisciplinary tea
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
m define the professional responsibilities of its members but rather utilizes their unique skill
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
s to provide holistic care. Ideally, all team members support each other and have functions
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
within the team. WQ WQ
DIF: Cognitive level: Analyzing WQ WQ
TOP: Nursing process: Implementation MSC: Patient Needs: Safe, Effecti
W Q WQ WQ WQ W Q WQ WQ WQ
ve Care Environment
WQ WQ
Ug pSroceNss wTill theOnurse focus upon to address the
2. Which component of the nursin WQ WQ WQ WQ
N R I G B.C M WQ WQ WQ WQ WQ WQ
responsibility to match individual patient needs with appropriate services?
WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. Planning
b. Evaluation
c. Assessment
d. Implementation
CORRECT:: C W Q
Proper assessment is critical for being able to determine the appropriate level of services that
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
will provide optimal care while considering patient input and at the lowest cost. Planning an
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
d implementation utilizes the assessment data to identify and execute actions (treatment plan
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
) that will provide appropriate care. Evaluation validates the effectiveness of the treatment pla
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
n.
DIF: Cognitive level: Applying WQ WQ
TOP: Nursing process: Assessment MSC: Patient Needs: Safe, Effecti
W Q WQ WQ WQ W Q WQ WQ WQ
ve Care Environment
WQ WQ
3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
and walks about the unit, muttering. Which nursing action demonstrates the nurse’s underst
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
anding of effective psychotherapeutic management of this patient?
WQ WQ WQ WQ WQ WQ WQ
a. Discussing the disease process of schizophrenia with the patient and their WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
domestic partner WQ
b. Minimizing contact between this patient and other patients to assure a stress free WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
milieu Q
c. Administering PRN medication when first observing the evidence that the patient WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
NURSINGTB.COM
, Psychiatric Nursing 8th Edition Keltner Test Bank WQ WQ WQ WQ WQ WQ
may be hallucinating WQ WQ
d. Independently determining that behavior modification is appropriate to decrease WQ WQ WQ WQ WQ WQ WQ WQ WQ
the patient’s paranoid thoughts
WQ WQ WQ
CORRECT:: A W Q
An understanding of psychopathology is the foundation on which the three components of psy
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
chotherapeutic management rest; it facilitates therapeutic communication and provides a basis f
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
or understanding psychopharmacology and milieu management. Minimizing contact between t
WQ WQ WQ WQ WQ WQ WQ WQ WQ
he patient and others and administering PRN medication indiscriminately are nontherapeutic i
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
nterventions. Using behavior modification to decrease the frequency of hallucinations would n
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
eed to be incorporated into the plan of care by the care team.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
DIF: Cognitive level: Applying WQ WQ
TOP: Nursing process: Implementation MSC: Patient Needs: Safe, Effecti
W Q WQ WQ WQ W Q WQ WQ WQ
ve Care Environment
WQ WQ
4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
intervention is critical in assuring long-
Q WQ WQ WQ WQ WQ
term, effective patient care as described by psychotherapeutic management?
WQ WQ WQ WQ WQ WQ WQ WQ
a. Involvement in group therapies WQ WQ WQ
b. Focus of close supervision by the unit staff WQ WQ WQ WQ WQ WQ WQ
c. Maintaining effective communication with support system WQ WQ WQ WQ WQ
d. Frequently scheduled one-on-one time with nursing staff WQ WQ WQ WQ WQ WQ
CORRECT:: D W Q
A critical element of psychotherapeutic management is the presence of a therapeutic
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
nurse-patient relationship. One-on- WQ WQ
one time with nursing staff will help in establishing this connection. While the other option
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
s are appropriate and patient centered, the nurse-patient relation is critical in the l o n g N
WQ WQ - WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
Q RSdeIliNveGrT
teUrm
W yB
of.qC
uaOliM
ty effective care to this patient. WQ WQ WQ WQ WQ WQ
DIF: Cognitive level: Applying WQ WQ
TOP: Nursing process: Implementation MSC: Patient Needs: Psychosocial
W Q WQ WQ WQ W Q WQ WQ
WQ Integrity
5. A patient’s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
assessment question demonstrates the nurse’s understanding of the resulting needs of the
Q WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
patient?
WQ
a. “Will you have any difficulty getting your prescription refilled?”
WQ WQ WQ WQ WQ WQ WQ WQ
b. “Have you begun experiencing any forms of hallucinations?”
WQ WQ WQ WQ WQ WQ WQ
c. “What do you expect will occur since the dosage has been reduced?”
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
d. “What can I do to help you manage this reduction in haloperidol therapy?”
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
CORRECT:: B W Q
It will be necessary for the nurse to assess for exacerbation of the patient’s symptoms of psy
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
chosis as well as for a lessening of side effects. Dosage decrease might lead to the return or
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
worsening of positive symptoms such as hallucinations and delusions, and negative sympto
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ms such as blunted affect, social withdrawal, and poor grooming. While the other options m
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ay be appropriate assessment questions, they are not directed at the current needs of the patien
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
t; the identification of emerging psychotic behaviors.
WQ WQ WQ WQ WQ WQ
DIF: Cognitive level: Analyzing WQ WQ
TOP: Nursing process: Assessment MSC: Patient Needs: Physiologic
W Q WQ WQ WQ W Q WQ WQ WQ
Integrity
NURSINGTB.COM
, Psychiatric Nursing 8th Edition Keltner Test Bank WQ WQ WQ WQ WQ WQ
6. Which statement forms the foundation upon which a nurse should base the implementation of
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
psychotherapeutic management to the care of a patient with mental illness?
Q WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. The nurse’s role in patient care is supported by the multidisciplinary team.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
b. Omitting any one component will compromise the effectiveness of the treatment.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
c. The most important element of psychotherapeutic management is drug therapy.
WQ WQ WQ WQ WQ WQ WQ WQ WQ
d. A therapeutic nurse-patient relationship is the most important aspect of treatment.
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
CORRECT:: B W Q
When one element is missing, treatment is usually compromised. No single element is more
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
important than the others; however, patients’ needs govern the application of the components
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
and permit judicious use. The remaining options identify components of the psychotherapeut
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
ic management process.
WQ WQ
DIF: Cognitive level: Analyzing WQ WQ
TOP: Nursing process: Analysis MSC: Patient Needs: Safe, Effecti
W Q WQ WQ WQ W Q WQ WQ WQ
ve Care Environment
WQ WQ
7. Which statement most accurately describes a nurse’s role regarding psychopharmacology?
WQ WQ WQ WQ WQ WQ WQ WQ WQ
a. “You will need to frequently make decisions regarding the administration of PRN
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
medications to help the patient manage anger.”
Q WQ WQ WQ WQ WQ WQ
b. “It’s a nursing responsibility to adjust a medication dose to assure effective patient
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
responses.” Q
c. “Nurses administers medications while evaluating drug effectiveness is a medical
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
responsibility.”
d. “To best assure appropriate response, a patient’s questions about drug therapy
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W
should be referred to the psychiatrist.”
Q WQ WQ WQ WQ WQ
CORRECT:: A W Q
Nursing assessment and analN UR
ysis SofNdI
TataGmigBh.t sCO
WQ u g gMe s t the need for PRN medication as pati WQ WQ
W
Q W
Q
WQ
W
Q
WQ WQ WQ WQ WQ WQ WQ WQ
ent anxiety increases or psychotic symptoms become more acute. The nurse is the health team
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
member who makes this determination. Nurses are responsible for monitoring drug
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
effectiveness as well as administering medication. Nurses should assume responsibility for t
WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ
eaching patients about the side effects of medications. Nurses cannot alter prescribed dosages
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of medications unless they have prescriptive privileges.
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DIF: Cognitive level: Analyzing WQ WQ
TOP: Nursing process: Analysis MSC: Patient Needs: Safe, Effecti
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ve Care Environment
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8. When considering environmental aspects of milieu management, which intervention has the
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highest priority for a patient admitted after a failed suicide attempt?
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a. Sending the patient’s new medication prescriptions to the pharmacy
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b. Assigning a staff member to one-on-one observation of the patient WQ WQ WQ WQ WQ WQ WQ WQ WQ
c. Orienting the patient to the milieu’s public and private spaces WQ WQ WQ WQ WQ WQ WQ WQ WQ
d. Having all potentially dangerous items removed from the patient’s belongings
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CORRECT:: B W Q
Milieu management provides a proactive approach to care. Safety overrides all other dimens
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ions of the milieu. Initiation of suicide precautions are the priority for this patient. All the rem
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aining options are appropriate but none protect the patient from the risk of another attempt t
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o self-harm as effectively as one-on-one observation as part of suicide precautions.
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DIF: Cognitive level: Analyzing WQ WQ TOP: Nursing process: Implementation
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