9th Edition (Steele),
Chapters 1 - 36 | All Chapters Complete
,
,Chapter 01: Med, Meds, Milieu
Keltner: Psychiatric Nursing, 8th Edition
MULTIPLE CHOICE
1. A newly licensed asks a nursing recruiter for a description of nursing practice in
thepsychiatric 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 fro
m
other mental health professions.‖
d. ―Nursing offers unique contributions to the psychotherapeutic management of
psychiatric patients.‖
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 multidisciplinar
yteam define the professional responsibilities of its members but rather utilizes their uniq
ue skills to provide holistic care. Ideally, all team members support each other and have f
unctions within the team.
DIF: Cognitive level: Analyzing
TOP: Nursing process: Implementation MSC: Client Needs: Safe, Effecti
ve Care Environment
2. Which component of the nursing process will the nurse focus upon to address
theresponsibility to match individual patient needs with appropriate services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER: C
Proper assessment is critical for being able to determine the appropriate level of services t
hat will provide optimal care while considering patient input and at the lowest cost. Planni
ng and implementation utilizes the assessment data to identify and execute actions (treatm
ent plan) that will provide appropriate care. Evaluation validates the effectiveness of the tre
atment plan.
DIF: Cognitive level: Applying
TOP: Nursing process: Assessment MSC: Client Needs: Safe, Effecti
ve Care Environment
3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinatio
nsand walks about the unit, muttering. Which nursing action demonstrates the nurse‘s un
derstanding of effective psychotherapeutic management of this client?
a. Discussing the disease process of schizophrenia with the client and their domesti
c
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 client