TEST BANK FOR KELTNER'S PSYCHIATRIC
NURSING 9TH EDITION BY DEBBIE STEELE,
CHAPTERS 1-36 LATEST UPDATED 2026-2027 ACTUAL
FINAL EXAM PREP WITH ALL POSSIBLE TESTED
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES PLUS
CERTIFIED ANSWER KEY RATED A+ GRADE
1. A nurse is assessing a client who has been
diagnosed with schizophrenia. The client states,
"The CIA has implanted a chip in my brain to
control my thoughts." The nurse should identify
this as which type of delusion?
A. Delusion of persecution
B. Delusion of grandeur
C. Somatic delusion
D. Delusion of control
D. Delusion of control
Rationale: A delusion of control is the belief that
one's thoughts or actions are being controlled by
an external force, such as the CIA or aliens. A
delusion of persecution is the belief that one is
,being targeted for harm. A delusion of grandeur
is an exaggerated belief of importance. A somatic
delusion involves a false belief about one's body.
2. A nurse is caring for a client experiencing acute
alcohol withdrawal. Which of the following
assessments is the priority?
A. Vital signs and neurological status
B. Nutritional intake
C. Skin integrity
D. Social support system
A. Vital signs and neurological status
Rationale: The priority for a client in acute
alcohol withdrawal is monitoring for life-
threatening complications such as seizures,
delirium tremens, and cardiovascular collapse.
Vital signs and neurological status provide the
most critical data. Nutritional intake, skin
integrity, and social support are important but
are not the immediate priority.
3. A client with major depressive disorder is
prescribed a selective serotonin reuptake
inhibitor (SSRI). The nurse should instruct the
, client to watch for which of the following
potential adverse effects?
A. Hypertensive crisis
B. Serotonin syndrome
C. Tardive dyskinesia
D. Agranulocytosis
B. Serotonin syndrome
Rationale: Serotonin syndrome is a potentially
life-threatening condition associated with SSRIs,
characterized by mental status changes,
autonomic instability, and neuromuscular
abnormalities. Hypertensive crisis is associated
with MAOIs and tyramine-rich foods. Tardive
dyskinesia is associated with long-term
antipsychotic use. Agranulocytosis is a rare side
effect of clozapine.
4. A nurse is using cognitive behavioral therapy
(CBT) with a client who has an anxiety disorder.
Which of the following is a primary goal of
CBT?
A. Uncovering unconscious conflicts
B. Identifying and changing distorted thought
, patterns
C. Providing unconditional positive regard
D. Promoting free association
B. Identifying and changing distorted thought
patterns
Rationale: The primary goal of CBT is to help
clients identify, challenge, and change
maladaptive or distorted thought patterns that
contribute to emotional distress and behavioral
problems. Uncovering unconscious conflicts is a
goal of psychoanalytic therapy. Unconditional
positive regard is a key element of person-
centered therapy. Free association is a technique
used in psychoanalysis.
5. A nurse is assessing a client for risk of suicide.
Which of the following statements by the client
indicates the highest level of risk?
A. "I feel like a burden to everyone."
B. "I have a plan to overdose on my sleeping
pills."
C. "I wish I could just disappear."
D. "I don't see the point in going on anymore."
NURSING 9TH EDITION BY DEBBIE STEELE,
CHAPTERS 1-36 LATEST UPDATED 2026-2027 ACTUAL
FINAL EXAM PREP WITH ALL POSSIBLE TESTED
QUESTIONS AND 100% CORRECT VERIFIED
ANSWERS WITH DETAILED RATIONALES PLUS
CERTIFIED ANSWER KEY RATED A+ GRADE
1. A nurse is assessing a client who has been
diagnosed with schizophrenia. The client states,
"The CIA has implanted a chip in my brain to
control my thoughts." The nurse should identify
this as which type of delusion?
A. Delusion of persecution
B. Delusion of grandeur
C. Somatic delusion
D. Delusion of control
D. Delusion of control
Rationale: A delusion of control is the belief that
one's thoughts or actions are being controlled by
an external force, such as the CIA or aliens. A
delusion of persecution is the belief that one is
,being targeted for harm. A delusion of grandeur
is an exaggerated belief of importance. A somatic
delusion involves a false belief about one's body.
2. A nurse is caring for a client experiencing acute
alcohol withdrawal. Which of the following
assessments is the priority?
A. Vital signs and neurological status
B. Nutritional intake
C. Skin integrity
D. Social support system
A. Vital signs and neurological status
Rationale: The priority for a client in acute
alcohol withdrawal is monitoring for life-
threatening complications such as seizures,
delirium tremens, and cardiovascular collapse.
Vital signs and neurological status provide the
most critical data. Nutritional intake, skin
integrity, and social support are important but
are not the immediate priority.
3. A client with major depressive disorder is
prescribed a selective serotonin reuptake
inhibitor (SSRI). The nurse should instruct the
, client to watch for which of the following
potential adverse effects?
A. Hypertensive crisis
B. Serotonin syndrome
C. Tardive dyskinesia
D. Agranulocytosis
B. Serotonin syndrome
Rationale: Serotonin syndrome is a potentially
life-threatening condition associated with SSRIs,
characterized by mental status changes,
autonomic instability, and neuromuscular
abnormalities. Hypertensive crisis is associated
with MAOIs and tyramine-rich foods. Tardive
dyskinesia is associated with long-term
antipsychotic use. Agranulocytosis is a rare side
effect of clozapine.
4. A nurse is using cognitive behavioral therapy
(CBT) with a client who has an anxiety disorder.
Which of the following is a primary goal of
CBT?
A. Uncovering unconscious conflicts
B. Identifying and changing distorted thought
, patterns
C. Providing unconditional positive regard
D. Promoting free association
B. Identifying and changing distorted thought
patterns
Rationale: The primary goal of CBT is to help
clients identify, challenge, and change
maladaptive or distorted thought patterns that
contribute to emotional distress and behavioral
problems. Uncovering unconscious conflicts is a
goal of psychoanalytic therapy. Unconditional
positive regard is a key element of person-
centered therapy. Free association is a technique
used in psychoanalysis.
5. A nurse is assessing a client for risk of suicide.
Which of the following statements by the client
indicates the highest level of risk?
A. "I feel like a burden to everyone."
B. "I have a plan to overdose on my sleeping
pills."
C. "I wish I could just disappear."
D. "I don't see the point in going on anymore."
