Test Bank for Psychiatric Nursing 8th Edition by Norman L. Keltner and Debbie Steele | 2026 Updated Nursing Study Guide

TESTBANK-KeltnersPsychiatricNursing,9th
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v Edition (Steele), v v




Chapters 1-36|AllChapters Complete
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,
,Chapter 01: Med, Meds, Milieu
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Keltner: Psychiatric Nursing, 8thEdition
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MULTIPLE CHOICE v




1. A newlylicensed asks a nursing recruiter for a descriptionofnursing practice inthe
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psychiatric setting. What is the nurse recruiter‘s best response?
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a. ―The nurse primarily serves in a supportive role to members ofthe health care
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delivery team.‖ v




b. ―The multidisciplinary approach eliminates the need to clearlydefine the
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responsibilities ofnursing in such a setting.‖ v v v v v v




c. ―Nursing actions are identified by the institution that distinguishes nursing from v v v v v v v v v v




other mental health professions.‖ v v v




d. ―Nursing offers unique contributions to the psychotherapeutic management of v v v v v v v v




psychiatric patients.‖ v




ANSWER: D v




Professional role overlap cannot be denied; however, nursing is unique in its focus on and v v v v v v v v v v v v v v




applicationofpsychotherapeutic management. Neitherthefacility northe multidisciplinary
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team define the professional responsibilities of its members but rather utilizes their unique skills
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to provide holistic care. Ideally, all team members support each other and have functions within
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the team.
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DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation v v v v v




MSC: Client Needs: Safe, EffectiveCareEnvironment
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2. Whichcomponent ofthe nursing process willthe nurse focus uponto address the
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responsibilityto match individualpatient needs withappropriate services?
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a. Planning
b. Evaluation
c. Assessment
d. Implementation

ANSWER: C v




Proper assessment is critical for being able to determine the appropriate level of services that
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will provide optimal care while considering patient input and at the lowest cost. Planning and
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implementation utilizes the assessment data to identify and execute actions (treatment plan)
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that willprovide appropriate care. Evaluationvalidatesthe effectiveness ofthe treatment plan.
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DIF: Cognitive level: Applying TOP: Nursingprocess: Assessment v v v v v




MSC: Client Needs: Safe, EffectiveCareEnvironment
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3. Anadult diagnosed withparanoid schizophrenia frequent experiencesauditoryhallucinations
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and walks about the unit, muttering. Which nursing action demonstrates the nurse‘s
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understanding ofeffective psychotherapeutic management ofthis client?
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a. Discussing the disease process ofschizophrenia withthe client and their domestic v v v v v v v v v v v




partner
b. Minimizing contact betweenthis patient and other patients to assure a stress free v v v v v v v v v v v v




milieu
c. Administering PRN medicationwhen first observing theevidencethat theclient v v v v v v v v v v

, maybehallucinating v v




d. Independentlydetermining that behavior modification isappropriateto decrease v v v v v v v v




the client‘sparanoid thoughts
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ANSWER: A v




An understanding of psychopathology is the foundation on which the three components of
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psychotherapeutic management rest;it facilitatestherapeuticcommunicationand providesa
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basis for understanding psychopharmacology and milieu management. Minimizing contact
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between the patient and others and administering PRN medication indiscriminately are
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nontherapeutic interventions. Using behavior modification to decrease the frequency of
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hallucinations would need to be incorporated into the planofcare bythe care team.
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DIF: Cognitive level: Applying TOP: Nursing process: Implementation v v v v v




MSC: Client Needs: Safe, EffectiveCareEnvironment
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4. Anadult diagnosed withchronic depression is hospitalized after a suicide attempt.Which
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intervention is critical in assuring long-term, effective client care as described by
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psychotherapeutic management?
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a. Involvement ingrouptherapies v v v




b. Focus ofclose supervisionbythe unit staff v v v v v v v




c. Maintaining effective communicationwithsupport system v v v v v




d. Frequentlyscheduled one-on-one time withnursing staff v v v v v v




ANSWER: D v




Acriticalelement ofpsychotherapeutic management is the presence ofa therapeutic
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nurse-patient relationship. One-on-one timewithnursing staffwillhelp inestablishing this v v v v v v v v v v v




connection. While the other options are appropriate and client centered, the nurse-client
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relation is criticalin the long-termdeliveryofqualityeffective care to this client.
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DIF: Cognitive level: Applying TOP: Nursing process: Implementation v v v v v




MSC: Client Needs: Psychosocial Integrity
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5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
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assessment questiondemonstratesthe nurse‘sunderstanding ofthe resulting needsof
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theclient?
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a. ―Will you have any difficultygetting your prescription refilled?‖
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b. ―Have you begun experiencing any forms of hallucinations?‖ v v v v v v v




c. ―What do you expect willoccur since the dosage has been reduced?‖ v v v v v v v v v v v




d. ―What can I do to help you manage this reduction inhaloperidoltherapy?‖ v v v v v v v v v v v v




ANSWER: B v




It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of
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psychosis as well as for a lessening of side effects. Dosage decrease might lead to the return or
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worsening of positive symptoms such as hallucinations and delusions, and negative symptoms
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such as blunted affect, social withdrawal, and poor grooming. While the other options maybe
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appropriate assessment questions,theyare not directed at the current needsofthe client;the
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identificationofemerging psychotic behaviors.
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DIF: Cognitive level: Analyzing v v TOP: Nursingprocess: Assessment v v v




MSC: Client Needs: Physiologic Integrity
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