TEST6BANK6-
6KELTNERS6PSYCHIATRIC6NURSING,69TH6
EDITION6(STEELE),6
CHAPTERS616-
6366
|6AL
L6CH
APTE
RS6C
OMPL
,ETE6
,Chapter601:6Med,6Meds,6Milieu
Keltner:6Psychiatric6Nursing,68th6Edition
MULTIPLE6CHOIC
E
1. A6newly6licensed6asks6a6nursing6recruiter6for6a6description6of6nursing6practic
e6in6the6psychiatric6setting.6What6is6the6nurse6recruiter‘s6best6response?
a. ―The6nurse6primarily6serves6in6a6supportive6role6to6members6of6the6health6
care
delivery6team.‖
b. ―The6multidisciplinary6approach6eliminates6the6need6to6clearly6define6the
responsibilities6of6nursing6in6such6a6setting.‖
c. ―Nursing6actions6are6identified6by6the6institution6that6distinguishes6nursing6f
rom
other6mental6health6professions.‖
d. ―Nursing6offers6unique6contributions6to6the6psychotherapeutic6management6o
f
psychiatric6patients.‖
ANSWER:6D
Professional6role6overlap6cannot6be6denied;6however,6nursing6is6unique6in6its6focus6on
6and6application6of6psychotherapeutic6management.6Neither6the6facility6nor6the6multidi
sciplinary6team6define6the6professional6responsibilities6of6its6members6but6rather6utilize
s6their6unique6skills6to6provide6holistic6care.6Ideally,6all6team6members6support6each6
other6and6have6functions6within6the6team.
DIF: Cognitive6level:6Analyzing
TOP:6 Nursing6process:6Implementation6MSC:6 Client6Needs:6Safe,6Effec
tive6Care6Environment
2. Which6component6of6the6nursing6process6will6the6nurse6focus6upon6to6add
ress6the6responsibility6to6match6individual6patient6needs6with6appropriate6se
rvices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:6C
Proper6assessment6is6critical6for6being6able6to6determine6the6appropriate6level6of6servi
ces6that6will6provide6optimal6care6while6considering6patient6input6and6at6the6lowest6co
st.6Planning6and6implementation6utilizes6the6assessment6data6to6identify6and6execute6ac
tions6(treatment6plan)6that6will6provide6appropriate6care.6Evaluation6validates6the6effecti
veness6of6the6treatment6plan.
DIF: Cognitive6level:6Applying
TOP:6 Nursing6process:6Assessment6MSC:6 Client6Needs:6Safe,6Effec
tive6Care6Environment
3. An6adult6diagnosed6with6paranoid6schizophrenia6frequent6experiences6auditory6hallucin
ations6and6walks6about6the6unit,6muttering.6Which6nursing6action6demonstrates6the6nur
, se‘s6understanding6of6effective6psychotherapeutic6management6of6this6client?
a. Discussing6the6disease6process6of6schizophrenia6with6the6client6and6their6dom
estic
partner
b. Minimizing6contact6between6this6patient6and6other6patients6to6assure6a6stress
6free
milieu
c. Administering6PRN6medication6when6first6observing6the6evidence6that6the6cli
ent
6KELTNERS6PSYCHIATRIC6NURSING,69TH6
EDITION6(STEELE),6
CHAPTERS616-
6366
|6AL
L6CH
APTE
RS6C
OMPL
,ETE6
,Chapter601:6Med,6Meds,6Milieu
Keltner:6Psychiatric6Nursing,68th6Edition
MULTIPLE6CHOIC
E
1. A6newly6licensed6asks6a6nursing6recruiter6for6a6description6of6nursing6practic
e6in6the6psychiatric6setting.6What6is6the6nurse6recruiter‘s6best6response?
a. ―The6nurse6primarily6serves6in6a6supportive6role6to6members6of6the6health6
care
delivery6team.‖
b. ―The6multidisciplinary6approach6eliminates6the6need6to6clearly6define6the
responsibilities6of6nursing6in6such6a6setting.‖
c. ―Nursing6actions6are6identified6by6the6institution6that6distinguishes6nursing6f
rom
other6mental6health6professions.‖
d. ―Nursing6offers6unique6contributions6to6the6psychotherapeutic6management6o
f
psychiatric6patients.‖
ANSWER:6D
Professional6role6overlap6cannot6be6denied;6however,6nursing6is6unique6in6its6focus6on
6and6application6of6psychotherapeutic6management.6Neither6the6facility6nor6the6multidi
sciplinary6team6define6the6professional6responsibilities6of6its6members6but6rather6utilize
s6their6unique6skills6to6provide6holistic6care.6Ideally,6all6team6members6support6each6
other6and6have6functions6within6the6team.
DIF: Cognitive6level:6Analyzing
TOP:6 Nursing6process:6Implementation6MSC:6 Client6Needs:6Safe,6Effec
tive6Care6Environment
2. Which6component6of6the6nursing6process6will6the6nurse6focus6upon6to6add
ress6the6responsibility6to6match6individual6patient6needs6with6appropriate6se
rvices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:6C
Proper6assessment6is6critical6for6being6able6to6determine6the6appropriate6level6of6servi
ces6that6will6provide6optimal6care6while6considering6patient6input6and6at6the6lowest6co
st.6Planning6and6implementation6utilizes6the6assessment6data6to6identify6and6execute6ac
tions6(treatment6plan)6that6will6provide6appropriate6care.6Evaluation6validates6the6effecti
veness6of6the6treatment6plan.
DIF: Cognitive6level:6Applying
TOP:6 Nursing6process:6Assessment6MSC:6 Client6Needs:6Safe,6Effec
tive6Care6Environment
3. An6adult6diagnosed6with6paranoid6schizophrenia6frequent6experiences6auditory6hallucin
ations6and6walks6about6the6unit,6muttering.6Which6nursing6action6demonstrates6the6nur
, se‘s6understanding6of6effective6psychotherapeutic6management6of6this6client?
a. Discussing6the6disease6process6of6schizophrenia6with6the6client6and6their6dom
estic
partner
b. Minimizing6contact6between6this6patient6and6other6patients6to6assure6a6stress
6free
milieu
c. Administering6PRN6medication6when6first6observing6the6evidence6that6the6cli
ent
