Test Bank For Keltner’s Psychiatric Nursing, 9th - 2023 All Chapters - 9780323791960.pdf

Test Bank for Keltner’s Psychiatric Nur
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sing, 9th Edition by Debbie Steele
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|Chapter 1-36 |All Chapters g g g g




Chapter 01: Me, Meds, Milieu
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Steele: Keltner’s Psychiatric Nursing, 9th Edition
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MULTIPLEgCHOICE

1. Agnewlyglicensedgnursegasksgagnursinggrecruitergforgagdescriptiongofgnursinggpracticegingthegp
sychiatricgsetting.gWhatgisgthegnursegrecruiter‘sgbestgresponse?
a. ―Thegnursegprimarilygservesgingagsupportivegrolegtogmembersgofgtheghealthgcaregdel
iverygteam.‖
b. ―Thegmultidisciplinarygapproachgeliminatesgthegneedgtogclearlygdefinegthegresponsi
bilitiesgofgnursinggingsuchgagsetting.‖
c. ―Nursinggactionsgaregidentifiedgbygtheginstitutiongthatgdistinguishesgnursinggfromgo
thergmentalghealthgprofessions.‖
d. ―Nursinggoffersguniquegcontributionsgtogthegpsychotherapeuticgmanagementgofgps
ychiatricgpatients.‖
ANS:g D
Professionalgrolegoverlapgcannotgbegdenied;ghowever,gnursinggisguniquegingitsgfocusgongandgappl
icationgofgpsychotherapeuticgmanagement.gNeithergthegfacilitygnorgthegmultidisciplinarygteamgd
efinegthegprofessionalgresponsibilitiesgofgitsgmembersgbutgrathergutilizesgtheirguniquegskillsgtogpr
ovidegholisticgcare.gIdeally,gallgteamgmembersgsupportgeachgothergandghavegfunctionsgwithingthe
gteam.




DIF: Cognitiveglevel:gAnalyzing
TOP:gNursinggprocess:gImplementationgMSC:gClientgNeeds:gSafe,gEffectiveg
CaregEnvironment

2. Whichgcomponentgofgthegnursinggprocessgwillgthegnursegfocusgupongtogaddressgthegr
esponsibilitygtogmatchgindividualgpatientgneedsgwithgappropriategservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation

ANS:g C
Propergassessmentgisgcriticalgforgbeinggablegtogdeterminegthegappropriateglevelgofgservicesgthatgwi
llgprovidegoptimalgcaregwhilegconsideringgpatientginputgandgatgtheglowestgcost.gPlanninggandgimpl
ementationgutilizesgthegassessmentgdatagtogidentifygandgexecutegactionsg(treatmentgplan)gthatgwill
gprovidegappropriategcare.gEvaluationgvalidatesgthegeffectivenessgofgthegtreatmentgplan.




DIF: Cognitiveglevel:gApplying
TOP:gNursinggprocess:gAssessmentgMSC:gClientgNeeds:gSafe,gEffectiveg
CaregEnvironment

3. Angadultgdiagnosedgwithgparanoidgschizophreniagfrequentlygexperiencesgauditoryghallucina
tionsgandgwalksgaboutgthegunit,gmuttering.gWhichgnursinggactiongdemonstratesgthegnurse‘sgun

,derstandinggofgeffectivegpsychotherapeuticgmanagementgofgthisgclient?

,a. Discussinggthegdiseasegprocessgofgschizophreniagwithgthegclientgandgtheirgdomesticgp
artner
b. Minimizinggcontactgbetweengthisgpatientgandgothergpatientsgtogassuregagstress-
freegmilieu
c. AdministeringgPRNgmedicationgwhengfirstgobservinggthegevidencegthatgthegclient

, maygbeghallucinating
d. Independentlygdetermininggthatgbehaviorgmodificationgisgappropriategtogdecreasegt
hegclient‘sgparanoidgthoughts
ANS:gA
Angunderstandinggofgpsychopathologygisgthegfoundationgongwhichgthegthreegcomponentsgofgpsy
chotherapeuticgmanagementgrest;gitgfacilitatesgtherapeuticgcommunicationgandgprovidesgagbasisg
forgunderstandinggpsychopharmacologygandgmilieugmanagement.gMinimizinggcontactgbetween
gthegpatientgandgothersgandgadministeringgPRNgmedicationgindiscriminatelygaregnontherapeuticg

interventions.gUsinggbehaviorgmodificationgtogdecreasegthegfrequencygofghallucinationsgwouldg
needgtogbegincorporatedgintogthegplangofgcaregbygthegcaregteam.

DIF: Cognitiveglevel:gApplying
TOP:gNursinggprocess:gImplementationgMSC:gClientgNeeds:gSafe,gEffectiveg
CaregEnvironment

4. Angadultgdiagnosedgwithgchronicgdepressiongisghospitalizedgaftergagsuicidegattempt.gWhichgi
nterventiongisgcriticalgingassuringglong-
term,geffectivegclientgcaregasgdescribedgbygpsychotherapeuticgmanagement?
a. Involvementginggroupgtherapies
b. Focusgofgclosegsupervisiongbygthegunitgstaff
c. Maintaininggeffectivegcommunicationgwithgsupportgsystem
d. Frequentlygscheduledgone-on-onegtimegwithgnursinggstaff

ANS:gD
Agcriticalgelementgofgpsychotherapeuticgmanagementgisgthegpresencegofgagtherapeutic
nurse-patientgrelationship.gOne-on-
onegtimegwithgnursinggstaffgwillghelpgingestablishinggthisgconnection.gWhilegthegothergoptionsgar
egappropriategandgclientgcentered,gthegnurse-clientgrelationgisgcriticalgingtheglong-
termgdeliverygofgqualitygeffectivegcaregtogthisgclient.

DIF: Cognitiveglevel:gApplying
TOP:gNursinggprocess:gImplementationgMSC:gClientgNeeds:gPsychosocialgInt
egrity

5. Agpatient‘sghaloperidolgdosagegwasgreducedg2gweeksgagogtogdecreasegsidegeffects.gWhatgas
sessmentgquestiongdemonstratesgthegnurse‘sgunderstandinggofgthegresultinggneedsgofgthegcli
ent?
a. ―Willgyoughaveganygdifficultyggettinggyourgprescriptiongrefilled?‖
b. ―Haveg yougbegungexperiencingganygformsgofghallucinations?‖
c. ―Whatgdogyougexpectgwillgoccurgsincegthegdosageghasgbeengreduced?‖
d. ―WhatgcangIgdogtoghelpgyougmanagegthisgreductionginghaloperidolgtherapy?‖

ANS:gB
Itgwillgbegnecessarygforgthegnursegtogassessgforgexacerbationgofgthegpatient‘sgsymptomsgofgpsych
osisgasgwellgasgforgaglesseninggofgsidegeffects.gDosagegdecreasegmightgleadgtogthegreturngorgworse
ninggofgpositivegsymptomsgsuchgasghallucinationsgandgdelusions,gandgnegativegsymptomsgsuchg
asgbluntedgaffect,gsocialgwithdrawal,gandgpoorggrooming.gWhilegthegothergoptionsgmaygbegappro
priategassessmentgquestions,gtheygaregnotgdirectedgatgthegcurrentgneedsgofgthegclientgwhichgisgthegi
dentificationgofgemerginggpsychoticgbehaviors.

DIF: Cognitiveglevel:gAnalyzing
TOP:gNursinggprocess:gAssessmentgMSC:gClientgNeeds:gPhysiologicgInte
grity