TEST BANK Psychiatric Nursing
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9th Edition by Videbeck
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All chapters 1 - 36
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,Table of Contents ud ud
ChapterO1Me,Meds,Milieu ud ud ud ud
Cbapter 02 Historical Issue
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s Chapter 03 Legal Issues
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Cbapter 04 Psychobiologic Basesof Beha\ ior
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Chapter 05CulturalIssues ud ud ud ud 38
Chapter 06 Spiritual Issuesud ud ud 47
Cbapter 07 Models for Working with Psychiatric Patients
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Chapter 08LeamingtoCommunicateProfessionally Cba
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pter 09Working With an Individual Patient
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Chapter 10Working With Groups ofPatients
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dChapter 11Working Withthe Family
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Cbapter 12 lntroduction to Psycbotropic Drugs
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Chapter 13Antiparkinsonian Drugs
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Cbapter 14 Antipsychotic Drugs
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118
Chapter 15Antidepressant Drugs
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128
Chapter 16Antimanic Drugs C
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bapter 17 Antiamtiety Drugs Cha
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143
pter 18AntidementiaDrugs
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152
Cbapter 19Alternative Preparations and Over-the-
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158
Counter Drugs Chapter 20lntroductiontoMilieu Management
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165
Chapter 21Variables AffectingtheTberapeutic Environment Violenceand Suicide
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173
Cbapter 22 Tberape.uticEnvironment inVariousTreatment Settings
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185
Chapter 23 lntroduction to Psycbopathology
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191
Cbapter 24 Scbizophrenia Spectrum and Otber Psychotic Disorders
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197
Chapter 25 Depressive Disorders
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204
Chapter 26Bipolar Disordersud ud ud
211
Cbapter 27 Anxiety-Relatecl, Obsessive-Compulsive, Trauma- and Stressor-
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Related, 218
Somatic, and Dissociative Disorders
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dCbapter 28NeurocognitiveDisorders
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Chapter 29 Personality Disorders
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Chapter 30Sexual Disorders and Gender Dysphoria
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Cbapter31 SubstanceUseDisorders d
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Chapter 32 Eating Disorders
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Cbapter 33 Survivors of \tiolence and Trauma
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277
Chapter 34 Children and Adolescents
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Chapter 3 5 OIder Adults ud ud ud 291
Cbapter 36Soldiers andVeterans
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,Chapter 01: Med, Meds, Milieu
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Keltner: Psychiatric Nursing, 8th Edition
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MULTIPLE CHOICE ud
1. A newly licensed asks a nursing recruiter for a description of nursing practice in the
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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 of the health care d
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elivery team.‖ ud
b. ―The multidisciplinary approach eliminates the need to clearly define the r
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esponsibilities of nursing in such a setting.‖ ud ud ud ud ud ud
c. ―Nursing actions are identified by the institution that distinguishes nursing from
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other mental health professions.‖ ud ud ud
d. ―Nursing offers unique contributions to the psychotherapeutic management of p
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sychiatric patients.‖ ud
ANSWER: D ud
Professional role overlap cannot be denied; however, nursing is unique in its focus on and appli
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cation of psychotherapeutic management. Neither the facility nor the multidisciplinary team def
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ine the professional responsibilities of its members but rather utilizes their unique skills to provi
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de holistic care. Ideally, all team members support each other and have functions within the te
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am.
DIF: Cognitive level: Analyzing ud ud
TOP: Nursing process: Implementation MSC: Client Needs: Safe, Eff
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ective Care Environment
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2. Which component of the nursing process will the nurse focus upon to address the r
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esponsibility to match individual patient needs with appropriate services?
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER: C ud
Proper assessment is critical for being able to determine the appropriate level of services that w
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ill provide optimal care while considering patient input and at the lowest cost. Planning and impl
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ementation utilizes the assessment data to identify and execute actions (treatment plan) that wil
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l provide appropriate care. Evaluation validates the effectiveness of the treatment plan.
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DIF: Cognitive level: Applying ud ud
TOP: Nursing process: Assessment MSC: Client Needs: Safe, Eff
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ective Care Environment
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3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations
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dand walks about the unit, muttering. Which nursing action demonstrates the nurse‘s understa
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nding of effective psychotherapeutic management of this client?
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a. Discussing the disease process of schizophrenia with the client and their domestic
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partner
b. Minimizing contact between this patient and other patients to assure a stress free
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milieu
c. Administering PRN medication when first observing the evidence that the client ud ud ud ud ud ud ud ud ud ud
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d. Independently determining that behavior modification is appropriate to decrease t ud ud ud ud ud ud ud ud u d
he client‘s paranoid thoughts
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ANSWER: A ud
An understanding of psychopathology is the foundation on which the three components of psycho
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therapeutic management rest; it facilitates therapeutic communication and provides abasis for un
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derstanding psychopharmacology and milieu management. Minimizing contact between
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tient and others and administering PRN medication indiscriminately are nontherapeutic interventi
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ons. Using behavior modification to decrease the frequency of hallucinations would need to be i
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ncorporated into the plan of care by the care team. ud ud ud ud ud ud ud ud ud
DIF: Cognitive level: Applying ud ud
TOP: Nursing process: Implementation MSC: Client Needs: Safe, Eff
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ective Care Environment ud ud
4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
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d intervention is critical in assuring long- ud ud ud ud ud
term, effective client care as described by psychotherapeuticmanagement?
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a. Involvement in group therapies ud ud ud
b. Focus of close supervision by the unit staff ud ud ud ud ud ud ud
c. Maintaining effective communication with support system ud ud ud ud ud
d. Frequently scheduled one-on-one time with nursing staff ud ud ud ud ud ud
ANSWER: D ud
A critical element of psychotherapeutic management is the presence of a therapeutic nurs
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e-patient relationship. One-on- ud ud
one time with nursing staff will help in establishing this connection. While the other options
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are appropriate and client centered, the nurse-client relation is critical in the long-
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term delivery of quality effective care to this client.
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DIF: Cognitive level: Applying ud ud
TOP: Nursing process: Implementation MSC: Client Needs: Psychoso
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cial Integrity ud
5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. Wh
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at assessment question demonstrates the nurse‘s understanding of the resulting needs of t
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heclient?
a. ―Will you have any difficulty getting your prescription refilled?‖
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b. ―Have you begun experiencing any forms of hallucinations?‖ ud ud ud ud ud ud ud
c. ―What do you expect will occur since the dosage has been reduced?‖
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d. ―What can I do to help you manage this reduction in haloperidol therapy?‖
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ANSWER: B ud
It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of psyc
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hosis as well as for a lessening of side effects. Dosage decrease might lead to the return or w
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orsening of positive symptoms such as hallucinations and delusions, and negative symptoms su
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ch as blunted affect, social withdrawal, and poor grooming. While the other options may be a
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ppropriate assessment questions, they are not directed at the current needs ofthe client; the id
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entification of emerging psychotic behaviors. ud ud ud ud
DIF: Cognitive level: Analyzing ud ud
TOP: Nursing process: Assessment MSC: Client Needs: Physiolog
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ic Integrity
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ud ud ud
9th Edition by Videbeck
ud ud u d
All chapters 1 - 36
ud ud ud ud
,Table of Contents ud ud
ChapterO1Me,Meds,Milieu ud ud ud ud
Cbapter 02 Historical Issue
ud ud ud 11
s Chapter 03 Legal Issues
ud ud ud ud 19
Cbapter 04 Psychobiologic Basesof Beha\ ior
ud ud ud ud ud ud 29
Chapter 05CulturalIssues ud ud ud ud 38
Chapter 06 Spiritual Issuesud ud ud 47
Cbapter 07 Models for Working with Psychiatric Patients
ud ud ud ud ud ud ud ud 54
Chapter 08LeamingtoCommunicateProfessionally Cba
ud ud ud ud ud u d 64
pter 09Working With an Individual Patient
ud ud ud ud ud ud 72
Chapter 10Working With Groups ofPatients
ud ud ud ud ud ud u 86
dChapter 11Working Withthe Family
ud ud ud ud 95
Cbapter 12 lntroduction to Psycbotropic Drugs
ud ud ud ud ud u 103
Chapter 13Antiparkinsonian Drugs
d ud ud ud 110
Cbapter 14 Antipsychotic Drugs
ud ud ud ud
118
Chapter 15Antidepressant Drugs
ud ud ud
128
Chapter 16Antimanic Drugs C
ud ud ud ud ud 135
bapter 17 Antiamtiety Drugs Cha
ud ud ud ud
143
pter 18AntidementiaDrugs
ud ud ud
152
Cbapter 19Alternative Preparations and Over-the-
ud ud ud ud ud
158
Counter Drugs Chapter 20lntroductiontoMilieu Management
ud ud ud ud ud ud ud
165
Chapter 21Variables AffectingtheTberapeutic Environment Violenceand Suicide
ud ud ud ud ud ud ud ud ud
173
Cbapter 22 Tberape.uticEnvironment inVariousTreatment Settings
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u d
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185
Chapter 23 lntroduction to Psycbopathology
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191
Cbapter 24 Scbizophrenia Spectrum and Otber Psychotic Disorders
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197
Chapter 25 Depressive Disorders
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204
Chapter 26Bipolar Disordersud ud ud
211
Cbapter 27 Anxiety-Relatecl, Obsessive-Compulsive, Trauma- and Stressor-
u d ud ud ud ud ud
Related, 218
Somatic, and Dissociative Disorders
ud ud ud u 227
dCbapter 28NeurocognitiveDisorders
ud ud ud 236
Chapter 29 Personality Disorders
ud ud ud ud 245
Chapter 30Sexual Disorders and Gender Dysphoria
ud ud ud ud ud ud 252
Cbapter31 SubstanceUseDisorders d
u d
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u d
u 261
Chapter 32 Eating Disorders
ud ud ud 268
Cbapter 33 Survivors of \tiolence and Trauma
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277
Chapter 34 Children and Adolescents
ud ud ud ud ud 284
Chapter 3 5 OIder Adults ud ud ud 291
Cbapter 36Soldiers andVeterans
ud ud ud ud
,Chapter 01: Med, Meds, Milieu
ud ud ud ud
Keltner: Psychiatric Nursing, 8th Edition
ud ud ud ud
MULTIPLE CHOICE ud
1. A newly licensed asks a nursing recruiter for a description of nursing practice in the
ud ud ud ud ud ud ud ud ud ud ud ud ud ud u d
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 of the health care d
ud ud ud ud ud ud ud ud ud ud ud ud ud u d
elivery team.‖ ud
b. ―The multidisciplinary approach eliminates the need to clearly define the r
ud ud ud ud ud ud ud ud ud u d
esponsibilities of nursing in such a setting.‖ ud ud ud ud ud ud
c. ―Nursing actions are identified by the institution that distinguishes nursing from
ud ud ud ud ud ud ud ud ud ud u d
other mental health professions.‖ ud ud ud
d. ―Nursing offers unique contributions to the psychotherapeutic management of p
ud ud ud ud ud ud ud ud u d
sychiatric patients.‖ ud
ANSWER: D ud
Professional role overlap cannot be denied; however, nursing is unique in its focus on and appli
ud ud ud ud ud ud ud ud ud ud ud ud ud ud u d
cation of psychotherapeutic management. Neither the facility nor the multidisciplinary team def
ud ud ud ud ud ud ud ud ud u d ud
ine the professional responsibilities of its members but rather utilizes their unique skills to provi
ud ud ud ud ud ud ud ud ud ud ud ud u d ud
de holistic care. Ideally, all team members support each other and have functions within the te
ud ud ud ud ud ud ud ud ud ud ud ud udu d ud ud
am.
DIF: Cognitive level: Analyzing ud ud
TOP: Nursing process: Implementation MSC: Client Needs: Safe, Eff
u d ud ud u d u d ud ud ud
ective Care Environment
ud ud
2. Which component of the nursing process will the nurse focus upon to address the r
ud ud ud ud ud ud ud ud ud ud ud ud ud u d
esponsibility to match individual patient needs with appropriate services?
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER: C ud
Proper assessment is critical for being able to determine the appropriate level of services that w
ud ud ud ud ud ud ud ud ud ud ud ud ud ud u d
ill provide optimal care while considering patient input and at the lowest cost. Planning and impl
ud ud ud ud ud ud ud ud ud ud ud ud ud ud u d
ementation utilizes the assessment data to identify and execute actions (treatment plan) that wil
ud ud ud ud ud ud ud ud ud ud ud udu d ud
l provide appropriate care. Evaluation validates the effectiveness of the treatment plan.
ud ud ud ud ud ud ud ud ud ud ud
DIF: Cognitive level: Applying ud ud
TOP: Nursing process: Assessment MSC: Client Needs: Safe, Eff
u d ud ud u d u d ud ud ud
ective Care Environment
ud ud
3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations
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dand walks about the unit, muttering. Which nursing action demonstrates the nurse‘s understa
ud ud ud ud ud ud ud ud ud ud ud u d
nding of effective psychotherapeutic management of this client?
ud ud ud ud ud ud ud
a. Discussing the disease process of schizophrenia with the client and their domestic
ud ud ud ud ud ud ud ud ud ud ud u d
partner
b. Minimizing contact between this patient and other patients to assure a stress free
ud ud ud ud ud ud ud ud ud ud ud ud u d
milieu
c. Administering PRN medication when first observing the evidence that the client ud ud ud ud ud ud ud ud ud ud
, may be hallucinating ud ud
d. Independently determining that behavior modification is appropriate to decrease t ud ud ud ud ud ud ud ud u d
he client‘s paranoid thoughts
ud ud ud
ANSWER: A ud
An understanding of psychopathology is the foundation on which the three components of psycho
ud ud ud ud ud ud ud ud ud ud ud ud u d
therapeutic management rest; it facilitates therapeutic communication and provides abasis for un
ud ud ud ud ud ud ud ud ud u d ud
derstanding psychopharmacology and milieu management. Minimizing contact between
ud the pa ud ud ud ud ud ud udu d u d ud
tient and others and administering PRN medication indiscriminately are nontherapeutic interventi
ud ud ud ud ud ud ud ud ud u d
ons. Using behavior modification to decrease the frequency of hallucinations would need to be i
ud ud ud ud ud ud ud ud ud ud udu d ud ud ud
ncorporated into the plan of care by the care team. ud ud ud ud ud ud ud ud ud
DIF: Cognitive level: Applying ud ud
TOP: Nursing process: Implementation MSC: Client Needs: Safe, Eff
u d ud ud u d u d ud ud ud
ective Care Environment ud ud
4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
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d intervention is critical in assuring long- ud ud ud ud ud
term, effective client care as described by psychotherapeuticmanagement?
ud ud ud ud ud ud u d ud
a. Involvement in group therapies ud ud ud
b. Focus of close supervision by the unit staff ud ud ud ud ud ud ud
c. Maintaining effective communication with support system ud ud ud ud ud
d. Frequently scheduled one-on-one time with nursing staff ud ud ud ud ud ud
ANSWER: D ud
A critical element of psychotherapeutic management is the presence of a therapeutic nurs
ud ud ud ud ud ud ud ud ud ud ud u d
e-patient relationship. One-on- ud ud
one time with nursing staff will help in establishing this connection. While the other options
ud ud ud ud ud ud ud ud ud u d ud ud ud ud ud
are appropriate and client centered, the nurse-client relation is critical in the long-
ud ud ud ud ud ud u d ud ud ud ud ud
term delivery of quality effective care to this client.
ud ud ud ud ud ud ud ud
DIF: Cognitive level: Applying ud ud
TOP: Nursing process: Implementation MSC: Client Needs: Psychoso
u d ud ud u d u d ud ud
cial Integrity ud
5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. Wh
ud ud ud ud ud ud ud ud ud ud ud ud u d
at assessment question demonstrates the nurse‘s understanding of the resulting needs of t
ud ud ud ud ud ud ud ud ud ud u d ud
heclient?
a. ―Will you have any difficulty getting your prescription refilled?‖
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b. ―Have you begun experiencing any forms of hallucinations?‖ ud ud ud ud ud ud ud
c. ―What do you expect will occur since the dosage has been reduced?‖
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d. ―What can I do to help you manage this reduction in haloperidol therapy?‖
ud ud ud ud ud ud ud ud ud ud ud ud
ANSWER: B ud
It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of psyc
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud u d
hosis as well as for a lessening of side effects. Dosage decrease might lead to the return or w
ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud ud u d ud
orsening of positive symptoms such as hallucinations and delusions, and negative symptoms su
ud ud ud ud ud ud ud ud ud ud u d ud
ch as blunted affect, social withdrawal, and poor grooming. While the other options may be a
ud ud ud ud ud ud ud ud ud ud ud u d ud ud ud
ppropriate assessment questions, they are not directed at the current needs ofthe client; the id
ud ud ud ud ud ud ud ud ud ud u d ud ud ud
entification of emerging psychotic behaviors. ud ud ud ud
DIF: Cognitive level: Analyzing ud ud
TOP: Nursing process: Assessment MSC: Client Needs: Physiolog
u d ud ud u d u d ud ud
ic Integrity
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