TESTiBANKi iKeltnersiPsychiatriciNursing,i9thiEditioni( Steele),i Chaptersi1i-i36i|iAlliChaptersiComplete

TESTiBANKi-
iKeltnersiPsychiatriciNursing,i9thiEditioni(
Steele),i
Chaptersi1i-i36i|iAlliChaptersiCompletei

,
,Chapteri01:iMed,iMeds,iMilieu
Keltner:iPsychiatriciNursing,i9thiEdition


MULTIPLEiCHOICE

1. Ainewlyilicensediasksiainursingirecruiteriforiaidescriptioniofinursingipracticeiinitheips
ychiatricisetting.iWhati isitheinurseirecruiter‘sibestiresponse?
a. ―Theinurseiprimarilyiservesiiniaisupportiveiroleitoimembersiofitheihealthicare
deliveryiteam.‖
b. ―Theimultidisciplinaryiapproachieliminatesitheineeditoiclearlyidefineithe
responsibilitiesiofinursingiinisuchiaisetting.‖
c. ―Nursingiactionsiareiidentifiedibyitheiinstitutionithatidistinguishesinursingifrom
otherimentalihealthiprofessions.‖
d. ―Nursingioffersiuniqueicontributionsitoitheipsychotherapeuticimanagementiof
psychiatrici patients.‖
ANSWER:i D
Professionaliroleioverlapicannotibeidenied;ihowever,inursingiisiuniqueiiniitsifocusioniandiapplic
ationiofipsychotherapeuticimanagement.iNeitheritheifacilityinoritheimultidisciplinaryiteamidefin
eitheiprofessionaliresponsibilitiesiofiitsimembersibutiratheriutilizesitheiriuniqueiskillsitoiprovidei
holisticicare.iIdeally,ialliteamimembersisupportieachiotheriandihaveifunctionsiwithinitheiteam.

DIF: Cognitiveilevel:iAnalyzing
TOP:i Nursingiprocess:iImplementationiMSC:i ClientiNeeds:iSafe,iEffectiveiC
areiEnvironment

2. Whichicomponentiofitheinursingiprocessiwillitheinurseifocusiuponitoiaddressitheires
ponsibilityitoimatchiindividualipatientineedsiwithiappropriateiservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:i C
Properiassessmentiisicriticaliforibeingiableitoidetermineitheiappropriateileveliofiservicesithatiwilli
provideioptimalicareiwhileiconsideringipatientiinputiandiatitheilowesticost.iPlanningiandiimplem
entationiutilizesitheiassessmentidataitoiidentifyiandiexecuteiactionsi(treatmentiplan)ithatiwillipro
videiappropriateicare.iEvaluationivalidatesitheieffectivenessiofitheitreatmentiplan.

DIF: Cognitiveilevel:iApplying
TOP:i Nursingiprocess:iAssessmentiMSC:i ClientiNeeds:iSafe,iEffectiveiC
areiEnvironment

3. Aniadultidiagnosediwithiparanoidischizophreniaifrequentiexperiencesiauditoryihallucinationsia
ndiwalksiaboutitheiunit,imuttering.iWhichinursingiactionidemonstratesitheinurse‘siunderstandin
giofieffectiveipsychotherapeuticimanagementiofithisiclient?
a. Discussingitheidiseaseiprocessiofischizophreniaiwithitheiclientianditheiridomestic
partner
b. Minimizingicontactibetweenithisipatientiandiotheripatientsitoiassureiaistressifree
milieu
c. AdministeringiPRNimedicationiwhenifirstiobservingitheievidenceithatitheiclient

, mayibeihallucinating
d. Independentlyideterminingithatibehaviorimodificationiisiappropriateitoidecrease
theiclient‘siparanoidithoughts
ANSWER:i A
Aniunderstandingiofipsychopathologyiisitheifoundationioniwhichitheithreeicomponentsiofipsychot
herapeuticimanagementirest;iitifacilitatesitherapeuticicommunicationiandiprovidesiaibasisiforiunde
rstandingipsychopharmacologyiandimilieuimanagement.iMinimizingicontactibetweenitheipatienti
andiothersiandiadministeringiPRNimedicationiindiscriminatelyiareinontherapeuticiinterventions.i
Usingibehaviorimodificationitoidecreaseitheifrequencyiofihallucinationsiwouldineeditoibeiincorpo
ratediintoitheiplanioficareibyitheicareiteam.

DIF: Cognitiveilevel:iApplying
TOP:i Nursingiprocess:iImplementationiMSC:i ClientiNeeds:iSafe,iEffectiveiC
areiEnvironment

4. Aniadultidiagnosediwithichronicidepressioniisihospitalizediafteriaisuicideiattempt.iWhichiint
erventioniisicriticaliiniassuringilong-
term,ieffectiveiclienticareiasidescribedibyipsychotherapeuticimanagement?
a. Involvementiinigroupitherapies
b. Focusioficloseisupervisionibyitheiunitistaff
c. Maintainingieffectiveicommunicationiwithisupportisystem
d. Frequentlyischeduledione-on-oneitimeiwithinursingistaff
ANSWER:i D
Aicriticalielementiofipsychotherapeuticimanagementiisitheipresenceiofiaitherapeutic
nurse-patientirelationship.iOne-on-
oneitimeiwithinursingistaffiwillihelpiiniestablishingithisiconnection.iWhileitheiotherioptionsiareia
ppropriateiandiclienticentered,itheinurse-clientirelationiisicriticaliinitheilong-
termideliveryiofiqualityieffectiveicareitoithisiclient.

DIF: Cognitiveilevel:iApplying
TOP:i Nursingiprocess:iImplementationiMSC:i ClientiNeeds:iPsychosocialiInte
grity

5. Aipatient‘sihaloperidolidosageiwasireducedi2iweeksiagoitoidecreaseisideieffects.iWhatiass
essmentiquestionidemonstratesitheinurse‘siunderstandingiofitheiresultingineedsiofitheiclient
?
a. ―Williyouihaveianyidifficultyigettingi youriprescriptionirefilled?‖
b. ―Havei youibeguniexperiencingianyiformsiofihallucinations?‖
c. ―Whatidoiyouiexpectiwillioccurisinceitheidosageihasibeenireduced?‖
d. ―WhaticaniIidoitoihelpi youimanageithisireductioniinihaloperidolitherapy?‖
ANSWER:i B
Itiwillibeinecessaryiforitheinurseitoiassessiforiexacerbationiofitheipatient‘sisymptomsiofipsychos
isiasiwelliasiforiailesseningiofisideieffects.iDosageidecreaseimightileaditoitheireturnioriworsening
iofipositiveisymptoms isuchiasihallucinationsiandidelusions,iandinegativeisymptomsisuchiasiblun
tediaffect,isocialiwithdrawal,iandipoorigrooming.iWhileitheiotherioptionsimayibeiappropriateias
sessmentiquestions,itheyiareinotidirectediatitheicurrentineedsiofitheiclient;itheiidentificationiofie
mergingipsychoticibehaviors.

DIF: Cognitiveilevel:iAnalyzing
TOP:i Nursingiprocess:iAssessmentiMSC:i ClientiNeeds:iPhysiologiciInteg
rity