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by Debbie Steele u u
All Chapters Fully Covered 1-
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36| Verified Questions & 100% AccurateAnswers with Rationales for Ex
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am Preparations| A+ PASS ASSURED
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, Chapteru01:uMe,uMeds,uMilieuu
MULTIPLEuCHOICE
1. Aunewlyulicensedunurseuasksuaunursingurecruiteruforuaudescriptionuofunursingupracticeuinutheupsychiatricusetting.u
Whatuisutheunurseurecruiter‘subesturesponse?
a. Theunurseuprimarilyuservesuinuausupportiveuroleutoumembersuofutheuhealthucareudeliveryuteam.
b. Theumultidisciplinaryuapproachueliminatesutheuneedutouclearlyudefineutheuresponsibilitiesuofunursinguinusuchuau
setting.
c. Nursinguactionsuareuidentifiedubyutheuinstitutionuthatudistinguishesunursingufromuotherumentaluhealthu
professions.
d. Nursinguoffersuuniqueucontributionsutoutheupsychotherapeuticumanagementuofupsychiatricupatients.u
CORRECTuANSWER:uD
Professionaluroleuoverlapucannotubeudenied;uhowever,unursinguisuuniqueuinuitsufocusuonuanduapplicationuofupsy
chotherapeuticumanagement.uNeitherutheufacilityunorutheumultidisciplinaryuteamudefineutheuprofessionalurespo
nsibilitiesuofuitsumembersubuturatheruutilizesutheiruuniqueuskillsutouprovideuholisticucare.uIdeally,ualluteamumem
bersusupportueachuotheruanduhaveufunctionsu withinutheuteam.
DIF: Cognitiveulevel:uAnalyzing
TOP:uNursinguprocess:uImplementationuMSC:uClientuNeeds:uSafe,uEffectiveuCareuEnvironment
2. Whichucomponentuofutheunursinguprocessuwillutheunurseufocusuuponutouaddressutheuresponsibilityutoumatchu
individualupatientuneedsuwithuappropriateuservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementationu
CORRECTuANSWER:uC
Properuassessmentuisucriticaluforubeinguableutoudetermineutheuappropriateuleveluofuservicesuthatuwilluprovideuoptimaluca
reuwhileuconsideringupatientuinputuanduatutheulowestucost.uPlanninguanduimplementationuutilizesutheuassessmentudatautou
identifyuanduexecuteuactionsu(treatmentuplan)uthatuwilluprovideuappropriateucare.uEvaluationuvalidatesutheueffectivenes
suofutheutreatmentuplan.
DIF:
Cognitiveulevel:uApplyinguTOP:uNursinguprocess:uAssessmentuMSC:uClientuNeeds:uSafe,uEffectiveuCareu
Environment
3. Anuadultudiagnoseduwithuparanoiduschizophreniaufrequentlyuexperiencesuauditoryuhallucinationsuanduwalksuaboutu
theuunit,umuttering.uWhichunursinguactionudemonstratesutheunurse‘suunderstandinguofueffectiveupsychotherapeuticu
managementuofuthisuclient?
a. Discussingutheudiseaseuprocessuofuschizophreniauwithutheuclientuandutheirudomesticupartner
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,b. Minimizingucontactubetweenuthisupatientuanduotherupatientsutouassureuaustress-freeumilieu
c. AdministeringuPRNumedicationuwhenufirstuobservingutheuevidenceuthatutheuclientumayubeuhallucinating
d. Independentlyudetermininguthatubehaviorumodificationuisuappropriateutoudecreaseutheuclient‘suparanoid
thoughts
CORRECTuANSWER:uA
Anuunderstandinguofupsychopathologyuisutheufoundationuonuwhichutheuthreeucomponentsuofupsychotherapeuticumanag
ementurest;uitufacilitatesutherapeuticucommunicationuanduprovidesuaubasisuforuunderstandingupsychopharmacologyuand
umilieuumanagement.uMinimizingucontactubetweenutheupatientuanduothersuanduadministeringuPRNumedicationuindiscri
minatelyuareunontherapeuticuinterventions.uUsingubehaviorumodificationutoudecreaseutheufrequencyuofuhallucinationsu
woulduneedutoubeuincorporateduintoutheuplanuofucareubyutheucareuteam.
DIF:
Cognitiveulevel:uApplyinguTOP:uNursinguprocess:uImplementationuMSC:uClientuNeeds:uSafe,uEffectiveu
CareuEnvironment
4. Anuadultudiagnoseduwithuchronicudepressionuisuhospitalizeduafteruausuicideuattempt.uWhichuinterventionuisucriticalu
inuassuringulong-term,ueffectiveuclientucareuasudescribedubyupsychotherapeuticumanagement?
a. Involvementuinugrouputherapies
b. Focusuofucloseusupervisionubyutheuunitustaff
c. Maintainingueffectiveucommunicationuwithusupportusystem
d. Frequentlyuscheduleduone-on-
oneutimeuwithunursingustaffuCORRECTuANSWER:uD
Aucriticaluelementuofupsychotherapeuticumanagementuisutheupresenceuofuautherapeutic
nurse-patienturelationship.uOne-on-
oneutimeuwithunursingustaffuwilluhelpuinuestablishinguthisuconnection.uWhileutheuotheruoptionsuareuappropriateuanduclien
tucentered,utheunurse-clienturelationuisucriticaluinutheulong-termudeliveryuofuqualityueffectiveucareutouthisuclient.
DIF:
Cognitiveulevel:uApplyinguTOP:uNursinguprocess:uImplementationuMSC:uClientuNeeds:uPsychosocialu
Integrity
5. Aupatient‘suhaloperidoludosageuwasureducedu2uweeksuagoutoudecreaseusideueffects.uWhatuassessmentuquestionu
demonstratesutheunurse‘suunderstandinguofutheuresultinguneedsuofutheuclient?
a. Willuyouuhaveuanyudifficultyugettinguyouruprescriptionurefilled?
b. Haveuyouubegunuexperiencinguanyuformsuofuhallucinations?
c. Whatudouyouuexpectuwilluoccurusinceutheudosageuhasubeenureduced?
d. WhatucanuIudoutouhelpuyouumanageuthisureductionuinuhaloperidolutherapy?u
CORRECTuANSWER:uB
Ituwillubeunecessaryuforutheunurseutouassessuforuexacerbationuofutheupatient‘susymptomsuofupsychosisuasuwelluasuforua
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, lesseninguofusideueffects.uDosageudecreaseumightuleadutoutheureturnuoruworseninguofupositiveusymptomsusuchuas
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