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Test Bank for Keltner’s Psychiatric Nursing, 9th Edition by Debbie Steele All Chapters (1-36) |A+ ULTIMATE GUIDE version

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Test Bank for Keltner’s Psychiatric Nursing, 9th Edition by Debbie Steele All Chapters (1-36) |A+ ULTIMATE GUIDE version

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Test Bank for Keltner’s
Psychiatric Nursing, 9th
Edition by Debbie
Steele |Chapter 1-36 |
All Chapters NEWEST
EDITION 2024|25

,Chapter 01: Me, Meds, Milieu
NJNJ NJNJ NJNJ NJNJ



Steele: Keltner’s Psychiatric Nursing, 9th Edition
NJNJ NJNJ NJNJ NJNJ NJNJ




MULTIPLE CHOICE NJNJ




1. A newly licensed nurse asks a nursing recruiter for a description of nursing
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



NJNJ practice in the psychiatric setting. What is the nurse recruiter‘s best response?
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



a. ―The nurse primarily serves in a supportive role to members of the health
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



care NJNJ



delivery team.‖ NJNJ



b. ―The multidisciplinary approach eliminates the need to clearly define the
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



responsibilities of nursing in such a setting.‖ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



c. ―Nursing actions are identified by the institution that distinguishes
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



nursing fromNJNJ NJNJ



other mental health professions.‖ NJNJ NJNJ NJNJ



d. ―Nursing offers unique contributions to the psychotherapeutic management
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



of NJNJ



psychiatric patients.‖ NJNJ




ANS: N J N J D
Professional role overlap cannot be denied; however, nursing is unique in its focus
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



on and application of psychotherapeutic management. Neither the facility nor the
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



multidisciplinary team define the professional responsibilities of its members but
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



rather utilizes their unique skills to provide holistic care. Ideally, all team
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



members support each other and have functions within the team.
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ




DIF: Cognitive level: Analyzing TOP: Nursing process: NJNJ NJNJ N J N J NJNJ



Implementation MSC:
NJNJ Client Needs: Safe, Effective Care Environment
NJNJ N J N J NJNJ NJNJ NJNJ NJNJ NJNJ




2. Which component of the nursing process will the nurse focus upon to
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



address the responsibility to match individual patient needs with
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



appropriate services?
NJNJ NJNJ



a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: N J N J C
Proper assessment is critical for being able to determine the appropriate level of
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



services that will provide optimal care while considering patient input and at the
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



lowest cost. Planning and implementation utilizes the assessment data to identify
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



and execute actions (treatment plan) that will provide appropriate care. Evaluation
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



validates the effectiveness of the treatment plan.
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ




DIF: Cognitive level: Applying NJNJ NJNJ TOP: N J N J Nursing process: NJNJ

, Assessment MSC:
NJNJ NJNJ N J N J Client Needs: Safe, Effective Care Environment
NJNJ NJNJ NJNJ NJNJ NJNJ




3. An adult diagnosed with paranoid schizophrenia frequently experiences auditory
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



hallucinations and walks about the unit, muttering. Which nursing action
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



demonstrates the nurse‘s understanding of effective psychotherapeutic
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



management of this client?
NJNJ NJNJ NJNJ NJNJ



a. Discussing the disease process of schizophrenia with the client and their
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



domestic NJNJ



partner
b. Minimizing contact between this patient and other patients to assure a
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



stress-freeNJNJ



milieu
c. Administering PRN medication when first observing the evidence that the NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



client NJNJ



may be hallucinating NJNJ NJNJ



d. Independently determining that behavior modification is appropriate to NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



decrease NJNJ



the client‘s paranoid thoughts
NJNJ NJNJ NJNJ




ANS: N J N J A
An understanding of psychopathology is the foundation on which the three
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



components of psychotherapeutic management rest; it facilitates therapeutic
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



communication and provides a basis for understanding psychopharmacology and milieu
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



management. Minimizing contact between the patient and others and administering
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



PRN medication indiscriminately are nontherapeutic interventions. Using behavior
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



modification to decrease the frequency of hallucinations would need to be
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



incorporated into the plan of care by the care team.
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ




DIF: Cognitive level: Applying TOP: Nursing process: NJNJ NJNJ N J N J NJNJ



Implementation MSC:
NJNJ Client Needs: Safe, Effective Care Environment
NJNJ N J N J NJNJ NJNJ NJNJ NJNJ NJNJ




4. An adult diagnosed with chronic depression is hospitalized after a suicide
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



attempt. Which intervention is critical in assuring long-term, effective client
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



care as described by psychotherapeutic management?
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



a. Involvement in group therapies NJNJ NJNJ NJNJ



b. Focus of close supervision by the unit staff
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



c. Maintaining effective communication with support NJNJ NJNJ NJNJ NJNJ



system NJNJ



d. Frequently scheduled one-on-one time with nursing NJNJ NJNJ NJNJ NJNJ NJNJ



staff NJNJ




ANS: N J N J D
A critical element of psychotherapeutic management is the presence of a therapeutic
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



nurse-patient relationship. One-on-one time with nursing staff will help in establishing
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



this connection. While the other options are appropriate and client centered, the
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



nurse-client relation is critical in the long-term delivery of quality effective care
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



to this client.
NJNJ NJNJ NJNJ




DIF: Cognitive level: Applying TOP: Nursing process: NJNJ NJNJ N J N J NJNJ



Implementation MSC:
NJNJ Client Needs: Psychosocial Integrity NJNJ N J N J NJNJ NJNJ NJNJ




5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ

, effects. What assessment question demonstrates the nurse‘s understanding of the
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



resulting needs of the client?
NJNJ NJNJ NJNJ NJNJ NJNJ



a. ―Will you have any difficulty getting your prescription refilled?‖
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



b. ―Have you begun experiencing any forms of hallucinations?‖
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



c. ―What do you expect will occur since the dosage has been reduced?‖
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



d. ―What can I do to help you manage this reduction in haloperidol
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



therapy?‖ NJNJ




ANS: N J N J B
It will be necessary for the nurse to assess for exacerbation of the patient‘s
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



symptoms of psychosis as well as for a lessening of side effects. Dosage
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



decrease might lead to the return or worsening of positive symptoms such as
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



hallucinations and delusions, and negative symptoms such as blunted affect, social
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



withdrawal, and poor grooming. While the other options may be appropriate
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



assessment questions, they are not directed at the current needs of the client which
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



is the identification of emerging psychotic behaviors.
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ




DIF: Cognitive level: Analyzing TOP: Nursing process: NJNJ NJNJ N J N J NJNJ



Assessment MSC:
NJNJ Client Needs: Physiologic Integrity
NJNJ N J N J NJNJ NJNJ NJNJ
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