Steele:z7Keltner’sz7Psychiatricz7Nursing,z79thz7Edition
MULTIPLEz7CHOICE
1. Az7newlyz7licensedz7nursez7asksz7az7nursingz7recruiterz7forz7az7descriptionz7ofz7nursingz7pract
icez7inz7thez7psychiatricz7setting.z7Whatz7isz7thez7nursez7recruiter‘sz7bestz7response?
a. ―Thez7nursez7primarilyz7servesz7inz7az7supportivez7rolez7toz7membersz7ofz7thez7health
z7care
deliveryz7team.‖
b. ―Thez7multidisciplinaryz7approachz7eliminatesz7thez7needz7toz7clearlyz7definez7the
responsibilitiesz7ofz7nursingz7inz7suchz7az7setting.‖
c. ―Nursingz7actionsz7arez7identifiedz7byz7thez7institutionz7thatz7distinguishesz7nursin
gz7from
otherz7mentalz7healthz7professions.‖
d. ―Nursingz7offersz7uniquez7contributionsz7toz7thez7psychotherapeuticz7managementz
7of
psychiatricz7patients.‖
ANS:z 7 D
Professionalz7rolez7overlapz7cannotz7bez7denied;z7however,z7nursingz7isz7uniquez7inz7itsz7focusz7
onz7andz7applicationz7ofz7psychotherapeuticz7management.z7Neitherz7thez7facilityz7norz7thez7mult
idisciplinaryz7teamz7definez7thez7professionalz7responsibilitiesz7ofz7itsz7membersz7butz7ratherz7ut
ilizesz7theirz7uniquez7skillsz7toz7providez7holisticz7care.z7Ideally,z7allz7teamz7membersz7supportz7
eachz7otherz7andz7havez7functionsz7withinz7thez7team.
DIF: Cognitivez7level:z7Analyzing
TOP:z 7 Nursingz7process:z7Implementationz7MSC:z 7 Clientz7Needs:z7Safe,z7E
ffectivez7Carez7Environment
2. Whichz7componentz7ofz7thez7nursingz7processz7willz7thez7nursez7focusz7uponz7toz7ad
dressz7thez7responsibilityz7toz7matchz7individualz7patientz7needsz7withz7appropriate
z7services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS:z 7 C
Properz7assessmentz7isz7criticalz7forz7beingz7ablez7toz7determinez7thez7appropriatez7levelz7ofz7serv
icesz7thatz7willz7providez7optimalz7carez7whilez7consideringz7patientz7inputz7andz7atz7thez7lowestz7
cost.z7Planningz7andz7implementationz7utilizesz7thez7assessmentz7dataz7toz7identifyz7andz7execut
ez7actionsz7(treatmentz7plan)z7thatz7willz7providez7appropriatez7care.z7Evaluationz7validatesz7thez7
effectivenessz7ofz7thez7treatmentz7plan.
, DIF: Cognitivez7level:z7Applying
TOP:z 7 Nursingz7process:z7Assessmentz7MSC:z 7 Clientz7Needs:z7Safe,z7E
ffectivez7Carez7Environment
3. Anz7adultz7diagnosedz7withz7paranoidz7schizophreniaz7frequentlyz7experiencesz7auditoryz7h
allucinationsz7andz7walksz7aboutz7thez7unit,z7muttering.z7Whichz7nursingz7actionz7demonstrat
esz7thez7nurse‘sz7understandingz7ofz7effectivez7psychotherapeuticz7managementz7ofz7thisz7cli
ent?
a. Discussingz7thez7diseasez7processz7ofz7schizophreniaz7withz7thez7clientz7andz7theirz7d
omestic
partner
b. Minimizingz7contactz7betweenz7thisz7patientz7andz7otherz7patientsz7toz7assurez7az7stre
ss-free
milieu
c. Administeringz7PRNz7medicationz7whenz7firstz7observingz7thez7evidencez7thatz7thez7
client
mayz7bez7hallucinating
d. Independentlyz7determiningz7thatz7behaviorz7modificationz7isz7appropriatez7toz7dec
rease
thez7client‘sz7paranoidz7thoughts
ANS:z 7 A
Anz7understandingz7ofz7psychopathologyz7isz7thez7foundationz7onz7whichz7thez7threez7compone
ntsz7ofz7psychotherapeuticz7managementz7rest;z7itz7facilitatesz7therapeuticz7communicationz7andz
7providesz7az7basisz7forz7understandingz7psychopharmacologyz7andz7milieuz7management.z7Min
imizingz7contactz7betweenz7thez7patientz7andz7othersz7andz7administeringz7PRNz7medicationz7in
discriminatelyz7arez7nontherapeuticz7interventions.z7Usingz7behaviorz7modificationz7toz7decreas
ez7thez7frequencyz7ofz7hallucinationsz7wouldz7needz7toz7bez7incorporatedz7intoz7thez7planz7ofz7car
ez7byz7thez7carez7team.
DIF: Cognitivez7level:z7Applying
TOP:z 7 Nursingz7process:z7Implementationz7MSC:z 7 Clientz7Needs:z7Safe,z7E
ffectivez7Carez7Environment
4. Anz7adultz7diagnosedz7withz7chronicz7depressionz7isz7hospitalizedz7afterz7az7suicidez7attempt
.z7Whichz7interventionz7isz7criticalz7inz7assuringz7long-
term,z7effectivez7clientz7carez7asz7describedz7byz7psychotherapeuticz7management?
a. Involvementz7inz7groupz7therapies
b. Focusz7ofz7closez7supervisionz7byz7thez7unitz7staff
c. Maintainingz7effectivez7communicationz7withz7supportz7syst
em
d. Frequentlyz7scheduledz7one-on-
onez7timez7withz7nursingz7staff
ANS:z 7 D
Az7criticalz7elementz7ofz7psychotherapeuticz7managementz7isz7thez7presencez7ofz7az7therapeutic
nurse-patientz7relationship.z7One-on-
onez7timez7withz7nursingz7staffz7willz7helpz7inz7establishingz7thisz7connection.z7Whilez7thez7otherz
7optionsz7arez7appropriatez7andz7clientz7centered,z7thez7nurse-
clientz7relationz7isz7criticalz7inz7thez7long-
termz7deliveryz7ofz7qualityz7effectivez7carez7toz7thisz7client.
, DIF: Cognitivez7level:z7Applying
TOP:z 7 Nursingz7process:z7Implementationz7MSC:z 7 Clientz7Needs:z7Psychos
ocialz7Integrity
5. Az7patient‘sz7haloperidolz7dosagez7wasz7reducedz72z7weeksz7agoz7toz7decreasez7sidez7effect
s.z7Whatz7assessmentz7questionz7demonstratesz7thez7nurse‘sz7understandingz7ofz7thez7resulti
ngz7needsz7ofz7thez7client?
a. ―Willz7youz7havez7anyz7difficultyz7gettingz7yourz7prescriptionz7refilled?‖
b. ―Havez7youz7begunz7experiencingz7anyz7formsz7ofz7hallucinations?‖
c. ―Whatz7doz7youz7expectz7willz7occurz7sincez7thez7dosagez7hasz7beenz7reduced?‖
d. ―Whatz7canz7Iz7doz7toz7helpz7youz7managez7thisz7reductionz7inz7haloperidolz7the
rapy?‖
ANS:z 7 B
Itz7willz7bez7necessaryz7forz7thez7nursez7toz7assessz7forz7exacerbationz7ofz7thez7patient‘sz7sympto
msz7ofz7psychosisz7asz7wellz7asz7forz7az7lesseningz7ofz7sidez7effects.z7Dosagez7decreasez7mightz7l
eadz7toz7thez7returnz7orz7worseningz7ofz7positivez7symptomsz7suchz7asz7hallucinationsz7andz7delu
sions,z7andz7negativez7symptomsz7suchz7asz7bluntedz7affect,z7socialz7withdrawal,z7andz7poorz7gr
ooming.z7Whilez7thez7otherz7optionsz7mayz7bez7appropriatez7assessmentz7questions,z7theyz7arez7n
otz7directedz7atz7thez7currentz7needsz7ofz7thez7clientz7whichz7isz7thez7identificationz7ofz7emergingz
7psychoticz7behaviors.
DIF: Cognitivez7level:z7Analyzing
TOP:z 7 Nursingz7process:z7Assessmentz7MSC:z 7 Clientz7Needs:z7Physiol
ogicz7Integrity
, 6. Whichz7statementz7formsz7thez7foundationz7uponz7whichz7az7nursez7shouldz7basez7thez7implemen
tationz7ofz7psychotherapeuticz7managementz7toz7thez7carez7ofz7az7patientz7withz7mentalz7illness?
a. Thez7nurse‘sz7rolez7inz7clientz7carez7isz7supportedz7byz7thez7multidisciplinaryz7team.
b. Omittingz7anyz7onez7componentz7willz7compromisez7thez7effectivenessz7ofz7thez7trea
tment.
c. Thez7mostz7importantz7elementz7ofz7psychotherapeuticz7managementz7isz7drugz7ther
apy.
d. Az7therapeuticz7nurse-
patientz7relationshipz7isz7thez7mostz7importantz7aspectz7ofz7treatment.
ANS:z 7 B
Whenz7onez7elementz7isz7missing,z7treatmentz7isz7usuallyz7compromised.z7Noz7singlez7elementz7
isz7morez7importantz7thanz7thez7others;z7however,z7patients‘z7needsz7governz7thez7applicationz7ofz
7thez7componentsz7andz7permitz7judiciousz7use.z7Thez7remainingz7optionsz7identifyz7component
sz7ofz7thez7psychotherapeuticz7managementz7process.
DIF: Cognitivez7level:z7Analyzing
TOP:z 7 Nursingz7process:z7Analysisz7MSC:z 7 Clientz7Needs:z7Safe,z7E
ffectivez7Carez7Environment
7. Whichz7statementz7mostz7accuratelyz7describesz7az7nurse‘sz7rolez7regardingz7psychopharmacology?
a. ―Youz7willz7needz7toz7frequentlyz7makez7decisionsz7regardingz7thez7administrationz7o
fz7PRN
medicationsz7toz7helpz7thez7clientz7managez7anger.‖
b. ―It‘sz7az7nursingz7responsibilityz7toz7adjustz7az7medicationz7dosez7toz7assurez7effectivez7
patientz7responses.‖
c. ―Nursesz7administersz7medicationsz7whilez7evaluatingz7drugz7effectivenessz7isz7az7me
dicalz7responsibility.‖
d. ―Toz7bestz7assurez7appropriatez7response,z7az7patient‘sz7questionsz7aboutz7drugz7t
herapyz7shouldz7bez7referredz7toz7thez7psychiatrist.‖
ANS:z 7 A
Nursingz7assessmentz7andz7analysisz7ofz7dataz7mightz7suggestz7thez7needz7forz7PRNz7medication
z7asz7patientz7anxietyz7increasesz7orz7psychoticz7symptomsz7becomez7morez7acute.z7Thez7nursez7i
sz7thez7healthz7teamz7memberz7whoz7makesz7thisz7determination.z7Nursesz7arez7responsiblez7forz
7monitoringz7drugz7effectivenessz7asz7wellz7asz7administeringz7medication.z7Nursesz7shouldz7ass
umez7responsibilityz7forz7teachingz7patientsz7aboutz7thez7sidez7effectsz7ofz7medications.z7Nursesz7
cannotz7alterz7prescribedz7dosagesz7ofz7medicationsz7unlessz7theyz7havez7prescriptivez7privilege
s.
DIF: Cognitivez7level:z7Analyzing
TOP:z 7 Nursingz7process:z7Analysisz7MSC:z 7 Clientz7Needs:z7Safe,z7E
ffectivez7Carez7Environment
8. Whenz7consideringz7environmentalz7aspectsz7ofz7milieuz7management,z7whichz7interventionz7
hasz7thez7highestz7priorityz7forz7az7clientz7admittedz7afterz7az7failedz7suicidez7attempt?
a. Sendingz7thez7client‘sz7newz7medicationz7prescriptionsz7toz7thez7pharmacy
b. Assigningz7az7staffz7memberz7toz7one-on-onez7observationz7ofz7thez7client
c. Orientingz7thez7clientz7toz7thez7milieu‘sz7publicz7andz7privatez7spaces
d. Havingz7allz7potentiallyz7dangerousz7itemsz7removedz7fromz7thez7client‘sz7belo
ngings
ANS:z 7 B
Milieuz7managementz7providesz7az7proactivez7approachz7toz7care.z7Safetyz7overridesz7allz7otherz
7dimensionsz7ofz7thez7milieu.z7Initiationz7ofz7suicidez7precautionsz7arez7thez7priorityz7forz7thisz7cli
ent.z7Allz7thez7remainingz7optionsz7arez7appropriatez7butz7nonez7protectz7thez7clientz7fromz7thez7r