TEST BANK -
j j
Keltners Psychiatric Nursing, 9th Edition (Steele
j j j j j j
), j
Chapters 1 - 36 | All Chapters Complete
j j j j j j j j
,
,Chapter 01: Med, Meds, Milieu
j j j j
Keltner: Psychiatric Nursing, 8th Edition
j j j j
MULTIPLEjCHOICE
1. Ajnewlyjlicensedjasksjajnursingjrecruiterjforjajdescriptionjofjnursingjpracticejinjthejpsyc
hiatricjsetting.jWhatj isjthejnursejrecruiter‘sjbestjresponse?
a. ―Thejnursejprimarilyjservesjinjajsupportivejrolejtojmembersjofjthejhealthjcare
deliveryjteam.‖
b. ―Thejmultidisciplinaryjapproachjeliminatesjthejneedjtojclearlyjdefinejthe
responsibilitiesjofjnursingjinjsuchjajsetting.‖
c. ―Nursingjactionsjarejidentifiedjbyjthejinstitutionjthatjdistinguishesjnursingjfrom
otherjmentaljhealthjprofessions.‖
d. ―Nursingjoffersjuniquejcontributionsjtojthejpsychotherapeuticjmanagementjof
psychiatricj patients.‖
ANSWER:j D
Professionaljrolejoverlapjcannotjbejdenied;jhowever,jnursingjisjuniquejinjitsjfocusjonjandjapplicat
ionjofjpsychotherapeuticjmanagement.jNeitherjthejfacilityjnorjthejmultidisciplinaryjteamjdefinejth
ejprofessionaljresponsibilitiesjofjitsjmembersjbutjratherjutilizesjtheirjuniquejskillsjtojprovidejholis
ticjcare.jIdeally,jalljteamjmembersjsupportjeachjotherjandjhavejfunctionsjwithinjthejteam.
DIF: Cognitivejlevel:jAnalyzing
TOP:j Nursingjprocess:jImplementationjMSC:j ClientjNeeds:jSafe,jEffectivejCar
ejEnvironment
2. Whichjcomponentjofjthejnursingjprocessjwilljthejnursejfocusjuponjtojaddressjthejresp
onsibilityjtojmatchjindividualjpatientjneedsjwithjappropriatejservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:j C
Properjassessmentjisjcriticaljforjbeingjablejtojdeterminejthejappropriatejleveljofjservicesjthatjwilljp
rovidejoptimaljcarejwhilejconsideringjpatientjinputjandjatjthejlowestjcost.jPlanningjandjimplement
ationjutilizesjthejassessmentjdatajtojidentifyjandjexecutejactionsj(treatmentjplan)jthatjwilljprovidej
appropriatejcare.jEvaluationjvalidatesjthejeffectivenessjofjthejtreatmentjplan.
DIF: Cognitivejlevel:jApplying
TOP:j Nursingjprocess:jAssessmentjMSC:j ClientjNeeds:jSafe,jEffectivejCar
ejEnvironment
3. Anjadultjdiagnosedjwithjparanoidjschizophreniajfrequentjexperiencesjauditoryjhallucinationsjan
djwalksjaboutjthejunit,jmuttering.jWhichjnursingjactionjdemonstratesjthejnurse‘sjunderstandingj
ofjeffectivejpsychotherapeuticjmanagementjofjthisjclient?
a. Discussingjthejdiseasejprocessjofjschizophreniajwithjthejclientjandjtheirjdomestic
partner
b. Minimizingjcontactjbetweenjthisjpatientjandjotherjpatientsjtojassurejajstressjfree
milieu
c. AdministeringjPRNjmedicationjwhenjfirstjobservingjthejevidencejthatjthejclient
, mayjbejhallucinating
d. Independentlyjdeterminingjthatjbehaviorjmodificationjisjappropriatejtojdecrease
thejclient‘sjparanoidjthoughts
ANSWER:j A
Anjunderstandingjofjpsychopathologyjisjthejfoundationjonjwhichjthejthreejcomponentsjofjpsychoth
erapeuticjmanagementjrest;jitjfacilitatesjtherapeuticjcommunicationjandjprovidesjajbasisjforjunderst
andingjpsychopharmacologyjandjmilieujmanagement.jMinimizingjcontactjbetweenjthejpatientjandj
othersjandjadministeringjPRNjmedicationjindiscriminatelyjarejnontherapeuticjinterventions.jUsingj
behaviorjmodificationjtojdecreasejthejfrequencyjofjhallucinationsjwouldjneedjtojbejincorporatedjint
ojthejplanjofjcarejbyjthejcarejteam.
DIF: Cognitivejlevel:jApplying
TOP:j Nursingjprocess:jImplementationjMSC:j ClientjNeeds:jSafe,jEffectivejCar
ejEnvironment
4. Anjadultjdiagnosedjwithjchronicjdepressionjisjhospitalizedjafterjajsuicidejattempt.jWhichjinte
rventionjisjcriticaljinjassuringjlong-
term,jeffectivejclientjcarejasjdescribedjbyjpsychotherapeuticjmanagement?
a. Involvementjinjgroupjtherapies
b. Focusjofjclosejsupervisionjbyjthejunitjstaff
c. Maintainingjeffectivejcommunicationjwithjsupportjsystem
d. Frequentlyjscheduledjone-on-onejtimejwithjnursingjstaff
ANSWER:j D
Ajcriticaljelementjofjpsychotherapeuticjmanagementjisjthejpresencejofjajtherapeutic
nurse-patientjrelationship.jOne-on-
onejtimejwithjnursingjstaffjwilljhelpjinjestablishingjthisjconnection.jWhilejthejotherjoptionsjarejap
propriatejandjclientjcentered,jthejnurse-clientjrelationjisjcriticaljinjthejlong-
termjdeliveryjofjqualityjeffectivejcarejtojthisjclient.
DIF: Cognitivejlevel:jApplying
TOP:j Nursingjprocess:jImplementationjMSC:j ClientjNeeds:jPsychosocialjInteg
rity
5. Ajpatient‘sjhaloperidoljdosagejwasjreducedj2jweeksjagojtojdecreasejsidejeffects.jWhatjasses
smentjquestionjdemonstratesjthejnurse‘sjunderstandingjofjthejresultingjneedsjofjthejclient?
a. ―Willjyoujhavejanyjdifficultyjgettingj yourjprescriptionjrefilled?‖
b. ―Havej youjbegunjexperiencingjanyjformsjofjhallucinations?‖
c. ―Whatjdojyoujexpectjwilljoccurjsincejthejdosagejhasjbeenjreduced?‖
d. ―WhatjcanjIjdojtojhelpj youj managejthisjreductionjinjhaloperidoljtherapy?‖
ANSWER:j B
Itjwilljbejnecessaryjforjthejnursejtojassessjforjexacerbationjofjthejpatient‘sjsymptomsjofjpsychosisj
asjwelljasjforjajlesseningjofjsidejeffects.jDosagejdecreasejmightjleadjtojthejreturnjorjworseningjofjp
ositivejsymptomsjsuchjasjhallucinationsjandjdelusions,jandjnegativejsymptomsjsuchjasjbluntedjaf
fect,jsocialjwithdrawal,jandjpoorjgrooming.jWhilejthejotherjoptionsjmayjbejappropriatejassessme
ntjquestions,jtheyjarejnotjdirectedjatjthejcurrentjneedsjofjthejclient;jthejidentificationjofjemergingjp
sychoticjbehaviors.
DIF: Cognitivejlevel:jAnalyzing
TOP:j Nursingjprocess:jAssessmentjMSC:j ClientjNeeds:jPhysiologicjIntegr
ity
j j
Keltners Psychiatric Nursing, 9th Edition (Steele
j j j j j j
), j
Chapters 1 - 36 | All Chapters Complete
j j j j j j j j
,
,Chapter 01: Med, Meds, Milieu
j j j j
Keltner: Psychiatric Nursing, 8th Edition
j j j j
MULTIPLEjCHOICE
1. Ajnewlyjlicensedjasksjajnursingjrecruiterjforjajdescriptionjofjnursingjpracticejinjthejpsyc
hiatricjsetting.jWhatj isjthejnursejrecruiter‘sjbestjresponse?
a. ―Thejnursejprimarilyjservesjinjajsupportivejrolejtojmembersjofjthejhealthjcare
deliveryjteam.‖
b. ―Thejmultidisciplinaryjapproachjeliminatesjthejneedjtojclearlyjdefinejthe
responsibilitiesjofjnursingjinjsuchjajsetting.‖
c. ―Nursingjactionsjarejidentifiedjbyjthejinstitutionjthatjdistinguishesjnursingjfrom
otherjmentaljhealthjprofessions.‖
d. ―Nursingjoffersjuniquejcontributionsjtojthejpsychotherapeuticjmanagementjof
psychiatricj patients.‖
ANSWER:j D
Professionaljrolejoverlapjcannotjbejdenied;jhowever,jnursingjisjuniquejinjitsjfocusjonjandjapplicat
ionjofjpsychotherapeuticjmanagement.jNeitherjthejfacilityjnorjthejmultidisciplinaryjteamjdefinejth
ejprofessionaljresponsibilitiesjofjitsjmembersjbutjratherjutilizesjtheirjuniquejskillsjtojprovidejholis
ticjcare.jIdeally,jalljteamjmembersjsupportjeachjotherjandjhavejfunctionsjwithinjthejteam.
DIF: Cognitivejlevel:jAnalyzing
TOP:j Nursingjprocess:jImplementationjMSC:j ClientjNeeds:jSafe,jEffectivejCar
ejEnvironment
2. Whichjcomponentjofjthejnursingjprocessjwilljthejnursejfocusjuponjtojaddressjthejresp
onsibilityjtojmatchjindividualjpatientjneedsjwithjappropriatejservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:j C
Properjassessmentjisjcriticaljforjbeingjablejtojdeterminejthejappropriatejleveljofjservicesjthatjwilljp
rovidejoptimaljcarejwhilejconsideringjpatientjinputjandjatjthejlowestjcost.jPlanningjandjimplement
ationjutilizesjthejassessmentjdatajtojidentifyjandjexecutejactionsj(treatmentjplan)jthatjwilljprovidej
appropriatejcare.jEvaluationjvalidatesjthejeffectivenessjofjthejtreatmentjplan.
DIF: Cognitivejlevel:jApplying
TOP:j Nursingjprocess:jAssessmentjMSC:j ClientjNeeds:jSafe,jEffectivejCar
ejEnvironment
3. Anjadultjdiagnosedjwithjparanoidjschizophreniajfrequentjexperiencesjauditoryjhallucinationsjan
djwalksjaboutjthejunit,jmuttering.jWhichjnursingjactionjdemonstratesjthejnurse‘sjunderstandingj
ofjeffectivejpsychotherapeuticjmanagementjofjthisjclient?
a. Discussingjthejdiseasejprocessjofjschizophreniajwithjthejclientjandjtheirjdomestic
partner
b. Minimizingjcontactjbetweenjthisjpatientjandjotherjpatientsjtojassurejajstressjfree
milieu
c. AdministeringjPRNjmedicationjwhenjfirstjobservingjthejevidencejthatjthejclient
, mayjbejhallucinating
d. Independentlyjdeterminingjthatjbehaviorjmodificationjisjappropriatejtojdecrease
thejclient‘sjparanoidjthoughts
ANSWER:j A
Anjunderstandingjofjpsychopathologyjisjthejfoundationjonjwhichjthejthreejcomponentsjofjpsychoth
erapeuticjmanagementjrest;jitjfacilitatesjtherapeuticjcommunicationjandjprovidesjajbasisjforjunderst
andingjpsychopharmacologyjandjmilieujmanagement.jMinimizingjcontactjbetweenjthejpatientjandj
othersjandjadministeringjPRNjmedicationjindiscriminatelyjarejnontherapeuticjinterventions.jUsingj
behaviorjmodificationjtojdecreasejthejfrequencyjofjhallucinationsjwouldjneedjtojbejincorporatedjint
ojthejplanjofjcarejbyjthejcarejteam.
DIF: Cognitivejlevel:jApplying
TOP:j Nursingjprocess:jImplementationjMSC:j ClientjNeeds:jSafe,jEffectivejCar
ejEnvironment
4. Anjadultjdiagnosedjwithjchronicjdepressionjisjhospitalizedjafterjajsuicidejattempt.jWhichjinte
rventionjisjcriticaljinjassuringjlong-
term,jeffectivejclientjcarejasjdescribedjbyjpsychotherapeuticjmanagement?
a. Involvementjinjgroupjtherapies
b. Focusjofjclosejsupervisionjbyjthejunitjstaff
c. Maintainingjeffectivejcommunicationjwithjsupportjsystem
d. Frequentlyjscheduledjone-on-onejtimejwithjnursingjstaff
ANSWER:j D
Ajcriticaljelementjofjpsychotherapeuticjmanagementjisjthejpresencejofjajtherapeutic
nurse-patientjrelationship.jOne-on-
onejtimejwithjnursingjstaffjwilljhelpjinjestablishingjthisjconnection.jWhilejthejotherjoptionsjarejap
propriatejandjclientjcentered,jthejnurse-clientjrelationjisjcriticaljinjthejlong-
termjdeliveryjofjqualityjeffectivejcarejtojthisjclient.
DIF: Cognitivejlevel:jApplying
TOP:j Nursingjprocess:jImplementationjMSC:j ClientjNeeds:jPsychosocialjInteg
rity
5. Ajpatient‘sjhaloperidoljdosagejwasjreducedj2jweeksjagojtojdecreasejsidejeffects.jWhatjasses
smentjquestionjdemonstratesjthejnurse‘sjunderstandingjofjthejresultingjneedsjofjthejclient?
a. ―Willjyoujhavejanyjdifficultyjgettingj yourjprescriptionjrefilled?‖
b. ―Havej youjbegunjexperiencingjanyjformsjofjhallucinations?‖
c. ―Whatjdojyoujexpectjwilljoccurjsincejthejdosagejhasjbeenjreduced?‖
d. ―WhatjcanjIjdojtojhelpj youj managejthisjreductionjinjhaloperidoljtherapy?‖
ANSWER:j B
Itjwilljbejnecessaryjforjthejnursejtojassessjforjexacerbationjofjthejpatient‘sjsymptomsjofjpsychosisj
asjwelljasjforjajlesseningjofjsidejeffects.jDosagejdecreasejmightjleadjtojthejreturnjorjworseningjofjp
ositivejsymptomsjsuchjasjhallucinationsjandjdelusions,jandjnegativejsymptomsjsuchjasjbluntedjaf
fect,jsocialjwithdrawal,jandjpoorjgrooming.jWhilejthejotherjoptionsjmayjbejappropriatejassessme
ntjquestions,jtheyjarejnotjdirectedjatjthejcurrentjneedsjofjthejclient;jthejidentificationjofjemergingjp
sychoticjbehaviors.
DIF: Cognitivejlevel:jAnalyzing
TOP:j Nursingjprocess:jAssessmentjMSC:j ClientjNeeds:jPhysiologicjIntegr
ity
