TEST BANK - Keltners Psychiatric Nursing, 9th
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vn Edition (Steele),
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Chapters 1 - 36 | All Chapters Complete
vn vn vn vn vn vn vn vn
,
,Chapter 01: Med, Meds, Milieu
vn vn vn vn
Keltner: Psychiatric Nursing, 8thEdition
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MULTIPLE CHOICE vn
1. A newly licensed asks a nursing recruiter for a description ofnursing practice inthe
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psychiatric setting. What is the nurse recruiter‘s best response?
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a. ―The nurse primarily serves in a supportive role to members of the health care
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delivery team.‖ vn
b. ―The multidisciplinary approach eliminates the need to clearlydefine the
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responsibilities of nursing in such a setting.‖ vn vn vn vn vn vn
c. ―Nursing actions are identified by the institution that distinguishes nursing from vn vn vn vn vn vn vn v n vn vn
other mental health professions.‖ v n vn vn
d. ―Nursing offers unique contributions to the psychotherapeutic management of vn vn vn vn vn vn vn vn
psychiatric patients.‖ v n
ANSWER: D v n
Professional role overlap cannot be denied; however, nursing is unique in its focus on and vn vn vn vn vn vn vn vn vn vn vn vn vn vn
applicationofpsychotherapeutic management. Neither the facility nor the multidisciplinaryteam
vn vn vn vn vn vn vn vn vn vn vn
define the professional responsibilities of its members but rather utilizes their unique skills to
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
provide holistic care. Ideally, all team members support each other and have functions within the
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
team.
vn
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation vn vn v n vn vn
MSC: Client Needs: Safe, Effective Care Environment
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2. Which component ofthe nursing process willthe nurse focus upon to address the
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responsibility to match individualpatient needs with appropriate services?
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER: C v n
Proper assessment is critical for being able to determine the appropriate level of services that will
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
provide optimal care while considering patient input and at the lowest cost. Planning and
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
implementation utilizes the assessment data to identify and execute actions (treatment plan) that
vn vn vn vn vn vn vn vn vn vn vn vn vn
willprovide appropriate care. Evaluationvalidatesthe effectiveness ofthe treatment plan.
vn vn vn vn vn vn vn vn vn vn vn vn
DIF: Cognitive level: Applying TOP: Nursing process: Assessment vn vn v n vn vn
MSC: Client Needs: Safe, Effective Care Environment
vn v n vn vn vn vn vn
3. Anadult diagnosed withparanoid schizophrenia frequent experiences auditoryhallucinationsand
vn vn vn vn vn vn vn vn vn vn
walks about the unit, muttering. Which nursing action demonstrates the nurse‘s understanding of
vn vn vn vn vn vn vn vn vn vn vn vn vn
effective psychotherapeutic management of this client?
vn vn vn vn vn vn
a. Discussing the disease process of schizophrenia withthe client and their domestic vn vn vn vn vn vn vn vn vn vn vn
partner
b. Minimizing contact betweenthis patient and other patients to assure a stress free vn vn vn vn vn vn vn vn vn vn vn vn
milieu
c. Administering PRN medicationwhen first observing the evidence that the client vn vn vn vn vn vn vn vn vn vn
, may be hallucinating vn vn
d. Independentlydetermining that behavior modification is appropriate to decrease vn vn vn vn vn vn vn vn
the client‘s paranoid thoughts
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ANSWER: A v n
An understanding of psychopathology is the foundation on which the three components of
vn vn vn vn vn vn vn vn vn vn vn vn
psychotherapeutic management rest; it facilitates therapeutic communicationand provides abasis
vn vn vn vn vn vn vn vn vn vn vn
for understanding psychopharmacology and milieu management. Minimizing contact between the
vn vn vn vn vn vn vn vn vn vn
patient and others and administering PRN medication indiscriminately are nontherapeutic
vn vn vn vn vn vn vn vn vn vn
interventions. Using behavior modification to decrease the frequency of hallucinations would need
vn vn vn vn vn vn vn vn vn vn vn vn
to be incorporated into the plan ofcare by the care team.
vn vn vn vn vn vn vn vn vn vn vn vn
DIF: Cognitive level: Applying TOP: Nursing process: Implementation vn vn v n vn vn
MSC: Client Needs: Safe, Effective Care Environment
vn v n vn vn vn vn vn
4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
vn vn vn vn vn vn vn vn vn vn vn vn
intervention is critical in assuring long-term, effective client care as described by
vn vn vn vn vn vn vn vn vn vn vn vn
psychotherapeutic management?
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a. Involvement ingroup therapies vn vn vn
b. Focus of close supervision by the unit staff vn vn vn vn vn vn vn
c. Maintaining effective communicationwith support system vn vn vn vn vn
d. Frequentlyscheduled one-on-one time with nursing staff vn vn vn vn vn vn
ANSWER: D v n
Acriticalelement ofpsychotherapeutic management is the presence ofa therapeutic
vn vn vn vn vn vn vn vn vn vn vn
nurse-patient relationship. One-on-one time withnursing staffwillhelp inestablishing this vn vn vn vn vn vn vn vn vn vn vn
connection. While the other options are appropriate and client centered, the nurse-client relation is
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
critical in the long-termdeliveryofqualityeffective care to this client.
vn vn vn vn vn vn vn vn vn vn vn vn
DIF: Cognitive level: Applying TOP: Nursing process: Implementation vn vn v n vn vn
MSC: Client Needs: Psychosocial Integrity
vn v n vn vn vn
5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
vn vn vn vn vn vn vn vn vn vn vn vn vn
assessment questiondemonstratesthe nurse‘s understanding ofthe resulting needs ofthe
vn vn vn vn vn vn vn vn vn vn vn vn
client?
vn
a. ―Will you have any difficultygetting your prescription refilled?‖vn vn vn vn vn vn vn vn
b. ―Have you begun experiencing any forms of hallucinations?‖ vn vn vn vn vn vn vn
c. ―What do you expect willoccur since the dosage has been reduced?‖ vn vn vn vn vn vn vn vn vn vn vn
d. ―What can I do to help you manage this reduction in haloperidoltherapy?‖ vn vn vn vn vn vn vn vn vn vn vn vn
ANSWER: B v n
It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of psychosis
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
as well as for a lessening of side effects. Dosage decrease might lead to the return or worsening of
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
positive symptoms such as hallucinations and delusions, and negative symptoms such as blunted
vn vn vn vn vn vn vn vn vn vn vn vn vn
affect, social withdrawal, and poor grooming. While the other options maybe appropriate
vn vn vn vn vn vn vn vn vn vn vn vn vn
assessment questions, theyare not directed at the current needs ofthe client; the identification of
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
emerging psychotic behaviors.
vn vn vn
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment vn vn v n vn vn
MSC: Client Needs: Physiologic Integrity
vn v n vn vn vn
vn vn vn vn vn vn
vn Edition (Steele),
vn vn
Chapters 1 - 36 | All Chapters Complete
vn vn vn vn vn vn vn vn
,
,Chapter 01: Med, Meds, Milieu
vn vn vn vn
Keltner: Psychiatric Nursing, 8thEdition
vn vn vn vn
MULTIPLE CHOICE vn
1. A newly licensed asks a nursing recruiter for a description ofnursing practice inthe
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
psychiatric setting. What is the nurse recruiter‘s best response?
vn vn vn v n vn vn vn vn vn
a. ―The nurse primarily serves in a supportive role to members of the health care
vn vn vn vn vn vn vn vn vn vn vn vn vn
delivery team.‖ vn
b. ―The multidisciplinary approach eliminates the need to clearlydefine the
vn vn vn vn vn vn vn vn vn
responsibilities of nursing in such a setting.‖ vn vn vn vn vn vn
c. ―Nursing actions are identified by the institution that distinguishes nursing from vn vn vn vn vn vn vn v n vn vn
other mental health professions.‖ v n vn vn
d. ―Nursing offers unique contributions to the psychotherapeutic management of vn vn vn vn vn vn vn vn
psychiatric patients.‖ v n
ANSWER: D v n
Professional role overlap cannot be denied; however, nursing is unique in its focus on and vn vn vn vn vn vn vn vn vn vn vn vn vn vn
applicationofpsychotherapeutic management. Neither the facility nor the multidisciplinaryteam
vn vn vn vn vn vn vn vn vn vn vn
define the professional responsibilities of its members but rather utilizes their unique skills to
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
provide holistic care. Ideally, all team members support each other and have functions within the
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
team.
vn
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation vn vn v n vn vn
MSC: Client Needs: Safe, Effective Care Environment
vn v n vn vn vn vn vn
2. Which component ofthe nursing process willthe nurse focus upon to address the
vn vn vn vn vn vn vn vn vn vn vn vn vn
responsibility to match individualpatient needs with appropriate services?
vn vn vn vn vn vn vn vn vn
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER: C v n
Proper assessment is critical for being able to determine the appropriate level of services that will
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
provide optimal care while considering patient input and at the lowest cost. Planning and
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
implementation utilizes the assessment data to identify and execute actions (treatment plan) that
vn vn vn vn vn vn vn vn vn vn vn vn vn
willprovide appropriate care. Evaluationvalidatesthe effectiveness ofthe treatment plan.
vn vn vn vn vn vn vn vn vn vn vn vn
DIF: Cognitive level: Applying TOP: Nursing process: Assessment vn vn v n vn vn
MSC: Client Needs: Safe, Effective Care Environment
vn v n vn vn vn vn vn
3. Anadult diagnosed withparanoid schizophrenia frequent experiences auditoryhallucinationsand
vn vn vn vn vn vn vn vn vn vn
walks about the unit, muttering. Which nursing action demonstrates the nurse‘s understanding of
vn vn vn vn vn vn vn vn vn vn vn vn vn
effective psychotherapeutic management of this client?
vn vn vn vn vn vn
a. Discussing the disease process of schizophrenia withthe client and their domestic vn vn vn vn vn vn vn vn vn vn vn
partner
b. Minimizing contact betweenthis patient and other patients to assure a stress free vn vn vn vn vn vn vn vn vn vn vn vn
milieu
c. Administering PRN medicationwhen first observing the evidence that the client vn vn vn vn vn vn vn vn vn vn
, may be hallucinating vn vn
d. Independentlydetermining that behavior modification is appropriate to decrease vn vn vn vn vn vn vn vn
the client‘s paranoid thoughts
vn vn vn
ANSWER: A v n
An understanding of psychopathology is the foundation on which the three components of
vn vn vn vn vn vn vn vn vn vn vn vn
psychotherapeutic management rest; it facilitates therapeutic communicationand provides abasis
vn vn vn vn vn vn vn vn vn vn vn
for understanding psychopharmacology and milieu management. Minimizing contact between the
vn vn vn vn vn vn vn vn vn vn
patient and others and administering PRN medication indiscriminately are nontherapeutic
vn vn vn vn vn vn vn vn vn vn
interventions. Using behavior modification to decrease the frequency of hallucinations would need
vn vn vn vn vn vn vn vn vn vn vn vn
to be incorporated into the plan ofcare by the care team.
vn vn vn vn vn vn vn vn vn vn vn vn
DIF: Cognitive level: Applying TOP: Nursing process: Implementation vn vn v n vn vn
MSC: Client Needs: Safe, Effective Care Environment
vn v n vn vn vn vn vn
4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
vn vn vn vn vn vn vn vn vn vn vn vn
intervention is critical in assuring long-term, effective client care as described by
vn vn vn vn vn vn vn vn vn vn vn vn
psychotherapeutic management?
vn vn
a. Involvement ingroup therapies vn vn vn
b. Focus of close supervision by the unit staff vn vn vn vn vn vn vn
c. Maintaining effective communicationwith support system vn vn vn vn vn
d. Frequentlyscheduled one-on-one time with nursing staff vn vn vn vn vn vn
ANSWER: D v n
Acriticalelement ofpsychotherapeutic management is the presence ofa therapeutic
vn vn vn vn vn vn vn vn vn vn vn
nurse-patient relationship. One-on-one time withnursing staffwillhelp inestablishing this vn vn vn vn vn vn vn vn vn vn vn
connection. While the other options are appropriate and client centered, the nurse-client relation is
vn vn vn vn vn vn vn vn vn vn vn vn vn vn
critical in the long-termdeliveryofqualityeffective care to this client.
vn vn vn vn vn vn vn vn vn vn vn vn
DIF: Cognitive level: Applying TOP: Nursing process: Implementation vn vn v n vn vn
MSC: Client Needs: Psychosocial Integrity
vn v n vn vn vn
5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
vn vn vn vn vn vn vn vn vn vn vn vn vn
assessment questiondemonstratesthe nurse‘s understanding ofthe resulting needs ofthe
vn vn vn vn vn vn vn vn vn vn vn vn
client?
vn
a. ―Will you have any difficultygetting your prescription refilled?‖vn vn vn vn vn vn vn vn
b. ―Have you begun experiencing any forms of hallucinations?‖ vn vn vn vn vn vn vn
c. ―What do you expect willoccur since the dosage has been reduced?‖ vn vn vn vn vn vn vn vn vn vn vn
d. ―What can I do to help you manage this reduction in haloperidoltherapy?‖ vn vn vn vn vn vn vn vn vn vn vn vn
ANSWER: B v n
It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of psychosis
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
as well as for a lessening of side effects. Dosage decrease might lead to the return or worsening of
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
positive symptoms such as hallucinations and delusions, and negative symptoms such as blunted
vn vn vn vn vn vn vn vn vn vn vn vn vn
affect, social withdrawal, and poor grooming. While the other options maybe appropriate
vn vn vn vn vn vn vn vn vn vn vn vn vn
assessment questions, theyare not directed at the current needs ofthe client; the identification of
vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn vn
emerging psychotic behaviors.
vn vn vn
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment vn vn v n vn vn
MSC: Client Needs: Physiologic Integrity
vn v n vn vn vn
