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