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

1. A newly licensed nurse asks a nursing recruiter for a description of nursing practice inthe psychiatric setting. What isthe nurse recruiter‘s best response? a. ―The nurse primarily serves in a supportive role to members of the health care delivery team.‖ b. ―The multidisciplinary approach eliminates the need to clearly define the responsibilities of nursing in such a setting.‖ c. ―Nursing actions are identified by the institution that distinguishes nursing from other mental health professions.‖ d. ―Nursing offers unique contributions to the psychotherapeutic management of psychiatric patients.‖ ANS: D Professional role overlap cannot be denied; however, nursing is unique in its focus on and application of psychotherapeutic management. Neither the facility nor the multidisciplinary team define the professional responsibilities of its members but rather utilizes their unique skills to provide holistic care. Ideally, all team members support each other and have functions within the team. DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC: Client Needs: Safe, Effective Care Environment 2. Which component of the nursing process will the nurse focus upon to addressthe responsibility to match individual patient needs with appropriate services? a. Planning b. Evaluation c. Assessment d. Implementation ANS: C Proper assessment is critical for being able to determine the appropriate level of services that will provide optimal care while considering patient input and at the lowest cost. Planning and implementation utilizes the assessment data to identify and execute actions (treatment plan) that will provide appropriate care. Evaluation validates the effectiveness of the treatment plan. DIF: Cognitive level: Applying TOP: Nursing process: Assessment MSC: Client Needs: Safe, Effective Care Environment 3. An adult diagnosed with paranoid schizophrenia frequently experiences auditory hallucinations and walks about the unit, muttering. Which nursing action demonstratesthe nurse‘s understanding of effective psychotherapeutic management of this client? a. Discussing the disease process of schizophrenia with the client and their domestic partner b. Minimizing contact between this patient and other patients to assure a stress-free milieu c. Administering PRN medication when first observing the evidence that the client may be hallucinating d. Independently determining that behavior modification is appropriate to decrease the client‘s paranoid thoughts ANS: A An understanding of psychopathology is the foundation on which the three components of psychotherapeutic management rest; it facilitates therapeutic communication and provides a basis for understanding psychopharmacology and milieu management. Minimizing contact between the patient and others and administering PRN medication indiscriminately are nontherapeutic interventions. Using behavior modification to decrease the frequency of hallucinations would need to be incorporated into the plan of care by the care team.