Test Bank Complete_
Keltner’s Psychiatric Nursing, 9th Edition, (Debbie Steele- 2022)
All Units| All Chapters 1-36
9TH EDTION
, TABLE OF CONTENTS
UNIT I: THE BASICS __________________________________________________________ 4
Chapter 01: Med, Meds, Milieu ____________________________________________________ 4
Chapter 02: Historical Issues _____________________________________________________ 18
Chapter 03: Legal Issues _________________________________________________________ 26
Chapter 04: Psychobiologic Bases Of Behavior _______________________________________ 41
Chapter 05: Cultural Issues ______________________________________________________ 50
Chapter 06: Spiritual Issues ______________________________________________________ 63
UNIT II: YOU (THERAPEUTIC NURSE-PATIENT RELATIONSHIP) ______________________ 72
Chapter 07: Models For Working With Psychiatric Patients_____________________________ 72
Chapter 08: Learning To Communicate Professionally _________________________________ 86
Chapter 09: Working With An Individual Patient _____________________________________ 98
Chapter 10: Working With Groups Of Patients ______________________________________ 119
Chapter 11: Working With The Family ____________________________________________ 133
UNIT III: MEDICATION (PSYCHOPHARMACOLOGY) ______________________________ 143
Chapter 12: Introduction To Psychotropic Drugs ____________________________________ 143
Chapter 13: Antiparkinsonian Drugs ______________________________________________ 154
Chapter 14: Antipsychotic Drugs _________________________________________________ 163
Chapter 15: Antidepressant Drugs________________________________________________ 178
Chapter 16: Antimanic Drugs ____________________________________________________ 188
Chapter 17: Antianxiety Drugs ___________________________________________________ 199
Chapter 18: Antidementia Drugs _________________________________________________ 212
Chapter 19: Alternative Preparations and Over-the-Counter Drugs _____________________ 225
UNIT IV: ENVIRONMENT: MILIEU MANAGEMENT _______________________________ 235
Chapter 20: Introduction To Milieu Management ___________________________________ 235
Chapter 21: Variables Affecting The Therapeutic Environment: Violence And Suicide ______ 245
Chapter 22: Therapeutic Environment In Various Treatment Settings ___________________ 263
UNIT V: PUTTING IT ALL TOGETHER (PSYCHOPATHOLOGY) ________________________ 272
Chapter 23: Introduction To Psychopathology ______________________________________ 272
Chapter 24: Schizophrenia Spectrum And Other Psychotic Disorders ____________________ 280
Chapter 25: Depressive Disorders ________________________________________________ 289
Chapter 26: Bipolar Disorders ___________________________________________________ 298
, Chapter 27: Anxiety-Related, Obsessive-Compulsive, Trauma- And Stressor-Related, Somatic,
And Dissociative Disorders _____________________________________________________ 306
Chapter 28: Neurocognitive Disorders ____________________________________________ 320
Chapter 29: Personality Disorders ________________________________________________ 330
Chapter 30: Sexual Disorders And Gender Dysphoria ________________________________ 343
Chapter 31: Substance Abuse Disorders ___________________________________________ 360
Chapter 32: Eating Disorders ____________________________________________________ 370
UNIT VI: SPECIAL POPULATIONS _____________________________________________ 384
Chapter 33: Survivors Of Violence And Trauma _____________________________________ 384
Chapter 34: Children And Adolescent _____________________________________________ 396
Chapter 35: Older Adults _______________________________________________________ 406
Chapter 36: Soldiers And Veterans _______________________________________________ 416
,UNIT I: THE BASICS
Chapter 01: Med, Meds, Milieu
Debbie Steele: (2022) Keltner’s Psychiatric Nursing, 9th Edition Test Bank
MULTIPLE CHOICE
1. A Newly Licensed Asks A Nursing Recruiter For A Description Of Nursing
Practice In The Psychiatric Setting. What Is The 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.”
CORRECT 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
Address The Responsibility To Match Individual Patient Needs With Appropriate
Services?
A. Planning
B. Evaluation
C. Assessment
,D. Implementation
CORRECT 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 Frequent Experiences Auditory
Hallucinations And Walks About The Unit, Muttering. Which Nursing Action
Demonstrates The 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
CORRECT 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.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
, 4. An Adult Diagnosed With Chronic Depression Is Hospitalized After A Suicide
Attempt. Which Intervention Is Critical In Assuring Long-Term, Effective Client Care
As Described By Psychotherapeutic Management?
A. Involvement In Group Therapies
B. Focus Of Close Supervision By The Unit Staff
C. Maintaining Effective Communication With Support System
D. Frequently Scheduled One-On-One Time With Nursing Staff
CORRECT ANS: D
A Critical Element Of Psychotherapeutic Management Is The Presence Of A
Therapeutic Nurse-Patient Relationship. One-On-One Time With Nursing Staff Will
Help In Establishing This Connection. While The Other Options Are Appropriate And
Client Centered, The Nurse-Client Relation Is Critical In The Long Term delivery of
Quality Effective Care To This Client.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
5. A Patient’s Haloperidol Dosage Was Reduced 2 Weeks Ago To Decrease Side
Effects. What Assessment Question Demonstrates The Nurse’s Understanding Of The
Resulting Needs Of The Client?
A. “Will You Have Any Difficulty Getting Your Prescription Refilled?”
B. “Have You Begun Experiencing Any Forms Of Hallucinations?”
C. “What Do You Expect Will Occur Since The Dosage Has Been Reduced?”
D. “What Can I Do To Help You Manage This Reduction In Haloperidol Therapy?”
CORRECT ANS: B
It Will Be Necessary For The Nurse To Assess For Exacerbation Of The Patient’s
Symptoms Of Psychosis As Well As For A Lessening Of Side Effects. Dosage
Decrease Might Lead To The Return Or Worsening Of Positive Symptoms Such As
Hallucinations And Delusions, And Negative Symptoms Such As Blunted Affect,
Social Withdrawal, And Poor Grooming. While The Other Options May Be
Appropriate Assessment Questions, They Are Not Directed At The Current Needs Of
The Client; The Identification Of Emerging Psychotic Behaviors.
Keltner’s Psychiatric Nursing, 9th Edition, (Debbie Steele- 2022)
All Units| All Chapters 1-36
9TH EDTION
, TABLE OF CONTENTS
UNIT I: THE BASICS __________________________________________________________ 4
Chapter 01: Med, Meds, Milieu ____________________________________________________ 4
Chapter 02: Historical Issues _____________________________________________________ 18
Chapter 03: Legal Issues _________________________________________________________ 26
Chapter 04: Psychobiologic Bases Of Behavior _______________________________________ 41
Chapter 05: Cultural Issues ______________________________________________________ 50
Chapter 06: Spiritual Issues ______________________________________________________ 63
UNIT II: YOU (THERAPEUTIC NURSE-PATIENT RELATIONSHIP) ______________________ 72
Chapter 07: Models For Working With Psychiatric Patients_____________________________ 72
Chapter 08: Learning To Communicate Professionally _________________________________ 86
Chapter 09: Working With An Individual Patient _____________________________________ 98
Chapter 10: Working With Groups Of Patients ______________________________________ 119
Chapter 11: Working With The Family ____________________________________________ 133
UNIT III: MEDICATION (PSYCHOPHARMACOLOGY) ______________________________ 143
Chapter 12: Introduction To Psychotropic Drugs ____________________________________ 143
Chapter 13: Antiparkinsonian Drugs ______________________________________________ 154
Chapter 14: Antipsychotic Drugs _________________________________________________ 163
Chapter 15: Antidepressant Drugs________________________________________________ 178
Chapter 16: Antimanic Drugs ____________________________________________________ 188
Chapter 17: Antianxiety Drugs ___________________________________________________ 199
Chapter 18: Antidementia Drugs _________________________________________________ 212
Chapter 19: Alternative Preparations and Over-the-Counter Drugs _____________________ 225
UNIT IV: ENVIRONMENT: MILIEU MANAGEMENT _______________________________ 235
Chapter 20: Introduction To Milieu Management ___________________________________ 235
Chapter 21: Variables Affecting The Therapeutic Environment: Violence And Suicide ______ 245
Chapter 22: Therapeutic Environment In Various Treatment Settings ___________________ 263
UNIT V: PUTTING IT ALL TOGETHER (PSYCHOPATHOLOGY) ________________________ 272
Chapter 23: Introduction To Psychopathology ______________________________________ 272
Chapter 24: Schizophrenia Spectrum And Other Psychotic Disorders ____________________ 280
Chapter 25: Depressive Disorders ________________________________________________ 289
Chapter 26: Bipolar Disorders ___________________________________________________ 298
, Chapter 27: Anxiety-Related, Obsessive-Compulsive, Trauma- And Stressor-Related, Somatic,
And Dissociative Disorders _____________________________________________________ 306
Chapter 28: Neurocognitive Disorders ____________________________________________ 320
Chapter 29: Personality Disorders ________________________________________________ 330
Chapter 30: Sexual Disorders And Gender Dysphoria ________________________________ 343
Chapter 31: Substance Abuse Disorders ___________________________________________ 360
Chapter 32: Eating Disorders ____________________________________________________ 370
UNIT VI: SPECIAL POPULATIONS _____________________________________________ 384
Chapter 33: Survivors Of Violence And Trauma _____________________________________ 384
Chapter 34: Children And Adolescent _____________________________________________ 396
Chapter 35: Older Adults _______________________________________________________ 406
Chapter 36: Soldiers And Veterans _______________________________________________ 416
,UNIT I: THE BASICS
Chapter 01: Med, Meds, Milieu
Debbie Steele: (2022) Keltner’s Psychiatric Nursing, 9th Edition Test Bank
MULTIPLE CHOICE
1. A Newly Licensed Asks A Nursing Recruiter For A Description Of Nursing
Practice In The Psychiatric Setting. What Is The 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.”
CORRECT 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
Address The Responsibility To Match Individual Patient Needs With Appropriate
Services?
A. Planning
B. Evaluation
C. Assessment
,D. Implementation
CORRECT 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 Frequent Experiences Auditory
Hallucinations And Walks About The Unit, Muttering. Which Nursing Action
Demonstrates The 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
CORRECT 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.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Safe, Effective Care Environment
, 4. An Adult Diagnosed With Chronic Depression Is Hospitalized After A Suicide
Attempt. Which Intervention Is Critical In Assuring Long-Term, Effective Client Care
As Described By Psychotherapeutic Management?
A. Involvement In Group Therapies
B. Focus Of Close Supervision By The Unit Staff
C. Maintaining Effective Communication With Support System
D. Frequently Scheduled One-On-One Time With Nursing Staff
CORRECT ANS: D
A Critical Element Of Psychotherapeutic Management Is The Presence Of A
Therapeutic Nurse-Patient Relationship. One-On-One Time With Nursing Staff Will
Help In Establishing This Connection. While The Other Options Are Appropriate And
Client Centered, The Nurse-Client Relation Is Critical In The Long Term delivery of
Quality Effective Care To This Client.
DIF: Cognitive Level: Applying TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
5. A Patient’s Haloperidol Dosage Was Reduced 2 Weeks Ago To Decrease Side
Effects. What Assessment Question Demonstrates The Nurse’s Understanding Of The
Resulting Needs Of The Client?
A. “Will You Have Any Difficulty Getting Your Prescription Refilled?”
B. “Have You Begun Experiencing Any Forms Of Hallucinations?”
C. “What Do You Expect Will Occur Since The Dosage Has Been Reduced?”
D. “What Can I Do To Help You Manage This Reduction In Haloperidol Therapy?”
CORRECT ANS: B
It Will Be Necessary For The Nurse To Assess For Exacerbation Of The Patient’s
Symptoms Of Psychosis As Well As For A Lessening Of Side Effects. Dosage
Decrease Might Lead To The Return Or Worsening Of Positive Symptoms Such As
Hallucinations And Delusions, And Negative Symptoms Such As Blunted Affect,
Social Withdrawal, And Poor Grooming. While The Other Options May Be
Appropriate Assessment Questions, They Are Not Directed At The Current Needs Of
The Client; The Identification Of Emerging Psychotic Behaviors.
