Test Bank for Keltner’s Psychiatric Nursing, 9th Edition by Debbie Steele |Chapter 1-36 | All Chapters , 100% VERIFIED A+

Test Bank for Keltner’s
Psychitric Nursing, 9th
Edition by Debbie
Steele |Chapter 1-36 |
All Chapters NEWEST
EDITION 2025|2026




extra per yea
d f d f


r

,Chapter 01: Me, Meds, Milieu
df df df df




Steele: Keltner’s Psychiatric Nursing, 9th Edition
df df df df df




MULTIPLE CHOICE df




1. A newly licensed nurse asks a nursing recruiter for a description of nursing practice in th
df df df df df df df df df df df df df df d f



e psychiatric setting. What is the nurse recruiter‗s best response?
lw df df df df df df df df



a. ―The nurse primarily serves in a supportive role to members of the health c ar
df df df df df df df df df df df df df df



e delivery team.‖ lw df



b. ―The multidisciplinary approach eliminates the need to clearly define t
df df df df df df df df df df



he responsibilities of nursing in such a setting.‖
lw df df df df df df



c. ―Nursing actions are identified by the institution that distinguishes nursing fr o
df df df df df df df df df df df



m other mental health professions.‖
lw df df df



d. ―Nursing offers unique contributions to the psychotherapeutic management df df df df df df df df



of psychiatric patients.‖ lw df




ANS: D d f d f



Professional role overlap cannot be denied; however, nursing is unique in its focus on a
df df df df df df df df df df df df df df



n d application of psychotherapeutic management. Neither the facility nor the multidiscipli n
df df df df df df df df df df df df



ary team define the professional responsibilities of its members but rather utilizes their u niq
lw df df df df df df df df df df df df df



ue skills to provide holistic care. Ideally, all team members support each other and ha ve fu
df df df df df df df df df df df df df df d f df



nctions within the team. df df df




DIF: d f d Cognitive level: Analyzing
f TOP: df df



Nursing process: Implementation MSC: Client Needs: Safe, Effective CareE nviron
df df lw df df df df df df df



ment

2. Which component of the nursing process will the nurse focus upon to address th
df df df df df df df df df df df df d f



e responsibility to match individual patient needs with appropriate services?
lw df df df df df df df df



a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: C d f d f



Proper assessment is critical for being able to determine the appropriate level of servi ces
df df df df df df df df df df df df df df lw


that will provide optimal care while considering patient input and at the lowest cos t.
df df df df df df df df df df df df df d f



Planning and implementation utilizes the assessment data to identify and execute actions (tr
df df df df df df df df df df df df



eatment plan) that will provide appropriate care. Evaluation validates the effectiveness of t
df df df df df df df df df df df lw


he treatment plan.
df df




DIF: d f d Cognitive level: Applying
f TOP: df df



Nursing process: A s s e s s m en t M S C : Client Needs: Safe, Effective CareE nvironment
df df l w df df df df df df df




3. An adult diagnosed with paranoid schizophrenia frequently experiences auditory halluci na
df df df df df df df df df df



tions and walks about the unit, muttering. Which nursing action demonstrates the nurs e‗s
df df df df df df df df df df df lw df df



understanding of effective psychotherapeutic management of this client? df df df df df df df



a. Discussing the disease process of schizophrenia with the client and their domes tic df df df df df df df df df df df df l


partner w


b. Minimizing contact between this patient and other patients to assure a stress-free df df df df df df df df df df df




extra per yea d f d f


r

, milieu
c. Administering PRN medication when first observing the evidence that the cli e n df df df df df df df df df df df l


t m a y be hallucinating w df df



d. Independently determining that behavior modification is appropriate to decrea se df df df df df df df df df



the client‗s paranoid thoughts
lw df df df




ANS: A d f d f



An understanding of psychopathology is the foundation on which the three components
df df df df df df df df df df df df



o f psychotherapeutic management rest; it facilitates therapeutic communication and provid
df df df df df df df df df df d f



es a basis for understanding psychopharmacology and milieu management. Minimizing co n
df lw df df df df df df df df df



tact between the patient and others and administering PRN medication indiscriminately are
df df df df df df df df df df d f d



fnontherapeutic interventions. Using behavior modification to decrease the frequency d f d f d f d f d f d f d f d f df



of hallucinations would need to be incorporated into the plan of care by the care tea
d f d f d f d f d f d f d f d f d f d f d f d f d f d f d f



m.

DIF: Cognitive level: Applying TOP: df df



Nursing process: Implementation MSC: Client Needs: Safe, Effective CareE nviron
df df lw df df df df df df df



ment

4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Wh ic
df df df df df df df df df df df df d f



h intervention is critical in assuring long-
lw df df df df df



term, effective client care as described by psychotherapeutic management?
df df df df df df df df



a. Involvement in group therapies df df df



b. Focus of close supervision by the unit staff df df df df df df df



c. Maintaining effective communication with support system df df df df df



d. Frequently scheduled one-on-one time with nursing staff df df df df df df




ANS: D d f d f


A critical element of psychotherapeutic management is the presence of a therapeutic
df df df df df df df df df df df



nurse-patient relationship. One-on- df df



one time with nursing staff will help in establishing this connection. While the other options are a
df df df df df df df df df df d f d f df df d f d f



ppropriate and client centered, the nurse- d f d f d f d f df



client relation is critical in the long-
lw df df df df df



term delivery of quality effective care to this client.
df df df df df df df df




DIF: Cognitive level: Applying TOP: df df



Nursing process: Implementation MSC: Client Needs: Psychosocial Integrity
df df lw df df df df




5. A patient‗s haloperidol dosage was reduced 2 weeks ago to decrease side effects. Wh a
df df df df df df df df df df df df df d f



t assessment question demonstrates the nurse‗s understanding of the resulting needs of
df df df df df df df df df df d f df



the client? lw


a. ―Will you have any difficulty getting your prescription refilled?‖
df df df df df df df df



b. ―Have you begun experiencing any forms of hallucinations?‖ df df df df df df df



c. ―What do you expect will occur since the dosage has been reduced?‖df df df df df df df df df df df



d. ―What can I do to help you manage this reduction in haloperidol therapy?‖
df df df df df df df df df df df df




ANS: B d f d f



It will be necessary for the nurse to assess for exacerbation of the patient‗s symptoms of ps
df df df df df df df df df df df df df df df d f



ychosis as well as for a lessening of side effects. Dosage decrease might lead to the ret urn
df df df df df df df df df df df df df df df df df



or worsening of positive symptoms such as hallucinations and delusions, and negative sym
lw df df df df df df df df df df df df



ptoms such as blunted affect, social withdrawal, and poor grooming. While the other option
df df df df df df df df df df df df d f



s may be appropriate assessment questions, they are not directed at the current ne eds
d f df d f d f d f df df d f d f d f df d f d f df d f



of the client which is the identification of emerging psychotic behaviors.
df df d f d f df d f d f df d f df




2 |P a g ed f df d f d f d f



. Want to earn $1.2 d f d f d f


3
6

, DIF: d f d Cognitive level: Analyzing
f TOP: df df



Nursing process: A s s e s s m en t M S C : Client Needs: PhysiologicIntegrity
df df l w df df df df




6. Which statement forms the foundation upon which a nurse should base the implementati on
df df df df df df df df df df df df d f



of psychotherapeutic management to the care of a patient with mental illness?
lw df df df df df df df df df df df



a. The nurse‗s role in client care is supported by the multidisciplinary team.
df df df df df df df df df df df



b. Omitting any one component will compromise the effectiveness of the treatment. df df df df df df df df df df



c. The most important element of psychotherapeutic management is drug therapy.
df df df df df df df df df



d. A therapeutic nurse-patient relationship is the most important aspect of treatment.
df df df df df df df df df df




ANS: B d f d f



When one element is missing, treatment is usually compromised. No single element is m ore
df df df df df df df df df df df df df df lw


important than the others; however, patients‗ needs govern the application of the com ponent
df df df df df df df df df df df df df



s and permit judicious use. The remaining options identify components of the psyc hotherape
df df df df df df df df df df df df df



utic management process.
df df




DIF: d f d Cognitive level: Analyzing
f TOP: df df



Nursing process: Analysis MSC: Client Needs: Safe, Effective CareE nvironmen
df df lw df df df df df df df



t

7. Which statement most accurately describes a nurse‗s role regarding psychopharmacology?
df df df df df df df df df



a. ―You will need to frequently make decisions regarding the administration of P
df df df df df df df df df df df df



RN medications to help the client manage anger.‖
lw df df df df df df



b. ―It‗s a nursing responsibility to adjust a medication dose to assure effective pati en
df df df df df df df df df df df df df l


t responses.‖ w


c. ―Nurses administers medications while evaluating drug effectiveness is a medi df df df df df df df df df df



cal responsibility.‖ w


d. ―To best assure appropriate response, a patient‘s questions about drug th
d f d f d f df df df d f d f d f d f



e rapy should be referred to the psychiatrist.‖
df lw df df df df df




ANS: A d f d f



Nursing assessment and analysis of data might suggest the need for PRN medication as p ati
df df df df df df df df df df df df df df d f



ent anxiety increases or psychotic symptoms become more acute. The nurse is the healt h tea
df df df df df df df df df df df df df d f lw


m member who makes this determination. Nurses are responsible for monitoring drug effecti
df df df df df df df df df df df df



veness as well as administering medication. Nurses should assume responsibility f or t
d f d f d f d f d f d f d f d f d f d f df df



eaching patients about the side effects of medications. Nurses cannot alter prescribed dosage
df df df df df df df df df df df d f



s of medications unless they have prescriptive privileges.
df df df df df df df




DIF: d f d Cognitive level: Analyzing
f TOP: df df



Nursing process: Analysis MSC: Client Needs: Safe, Effective CareE nvironmen
df df lw df df df df df df df



t

8. When considering environmental aspects of milieu management, which intervention has t he
df df df df df df df df df df df l


whighest priority for a client admitted after a failed suicide attempt?
df df df df df df df df df df



a. Sending the client‗s new medication prescriptions to the pharmacy df df df df df df df df



b. Assigning a staff member to one-on-one observation of the client df df df df df df df df df



c. Orienting the client to the milieu‗s public and private spaces df df df df df df df df df



d. Having all potentially dangerous items removed from the client‗s belongin g
df df df df df df df df df df




s ANS: B
lw d f




3 |P a g ed f df d f d f d f




. Want to earn $1.2 d f d f d f


3
6