TEST BANK - Keltners Psychiatric Nursing,
9th Edition (Steele), Chapters 1 - 36 |
All Chapters Complete
,
,Chapter 01: Med, Meds, Milieu
Keltner: Psychiatric Nursing, 8th Edition
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.‖
ANSWER: 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
ANSWER: 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
ANSWER: A
An dunderstanding dof dpsychopathology dis dthe d foundation don dwhich dthe dthree dcomponents
dof d psychotherapeutic d management d rest; dit d facilitates dtherapeutic dcommunication dand
dprovides da d basis d for dunderstanding d psychopharmacology dand d milieu d management.
d Minimizing dcontact d between dthe dpatient d and dothers dand dadministering dPRN d medication
dindiscriminately dare d nontherapeutic d interventions. d Using dbehavior d modification dto
d decrease dthe dfrequency dof d hallucinations dwould dneed dto d be dincorporated dinto dthe dplan
dof dcare dby dthe dcare dteam.
DIF: Cognitive dlevel: dApplying TOP: d Nursing dprocess:
dImplementation d MSC: d Client d Needs: dSafe, d Effective dCare dEnvironment
4. An dadult d diagnosed dwith dchronic ddepression dis dhospitalized dafter da dsuicide dattempt.
dWhich d intervention dis dcritical din dassuring dlong-term, deffective dclient dcare das
ddescribed dby d psychotherapeutic d management?
a. Involvement d in dgroup dtherapies
b. Focus dof dclose dsupervision dby dthe dunit d staff
c. Maintaining deffective dcommunication dwith dsupport dsystem
d. Frequently dscheduled done-on-one dtime dwith dnursing dstaff
ANSWER: d D
A dcritical delement d of dpsychotherapeutic d management d is dthe dpresence dof da dtherapeutic
nurse-patient drelationship. dOne-on-one dtime dwith dnursing dstaff dwill dhelp d in destablishing dthis
d connection. d While dthe dother doptions dare dappropriate dand dclient d centered, dthe dnurse-client
d relation dis dcritical din dthe d long-term ddelivery dof dquality deffective dcare dto dthis dclient.
DIF: Cognitive dlevel: dApplying TOP: d Nursing dprocess:
dImplementation d MSC: d Client d Needs: dPsychosocial dIntegrity
5. A dpatient‘s dhaloperidol ddosage dwas dreduced d2 dweeks dago dto ddecrease dside deffects.
d What dassessment d question ddemonstrates dthe dnurse‘s dunderstanding dof dthe dresulting
d needs dof dthe dclient?
a. ―Will dyou dhave dany ddifficulty dgetting dyour dprescription drefilled?‖
b. ―Have dyou dbegun dexperiencing dany dforms dof dhallucinations?‖
c. ―What ddo dyou dexpect dwill doccur dsince dthe ddosage dhas dbeen dreduced?‖
d. ―What dcan dI ddo dto dhelp dyou dmanage dthis dreduction din dhaloperidol dtherapy?‖
ANSWER: d B
It dwill dbe d necessary dfor dthe dnurse dto dassess dfor dexacerbation dof dthe dpatient‘s dsymptoms
dof d psychosis das dwell das d for da dlessening dof dside deffects. dDosage ddecrease d might d lead dto
dthe dreturn d or dworsening dof dpositive dsymptoms dsuch das dhallucinations dand ddelusions,
dand dnegative d symptoms dsuch das dblunted daffect, d social dwithdrawal, dand dpoor dgrooming.
dWhile dthe dother d options d may dbe dappropriate dassessment d questions, dthey dare dnot d directed
dat dthe dcurrent d needs dof d the dclient; dthe d identification dof demerging dpsychotic d behaviors.
DIF: Cognitive dlevel: dAnalyzing TOP: d Nursing dprocess:
d Assessment d MSC: d Client d Needs: dPhysiologic dIntegrity
9th Edition (Steele), Chapters 1 - 36 |
All Chapters Complete
,
,Chapter 01: Med, Meds, Milieu
Keltner: Psychiatric Nursing, 8th Edition
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.‖
ANSWER: 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
ANSWER: 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
ANSWER: A
An dunderstanding dof dpsychopathology dis dthe d foundation don dwhich dthe dthree dcomponents
dof d psychotherapeutic d management d rest; dit d facilitates dtherapeutic dcommunication dand
dprovides da d basis d for dunderstanding d psychopharmacology dand d milieu d management.
d Minimizing dcontact d between dthe dpatient d and dothers dand dadministering dPRN d medication
dindiscriminately dare d nontherapeutic d interventions. d Using dbehavior d modification dto
d decrease dthe dfrequency dof d hallucinations dwould dneed dto d be dincorporated dinto dthe dplan
dof dcare dby dthe dcare dteam.
DIF: Cognitive dlevel: dApplying TOP: d Nursing dprocess:
dImplementation d MSC: d Client d Needs: dSafe, d Effective dCare dEnvironment
4. An dadult d diagnosed dwith dchronic ddepression dis dhospitalized dafter da dsuicide dattempt.
dWhich d intervention dis dcritical din dassuring dlong-term, deffective dclient dcare das
ddescribed dby d psychotherapeutic d management?
a. Involvement d in dgroup dtherapies
b. Focus dof dclose dsupervision dby dthe dunit d staff
c. Maintaining deffective dcommunication dwith dsupport dsystem
d. Frequently dscheduled done-on-one dtime dwith dnursing dstaff
ANSWER: d D
A dcritical delement d of dpsychotherapeutic d management d is dthe dpresence dof da dtherapeutic
nurse-patient drelationship. dOne-on-one dtime dwith dnursing dstaff dwill dhelp d in destablishing dthis
d connection. d While dthe dother doptions dare dappropriate dand dclient d centered, dthe dnurse-client
d relation dis dcritical din dthe d long-term ddelivery dof dquality deffective dcare dto dthis dclient.
DIF: Cognitive dlevel: dApplying TOP: d Nursing dprocess:
dImplementation d MSC: d Client d Needs: dPsychosocial dIntegrity
5. A dpatient‘s dhaloperidol ddosage dwas dreduced d2 dweeks dago dto ddecrease dside deffects.
d What dassessment d question ddemonstrates dthe dnurse‘s dunderstanding dof dthe dresulting
d needs dof dthe dclient?
a. ―Will dyou dhave dany ddifficulty dgetting dyour dprescription drefilled?‖
b. ―Have dyou dbegun dexperiencing dany dforms dof dhallucinations?‖
c. ―What ddo dyou dexpect dwill doccur dsince dthe ddosage dhas dbeen dreduced?‖
d. ―What dcan dI ddo dto dhelp dyou dmanage dthis dreduction din dhaloperidol dtherapy?‖
ANSWER: d B
It dwill dbe d necessary dfor dthe dnurse dto dassess dfor dexacerbation dof dthe dpatient‘s dsymptoms
dof d psychosis das dwell das d for da dlessening dof dside deffects. dDosage ddecrease d might d lead dto
dthe dreturn d or dworsening dof dpositive dsymptoms dsuch das dhallucinations dand ddelusions,
dand dnegative d symptoms dsuch das dblunted daffect, d social dwithdrawal, dand dpoor dgrooming.
dWhile dthe dother d options d may dbe dappropriate dassessment d questions, dthey dare dnot d directed
dat dthe dcurrent d needs dof d the dclient; dthe d identification dof demerging dpsychotic d behaviors.
DIF: Cognitive dlevel: dAnalyzing TOP: d Nursing dprocess:
d Assessment d MSC: d Client d Needs: dPhysiologic dIntegrity
