Complete Test Bank
Keltner’s Psychiatric Nursing, 9th Edition
By Debbie Steele
(All Chapters Covered, Latest Edition, Verified Answers)
,UNIT I: The Basics
1. Me, Meds, Milieu
2. Historical Issues
3. Legal Issues
4. Psychobiologic Bases of Behavior Cultural Issues
5. Spirituality Issues
UNIT II: You (Therapeutic Nurse-Patient Relationship)
7. Models for Working With Psychiatric Patients
8. Learning to Communicate Professionally
9. Working With an Individual Patient
10. Working With Groups of Patients
11. Working With the Family
UNIT III: Medication (Psychopharmacology)
12. Introduction to Psychotropic Drugs
13. Antiparkinsonian Drugs
14. Antipsychotic Drugs
15. Antidepressant Drugs
16. Antimanic Drugs
17. Antianxiety Drugs
18. Antidementia Drugs
19. Alternative Preparations and Over-the-Counter Drugs
UNIT IV: Environment — Milieu Management
20. Introduction to Milieu Management
21. Variables Affecting the Therapeutic Environment: Violence and Suicide
22. Therapeutic Environment in Various Treatment Settings
UNIT V: Putting It All Together (Psychopathology)
23. Introduction to Psychopathology
24. Schizophrenia Spectrum and Other Psychotic Disorders
25. Depressive Disorders
26. Bipolar Disorders
27. Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and
Dissociative Disorders
28. Neurocognitive Disorders
29. Personality Disorders
30. Sexual Disorders and Gender Dysphoria
31. Substance Use Disorders
32. Eating Disorders
UNIT VI: Special Populations
33. Survivors of Violence and Trauma
34. Children and Adolescents
35. Older Adults
36. Soldiers and Veterans
, UNIT I: The Basics
Chapter: Me, Meds, Milieu
MULTIPLE CHOICE
1. A newly licensed nurse 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 frequently 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 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
ANSWER: D
A critical element of psychotherapeutic management is the presence of a therapeutic
Keltner’s Psychiatric Nursing, 9th Edition
By Debbie Steele
(All Chapters Covered, Latest Edition, Verified Answers)
,UNIT I: The Basics
1. Me, Meds, Milieu
2. Historical Issues
3. Legal Issues
4. Psychobiologic Bases of Behavior Cultural Issues
5. Spirituality Issues
UNIT II: You (Therapeutic Nurse-Patient Relationship)
7. Models for Working With Psychiatric Patients
8. Learning to Communicate Professionally
9. Working With an Individual Patient
10. Working With Groups of Patients
11. Working With the Family
UNIT III: Medication (Psychopharmacology)
12. Introduction to Psychotropic Drugs
13. Antiparkinsonian Drugs
14. Antipsychotic Drugs
15. Antidepressant Drugs
16. Antimanic Drugs
17. Antianxiety Drugs
18. Antidementia Drugs
19. Alternative Preparations and Over-the-Counter Drugs
UNIT IV: Environment — Milieu Management
20. Introduction to Milieu Management
21. Variables Affecting the Therapeutic Environment: Violence and Suicide
22. Therapeutic Environment in Various Treatment Settings
UNIT V: Putting It All Together (Psychopathology)
23. Introduction to Psychopathology
24. Schizophrenia Spectrum and Other Psychotic Disorders
25. Depressive Disorders
26. Bipolar Disorders
27. Anxiety-Related, Obsessive-Compulsive, Trauma- and Stressor-Related, Somatic, and
Dissociative Disorders
28. Neurocognitive Disorders
29. Personality Disorders
30. Sexual Disorders and Gender Dysphoria
31. Substance Use Disorders
32. Eating Disorders
UNIT VI: Special Populations
33. Survivors of Violence and Trauma
34. Children and Adolescents
35. Older Adults
36. Soldiers and Veterans
, UNIT I: The Basics
Chapter: Me, Meds, Milieu
MULTIPLE CHOICE
1. A newly licensed nurse 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 frequently 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 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
ANSWER: D
A critical element of psychotherapeutic management is the presence of a therapeutic
