Keltner’s Psychiatric Nursing, 9th Edition
d d d d
by Debbie Steele
d d
All Chapters Fully Covered 1-
d d d d
36| Verified Questions & 100% Accurate Answers with Rationales for Ex
d d d d d d d d d d
am Preparations| A+ PASS ASSURED
d d d d
Paged|d1
, Chapterd01:dMe,dMeds,dMilieud
MULTIPLEdCHOICE
1. Adnewlydlicenseddnursedasksdadnursingdrecruiterdfordaddescriptiondofdnursingdpracticedindthedpsychiatricdsetting.
dWhatdisdthednursedrecruiter‘sdbestdresponse?
a. Thednursedprimarilydservesdindadsupportivedroledtodmembersdofdthedhealthdcareddeliverydteam.
b. Thedmultidisciplinarydapproachdeliminatesdthedneeddtodclearlyddefinedthedresponsibilitiesdofdnursingdindsuchda
dsetting.
c. Nursingdactionsdaredidentifieddbydthedinstitutiondthatddistinguishesdnursingdfromdotherdmentaldhealth
dprofessions.
d. Nursingdoffersduniquedcontributionsdtodthedpsychotherapeuticdmanagementdofdpsychiatricdpatients.
d CORRECTdANSWER:dD
Professionaldroledoverlapdcannotdbeddenied;dhowever,dnursingdisduniquedinditsdfocusdondanddapplicationdofdpsych
otherapeuticdmanagement.dNeitherdthedfacilitydnordthedmultidisciplinarydteamddefinedthedprofessionaldresponsib
ilitiesdofditsdmembersdbutdratherdutilizesdtheirduniquedskillsdtodprovidedholisticdcare.dIdeally,dalldteamdmembersdsu
pportdeachdotherdanddhavedfunctionsdwithindthedteam.
DIF: Cognitivedlevel:dAnalyzing
TOP:dNursingdprocess:dImplementationdMSC:dClientdNeeds:dSafe,dEffectivedCaredEnvironment
2. Whichdcomponentdofdthednursingdprocessdwilldthednursedfocusdupondtodaddressdthedresponsibilitydtodmatch
dindividualdpatientdneedsdwithdappropriatedservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementationd
CORRECTdANSWER:dC
Properdassessmentdisdcriticaldfordbeingdabledtoddeterminedthedappropriatedleveldofdservicesdthatdwilldprovidedoptimaldca
redwhiledconsideringdpatientdinputdanddatdthedlowestdcost.dPlanningdanddimplementationdutilizesdthedassessmentddatadto
didentifydanddexecutedactionsd(treatmentdplan)dthatdwilldprovidedappropriatedcare.dEvaluationdvalidatesdthedeffectivene
ssdofdthedtreatmentdplan.
DIF:
Cognitivedlevel:dApplyingd TOP:dNursingdprocess:dAssessmentdMSC:dClientdNeeds:dSafe,dEffectivedCare
d Environment
3. Andadultddiagnoseddwithdparanoiddschizophreniadfrequentlydexperiencesdauditorydhallucinationsdanddwalksdabout
dthedunit,dmuttering.dWhichdnursingdactionddemonstratesdthednurse‘sdunderstandingdofdeffectivedpsychotherapeuticd
managementdofdthisdclient?
a. Discussingdtheddiseasedprocessdofdschizophreniadwithdthedclientdanddtheirddomesticdpartner
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,b. Minimizingdcontactdbetweendthisdpatientdanddotherdpatientsdtodassuredadstress-freedmilieu
c. AdministeringdPRNdmedicationdwhendfirstdobservingdthedevidencedthatdthedclientdmaydbedhallucinating
d. Independentlyddeterminingdthatdbehaviordmodificationdisdappropriatedtoddecreasedthedclient‘sdparanoid
thoughts
CORRECTdANSWER:dA
Andunderstandingdofdpsychopathologydisdthedfoundationdondwhichdthedthreedcomponentsdofdpsychotherapeuticdmanag
ementdrest;ditdfacilitatesdtherapeuticdcommunicationdanddprovidesdadbasisdfordunderstandingdpsychopharmacologydand
dmilieudmanagement.dMinimizingdcontactdbetweendthedpatientdanddothersdanddadministeringdPRNdmedicationdindiscri
minatelydarednontherapeuticdinterventions.dUsingdbehaviordmodificationdtoddecreasedthedfrequencydofdhallucinationsd
woulddneeddtodbedincorporateddintodthedplandofdcaredbydthedcaredteam.
DIF:
Cognitivedlevel:dApplyingd TOP:dNursingdprocess:dImplementationdMSC:dClientdNeeds:dSafe,dEffective
d CaredEnvironment
4. Andadultddiagnoseddwithdchronicddepressiondisdhospitalizeddafterdadsuicidedattempt.dWhichdinterventiondisdcritical
dindassuringdlong-term,deffectivedclientdcaredasddescribeddbydpsychotherapeuticdmanagement?
a. Involvementdindgroupdtherapies
b. Focusdofdclosedsupervisiondbydthedunitdstaff
c. Maintainingdeffectivedcommunicationdwithdsupportdsystem
d. Frequentlydscheduleddone-on-
onedtimedwithdnursingdstaffdCORRECTdANSWER:dD
Adcriticaldelementdofdpsychotherapeuticdmanagementdisdthedpresencedofdadtherapeutic
nurse-patientdrelationship.dOne-on-
onedtimedwithdnursingdstaffdwilldhelpdindestablishingdthisdconnection.dWhiledthedotherdoptionsdaredappropriatedanddclie
ntdcentered,dthednurse-clientdrelationdisdcriticaldindthedlong-termddeliverydofdqualitydeffectivedcaredtodthisdclient.
DIF:
Cognitivedlevel:dApplyingd TOP:dNursingdprocess:dImplementationdMSC:dClientdNeeds:dPsychosocial
d Integrity
5. Adpatient‘sdhaloperidolddosagedwasdreducedd2dweeksdagodtoddecreasedsidedeffects.dWhatdassessmentdquestion
ddemonstratesdthednurse‘sdunderstandingdofdthedresultingdneedsdofdthedclient?
a. Willdyoudhavedanyddifficultydgettingdyourdprescriptiondrefilled?
b. Havedyoudbegundexperiencingdanydformsdofdhallucinations?
c. Whatddodyoudexpectdwilldoccurdsincedtheddosagedhasdbeendreduced?
d. WhatdcandIddodtodhelpdyoudmanagedthisdreductiondindhaloperidoldtherapy?
d CORRECTdANSWER:dB
Itdwilldbednecessarydfordthednursedtodassessdfordexacerbationdofdthedpatient‘sdsymptomsdofdpsychosisdasdwelldasdforda
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, lesseningdofdsidedeffects.dDosageddecreasedmightdleaddtodthedreturndordworseningdofdpositivedsymptomsdsuchdas
Paged|d4
d d d d
by Debbie Steele
d d
All Chapters Fully Covered 1-
d d d d
36| Verified Questions & 100% Accurate Answers with Rationales for Ex
d d d d d d d d d d
am Preparations| A+ PASS ASSURED
d d d d
Paged|d1
, Chapterd01:dMe,dMeds,dMilieud
MULTIPLEdCHOICE
1. Adnewlydlicenseddnursedasksdadnursingdrecruiterdfordaddescriptiondofdnursingdpracticedindthedpsychiatricdsetting.
dWhatdisdthednursedrecruiter‘sdbestdresponse?
a. Thednursedprimarilydservesdindadsupportivedroledtodmembersdofdthedhealthdcareddeliverydteam.
b. Thedmultidisciplinarydapproachdeliminatesdthedneeddtodclearlyddefinedthedresponsibilitiesdofdnursingdindsuchda
dsetting.
c. Nursingdactionsdaredidentifieddbydthedinstitutiondthatddistinguishesdnursingdfromdotherdmentaldhealth
dprofessions.
d. Nursingdoffersduniquedcontributionsdtodthedpsychotherapeuticdmanagementdofdpsychiatricdpatients.
d CORRECTdANSWER:dD
Professionaldroledoverlapdcannotdbeddenied;dhowever,dnursingdisduniquedinditsdfocusdondanddapplicationdofdpsych
otherapeuticdmanagement.dNeitherdthedfacilitydnordthedmultidisciplinarydteamddefinedthedprofessionaldresponsib
ilitiesdofditsdmembersdbutdratherdutilizesdtheirduniquedskillsdtodprovidedholisticdcare.dIdeally,dalldteamdmembersdsu
pportdeachdotherdanddhavedfunctionsdwithindthedteam.
DIF: Cognitivedlevel:dAnalyzing
TOP:dNursingdprocess:dImplementationdMSC:dClientdNeeds:dSafe,dEffectivedCaredEnvironment
2. Whichdcomponentdofdthednursingdprocessdwilldthednursedfocusdupondtodaddressdthedresponsibilitydtodmatch
dindividualdpatientdneedsdwithdappropriatedservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementationd
CORRECTdANSWER:dC
Properdassessmentdisdcriticaldfordbeingdabledtoddeterminedthedappropriatedleveldofdservicesdthatdwilldprovidedoptimaldca
redwhiledconsideringdpatientdinputdanddatdthedlowestdcost.dPlanningdanddimplementationdutilizesdthedassessmentddatadto
didentifydanddexecutedactionsd(treatmentdplan)dthatdwilldprovidedappropriatedcare.dEvaluationdvalidatesdthedeffectivene
ssdofdthedtreatmentdplan.
DIF:
Cognitivedlevel:dApplyingd TOP:dNursingdprocess:dAssessmentdMSC:dClientdNeeds:dSafe,dEffectivedCare
d Environment
3. Andadultddiagnoseddwithdparanoiddschizophreniadfrequentlydexperiencesdauditorydhallucinationsdanddwalksdabout
dthedunit,dmuttering.dWhichdnursingdactionddemonstratesdthednurse‘sdunderstandingdofdeffectivedpsychotherapeuticd
managementdofdthisdclient?
a. Discussingdtheddiseasedprocessdofdschizophreniadwithdthedclientdanddtheirddomesticdpartner
Paged|d2
,b. Minimizingdcontactdbetweendthisdpatientdanddotherdpatientsdtodassuredadstress-freedmilieu
c. AdministeringdPRNdmedicationdwhendfirstdobservingdthedevidencedthatdthedclientdmaydbedhallucinating
d. Independentlyddeterminingdthatdbehaviordmodificationdisdappropriatedtoddecreasedthedclient‘sdparanoid
thoughts
CORRECTdANSWER:dA
Andunderstandingdofdpsychopathologydisdthedfoundationdondwhichdthedthreedcomponentsdofdpsychotherapeuticdmanag
ementdrest;ditdfacilitatesdtherapeuticdcommunicationdanddprovidesdadbasisdfordunderstandingdpsychopharmacologydand
dmilieudmanagement.dMinimizingdcontactdbetweendthedpatientdanddothersdanddadministeringdPRNdmedicationdindiscri
minatelydarednontherapeuticdinterventions.dUsingdbehaviordmodificationdtoddecreasedthedfrequencydofdhallucinationsd
woulddneeddtodbedincorporateddintodthedplandofdcaredbydthedcaredteam.
DIF:
Cognitivedlevel:dApplyingd TOP:dNursingdprocess:dImplementationdMSC:dClientdNeeds:dSafe,dEffective
d CaredEnvironment
4. Andadultddiagnoseddwithdchronicddepressiondisdhospitalizeddafterdadsuicidedattempt.dWhichdinterventiondisdcritical
dindassuringdlong-term,deffectivedclientdcaredasddescribeddbydpsychotherapeuticdmanagement?
a. Involvementdindgroupdtherapies
b. Focusdofdclosedsupervisiondbydthedunitdstaff
c. Maintainingdeffectivedcommunicationdwithdsupportdsystem
d. Frequentlydscheduleddone-on-
onedtimedwithdnursingdstaffdCORRECTdANSWER:dD
Adcriticaldelementdofdpsychotherapeuticdmanagementdisdthedpresencedofdadtherapeutic
nurse-patientdrelationship.dOne-on-
onedtimedwithdnursingdstaffdwilldhelpdindestablishingdthisdconnection.dWhiledthedotherdoptionsdaredappropriatedanddclie
ntdcentered,dthednurse-clientdrelationdisdcriticaldindthedlong-termddeliverydofdqualitydeffectivedcaredtodthisdclient.
DIF:
Cognitivedlevel:dApplyingd TOP:dNursingdprocess:dImplementationdMSC:dClientdNeeds:dPsychosocial
d Integrity
5. Adpatient‘sdhaloperidolddosagedwasdreducedd2dweeksdagodtoddecreasedsidedeffects.dWhatdassessmentdquestion
ddemonstratesdthednurse‘sdunderstandingdofdthedresultingdneedsdofdthedclient?
a. Willdyoudhavedanyddifficultydgettingdyourdprescriptiondrefilled?
b. Havedyoudbegundexperiencingdanydformsdofdhallucinations?
c. Whatddodyoudexpectdwilldoccurdsincedtheddosagedhasdbeendreduced?
d. WhatdcandIddodtodhelpdyoudmanagedthisdreductiondindhaloperidoldtherapy?
d CORRECTdANSWER:dB
Itdwilldbednecessarydfordthednursedtodassessdfordexacerbationdofdthedpatient‘sdsymptomsdofdpsychosisdasdwelldasdforda
Paged|d3
, lesseningdofdsidedeffects.dDosageddecreasedmightdleaddtodthedreturndordworseningdofdpositivedsymptomsdsuchdas
Paged|d4
