Test Bank for Psychiatric Nursing by Keltner & Steele, 9th Edition | All Chapters Included (Ch. 1-36) | Graded A+

Test Bank For Keltner’s Psychiatric Nursing, 9th Edition By Debbie
Steele | 9780323791960 | Chapter 1- 21 | Complete Guide New Edition
2025 Graded A+

, Psychiatric Nursing 8th Edition Keltner Test Bank WQ WQ WQ WQ WQ WQ




Chapter 01: Med, Meds, Milieu
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Keltner: Psychiatric Nursing, 9th Edition
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MULTIPLE CHOICE WQ




1. A newly licensed asks a nursing recruiter for a description of nursing practice in the
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Qpsychiatric setting. What is the nurse recruiter’s best response?
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a. “The nurse primarily serves in a supportive role to members of the health care
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Qdelivery team.” WQ




b. “The multidisciplinary approach eliminates the need to clearly define the
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responsibilities of nursing in such a setting.”
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c. “Nursing actions are identified by the institution that distinguishes nursing from
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other mental health professions.”
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d. “Nursing offers unique contributions to the psychotherapeutic management of
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psychiatric patients.”
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CORRECT:: D W Q




Professional role overlap cannot be denied; however, nursing is unique in its focus on and a
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pplication of psychotherapeutic management. Neither the facility nor the multidisciplinary tea
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m define the professional responsibilities of its members but rather utilizes their unique skill
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s to provide holistic care. Ideally, all team members support each other and have functions
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within the team. WQ WQ




DIF: Cognitive level: Analyzing WQ WQ




TOP: Nursing process: Implementation MSC: Patient Needs: Safe, Effecti
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ve Care Environment
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Ug pSroceNss wTill theOnurse focus upon to address the
2. Which component of the nursin WQ WQ WQ WQ
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responsibility to match individual patient needs with appropriate services?
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
CORRECT:: C W Q




Proper assessment is critical for being able to determine the appropriate level of services that
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will provide optimal care while considering patient input and at the lowest cost. Planning an
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d implementation utilizes the assessment data to identify and execute actions (treatment plan
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) that will provide appropriate care. Evaluation validates the effectiveness of the treatment pla
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n.

DIF: Cognitive level: Applying WQ WQ




TOP: Nursing process: Assessment MSC: Patient Needs: Safe, Effecti
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ve Care Environment
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3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations
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and walks about the unit, muttering. Which nursing action demonstrates the nurse’s underst
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anding of effective psychotherapeutic management of this patient?
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a. Discussing the disease process of schizophrenia with the patient and their WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ




domestic partner WQ




b. Minimizing contact between this patient and other patients to assure a stress free WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ W




milieu Q




c. Administering PRN medication when first observing the evidence that the patient WQ WQ WQ WQ WQ WQ WQ WQ WQ WQ




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, Psychiatric Nursing 8th Edition Keltner Test Bank WQ WQ WQ WQ WQ WQ




may be hallucinating WQ WQ




d. Independently determining that behavior modification is appropriate to decrease WQ WQ WQ WQ WQ WQ WQ WQ WQ




the patient’s paranoid thoughts
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CORRECT:: A W Q




An understanding of psychopathology is the foundation on which the three components of psy
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chotherapeutic management rest; it facilitates therapeutic communication and provides a basis f
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or understanding psychopharmacology and milieu management. Minimizing contact between t
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he patient and others and administering PRN medication indiscriminately are nontherapeutic i
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nterventions. Using behavior modification to decrease the frequency of hallucinations would n
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eed to be incorporated into the plan of care by the care team.
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DIF: Cognitive level: Applying WQ WQ




TOP: Nursing process: Implementation MSC: Patient Needs: Safe, Effecti
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ve Care Environment
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4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
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intervention is critical in assuring long-
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term, effective patient care as described by psychotherapeutic management?
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a. Involvement in group therapies WQ WQ WQ




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




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




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




CORRECT:: D W Q




A critical element of psychotherapeutic management is the presence of a therapeutic
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nurse-patient relationship. One-on- WQ WQ




one time with nursing staff will help in establishing this connection. While the other option
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s are appropriate and patient centered, the nurse-patient relation is critical in the l o n g N
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Q RSdeIliNveGrT
teUrm
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of.qC
uaOliM
ty effective care to this patient. WQ WQ WQ WQ WQ WQ




DIF: Cognitive level: Applying WQ WQ




TOP: Nursing process: Implementation MSC: Patient Needs: Psychosocial
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WQ Integrity

5. A patient’s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
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assessment question demonstrates the nurse’s understanding of the resulting needs of the
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patient?
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a. “Will you have any difficulty getting your prescription refilled?”
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b. “Have you begun experiencing any forms of hallucinations?”
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c. “What do you expect will occur since the dosage has been reduced?”
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d. “What can I do to help you manage this reduction in haloperidol therapy?”
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CORRECT:: B W Q




It will be necessary for the nurse to assess for exacerbation of the patient’s symptoms of psy
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chosis as well as for a lessening of side effects. Dosage decrease might lead to the return or
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worsening of positive symptoms such as hallucinations and delusions, and negative sympto
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ms such as blunted affect, social withdrawal, and poor grooming. While the other options m
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ay be appropriate assessment questions, they are not directed at the current needs of the patien
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t; the identification of emerging psychotic behaviors.
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DIF: Cognitive level: Analyzing WQ WQ




TOP: Nursing process: Assessment MSC: Patient Needs: Physiologic
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Integrity


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, Psychiatric Nursing 8th Edition Keltner Test Bank WQ WQ WQ WQ WQ WQ




6. Which statement forms the foundation upon which a nurse should base the implementation of
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psychotherapeutic management to the care of a patient with mental illness?
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a. The nurse’s role in patient care is supported by the multidisciplinary team.
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b. Omitting any one component will compromise the effectiveness of the treatment.
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c. The most important element of psychotherapeutic management is drug therapy.
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d. A therapeutic nurse-patient relationship is the most important aspect of treatment.
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CORRECT:: B W Q




When one element is missing, treatment is usually compromised. No single element is more
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important than the others; however, patients’ needs govern the application of the components
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and permit judicious use. The remaining options identify components of the psychotherapeut
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ic management process.
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DIF: Cognitive level: Analyzing WQ WQ




TOP: Nursing process: Analysis MSC: Patient Needs: Safe, Effecti
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ve Care Environment
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7. Which statement most accurately describes a nurse’s role regarding psychopharmacology?
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a. “You will need to frequently make decisions regarding the administration of PRN
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medications to help the patient manage anger.”
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b. “It’s a nursing responsibility to adjust a medication dose to assure effective patient
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responses.” Q




c. “Nurses administers medications while evaluating drug effectiveness is a medical
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responsibility.”
d. “To best assure appropriate response, a patient’s questions about drug therapy
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should be referred to the psychiatrist.”
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CORRECT:: A W Q




Nursing assessment and analN UR
ysis SofNdI
TataGmigBh.t sCO
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W
Q
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ent anxiety increases or psychotic symptoms become more acute. The nurse is the health team
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member who makes this determination. Nurses are responsible for monitoring drug
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effectiveness as well as administering medication. Nurses should assume responsibility for t
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eaching patients about the side effects of medications. Nurses cannot alter prescribed dosages
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of medications unless they have prescriptive privileges.
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DIF: Cognitive level: Analyzing WQ WQ




TOP: Nursing process: Analysis MSC: Patient Needs: Safe, Effecti
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ve Care Environment
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8. When considering environmental aspects of milieu management, which intervention has the
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highest priority for a patient admitted after a failed suicide attempt?
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a. Sending the patient’s new medication prescriptions to the pharmacy
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b. Assigning a staff member to one-on-one observation of the patient WQ WQ WQ WQ WQ WQ WQ WQ WQ




c. Orienting the patient to the milieu’s public and private spaces WQ WQ WQ WQ WQ WQ WQ WQ WQ




d. Having all potentially dangerous items removed from the patient’s belongings
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CORRECT:: B W Q




Milieu management provides a proactive approach to care. Safety overrides all other dimens
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ions of the milieu. Initiation of suicide precautions are the priority for this patient. All the rem
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aining options are appropriate but none protect the patient from the risk of another attempt t
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o self-harm as effectively as one-on-one observation as part of suicide precautions.
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DIF: Cognitive level: Analyzing WQ WQ TOP: Nursing process: Implementation
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