Test Bank For Keltner's Psychiatric
Nursing, 9th Edition By Debbie Steele
Testbank with
complete solution
,Chapter` 01:` Me,` Meds,` Milieu
Steele:` Keltner’s` Psychiatric` Nursing,` 9th` Edition
MULTIPLE` CHOICE
1. A` newly` licensed` nurse` asks` a` nursing` recruiter` for` a` description` of` nursing`practic
e` 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` car
N
e
delivery` team.‖
b. ―The` multidisciplinary` approach` eliminates` the` need` to` clearly`define` the`r
esponsibilities` of` nursing` in` such` a` setting.‖
c. ―Nursing` actions` are` identified` by` the` institution` that` distinguishes`nursin
g` from
other` mental` health` professions.‖
d. ―Nursing` offers` unique` contributions` to` the` psychotherapeutic` management`
of
psychiatric` patients.‖
ANS: 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`mult
idisciplinary` team` define` the` professional` responsibilities` of` its` members` but`rather`
utilizes` their` unique` skills` to` provide` holistic` care.` Ideally,` all` team` members` supp
ort` 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`appr
opriate` services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: C
Proper` assessment` is` critical` for` being` able` to` determine` the` appropriate` level` of`ser
vices` that` will` provide` optimal` care` while` considering` patient` input` and` at` the`lowe
st` cost.` Planning` and` implementation` utilizes` the` assessment` data` to` identify`and` ex
ecute` 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`demonstr
ates` the` nurse‘s` understanding` of` effective` psychotherapeutic`management` of` this
` client?
a. Discussing` the` disease` process` of` schizophrenia` with` the` client` and` their`do
mestic
partner
b. Minimizing` contact` between` this` patient` and` other` patients` to` assure` a`s
tress-free
milieu
c. Administering` PRN` medication` when` first` observing` the` evidence` that` the` cli
ent
may` be` hallucinating
d. Independently`determining` that` behavior` modification` is` appropriate` to`decrea
se
the` client‘s` paranoid` thoughts
ANS: A
An` understanding` of` psychopathology` is` the` foundation` on` which` the` three` component
s` of` psychotherapeutic` management` rest;` it` facilitates` therapeutic` communication` and` prov
ides` a` basis` for` understanding` psychopharmacology` and` milieu`management.` Minimizin
g` contact` between` the` patient` and` others` and` administering`PRN` medication` indiscrim
inately` are` nontherapeutic` interventions.` Using` behavior`modification` to` decrease` the` fr
equency` 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`atte
mpt.` 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`sy
stem
d. Frequently` scheduled` one-on-
one` time` with` nursing`staff
ANS: D
A` critical` element` of` psychotherapeutic` management` is` the` presence` of` a` therapeutic`nu
rse-patient` relationship.` One-on-
one` time` with` nursing` staff` will` help` in` establishing`this` connection.` While` the` other` o
ptions` are` appropriate` and` client` centered,` the`nurse-
client` relation` is` critical` in` the` long-term` delivery` of` quality` effective` care
to` this` client.
DIF: Cognitive` level:` Applying TOP:
Nursing` process:`Implementation` MSC:
Client` Needs:` Psychosocial` Integrity
5. A` patient‘s` haloperidol` dosage` was` reduced` 2` weeks` ago` to` decrease` side
, effects.` What` assessment` question` demonstrates` the` nurse‘s` understanding` of` the`result
ing` needs` of` the` client?
a. ―Will` you` have` any` difficulty` getting` your` prescription` refilled?‖
b. ―Have` you` begun` experiencing` any` forms` of` hallucinations?‖
c. ―What` do ` you` expect` will` occur` since` the` dosage` has` been ` reduced?‖
N N
d. ―What`can`I`do ` to`help` you` manage`this`reduction`in`haloperidol`thera
N
py?‖
ANS: B
It` will` be` necessary` for` the` nurse` to` assess` for` exacerbation` of` the` patient‘s`sympto
ms` of` psychosis` as` well` as` for` a` lessening` of` side` effects.` Dosage`decrease` migh
t` lead` to` the` return` or` worsening` of` positive` symptoms` such` as`hallucinations` and`
delusions,` and` negative` symptoms` such` as` blunted` affect,` social`withdrawal,` and` po
or` grooming.` While` the` other` options` may` be` appropriate`assessment` questions,` they`
are` not` directed` at` the` current` needs` of` the` client` which`is` the` identification` of` em
erging` psychotic` behaviors.
DIF: Cognitive` level:` Analyzing TOP:
Nursing`process:`Assessment` MSC:
Client` Needs:` Physiologic` Integrity
Nursing, 9th Edition By Debbie Steele
Testbank with
complete solution
,Chapter` 01:` Me,` Meds,` Milieu
Steele:` Keltner’s` Psychiatric` Nursing,` 9th` Edition
MULTIPLE` CHOICE
1. A` newly` licensed` nurse` asks` a` nursing` recruiter` for` a` description` of` nursing`practic
e` 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` car
N
e
delivery` team.‖
b. ―The` multidisciplinary` approach` eliminates` the` need` to` clearly`define` the`r
esponsibilities` of` nursing` in` such` a` setting.‖
c. ―Nursing` actions` are` identified` by` the` institution` that` distinguishes`nursin
g` from
other` mental` health` professions.‖
d. ―Nursing` offers` unique` contributions` to` the` psychotherapeutic` management`
of
psychiatric` patients.‖
ANS: 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`mult
idisciplinary` team` define` the` professional` responsibilities` of` its` members` but`rather`
utilizes` their` unique` skills` to` provide` holistic` care.` Ideally,` all` team` members` supp
ort` 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`appr
opriate` services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: C
Proper` assessment` is` critical` for` being` able` to` determine` the` appropriate` level` of`ser
vices` that` will` provide` optimal` care` while` considering` patient` input` and` at` the`lowe
st` cost.` Planning` and` implementation` utilizes` the` assessment` data` to` identify`and` ex
ecute` 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`demonstr
ates` the` nurse‘s` understanding` of` effective` psychotherapeutic`management` of` this
` client?
a. Discussing` the` disease` process` of` schizophrenia` with` the` client` and` their`do
mestic
partner
b. Minimizing` contact` between` this` patient` and` other` patients` to` assure` a`s
tress-free
milieu
c. Administering` PRN` medication` when` first` observing` the` evidence` that` the` cli
ent
may` be` hallucinating
d. Independently`determining` that` behavior` modification` is` appropriate` to`decrea
se
the` client‘s` paranoid` thoughts
ANS: A
An` understanding` of` psychopathology` is` the` foundation` on` which` the` three` component
s` of` psychotherapeutic` management` rest;` it` facilitates` therapeutic` communication` and` prov
ides` a` basis` for` understanding` psychopharmacology` and` milieu`management.` Minimizin
g` contact` between` the` patient` and` others` and` administering`PRN` medication` indiscrim
inately` are` nontherapeutic` interventions.` Using` behavior`modification` to` decrease` the` fr
equency` 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`atte
mpt.` 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`sy
stem
d. Frequently` scheduled` one-on-
one` time` with` nursing`staff
ANS: D
A` critical` element` of` psychotherapeutic` management` is` the` presence` of` a` therapeutic`nu
rse-patient` relationship.` One-on-
one` time` with` nursing` staff` will` help` in` establishing`this` connection.` While` the` other` o
ptions` are` appropriate` and` client` centered,` the`nurse-
client` relation` is` critical` in` the` long-term` delivery` of` quality` effective` care
to` this` client.
DIF: Cognitive` level:` Applying TOP:
Nursing` process:`Implementation` MSC:
Client` Needs:` Psychosocial` Integrity
5. A` patient‘s` haloperidol` dosage` was` reduced` 2` weeks` ago` to` decrease` side
, effects.` What` assessment` question` demonstrates` the` nurse‘s` understanding` of` the`result
ing` needs` of` the` client?
a. ―Will` you` have` any` difficulty` getting` your` prescription` refilled?‖
b. ―Have` you` begun` experiencing` any` forms` of` hallucinations?‖
c. ―What` do ` you` expect` will` occur` since` the` dosage` has` been ` reduced?‖
N N
d. ―What`can`I`do ` to`help` you` manage`this`reduction`in`haloperidol`thera
N
py?‖
ANS: B
It` will` be` necessary` for` the` nurse` to` assess` for` exacerbation` of` the` patient‘s`sympto
ms` of` psychosis` as` well` as` for` a` lessening` of` side` effects.` Dosage`decrease` migh
t` lead` to` the` return` or` worsening` of` positive` symptoms` such` as`hallucinations` and`
delusions,` and` negative` symptoms` such` as` blunted` affect,` social`withdrawal,` and` po
or` grooming.` While` the` other` options` may` be` appropriate`assessment` questions,` they`
are` not` directed` at` the` current` needs` of` the` client` which`is` the` identification` of` em
erging` psychotic` behaviors.
DIF: Cognitive` level:` Analyzing TOP:
Nursing`process:`Assessment` MSC:
Client` Needs:` Physiologic` Integrity
