Test Bank for Keltner’s
Psychiatric Nursing, 9th
Edition by Debbie
Steele Chapter 1-36 All
Chapters NEWEST
EDITION 2025-2026
,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
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
N
| 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.‖
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 |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
ANS: 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
ANS: 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
ANS: D
A | critical | element | of | psychotherapeutic | management | is | the | presence | of | a
| therapeutic |nurse-patient | relationship. | One-on-one | time | with | nursing | staff | will | help
| in | establishing |this | connection. | While | the | other | options | 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
resulting | 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
N N
| reduced?‖
d. ―What |can |I |do | to |help | you | manage |this |reduction |in |haloperidol
N
|therapy?‖
ANS: B
It | will | be | necessary | for | the | nurse | to | assess | for | exacerbation | of | the
| patient‘s |symptoms | of | psychosis | as | well | as | for | a | lessening | of | side | effects.
| Dosage |decrease | might | lead | to | the | return | or | worsening | of | positive
| symptoms | such | as |hallucinations | and | delusions, | and | negative | symptoms | such
| as | blunted | affect, | social |withdrawal, | and | poor | 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 | emerging | psychotic
| behaviors.
DIF: Cognitive | level: | Analyzing TOP: Nursing |process:
|Assessment | MSC: Client | Needs: | Physiologic | Integrity
Psychiatric Nursing, 9th
Edition by Debbie
Steele Chapter 1-36 All
Chapters NEWEST
EDITION 2025-2026
,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
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
N
| 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.‖
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 |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
ANS: 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
ANS: 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
ANS: D
A | critical | element | of | psychotherapeutic | management | is | the | presence | of | a
| therapeutic |nurse-patient | relationship. | One-on-one | time | with | nursing | staff | will | help
| in | establishing |this | connection. | While | the | other | options | 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
resulting | 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
N N
| reduced?‖
d. ―What |can |I |do | to |help | you | manage |this |reduction |in |haloperidol
N
|therapy?‖
ANS: B
It | will | be | necessary | for | the | nurse | to | assess | for | exacerbation | of | the
| patient‘s |symptoms | of | psychosis | as | well | as | for | a | lessening | of | side | effects.
| Dosage |decrease | might | lead | to | the | return | or | worsening | of | positive
| symptoms | such | as |hallucinations | and | delusions, | and | negative | symptoms | such
| as | blunted | affect, | social |withdrawal, | and | poor | 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 | emerging | psychotic
| behaviors.
DIF: Cognitive | level: | Analyzing TOP: Nursing |process:
|Assessment | MSC: Client | Needs: | Physiologic | Integrity
