Test Bank by Morgan Townsend Essentials of Psychiatric Mental Health Nursing 8th Edition Concepts of Care in Evidence- Based Practice 8th Edition complete all solved exam questions 100% solution

TESTBANK -KeltnersPsychiatricNursing,9th
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x Edition (Steele), x x




Chapters1 -36|AllChaptersComplete
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,
,Chapter 01: Med, Meds, Milieu
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Keltner: Psychiatric Nursing, 8thEdition
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MULTIPLE CHOICE x




1. A newlylicensed asks a nursing recruiter for a descriptionofnursing practice inthe
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psychiatric setting. What is the nurse recruiter‘s best response?
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a. ―The nurse primarily serves in a supportive role to members ofthe health care
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delivery team.‖ x




b. ―The multidisciplinary approach eliminates the need to clearlydefine the
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responsibilities ofnursing in such a setting.‖ x x x x x x




c. ―Nursing actions are identified by the institution that distinguishes nursing from
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other mental health professions.‖ x x x




d. ―Nursing offers unique contributions to the psychotherapeutic management of x x x x x x x x




psychiatric patients.‖ x




ANSWER: D x




Professional role overlap cannot be denied; however, nursing is unique in its focus on and
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applicationofpsychotherapeutic management. Neitherthefacility northe multidisciplinaryteam
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define the professional responsibilities of its members but rather utilizes their unique skills to
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provide holistic care. Ideally, all team members support each other and have functions within the
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team.
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DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation x x x x x




MSC: Client Needs: Safe, EffectiveCareEnvironment
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2. Whichcomponent ofthe nursing process willthe nurse focus uponto address the
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responsibilityto match individualpatient needs withappropriate services?
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER: C x




Proper assessment is critical for being able to determine the appropriate level of services that will
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provide optimal care while considering patient input and at the lowest cost. Planning and
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implementation utilizes the assessment data to identify and execute actions (treatment plan) that will
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provide appropriate care. Evaluationvalidatesthe effectiveness ofthe treatment plan.
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DIF: Cognitive level: Applying TOP: Nursingprocess: Assessment x x x x x




MSC: Client Needs: Safe, EffectiveCareEnvironment
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3. Anadult diagnosed withparanoid schizophrenia frequent experiences auditoryhallucinationsand
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walks about the unit, muttering. Which nursing action demonstrates the nurse‘s understanding of
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effective psychotherapeutic management ofthis client?
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a. Discussing the disease process ofschizophrenia withthe client and their domestic x x x x x x x x x x x




partner
b. Minimizing contact betweenthispatient and other patients to assure a stress free x x x x x x x x x x x x




milieu
c. Administering PRN medicationwhen first observing the evidencethat the client x x x x x x x x x x

, maybehallucinating x x




d. Independentlydetermining that behavior modification isappropriateto decrease x x x x x x x x




the client‘s paranoid thoughts
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ANSWER: A x




An understanding of psychopathology is the foundation on which the three components of
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psychotherapeutic management rest; it facilitatestherapeuticcommunicationand providesabasis for
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understanding psychopharmacology and milieu management. Minimizing contact between the
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patient and others and administering PRN medication indiscriminately are nontherapeutic
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interventions. Using behavior modification to decrease the frequency of hallucinations would need to
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be incorporatedinto the planofcare by the care team.
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DIF: Cognitive level: Applying TOP: Nursing process: Implementation x x x x x




MSC: Client Needs: Safe, EffectiveCareEnvironment
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4. Anadult diagnosed withchronic depression is hospitalized after a suicide attempt.Which
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intervention is critical in assuring long-term, effective client care as described by
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psychotherapeutic management?
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a. Involvement ingrouptherapies x x x




b. Focus ofclose supervision bythe unit staff x x x x x x x




c. Maintaining effective communicationwithsupport system x x x x x




d. Frequentlyscheduled one-on-one time withnursing staff x x x x x x




ANSWER: D x




Acriticalelement ofpsychotherapeutic management is the presence ofa therapeutic
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nurse-patient relationship. One-on-one time withnursing staffwillhelp inestablishing this x x x x x x x x x x x




connection. While the other options are appropriate and client centered, the nurse-client relation is
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criticalin the long-termdeliveryofqualityeffective care to this client.
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DIF: Cognitive level: Applying TOP: Nursing process: Implementation x x x x x




MSC: Client Needs: Psychosocial Integrity
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5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
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assessment questiondemonstratesthe nurse‘sunderstanding ofthe resulting needsofthe
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client?
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a. ―Will you have any difficultygetting your prescription refilled?‖
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b. ―Have you begun experiencing any forms of hallucinations?‖ x x x x x x x




c. ―What do you expect willoccur since the dosage has been reduced?‖ x x x x x x x x x x x




d. ―What can I do to help you manage this reduction in haloperidoltherapy?‖ x x x x x x x x x x x x




ANSWER: B x




It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of psychosis as
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well as for a lessening of side effects. Dosage decrease might lead to the return or worsening of
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positive symptoms such as hallucinations and delusions, and negative symptoms such as blunted
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affect, social withdrawal, and poor grooming. While the other options maybe appropriate
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assessment questions,theyare not directed at the current needsofthe client;the identificationof
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emerging psychotic behaviors.
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DIF: Cognitive level: Analyzing x x TOP: Nursingprocess: Assessment x x x




MSC: Client Needs: Physiologic Integrity
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