TEST BANK - Keltners Psychiatric Nursing,
9th Edition (Steele), Chapters 1 - 36 |
All Chapters Complete
,
,Chapter 01: Med, Meds, Milieu
Keltner: Psychiatric Nursing, 8th Edition
MULTIPLE CHOICE
1. A newly licensed 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 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.‖
ANSWER: 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
ANSWER: 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 frequent 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
ANSWER: A
An funderstanding fof fpsychopathology fis fthe f foundation fon fwhich fthe fthree fcomponents fof
f psychotherapeutic f management f rest; fit f facilitates ftherapeutic fcommunication fand fprovides fa
f basis f for funderstanding fpsychopharmacology fand f milieu f management. f Minimizing fcontact
f between fthe fpatient f and fothers fand fadministering fPRN f medication findiscriminately fare
f nontherapeutic f interventions. f Using fbehavior f modification fto f decrease fthe ffrequency fof
f hallucinations fwould fneed fto f be fincorporated finto fthe fplan fof fcare fby fthe fcare fteam.
DIF: Cognitive flevel: fApplying TOP: f Nursing fprocess:
fImplementation f MSC: f Client f Needs: fSafe, f Effective fCare fEnvironment
4. An fadult f diagnosed fwith fchronic fdepression fis fhospitalized fafter fa fsuicide fattempt. fWhich
f intervention fis fcritical fin fassuring f long-term, feffective fclient fcare fas fdescribed fby
f psychotherapeutic f management?
a. Involvement f in fgroup ftherapies
b. Focus fof fclose fsupervision fby fthe funit f staff
c. Maintaining feffective fcommunication fwith fsupport fsystem
d. Frequently fscheduled fone-on-one ftime fwith fnursing fstaff
ANSWER: f D
A fcritical felement f of fpsychotherapeutic f management f is fthe fpresence fof fa ftherapeutic
nurse-patient f relationship. f One-on-one ftime fwith fnursing fstaff fwill fhelp f in festablishing fthis
f connection. f While fthe fother foptions fare fappropriate fand fclient f centered, fthe fnurse-client
f relation fis fcritical fin fthe f long-term fdelivery fof fquality feffective fcare fto f this fclient.
DIF: Cognitive flevel: fApplying TOP: f Nursing fprocess:
fImplementation f MSC: f Client f Needs: fPsychosocial fIntegrity
5. A fpatient‘s fhaloperidol fdosage fwas freduced f2 fweeks fago fto fdecrease fside feffects. fWhat
f assessment f question fdemonstrates fthe fnurse‘s funderstanding fof fthe fresulting f needs fof
fthe f client?
a. ―Will fyou fhave fany fdifficulty fgetting fyour fprescription frefilled?‖
b. ―Have fyou fbegun fexperiencing fany fforms fof fhallucinations?‖
c. ―What fdo fyou fexpect fwill foccur fsince fthe fdosage fhas fbeen freduced?‖
d. ―What fcan fI fdo fto fhelp fyou fmanage fthis freduction fin fhaloperidol ftherapy?‖
ANSWER: f B
It fwill fbe f necessary ffor fthe fnurse fto fassess ffor fexacerbation fof fthe fpatient‘s fsymptoms fof
f psychosis fas fwell fas f for fa flessening fof fside feffects. fDosage fdecrease f might f lead fto fthe
freturn f or fworsening fof fpositive fsymptoms fsuch fas fhallucinations fand fdelusions, fand
fnegative f symptoms fsuch fas fblunted faffect, f social fwithdrawal, f and fpoor fgrooming. f While
fthe fother f options fmay fbe fappropriate fassessment f questions, fthey fare fnot f directed fat fthe
fcurrent f needs fof f the fclient; fthe f identification fof femerging fpsychotic f behaviors.
DIF: Cognitive flevel: fAnalyzing TOP: f Nursing fprocess:
f Assessment f MSC: f Client f Needs: fPhysiologic fIntegrity
9th Edition (Steele), Chapters 1 - 36 |
All Chapters Complete
,
,Chapter 01: Med, Meds, Milieu
Keltner: Psychiatric Nursing, 8th Edition
MULTIPLE CHOICE
1. A newly licensed 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 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.‖
ANSWER: 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
ANSWER: 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 frequent 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
ANSWER: A
An funderstanding fof fpsychopathology fis fthe f foundation fon fwhich fthe fthree fcomponents fof
f psychotherapeutic f management f rest; fit f facilitates ftherapeutic fcommunication fand fprovides fa
f basis f for funderstanding fpsychopharmacology fand f milieu f management. f Minimizing fcontact
f between fthe fpatient f and fothers fand fadministering fPRN f medication findiscriminately fare
f nontherapeutic f interventions. f Using fbehavior f modification fto f decrease fthe ffrequency fof
f hallucinations fwould fneed fto f be fincorporated finto fthe fplan fof fcare fby fthe fcare fteam.
DIF: Cognitive flevel: fApplying TOP: f Nursing fprocess:
fImplementation f MSC: f Client f Needs: fSafe, f Effective fCare fEnvironment
4. An fadult f diagnosed fwith fchronic fdepression fis fhospitalized fafter fa fsuicide fattempt. fWhich
f intervention fis fcritical fin fassuring f long-term, feffective fclient fcare fas fdescribed fby
f psychotherapeutic f management?
a. Involvement f in fgroup ftherapies
b. Focus fof fclose fsupervision fby fthe funit f staff
c. Maintaining feffective fcommunication fwith fsupport fsystem
d. Frequently fscheduled fone-on-one ftime fwith fnursing fstaff
ANSWER: f D
A fcritical felement f of fpsychotherapeutic f management f is fthe fpresence fof fa ftherapeutic
nurse-patient f relationship. f One-on-one ftime fwith fnursing fstaff fwill fhelp f in festablishing fthis
f connection. f While fthe fother foptions fare fappropriate fand fclient f centered, fthe fnurse-client
f relation fis fcritical fin fthe f long-term fdelivery fof fquality feffective fcare fto f this fclient.
DIF: Cognitive flevel: fApplying TOP: f Nursing fprocess:
fImplementation f MSC: f Client f Needs: fPsychosocial fIntegrity
5. A fpatient‘s fhaloperidol fdosage fwas freduced f2 fweeks fago fto fdecrease fside feffects. fWhat
f assessment f question fdemonstrates fthe fnurse‘s funderstanding fof fthe fresulting f needs fof
fthe f client?
a. ―Will fyou fhave fany fdifficulty fgetting fyour fprescription frefilled?‖
b. ―Have fyou fbegun fexperiencing fany fforms fof fhallucinations?‖
c. ―What fdo fyou fexpect fwill foccur fsince fthe fdosage fhas fbeen freduced?‖
d. ―What fcan fI fdo fto fhelp fyou fmanage fthis freduction fin fhaloperidol ftherapy?‖
ANSWER: f B
It fwill fbe f necessary ffor fthe fnurse fto fassess ffor fexacerbation fof fthe fpatient‘s fsymptoms fof
f psychosis fas fwell fas f for fa flessening fof fside feffects. fDosage fdecrease f might f lead fto fthe
freturn f or fworsening fof fpositive fsymptoms fsuch fas fhallucinations fand fdelusions, fand
fnegative f symptoms fsuch fas fblunted faffect, f social fwithdrawal, f and fpoor fgrooming. f While
fthe fother f options fmay fbe fappropriate fassessment f questions, fthey fare fnot f directed fat fthe
fcurrent f needs fof f the fclient; fthe f identification fof femerging fpsychotic f behaviors.
DIF: Cognitive flevel: fAnalyzing TOP: f Nursing fprocess:
f Assessment f MSC: f Client f Needs: fPhysiologic fIntegrity
