TEST BANK - Keltners Psychiatric Nursing, 9th
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Edition (Steele),
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Chapters 1 - 36 | All Chapters Complete
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,Chapter 01: Med, Meds, Milieu
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Keltner: Psychiatric Nursing, 8thEdition
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MULTIPLE CHOICE qt
1. A newlylicensed asks a nursing recruiter for a descriptionofnursing practice inthe
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psychiatric setting. What isthe 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.‖ q t
b. ―The multidisciplinaryapproach eliminates the needto clearlydefine the
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responsibilities of nursing in such a setting.‖ qt qt q t qt qt qt
c. ―Nursing actions are identified bythe institution that distinguishes nursing from qt qt q t qt qt q t qt q t qt q t
other mental health professions.‖ q t qt qt
d. ―Nursing offers unique contributions tothe psychotherapeutic management of qt qt qt qt qt qt q t qt
psychiatric patients.‖ q t
ANSWER: D q t
Professional role overlap cannot be denied; however, nursing is unique in its focus on and qt qt qt qt qt qt qt qt qt qt qt qt qt qt
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.
qt
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation qt qt q t qt qt
MSC: Client Needs: Safe, Effective Care Environment
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2. Whichcomponent ofthe nursing process willthe nurse focus uponto address the
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responsibilityto match individualpatient needs with appropriate services?
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a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER: C q t
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
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willprovide appropriatecare. Evaluationvalidatesthe effectiveness ofthe treatment plan.
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DIF: Cognitive level: Applying TOP: Nursingprocess: Assessment qt qt q t qt qt
MSC: Client Needs: Safe, Effective Care Environment
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3. Anadult diagnosedwithparanoidschizophrenia frequent experiencesauditoryhallucinationsand
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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 qt qt qt qt qt qt qt qt qt qt qt
partner
b. Minimizing contact betweenthis patient and other patients to assure a stress free qt qt qt qt qt qt qt qt qt qt qt qt
milieu
c. AdministeringPRN medicationwhen first observing the evidence that theclient qt qt qt qt qt qt qt qt qt qt
, maybe hallucinating qt qt
d. Independentlydetermining that behavior modification is appropriateto decrease qt qt qt qt qt qt qt qt
the client‘s paranoid thoughts
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ANSWER: A q t
An understanding of psychopathology is the foundation on which the three components of
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psychotherapeutic management rest;it facilitatestherapeutic communicationand providesabasis for
qt qt qt qt qt qt qt qt qt qt qt qt
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
qt qt qt qt qt qt qt qt qt qt qt qt
to be incorporatedinto the planofcare by the care team.
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DIF: Cognitive level: Applying TOP: Nursing process: Implementation qt qt q t qt qt
MSC: Client Needs: Safe, Effective Care Environment
qt q t qt qt qt qt qt
4. Anadult diagnosed withchronic depression is hospitalized after asuicide attempt.Which
qt qt qt qt qt qt qt qt qt qt qt qt
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 qt qt qt
b. Focus ofclose supervisionbythe unit staff qt qt qt qt qt qt q t
c. Maintaining effective communicationwithsupport system qt qt qt qt qt
d. Frequentlyscheduled one-on-one time withnursing staff qt qt qt qt qt qt
ANSWER: D q t
Acriticalelement ofpsychotherapeutic management isthe presence ofa therapeutic
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nurse-patient relationship. One-on-one timewithnursing staffwillhelp inestablishing this qt qt qt qt qt qt qt qt qt qt qt
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.
qt qt qt q t qt qt qt qt qt qt qt qt
DIF: Cognitive level: Applying TOP: Nursing process: Implementation qt qt q t qt qt
MSC: Client Needs: Psychosocial Integrity
qt q t qt qt qt
5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
qt qt qt qt qt qt qt qt qt qt qt qt qt
assessment questiondemonstratesthe nurse‘sunderstanding ofthe resulting needs ofthe
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client?
qt
a. ―Will you have any difficultygetting your prescription refilled?‖ qt qt qt qt qt q t qt qt
b. ―Have you begunexperiencing any forms of hallucinations?‖ q t qt qt qt qt qt qt
c. ―What do you expect willoccur since the dosage has beenreduced?‖ q t qt qt q t qt qt qt qt qt qt qt
d. ―What canI do to help you manage this reduction in haloperidoltherapy?‖ q t qt qt qt q t q t q t qt qt qt qt qt
ANSWER: B q t
It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of psychosis
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as well as for a lessening of side effects. Dosage decrease might lead to the return or worsening of
qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt
positive symptoms such as hallucinations and delusions, and negative symptoms such as blunted
qt qt qt qt qt qt qt qt qt qt qt qt qt
affect, social withdrawal, and poor grooming. While the other options maybe appropriate
qt qt qt qt qt qt qt qt qt qt qt qt qt
assessment questions,theyare not directedat the current needsofthe client;the identification of
qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt
emerging psychotic behaviors.
qt qt qt
DIF: Cognitive level: Analyzing qt qt TOP: Nursingprocess: Assessment q t qt qt
MSC: Client Needs: Physiologic Integrity
qt q t qt qt qt
qt qt qt qt qt qt
Edition (Steele),
qt qt qt
Chapters 1 - 36 | All Chapters Complete
qt qt qt qt qt qt qt qt
,
,Chapter 01: Med, Meds, Milieu
qt qt qt qt
Keltner: Psychiatric Nursing, 8thEdition
qt qt qt qt
MULTIPLE CHOICE qt
1. A newlylicensed asks a nursing recruiter for a descriptionofnursing practice inthe
qt qt qt qt qt qt qt qt qt qt qt qt qt qt
psychiatric setting. What isthe nurse recruiter‘s best response?
qt qt qt q t qt qt qt qt qt
a. ―The nurse primarily serves in a supportive role to members ofthe health care
qt qt qt qt qt qt qt qt qt qt qt qt qt
delivery team.‖ q t
b. ―The multidisciplinaryapproach eliminates the needto clearlydefine the
q t qt qt qt qt qt q t qt qt
responsibilities of nursing in such a setting.‖ qt qt q t qt qt qt
c. ―Nursing actions are identified bythe institution that distinguishes nursing from qt qt q t qt qt q t qt q t qt q t
other mental health professions.‖ q t qt qt
d. ―Nursing offers unique contributions tothe psychotherapeutic management of qt qt qt qt qt qt q t qt
psychiatric patients.‖ q t
ANSWER: D q t
Professional role overlap cannot be denied; however, nursing is unique in its focus on and qt qt qt qt qt qt qt qt qt qt qt qt qt qt
applicationofpsychotherapeutic management. Neitherthefacility northe multidisciplinaryteam
qt qt qt qt qt qt qt qt qt qt qt
define the professional responsibilities of its members but rather utilizes their unique skills to
qt qt qt qt qt qt qt qt qt qt qt qt qt qt
provide holistic care. Ideally, all team members support each other and have functions within the
qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt
team.
qt
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation qt qt q t qt qt
MSC: Client Needs: Safe, Effective Care Environment
qt q t qt qt qt qt qt
2. Whichcomponent ofthe nursing process willthe nurse focus uponto address the
qt qt qt qt qt qt qt qt qt qt qt qt qt
responsibilityto match individualpatient needs with appropriate services?
qt qt qt qt qt q t qt qt qt
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER: C q t
Proper assessment is critical for being able to determine the appropriate level of services that will
qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt
provide optimal care while considering patient input and at the lowest cost. Planning and
qt qt qt qt qt qt qt qt qt qt qt qt qt qt
implementation utilizes the assessment data to identify and execute actions (treatment plan) that
qt qt qt qt qt qt qt qt qt qt qt qt qt
willprovide appropriatecare. Evaluationvalidatesthe effectiveness ofthe treatment plan.
qt qt qt qt qt qt qt qt qt qt qt qt
DIF: Cognitive level: Applying TOP: Nursingprocess: Assessment qt qt q t qt qt
MSC: Client Needs: Safe, Effective Care Environment
qt q t qt qt qt qt qt
3. Anadult diagnosedwithparanoidschizophrenia frequent experiencesauditoryhallucinationsand
qt qt qt qt qt qt qt qt qt qt
walks about the unit, muttering. Which nursing action demonstrates the nurse‘s understanding of
qt qt qt qt qt qt qt qt qt qt qt qt qt
effective psychotherapeutic management ofthis client?
qt qt qt q t qt qt
a. Discussing the disease process ofschizophrenia withthe client and their domestic qt qt qt qt qt qt qt qt qt qt qt
partner
b. Minimizing contact betweenthis patient and other patients to assure a stress free qt qt qt qt qt qt qt qt qt qt qt qt
milieu
c. AdministeringPRN medicationwhen first observing the evidence that theclient qt qt qt qt qt qt qt qt qt qt
, maybe hallucinating qt qt
d. Independentlydetermining that behavior modification is appropriateto decrease qt qt qt qt qt qt qt qt
the client‘s paranoid thoughts
qt qt qt
ANSWER: A q t
An understanding of psychopathology is the foundation on which the three components of
qt qt qt qt qt qt qt qt qt qt qt qt
psychotherapeutic management rest;it facilitatestherapeutic communicationand providesabasis for
qt qt qt qt qt qt qt qt qt qt qt qt
understanding psychopharmacology and milieu management. Minimizing contact between the
qt qt qt qt qt qt qt qt qt
patient and others and administering PRN medication indiscriminately are nontherapeutic
qt qt qt qt qt qt qt qt qt qt
interventions. Using behavior modification to decrease the frequency of hallucinations would need
qt qt qt qt qt qt qt qt qt qt qt qt
to be incorporatedinto the planofcare by the care team.
qt qt qt qt qt qt qt qt qt qt qt qt
DIF: Cognitive level: Applying TOP: Nursing process: Implementation qt qt q t qt qt
MSC: Client Needs: Safe, Effective Care Environment
qt q t qt qt qt qt qt
4. Anadult diagnosed withchronic depression is hospitalized after asuicide attempt.Which
qt qt qt qt qt qt qt qt qt qt qt qt
intervention is critical in assuring long-term, effective client care as described by
qt qt qt qt qt qt qt qt qt qt qt qt
psychotherapeutic management?
qt qt
a. Involvement ingrouptherapies qt qt qt
b. Focus ofclose supervisionbythe unit staff qt qt qt qt qt qt q t
c. Maintaining effective communicationwithsupport system qt qt qt qt qt
d. Frequentlyscheduled one-on-one time withnursing staff qt qt qt qt qt qt
ANSWER: D q t
Acriticalelement ofpsychotherapeutic management isthe presence ofa therapeutic
qt qt qt qt qt qt qt qt qt qt qt
nurse-patient relationship. One-on-one timewithnursing staffwillhelp inestablishing this qt qt qt qt qt qt qt qt qt qt qt
connection. While the other options are appropriate and client centered, the nurse-client relation is
qt qt qt qt qt qt qt qt qt qt qt qt qt qt
criticalin the long-termdeliveryofqualityeffective care to this client.
qt qt qt q t qt qt qt qt qt qt qt qt
DIF: Cognitive level: Applying TOP: Nursing process: Implementation qt qt q t qt qt
MSC: Client Needs: Psychosocial Integrity
qt q t qt qt qt
5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
qt qt qt qt qt qt qt qt qt qt qt qt qt
assessment questiondemonstratesthe nurse‘sunderstanding ofthe resulting needs ofthe
qt qt qt qt qt qt qt qt qt qt qt qt
client?
qt
a. ―Will you have any difficultygetting your prescription refilled?‖ qt qt qt qt qt q t qt qt
b. ―Have you begunexperiencing any forms of hallucinations?‖ q t qt qt qt qt qt qt
c. ―What do you expect willoccur since the dosage has beenreduced?‖ q t qt qt q t qt qt qt qt qt qt qt
d. ―What canI do to help you manage this reduction in haloperidoltherapy?‖ q t qt qt qt q t q t q t qt qt qt qt qt
ANSWER: B q t
It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of psychosis
qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt
as well as for a lessening of side effects. Dosage decrease might lead to the return or worsening of
qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt
positive symptoms such as hallucinations and delusions, and negative symptoms such as blunted
qt qt qt qt qt qt qt qt qt qt qt qt qt
affect, social withdrawal, and poor grooming. While the other options maybe appropriate
qt qt qt qt qt qt qt qt qt qt qt qt qt
assessment questions,theyare not directedat the current needsofthe client;the identification of
qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt qt
emerging psychotic behaviors.
qt qt qt
DIF: Cognitive level: Analyzing qt qt TOP: Nursingprocess: Assessment q t qt qt
MSC: Client Needs: Physiologic Integrity
qt q t qt qt qt
