TEST BANK For Keltners Psychiatric Nursing, 9th Edition By Debbie Steele, Verified Chapters 1 - 36, Fully Covered Complete Newest Version

TEST BANK - Keltners Psychiatric Nursing, 9th
xx xx xx xx xx xx




xxEdition (Steele), xx xx




Chapters 1 - 36 | All Chapters Complete
xx xx xx xx xx xx xx xx

,
,Chapter 01: Med, Meds, Milieu
xx xx xx xx




Keltner: Psychiatric Nursing, 8th Edition
xx xx xx xx




MULTIPLE CHOICE xx




1. A newly licensed asks a nursing recruiter for a description of nursing practice in the
xx xx xx xx xx xx xx xx xx xx xx xx xx xx




psychiatric setting. What is the nurse recruiter‘s best response?
x xx xx xx xx xx xx xx xx




a. ―The nurse primarily serves in a supportive role to members of the health care
xx xx xx xx xx xx xx xx xx xx xx xx xx




delivery team.‖ xx




b. ―The multidisciplinary approach eliminates the need to clearly define the
xx xx xx xx xx xx xx xx xx




responsibilities of nursing in such a setting.‖ xx xx xx xx xx xx




c. ―Nursing actions are identified by the institution that distinguishes nursing from
xx xx xx xx xx xx xx xx xx xx




other mental health professions.‖ xx xx xx




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




psychiatric patients.‖ xx




ANSWER: D x x




Professional role overlap cannot be denied; however, nursing is unique in its focus on and
xx xx xx xx xx xx xx xx xx xx xx xx xx xx




application of psychotherapeutic management. Neither the facility nor the multidisciplinary
xx xx xx xx xx xx xx xx xx xx




team define the professional responsibilities of its members but rather utilizes their unique
x xx xx xx xx xx xx xx xx xx xx xx xx




skills to provide holistic care. Ideally, all team members support each other and have functions
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx




within the team.
xx xx xx




DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation xx xx x x xx xx




MSC: Client Needs: Safe, Effective Care Environment
x x x xx xx xx xx xx




2. Which component of the nursing process will the nurse focus upon to address the
xx xx xx xx xx xx xx xx xx xx xx xx xx




responsibility to match individual patient needs with appropriate services?
x xx xx xx xx xx xx xx xx




a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER: C x x




Proper assessment is critical for being able to determine the appropriate level of services that
xx xx xx xx xx xx xx xx xx xx xx xx xx xx




will provide optimal care while considering patient input and at the lowest cost. Planning and
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx




implementation utilizes the assessment data to identify and execute actions (treatment plan)
xx xx xx xx xx xx xx xx xx xx xx xx




that will provide appropriate care. Evaluation validates the effectiveness of the treatment plan.
xx xx xx xx xx xx xx xx xx xx xx xx xx




DIF: Cognitive level: Applying TOP: Nursing process: Assessment xx xx x x xx xx




MSC: Client Needs: Safe, Effective Care Environment
x x x xx xx xx xx xx




3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations
xx xx xx xx xx xx xx xx xx




and walks about the unit, muttering. Which nursing action demonstrates the nurse‘s
x xx xx xx xx xx xx xx xx xx xx xx




understanding of effective psychotherapeutic management of this client?
xx xx xx xx xx xx xx xx




a. Discussing the disease process of schizophrenia with the client and their domestic xx xx xx xx xx xx xx xx xx xx xx




partner
b. Minimizing contact between this patient and other patients to assure a stress free xx xx xx xx xx xx xx xx xx xx xx xx




milieu
c. Administering PRN medication when first observing the evidence that the client xx xx xx xx xx xx xx xx xx xx

, may be hallucinating xx xx




d. Independently determining that behavior modification is appropriate to decrease xx xx xx xx xx xx xx xx




the client‘s paranoid thoughts
xx xx xx




ANSWER: A x x




An understanding of psychopathology is the foundation on which the three components of
xx xx xx xx xx xx xx xx xx xx xx xx




psychotherapeutic management rest; it facilitates therapeutic communication and provides abasis
xx xx xx xx xx xx xx xx xx xx x




for understanding psychopharmacology and milieu management. Minimizing contact between
xx xx xx xx xx xx xx xx xx




the patient and others and administering PRN medication indiscriminately are nontherapeutic
xx xx xx xx xx xx xx xx xx xx xx




interventions. Using behavior modification to decrease the frequency of hallucinations would
xx xx xx xx xx xx xx xx xx xx xx




need to be incorporated into the plan of care by the care team.
xx xx xx xx xx xx xx xx xx xx xx xx xx




DIF: Cognitive level: Applying TOP: Nursing process: Implementation xx xx x x xx xx




MSC: Client Needs: Safe, Effective Care Environment
x x x xx xx xx xx xx




4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
xx xx xx xx xx xx xx xx xx xx xx xx




intervention is critical in assuring long-term, effective client care as described by
x xx xx xx xx xx xx xx xx xx xx xx




psychotherapeutic management?
xx xx




a. Involvement in group therapies xx xx xx




b. Focus of close supervision by the unit staff xx xx xx xx xx xx xx




c. Maintaining effective communication with support system xx xx xx xx xx




d. Frequently scheduled one-on-one time with nursing staff xx xx xx xx xx xx




ANSWER: D x x




A critical element of psychotherapeutic management is the presence of a therapeutic
xx xx xx xx xx xx xx xx xx xx xx




nurse-patient relationship. One-on-one time with nursing staff will help in establishing this
xx xx xx xx xx xx xx xx xx xx xx




connection. While the other options are appropriate and client centered, the nurse-client
x xx xx xx xx xx xx xx xx xx xx xx




relation is critical in the long-term delivery of quality effective care to this client.
xx xx xx xx xx xx xx xx xx xx xx xx xx xx




DIF: Cognitive level: Applying TOP: Nursing process: Implementation xx xx x x xx xx




MSC: Client Needs: Psychosocial Integrity
x x x xx xx xx




5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
xx xx xx xx xx xx xx xx xx xx xx xx xx




assessment question demonstrates the nurse‘s understanding of the resulting needs of the
xx xx xx xx xx xx xx xx xx xx xx xx




client?
x




a. ―Will you have any difficulty getting your prescription refilled?‖
xx xx xx xx xx xx xx xx




b. ―Have you begun experiencing any forms of hallucinations?‖ xx xx xx xx xx xx xx




c. ―What do you expect will occur since the dosage has been reduced?‖
xx xx xx xx xx xx xx xx xx xx xx




d. ―What can I do to help you manage this reduction in haloperidol therapy?‖
xx xx xx xx xx xx xx xx xx xx xx xx




ANSWER: B x x




It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx




psychosis as well as for a lessening of side effects. Dosage decrease might lead to the return or
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx




worsening of positive symptoms such as hallucinations and delusions, and negative symptoms
xx xx xx xx xx xx xx xx xx xx xx xx




such as blunted affect, social withdrawal, and poor grooming. While the other options may be
xx xx xx xx xx xx xx xx xx xx xx xx xx xx xx




appropriate assessment questions, they are not directed at the current needs ofthe client; the
xx xx xx xx xx xx xx xx xx xx xx xx x xx xx




identification of emerging psychotic behaviors.
xx xx xx xx xx




DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment xx xx x x xx xx




MSC: Client Needs: Physiologic Integrity
x x x xx xx xx