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Test Bank for Keltner’s Psychiatric Nursing, 9th Edition by Debbie Steele |Chapter 1-36 | All Chapters NEWEST

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Test Bank for Keltner’s Psychiatric Nursing, 9th Edition by Debbie Steele |Chapter 1-36 | All Chapters NEWEST

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Keltner’s Psychiatric Nursing
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Keltner’s Psychiatric Nursing

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6 de diciembre de 2025
Número de páginas
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Escrito en
2025/2026
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Test Bank for Keltner’s
Psychiatric Nursing, 9th
Edition by Debbie
Steele |Chapter 1-36 |
All Chapters NEWEST
EDITION 2024|25

,Chapter 01: Me, Meds, Milieu Steele: Keltner’s Psychiatric Nursing, 9th Edition
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MULTIPLE CHOICE NJNJ




1. A newly licensed nurse asks a nursing recruiter for a description of nursing
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NJNJ practice in the 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 of the
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health care
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delivery team.‖ NJNJ




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




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




c. ―Nursing actions are identified by the institution that distinguishes
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nursing from other mental health professions.‖
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d. ―Nursing offers unique contributions to the psychotherapeutic
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managementNJNJ




of NJNJ




psychiatric patients.‖ NJNJ




ANS: N J N J D
Professional role overlap cannot be denied; however, nursing is unique in its focus
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on and application of psychotherapeutic management. Neither the facility nor the
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multidisciplinary team define the professional responsibilities of its members but
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rather utilizes their unique skills to provide holistic care. Ideally, all team
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members support each other and have functions within the team.
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DIF: Cognitive level: Analyzing TOP: Nursing process: NJNJ NJNJ N J N J NJNJ



Implementation MSC: Client Needs: Safe, Effective Care Environment
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2. Which component of the nursing process will the nurse focus upon to address the
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responsibility to match individual patient needs with
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appropriate services? a.
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Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: N J N J C
Proper assessment is critical for being able to determine the appropriate level of
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services that will provide optimal care while considering patient input and at the
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, NJNJ lowest cost. Planning and implementation utilizes the assessment data to identify
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NJNJ and execute actions (treatment plan) that will provide appropriate care.
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NJNJ Evaluation validates the effectiveness of the treatment plan.
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DIF: Cognitive level: Applying TOP: Nursing process: NJNJ NJNJ N J N J NJNJ



Assessment MSC: Client Needs: Safe, Effective Care Environment
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3. An adult diagnosed with paranoid schizophrenia frequently experiences auditory
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hallucinations and walks about the unit, muttering. Which nursing action
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demonstrates
NJNJ the nurse‘s understanding of effective psychotherapeutic
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management of this client?
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a. Discussing the disease process of schizophrenia with the client and their
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domestic partner
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b. Minimizing contact between this patient and other patients to assure a
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stress-free milieu
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c. Administering PRN medication when first observing the evidence that NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ




the client
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may be hallucinating NJNJ NJNJ




d. Independently determining that behavior modification is appropriate to NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ



decrease the client‘s paranoid thoughts
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ANS: N J N J A
An understanding of psychopathology is the foundation on which the three
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components of psychotherapeutic management rest; it facilitates therapeutic
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communication and provides a basis for understanding psychopharmacology and
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milieu
NJNJ




management. Minimizing contact between the patient and others and administering
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PRN medication indiscriminately are nontherapeutic interventions. Using behavior
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modification to decrease the frequency of hallucinations would need to be
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incorporated into the plan of care by the care team.
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ




DIF: Cognitive level: Applying TOP: Nursing process: NJNJ NJNJ N J N J NJNJ



Implementation MSC: Client Needs: Safe, Effective Care Environment
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ




4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt.
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Which intervention is critical in assuring long-term, effective client care as
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described by psychotherapeutic management? a. Involvement in group therapies
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b. Focus of close supervision by the unit staff
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c. Maintaining effective communication with support system NJNJ NJNJ NJNJ NJNJ NJNJ




d. Frequently scheduled one-on-one time with nursing NJNJ NJNJ NJNJ NJNJ NJNJ




staff NJNJ




ANS: N J N J D
A critical element of psychotherapeutic management is the presence of a therapeutic
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nurse-patient relationship. One-on-one time with nursing staff will help in
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establishing
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this connection. While the other options are appropriate and client centered, the
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ




nurse-client relation is critical in the long-term delivery of quality effective care
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to this client.
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, DIF: Cognitive level: Applying TOP: Nursing process:
NJNJ NJNJ N J N J NJNJ



Implementation MSC: Client Needs: Psychosocial Integrity
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5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side
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effects. What assessment question demonstrates the nurse‘s understanding of the
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resulting needs of the client?
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a. ―Will you have any difficulty getting your prescription refilled?‖
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b. ―Have you begun experiencing any forms of hallucinations?‖
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c. ―What do you expect will occur since the dosage has been reduced?‖
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d. ―What can I do to help you manage this reduction in haloperidol therapy?‖
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ANS: N J N J B
It will be necessary for the nurse to assess for exacerbation of the patient‘s
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symptoms of psychosis as well as for a lessening of side effects. Dosage
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decrease might lead to the return or worsening of positive symptoms such as
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hallucinations and delusions, and negative symptoms such as blunted affect, social
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withdrawal, and poor grooming. While the other options may be appropriate
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assessment questions, they are not directed at the current needs of the client
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which is the identification of emerging psychotic behaviors.
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DIF: Cognitive level: Analyzing TOP: Nursing process:
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Assessment MSC: Client Needs: Physiologic Integrity
NJNJ NJNJ NJNJ NJNJ NJNJ NJNJ
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