Test bank for psychiatric nursing by norman l keltne debbie steele edition 8th edition.

TEST BANK -0 0




0Keltners Psychiatric Nursing, 9th Edition (Steel
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e), 0




Chapters 1 - 36 | All Chapters Complete
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,Chapter001:0Med,0Meds,0Milieu
Keltner:0Psychiatric0Nursing,08th0Edition


MULTIPLE0CHOICE

1. A0newly0licensed0asks0a0nursing0recruiter0for0a0description0of0nursing0practice0in0the0
psychiatric0setting.0What0 is0the0nurse0recruiter‘s0best0response?
a. ―The0nurse0primarily0serves0in0a0supportive0role0to0members0of0the0health0care
delivery0 team.‖
b. ―The0 multidisciplinary0approach0eliminates0the0need0to0 clearly0define0the
responsibilities0of0nursing0 in0such0a0setting.‖
c. ―Nursing0actions0are0 identified0by0the0 institution0that0 distinguishes0nursing0 from
other0mental0health0professions.‖
d. ―Nursing0offers0unique0contributions0to0the0psychotherapeutic0 management0of
psychiatric0 patients.‖
ANSWER:0 D
Professional0role0overlap0cannot0be0denied;0however,0nursing0is0unique0in0its0focus0on0and0ap
plication0of0psychotherapeutic0management.0Neither0the0facility0nor0the0multidisciplinary0team
0define0the0professional0responsibilities0of0its0members0but0rather0utilizes0their0unique0skills0t

o0provide0holistic0care.0Ideally,0all0team0members0support0each0other0and0have0functions0withi
n0the0team.

DIF: Cognitive0level:0Analyzing
TOP:0 Nursing0process:0Implementation0MSC:0 Client0Needs:0Safe,0Effective0
Care0Environment

2. Which0component0of0the0nursing0process0will0the0nurse0focus0upon0to0address0the0
responsibility0to0match0individual0patient0 needs0with0appropriate0services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:0 C
Proper0assessment0is0critical0for0being0able0to0determine0the0appropriate0level0of0services0that0
will0provide0optimal0care0while0considering0patient0input0and0at0the0lowest0cost.0Planning0and0
implementation0utilizes0the0assessment0data0to0identify0and0execute0actions0(treatment0plan)0th
at0will0provide0appropriate0care.0Evaluation0validates0the0effectiveness0of0the0treatment0plan.

DIF: Cognitive0level:0Applying
TOP:0 Nursing0process:0Assessment0MSC:0 Client0Needs:0Safe,0Effective0
Care0Environment

3. An0adult0diagnosed0with0paranoid0schizophrenia0frequent0experiences0auditory0hallucinations0
and0walks0about0the0unit,0muttering.0Which0nursing0action0demonstrates0the0nurse‘s0understa
nding0of0effective0psychotherapeutic0management0 of0this0client?
a. Discussing0the0disease0process0of0schizophrenia0with0the0client0and0their0domestic
partner
b. Minimizing0contact0between0this0patient0and0other0patients0to0assure0a0stress0free
milieu
c. Administering0PRN0medication0when0first0observing0the0evidence0that0the0client

, may0be0hallucinating
d. Independently0determining0that0behavior0modification0is0appropriate0to0decrease
the0client‘s0paranoid0thoughts
ANSWER:0 A
An0understanding0of0psychopathology0is0the0foundation0on0which0the0three0components0of0psyc
hotherapeutic0management0rest;0it0facilitates0therapeutic0communication0and0provides0a0basis0for
0understanding0psychopharmacology0and0milieu0management.0Minimizing0contact0between0the0

patient0and0others0and0administering0PRN0medication0indiscriminately0are0nontherapeutic0interv
entions.0Using0behavior0modification0to0decrease0the0frequency0of0hallucinations0would0need0to0
be0incorporated0into0the0plan0of0care0by0the0care0team.

DIF: Cognitive0level:0Applying
TOP:0 Nursing0process:0Implementation0MSC:0 Client0Needs:0Safe,0Effective0
Care0Environment

4. An0adult0diagnosed0with0chronic0depression0is0hospitalized0after0a0suicide0attempt.0Which0
intervention0is0critical0in0assuring0long-
term,0effective0client0care0as0described0by0psychotherapeutic0management?
a. Involvement0in0group0therapies
b. Focus0of0close0supervision0by0the0unit0 staff
c. Maintaining0effective0communication0with0support0system
d. Frequently0scheduled0one-on-one0time0with0nursing0staff
ANSWER:0 D
A0critical0element0of0psychotherapeutic0management0is0the0presence0of0a0therapeutic
nurse-patient0relationship.0One-on-
one0time0with0nursing0staff0will0help0in0establishing0this0connection.0While0the0other0options0ar
e0appropriate0and0client0centered,0the0nurse-client0relation0is0critical0in0the0 long-
term0delivery0of0quality0effective0care0to0this0client.

DIF: Cognitive0level:0Applying
TOP:0 Nursing0process:0Implementation0MSC:0 Client0Needs:0Psychosocial0In
tegrity

5. A0patient‘s0haloperidol0dosage0was0reduced020weeks0ago0to0decrease0side0effects.0What0
assessment0question0demonstrates0the0nurse‘s0understanding0of0the0resulting0needs0of0the0
client?
a. ―Will0you0have0any0difficulty0getting0 your0prescription0refilled?‖
b. ―Have0 you0begun0experiencing0any0forms0of0hallucinations?‖
c. ―What0 do0you0expect0 will0occur0since0the0dosage0has0been0reduced?‖
d. ―What0 can0I0do0to0 help0 you0 manage0this0reduction0in0haloperidol0therapy?‖
ANSWER:0 B
It0will0be0necessary0for0the0nurse0to0assess0for0exacerbation0of0the0patient‘s0symptoms0of0psyc
hosis0as0well0as0for0a0lessening0of0side0effects.0Dosage0decrease0might0lead0to0the0return0or0wo
rsening0of0positive0symptoms0such0as0hallucinations0and0delusions,0and0negative0symptoms0s
uch0as0blunted0affect,0social0withdrawal,0and0poor0grooming.0While0the0other0options0may0be0
appropriate0assessment0questions,0they0are0not0directed0at0the0current0needs0of0the0client;0the0id
entification0of0emerging0psychotic0behaviors.

DIF: Cognitive0level:0Analyzing
TOP:0 Nursing0process:0Assessment0MSC:0 Client0Needs:0Physiologic0Int
egrity