Test Bank for Psychiatric Nursing by Keltner & Steele, 9th Edition | All Chapters Included (Ch. 1-36) | Graded A+

TEST BANK for Keltner’s Psychiatric Nursing, 9th Edition
b-g b-g b-g b-g b-g b-g b-g




by Debbie Steele b-g b-g




All Chapters Fully Covered 1-36| Verified Questions & 100% Accurate
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




Answers with Rationales for Exam Preparations| A+ PASS ASSURED
g b-g b-g b-g b-g b-g b-g b-g b-g




Page | 1
b-g b-g

, Chapter 01: Me, Meds, Milieu b-g b-g b-g b-g b-




g MULTIPLE CHOICE b-g




1. A newly licensed nurse asks a nursing recruiter for a description of nursing practice in the psychiatric
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



setting. What is the nurse recruiter‘s best response?
g b-g b-g b-g b-g b-g b-g b-g




a. The nurse primarily serves in a supportive role to members of the health care delivery team.
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




b. The multidisciplinary approach eliminates the need to clearly define the responsibilities of nursing in such
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



a setting.
g b-g




c. Nursing actions are identified by the institution that distinguishes nursing from other mental
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



health professions.
g b-g




d. Nursing offers unique contributions to the psychotherapeutic management of psychiatric
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




patients. CORRECT ANSWER: D
g b-g b-g b-g




Professional role overlap cannot be denied; however, nursing is unique in its focus on and application of
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



psychotherapeutic management. Neither the facility nor the multidisciplinary team define the professional
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



responsibilities of its members but rather utilizes their unique skills to provide holistic care. Ideally, all team
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



members support each other and have functions within the team.
g b-g b-g b-g b-g b-g b-g b-g b-g b-g




DIF: Cognitive level: Analyzing b-g b-g TOP: Nursing process: Implementation MSC: Client Needs:
b-g b-g b-g b-g b-g b-g b-



Safe, Effective Care Environment
g b-g b-g b-g




2. Which component of the nursing process will the nurse focus upon to address the responsibility to
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



match individual patient needs with appropriate services?
g b-g b-g b-g b-g b-g b-g




a. Planning

b. Evaluation

c. Assessment

d. Implementation b-




CORRECT ANSWER: C
g b-g b-g




Proper assessment is critical for being able to determine the appropriate level of services that will provide
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



optimal care while considering patient input and at the lowest cost. Planning and implementation utilizes the
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



assessment data to identify and execute actions (treatment plan) that will provide appropriate care. Evaluation
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



validates the effectiveness of the treatment plan.
g b-g b-g b-g b-g b-g b-g




DIF: Cognitive level: Applying TOP: Nursing process: Assessment MSC: Client Needs: Safe, Effective
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



Care Environment
g b-g




3. An adult diagnosed with paranoid schizophrenia frequently experiences auditory hallucinations and walks
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



about the unit, muttering. Which nursing action demonstrates the nurse‘s understanding of effective
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



psychotherapeutic management of this client?
g b-g b-g b-g b-g




a. Discussing the disease process of schizophrenia with the client and their domestic partner
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




Page | 2 b-g b-g

,b. Minimizing contact between this patient and other patients to assure a stress-free milieu
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




c. Administering PRN medication when first observing the evidence that the client may be hallucinating
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




d. Independently determining that behavior modification is appropriate to decrease the client‘s paranoid b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g



thoughts

CORRECT ANSWER: A b-g b-g




An understanding of psychopathology is the foundation on which the three components of psychotherapeutic
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



management rest; it facilitates therapeutic communication and provides a basis for understanding
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



psychopharmacology and milieu management. Minimizing contact between the patient and others and
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



administering PRN medication indiscriminately are nontherapeutic interventions. Using behavior modification to
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



decrease the frequency of hallucinations would need to be incorporated into the plan of care by the care team.
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC: Client Needs: Safe,
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



Effective Care Environment
g b-g b-g




4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which intervention is
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



critical in assuring long-term, effective client care as described by psychotherapeutic management?
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




a. Involvement in group therapies b-g b-g b-g




b. Focus of close supervision by the unit staff
b-g b-g b-g b-g b-g b-g b-g




c. Maintaining effective communication with support system b-g b-g b-g b-g b-g




d. Frequently scheduled one-on-one time with nursing b-g b-g b-g b-g b-g b-




staff CORRECT ANSWER: D
g b-g b-g b-g




A critical element of psychotherapeutic management is the presence of a therapeutic
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




nurse-patient relationship. One-on-one time with nursing staff will help in establishing this connection. While the
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



other options are appropriate and client centered, the nurse-client relation is critical in the long-term delivery of
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



quality effective care to this client.
g b-g b-g b-g b-g b-g




DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC: Client Needs: b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



Psychosocial Integrity
g b-g




5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What assessment
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



question demonstrates the nurse‘s understanding of the resulting needs of the client?
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




a. Will you have any difficulty getting your prescription refilled?
b-g b-g b-g b-g b-g b-g b-g b-g




b. Have you begun experiencing any forms of hallucinations?
b-g b-g b-g b-g b-g b-g b-g




c. What do you expect will occur since the dosage has been reduced?
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




d. What can I do to help you manage this reduction in haloperidol
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




therapy? CORRECT ANSWER: B
g b-g b-g b-g




It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of psychosis as well as for a
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g



lessening of side effects. Dosage decrease might lead to the return or worsening of positive symptoms such as
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




Page | 3 b-g b-g

, hallucinations and delusions, and negative symptoms such as blunted affect, social withdrawal, and poor
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



grooming. While the other options may be appropriate assessment questions, they are not directed at the current
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



needs of the client which is the identification of emerging psychotic behaviors.
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




DIF: Cognitive level: Analyzing b-g b-g TOP: Nursing process: Assessment MSC: Client Needs:
b-g b-g b-g b-g b-g b-g b-



Physiologic Integrity
g b-g




6. Which statement forms the foundation upon which a nurse should base the implementation of
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



psychotherapeutic management to the care of a patient with mental illness?
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




a. The nurse‘s role in client care is supported by the multidisciplinary team.
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




b. Omitting any one component will compromise the effectiveness of the treatment.
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




c. The most important element of psychotherapeutic management is drug therapy.
b-g b-g b-g b-g b-g b-g b-g b-g b-g




d. A therapeutic nurse-patient relationship is the most important aspect of
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-




treatment. CORRECT ANSWER: B
g b-g b-g b-g




When one element is missing, treatment is usually compromised. No single element is more important than the
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



others; however, patients‘ needs govern the application of the components and permit judicious use. The
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



remaining options identify components of the psychotherapeutic management process.
g b-g b-g b-g b-g b-g b-g b-g b-g




DIF: Cognitive level: Analyzing b-g b-g TOP: Nursing process: Analysis MSC: Client Needs: Safe,
b-g b-g b-g b-g b-g b-g b-g b-



Effective Care Environment
g b-g b-g




7. Which statement most accurately describes a nurse‘s role regarding psychopharmacology?
b-g b-g b-g b-g b-g b-g b-g b-g b-g




a. You will need to frequently make decisions regarding the administration of PRN medications to help
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



the client manage anger.
g b-g b-g b-g




b. It‘s a nursing responsibility to adjust a medication dose to assure effective patient responses.
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




c. Nurses administers medications while evaluating drug effectiveness is a medical responsibility.
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g




d. To best assure appropriate response, a patient‘s questions about drug therapy should be referred to the
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g



psychiatrist.

CORRECT ANSWER: A b-g b-g




Nursing assessment and analysis of data might suggest the need for PRN medication as patient anxiety increases
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



or psychotic symptoms become more acute. The nurse is the health team member who makes this determination.
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g



Nurses are responsible for monitoring drug effectiveness as well as administering medication. Nurses should
b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



assume responsibility for teaching patients about the side effects of medications. Nurses cannot alter prescribed
g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-g b-



dosages of medications unless they have prescriptive privileges.
g b-g b-g b-g b-g b-g b-g b-g




DIF: Cognitive level: Analyzing b-g b-g TOP: Nursing process: Analysis MSC: Client Needs: Safe,
b-g b-g b-g b-g b-g b-g b-g b-



Effective Care Environment
g b-g b-g




Page | 4 b-g b-g