TEST BANK - v v
vKeltners Psychiatric Nursing, 9th Edition (Steel
v v v v v
e), v
Chapters 1 - 36 | All Chapters Complete
v v v v v v v v
,
,Chapter 01: Med, Meds, Milieu
v v v v
Keltner: Psychiatric Nursing, 8th Edition
v v v v
MULTIPLEvCHOICE
1. Avnewlyvlicensedvasksvavnursingvrecruitervforvavdescriptionvofvnursingvpracticevinvthevp
sychiatricvsetting.vWhatv isvthevnursevrecruiter‘svbestvresponse?
a. ―Thevnursevprimarilyvservesvinvavsupportivevrolevtovmembersvofvthevhealthvcare
deliveryvteam.‖
b. ―Thev multidisciplinaryvapproachveliminatesvthevneedvtov clearlyvdefinevthe
responsibilitiesvofvnursingvinvsuchvavsetting.‖
c. ―Nursingvactionsvarev identifiedvbyvthev institutionvthatv distinguishesvnursingv from
othervmentalvhealthvprofessions.‖
d. ―Nursingvoffersvuniquevcontributionsvtovthevpsychotherapeuticv managementvof
psychiatricv patients.‖
ANSWER:v D
Professionalvrolevoverlapvcannotvbevdenied;vhowever,vnursingvisvuniquevinvitsvfocusvonvandvappl
icationvofvpsychotherapeuticvmanagement.vNeithervthevfacilityvnorvthevmultidisciplinaryvteamvde
finevthevprofessionalvresponsibilitiesvofvitsvmembersvbutvrathervutilizesvtheirvuniquevskillsvtovpro
videvholisticvcare.vIdeally,vallvteamvmembersvsupportveachvothervandvhavevfunctionsvwithinvthevt
eam.
DIF: Cognitivevlevel:vAnalyzing
TOP:v Nursingvprocess:vImplementationvMSC:v ClientvNeeds:vSafe,vEffectivev
CarevEnvironment
2. Whichvcomponentvofvthevnursingvprocessvwillvthevnursevfocusvuponvtovaddressvthevr
esponsibilityvtovmatchvindividualvpatientv needsvwithvappropriatevservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:v C
Propervassessmentvisvcriticalvforvbeingvablevtovdeterminevthevappropriatevlevelvofvservicesvthatvwi
llvprovidevoptimalvcarevwhilevconsideringvpatientvinputvandvatvthevlowestvcost.vPlanningvandvimp
lementationvutilizesvthevassessmentvdatavtovidentifyvandvexecutevactionsv(treatmentvplan)vthatvwi
llvprovidevappropriatevcare.vEvaluationvvalidatesvtheveffectivenessvofvthevtreatmentvplan.
DIF: Cognitivevlevel:vApplying
TOP:v Nursingvprocess:vAssessmentvMSC:v ClientvNeeds:vSafe,vEffectivev
CarevEnvironment
3. Anvadultvdiagnosedvwithvparanoidvschizophreniavfrequentvexperiencesvauditoryvhallucinationsva
ndvwalksvaboutvthevunit,vmuttering.vWhichvnursingvactionvdemonstratesvthevnurse‘svunderstand
ingvofveffectivevpsychotherapeuticvmanagementv ofvthisvclient?
a. Discussingvthevdiseasevprocessvofvschizophreniavwithvthevclientvandvtheirvdomestic
partner
b. Minimizingvcontactvbetweenvthisvpatientvandvothervpatientsvtovassurevavstressvfree
milieu
c. AdministeringvPRNvmedicationvwhenvfirstvobservingvthevevidencevthatvthevclient
, mayvbevhallucinating
d. Independentlyvdeterminingvthatvbehaviorvmodificationvisvappropriatevtovdecrease
thevclient‘svparanoidvthoughts
ANSWER:v A
Anvunderstandingvofvpsychopathologyvisvthevfoundationvonvwhichvthevthreevcomponentsvofvpsych
otherapeuticvmanagementvrest;vitvfacilitatesvtherapeuticvcommunicationvandvprovidesvavbasisvforvu
nderstandingvpsychopharmacologyvandvmilieuvmanagement.vMinimizingvcontactvbetweenvthevpat
ientvandvothersvandvadministeringvPRNvmedicationvindiscriminatelyvarevnontherapeuticvinterventi
ons.vUsingvbehaviorvmodificationvtovdecreasevthevfrequencyvofvhallucinationsvwouldvneedvtovbevin
corporatedvintovthevplanvofvcarevbyvthevcarevteam.
DIF: Cognitivevlevel:vApplying
TOP:v Nursingvprocess:vImplementationvMSC:v ClientvNeeds:vSafe,vEffectivev
CarevEnvironment
4. Anvadultvdiagnosedvwithvchronicvdepressionvisvhospitalizedvaftervavsuicidevattempt.vWhichvi
nterventionvisvcriticalvinvassuringvlong-
term,veffectivevclientvcarevasvdescribedvbyvpsychotherapeuticvmanagement?
a. Involvementvinvgroupvtherapies
b. Focusvofvclosevsupervisionvbyvthevunitv staff
c. Maintainingveffectivevcommunicationvwithvsupportvsystem
d. Frequentlyvscheduledvone-on-onevtimevwithvnursingvstaff
ANSWER:v D
Avcriticalvelementvofvpsychotherapeuticvmanagementvisvthevpresencevofvavtherapeutic
nurse-patientvrelationship.vOne-on-
onevtimevwithvnursingvstaffvwillvhelpvinvestablishingvthisvconnection.vWhilevthevothervoptionsvarev
appropriatevandvclientvcentered,vthevnurse-clientvrelationvisvcriticalvinvthev long-
termvdeliveryvofvqualityveffectivevcarevtovthisvclient.
DIF: Cognitivevlevel:vApplying
TOP:v Nursingvprocess:vImplementationvMSC:v ClientvNeeds:vPsychosocialvInt
egrity
5. Avpatient‘svhaloperidolvdosagevwasvreducedv2vweeksvagovtovdecreasevsideveffects.vWhatvas
sessmentvquestionvdemonstratesvthevnurse‘svunderstandingvofvthevresultingvneedsvofvthevcli
ent?
a. ―Willvyouvhavevanyvdifficultyvgettingv yourvprescriptionvrefilled?‖
b. ―Havev youvbegunvexperiencingvanyvformsvofvhallucinations?‖
c. ―Whatv dovyouvexpectv willvoccurvsincevthevdosagevhasvbeenvreduced?‖
d. ―Whatv canvIvdovtov helpv youv managevthisvreductionvinvhaloperidolvtherapy?‖
ANSWER:v B
Itvwillvbevnecessaryvforvthevnursevtovassessvforvexacerbationvofvthevpatient‘svsymptomsvofvpsych
osisvasvwellvasvforvavlesseningvofvsideveffects.vDosagevdecreasevmightvleadvtovthevreturnvorvworse
ningvofvpositivevsymptomsvsuchvasvhallucinationsvandvdelusions,vandvnegativevsymptomsvsuchv
asvbluntedvaffect,vsocialvwithdrawal,vandvpoorvgrooming.vWhilevthevothervoptionsvmayvbevappro
priatevassessmentvquestions,vtheyvarevnotvdirectedvatvthevcurrentvneedsvofvthevclient;vthevidentific
ationvofvemergingvpsychoticvbehaviors.
DIF: Cognitivevlevel:vAnalyzing
TOP:v Nursingvprocess:vAssessmentvMSC:v ClientvNeeds:vPhysiologicvInte
grity
vKeltners Psychiatric Nursing, 9th Edition (Steel
v v v v v
e), v
Chapters 1 - 36 | All Chapters Complete
v v v v v v v v
,
,Chapter 01: Med, Meds, Milieu
v v v v
Keltner: Psychiatric Nursing, 8th Edition
v v v v
MULTIPLEvCHOICE
1. Avnewlyvlicensedvasksvavnursingvrecruitervforvavdescriptionvofvnursingvpracticevinvthevp
sychiatricvsetting.vWhatv isvthevnursevrecruiter‘svbestvresponse?
a. ―Thevnursevprimarilyvservesvinvavsupportivevrolevtovmembersvofvthevhealthvcare
deliveryvteam.‖
b. ―Thev multidisciplinaryvapproachveliminatesvthevneedvtov clearlyvdefinevthe
responsibilitiesvofvnursingvinvsuchvavsetting.‖
c. ―Nursingvactionsvarev identifiedvbyvthev institutionvthatv distinguishesvnursingv from
othervmentalvhealthvprofessions.‖
d. ―Nursingvoffersvuniquevcontributionsvtovthevpsychotherapeuticv managementvof
psychiatricv patients.‖
ANSWER:v D
Professionalvrolevoverlapvcannotvbevdenied;vhowever,vnursingvisvuniquevinvitsvfocusvonvandvappl
icationvofvpsychotherapeuticvmanagement.vNeithervthevfacilityvnorvthevmultidisciplinaryvteamvde
finevthevprofessionalvresponsibilitiesvofvitsvmembersvbutvrathervutilizesvtheirvuniquevskillsvtovpro
videvholisticvcare.vIdeally,vallvteamvmembersvsupportveachvothervandvhavevfunctionsvwithinvthevt
eam.
DIF: Cognitivevlevel:vAnalyzing
TOP:v Nursingvprocess:vImplementationvMSC:v ClientvNeeds:vSafe,vEffectivev
CarevEnvironment
2. Whichvcomponentvofvthevnursingvprocessvwillvthevnursevfocusvuponvtovaddressvthevr
esponsibilityvtovmatchvindividualvpatientv needsvwithvappropriatevservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:v C
Propervassessmentvisvcriticalvforvbeingvablevtovdeterminevthevappropriatevlevelvofvservicesvthatvwi
llvprovidevoptimalvcarevwhilevconsideringvpatientvinputvandvatvthevlowestvcost.vPlanningvandvimp
lementationvutilizesvthevassessmentvdatavtovidentifyvandvexecutevactionsv(treatmentvplan)vthatvwi
llvprovidevappropriatevcare.vEvaluationvvalidatesvtheveffectivenessvofvthevtreatmentvplan.
DIF: Cognitivevlevel:vApplying
TOP:v Nursingvprocess:vAssessmentvMSC:v ClientvNeeds:vSafe,vEffectivev
CarevEnvironment
3. Anvadultvdiagnosedvwithvparanoidvschizophreniavfrequentvexperiencesvauditoryvhallucinationsva
ndvwalksvaboutvthevunit,vmuttering.vWhichvnursingvactionvdemonstratesvthevnurse‘svunderstand
ingvofveffectivevpsychotherapeuticvmanagementv ofvthisvclient?
a. Discussingvthevdiseasevprocessvofvschizophreniavwithvthevclientvandvtheirvdomestic
partner
b. Minimizingvcontactvbetweenvthisvpatientvandvothervpatientsvtovassurevavstressvfree
milieu
c. AdministeringvPRNvmedicationvwhenvfirstvobservingvthevevidencevthatvthevclient
, mayvbevhallucinating
d. Independentlyvdeterminingvthatvbehaviorvmodificationvisvappropriatevtovdecrease
thevclient‘svparanoidvthoughts
ANSWER:v A
Anvunderstandingvofvpsychopathologyvisvthevfoundationvonvwhichvthevthreevcomponentsvofvpsych
otherapeuticvmanagementvrest;vitvfacilitatesvtherapeuticvcommunicationvandvprovidesvavbasisvforvu
nderstandingvpsychopharmacologyvandvmilieuvmanagement.vMinimizingvcontactvbetweenvthevpat
ientvandvothersvandvadministeringvPRNvmedicationvindiscriminatelyvarevnontherapeuticvinterventi
ons.vUsingvbehaviorvmodificationvtovdecreasevthevfrequencyvofvhallucinationsvwouldvneedvtovbevin
corporatedvintovthevplanvofvcarevbyvthevcarevteam.
DIF: Cognitivevlevel:vApplying
TOP:v Nursingvprocess:vImplementationvMSC:v ClientvNeeds:vSafe,vEffectivev
CarevEnvironment
4. Anvadultvdiagnosedvwithvchronicvdepressionvisvhospitalizedvaftervavsuicidevattempt.vWhichvi
nterventionvisvcriticalvinvassuringvlong-
term,veffectivevclientvcarevasvdescribedvbyvpsychotherapeuticvmanagement?
a. Involvementvinvgroupvtherapies
b. Focusvofvclosevsupervisionvbyvthevunitv staff
c. Maintainingveffectivevcommunicationvwithvsupportvsystem
d. Frequentlyvscheduledvone-on-onevtimevwithvnursingvstaff
ANSWER:v D
Avcriticalvelementvofvpsychotherapeuticvmanagementvisvthevpresencevofvavtherapeutic
nurse-patientvrelationship.vOne-on-
onevtimevwithvnursingvstaffvwillvhelpvinvestablishingvthisvconnection.vWhilevthevothervoptionsvarev
appropriatevandvclientvcentered,vthevnurse-clientvrelationvisvcriticalvinvthev long-
termvdeliveryvofvqualityveffectivevcarevtovthisvclient.
DIF: Cognitivevlevel:vApplying
TOP:v Nursingvprocess:vImplementationvMSC:v ClientvNeeds:vPsychosocialvInt
egrity
5. Avpatient‘svhaloperidolvdosagevwasvreducedv2vweeksvagovtovdecreasevsideveffects.vWhatvas
sessmentvquestionvdemonstratesvthevnurse‘svunderstandingvofvthevresultingvneedsvofvthevcli
ent?
a. ―Willvyouvhavevanyvdifficultyvgettingv yourvprescriptionvrefilled?‖
b. ―Havev youvbegunvexperiencingvanyvformsvofvhallucinations?‖
c. ―Whatv dovyouvexpectv willvoccurvsincevthevdosagevhasvbeenvreduced?‖
d. ―Whatv canvIvdovtov helpv youv managevthisvreductionvinvhaloperidolvtherapy?‖
ANSWER:v B
Itvwillvbevnecessaryvforvthevnursevtovassessvforvexacerbationvofvthevpatient‘svsymptomsvofvpsych
osisvasvwellvasvforvavlesseningvofvsideveffects.vDosagevdecreasevmightvleadvtovthevreturnvorvworse
ningvofvpositivevsymptomsvsuchvasvhallucinationsvandvdelusions,vandvnegativevsymptomsvsuchv
asvbluntedvaffect,vsocialvwithdrawal,vandvpoorvgrooming.vWhilevthevothervoptionsvmayvbevappro
priatevassessmentvquestions,vtheyvarevnotvdirectedvatvthevcurrentvneedsvofvthevclient;vthevidentific
ationvofvemergingvpsychoticvbehaviors.
DIF: Cognitivevlevel:vAnalyzing
TOP:v Nursingvprocess:vAssessmentvMSC:v ClientvNeeds:vPhysiologicvInte
grity
