Test Bank For Keltner’s Psychiatric Nursing, 9th Edition By Debbie
Steele | 9780323791960 | Chapter 1- 21 | Complete Guide New Edition
2025 Graded A+
, Test Bank
Psychiatric Nursing 8th Edition Keltner
Chapter 01: Med, Meds, Milieu Keltner: Psychiatric Nursing, 9th Edition
MULTIPLE CHOICE
1. A newly licensed asks a nursing recruiter for a description of nursing practice in the
psychiatric setting. What is the nurse recruiter’s best response?
a. “The nurse primarily serves in a supportive role to members of the health care delivery
team.”
b. “The multidisciplinary approach eliminates the need to clearly define the responsibilities of
nursing in such a setting.”
c. “Nursing actions are identified by the institution that distinguishes nursing from other
mental health professions.”
d. “Nursing offers unique contributions to the psychotherapeutic management of psychiatric
patients.”
CORRECT:: D
Professional role overlap cannot be denied; however, nursing is unique in its focus on and
application of psychotherapeutic management. Neither the facility nor the multidisciplinary
team define the professional responsibilities of its members but rather utilizes their unique
skills to provide holistic care. Ideally, all team members support each other and have
functions within the team.
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC:
Patient Needs: Safe, Effective Care Environment
2.
N R I G B . C
Which component of the nur sinUg pSro ceNs s wTi ll th eOnu rse focus upon to
M
address the responsibility to match individual patient needs with appropriate services? a.
Planning
b. Evaluation
c. Assessment
d. Implementation
CORRECT:: C
Proper assessment is critical for being able to determine the appropriate level of services that
will provide optimal care while considering patient input and at the lowest cost. Planning and
implementation utilizes the assessment data to identify and execute actions (treatment plan)
that will provide appropriate care. Evaluation validates the effectiveness of the treatment plan.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: Patient Needs: Safe, Effective Care Environment
3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations
NURSINGTB.COM
, Psychiatric Nursing 8th Edition Keltner Test Bank
and walks about the unit, muttering. Which nursing action demonstrates the nurse’s
understanding of effective psychotherapeutic management of this patient?
a. Discussing the disease process of schizophrenia with the patient and their domestic partner
b. Minimizing contact between this patient and other patients to assure a stress free milieu
c. Administering PRN medication when first observing the evidence that the patient
may be hallucinating
d. Independently determining that behavior modification is appropriate to decrease the
patient’s paranoid thoughts
CORRECT:: A
An understanding of psychopathology is the foundation on which the three components of
psychotherapeutic management rest; it facilitates therapeutic communication and provides a
basis for understanding psychopharmacology and milieu management. Minimizing contact
between the patient and others and administering PRN medication indiscriminately are
nontherapeutic interventions. Using behavior modification to decrease the frequency of
hallucinations would need to be incorporated into the plan of care by the care team.
DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC:
Patient Needs: Safe, Effective Care Environment
4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
intervention is critical in assuring long-term, effective patient care as described by
psychotherapeutic management?
a. Involvement in group therapies
b. Focus of close supervision by the unit staff
c. Maintaining effective communication with support system
d. Frequently scheduled one-on-one time with nursing staff
CORRECT:: D
A critical element of psychotherapeutic management is the presence of a therapeutic nurse-
patient relationship. One-on-one time with nursing staff will help in establishing this
connection. While the other options are appropriate and patient centered, the nurse-patient
relation is critical in the longN-teUrmRSdeIliNveGrTy oBf.qCuaOliMty effective
care to this patient.
DIF: Cognitive level: Applying TOP: Nursing process: Implementation
MSC: Patient Needs: Psychosocial Integrity
5. A patient’s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
assessment question demonstrates the nurse’s understanding of the resulting needs of the
patient?
a. “Will you have any difficulty getting your prescription refilled?”
b. “Have you begun experiencing any forms of hallucinations?”
c. “What do you expect will occur since the dosage has been reduced?”
d. “What can I do to help you manage this reduction in haloperidol therapy?”
CORRECT:: B
It will be necessary for the nurse to assess for exacerbation of the patient’s symptoms of
psychosis as well as for a lessening of side effects. Dosage decrease might lead to the return or
worsening of positive symptoms such as hallucinations and delusions, and negative symptoms
NURSINGTB.COM
, Psychiatric Nursing 8th Edition Keltner Test Bank
such as blunted affect, social withdrawal, and poor grooming. While the other options may be
appropriate assessment questions, they are not directed at the current needs of the patient; the
identification of emerging psychotic behaviors.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment MSC:
Patient Needs: Physiologic Integrity
6. Which statement forms the foundation upon which a nurse should base the implementation of
psychotherapeutic management to the care of a patient with mental illness?
a. The nurse’s role in patient care is supported by the multidisciplinary team.
b. Omitting any one component will compromise the effectiveness of the treatment.
c. The most important element of psychotherapeutic management is drug therapy.
d. A therapeutic nurse-patient relationship is the most important aspect of treatment.
CORRECT:: B
When one element is missing, treatment is usually compromised. No single element is more
important than the others; however, patients’ needs govern the application of the components
and permit judicious use. The remaining options identify components of the
psychotherapeutic management process.
DIF: Cognitive level: Analyzing TOP: Nursing process: Analysis MSC:
Patient Needs: Safe, Effective Care Environment
7. Which statement most accurately describes a nurse’s role regarding psychopharmacology?
a. “You will need to frequently make decisions regarding the administration of PRN
medications to help the patient manage anger.”
b. “It’s a nursing responsibility to adjust a medication dose to assure effective patient
responses.”
c. “Nurses administers medications while evaluating drug effectiveness is a medical
responsibility.”
d. “To best assure appropriate response, a patient’s questions about drug therapy should be
referred to the psychiatrist.”
CORRECT:: A
Nursing assessment and
N U RS
anal ys is o f
I
d a
NsymptomstaGmTigBh.t C
s u
O M
become gg est the need for PRN medication as more acute. The nurse is the health patient
anxiety increases or psychotic
team member who makes this determination. Nurses are responsible for monitoring drug
effectiveness as well as administering medication. Nurses should assume responsibility for
teaching patients about the side effects of medications. Nurses cannot alter prescribed dosages
of medications unless they have prescriptive privileges.
DIF: Cognitive level: Analyzing TOP: Nursing process: Analysis MSC:
Patient Needs: Safe, Effective Care Environment
8. When considering environmental aspects of milieu management, which intervention has the
highest priority for a patient admitted after a failed suicide attempt?
a. Sending the patient’s new medication prescriptions to the pharmacy
NURSINGTB.COM
Steele | 9780323791960 | Chapter 1- 21 | Complete Guide New Edition
2025 Graded A+
, Test Bank
Psychiatric Nursing 8th Edition Keltner
Chapter 01: Med, Meds, Milieu Keltner: Psychiatric Nursing, 9th Edition
MULTIPLE CHOICE
1. A newly licensed asks a nursing recruiter for a description of nursing practice in the
psychiatric setting. What is the nurse recruiter’s best response?
a. “The nurse primarily serves in a supportive role to members of the health care delivery
team.”
b. “The multidisciplinary approach eliminates the need to clearly define the responsibilities of
nursing in such a setting.”
c. “Nursing actions are identified by the institution that distinguishes nursing from other
mental health professions.”
d. “Nursing offers unique contributions to the psychotherapeutic management of psychiatric
patients.”
CORRECT:: D
Professional role overlap cannot be denied; however, nursing is unique in its focus on and
application of psychotherapeutic management. Neither the facility nor the multidisciplinary
team define the professional responsibilities of its members but rather utilizes their unique
skills to provide holistic care. Ideally, all team members support each other and have
functions within the team.
DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation MSC:
Patient Needs: Safe, Effective Care Environment
2.
N R I G B . C
Which component of the nur sinUg pSro ceNs s wTi ll th eOnu rse focus upon to
M
address the responsibility to match individual patient needs with appropriate services? a.
Planning
b. Evaluation
c. Assessment
d. Implementation
CORRECT:: C
Proper assessment is critical for being able to determine the appropriate level of services that
will provide optimal care while considering patient input and at the lowest cost. Planning and
implementation utilizes the assessment data to identify and execute actions (treatment plan)
that will provide appropriate care. Evaluation validates the effectiveness of the treatment plan.
DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: Patient Needs: Safe, Effective Care Environment
3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations
NURSINGTB.COM
, Psychiatric Nursing 8th Edition Keltner Test Bank
and walks about the unit, muttering. Which nursing action demonstrates the nurse’s
understanding of effective psychotherapeutic management of this patient?
a. Discussing the disease process of schizophrenia with the patient and their domestic partner
b. Minimizing contact between this patient and other patients to assure a stress free milieu
c. Administering PRN medication when first observing the evidence that the patient
may be hallucinating
d. Independently determining that behavior modification is appropriate to decrease the
patient’s paranoid thoughts
CORRECT:: A
An understanding of psychopathology is the foundation on which the three components of
psychotherapeutic management rest; it facilitates therapeutic communication and provides a
basis for understanding psychopharmacology and milieu management. Minimizing contact
between the patient and others and administering PRN medication indiscriminately are
nontherapeutic interventions. Using behavior modification to decrease the frequency of
hallucinations would need to be incorporated into the plan of care by the care team.
DIF: Cognitive level: Applying TOP: Nursing process: Implementation MSC:
Patient Needs: Safe, Effective Care Environment
4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
intervention is critical in assuring long-term, effective patient care as described by
psychotherapeutic management?
a. Involvement in group therapies
b. Focus of close supervision by the unit staff
c. Maintaining effective communication with support system
d. Frequently scheduled one-on-one time with nursing staff
CORRECT:: D
A critical element of psychotherapeutic management is the presence of a therapeutic nurse-
patient relationship. One-on-one time with nursing staff will help in establishing this
connection. While the other options are appropriate and patient centered, the nurse-patient
relation is critical in the longN-teUrmRSdeIliNveGrTy oBf.qCuaOliMty effective
care to this patient.
DIF: Cognitive level: Applying TOP: Nursing process: Implementation
MSC: Patient Needs: Psychosocial Integrity
5. A patient’s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
assessment question demonstrates the nurse’s understanding of the resulting needs of the
patient?
a. “Will you have any difficulty getting your prescription refilled?”
b. “Have you begun experiencing any forms of hallucinations?”
c. “What do you expect will occur since the dosage has been reduced?”
d. “What can I do to help you manage this reduction in haloperidol therapy?”
CORRECT:: B
It will be necessary for the nurse to assess for exacerbation of the patient’s symptoms of
psychosis as well as for a lessening of side effects. Dosage decrease might lead to the return or
worsening of positive symptoms such as hallucinations and delusions, and negative symptoms
NURSINGTB.COM
, Psychiatric Nursing 8th Edition Keltner Test Bank
such as blunted affect, social withdrawal, and poor grooming. While the other options may be
appropriate assessment questions, they are not directed at the current needs of the patient; the
identification of emerging psychotic behaviors.
DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment MSC:
Patient Needs: Physiologic Integrity
6. Which statement forms the foundation upon which a nurse should base the implementation of
psychotherapeutic management to the care of a patient with mental illness?
a. The nurse’s role in patient care is supported by the multidisciplinary team.
b. Omitting any one component will compromise the effectiveness of the treatment.
c. The most important element of psychotherapeutic management is drug therapy.
d. A therapeutic nurse-patient relationship is the most important aspect of treatment.
CORRECT:: B
When one element is missing, treatment is usually compromised. No single element is more
important than the others; however, patients’ needs govern the application of the components
and permit judicious use. The remaining options identify components of the
psychotherapeutic management process.
DIF: Cognitive level: Analyzing TOP: Nursing process: Analysis MSC:
Patient Needs: Safe, Effective Care Environment
7. Which statement most accurately describes a nurse’s role regarding psychopharmacology?
a. “You will need to frequently make decisions regarding the administration of PRN
medications to help the patient manage anger.”
b. “It’s a nursing responsibility to adjust a medication dose to assure effective patient
responses.”
c. “Nurses administers medications while evaluating drug effectiveness is a medical
responsibility.”
d. “To best assure appropriate response, a patient’s questions about drug therapy should be
referred to the psychiatrist.”
CORRECT:: A
Nursing assessment and
N U RS
anal ys is o f
I
d a
NsymptomstaGmTigBh.t C
s u
O M
become gg est the need for PRN medication as more acute. The nurse is the health patient
anxiety increases or psychotic
team member who makes this determination. Nurses are responsible for monitoring drug
effectiveness as well as administering medication. Nurses should assume responsibility for
teaching patients about the side effects of medications. Nurses cannot alter prescribed dosages
of medications unless they have prescriptive privileges.
DIF: Cognitive level: Analyzing TOP: Nursing process: Analysis MSC:
Patient Needs: Safe, Effective Care Environment
8. When considering environmental aspects of milieu management, which intervention has the
highest priority for a patient admitted after a failed suicide attempt?
a. Sending the patient’s new medication prescriptions to the pharmacy
NURSINGTB.COM
