9th Edition by Debbie Steele, Verified
Chapters 1 – 36
,Table of Contents
Chapter 01 Me, Meds, Milieu
Chapter 02 Historical Issues
11
Chapter 03 Legal Issues
19
Chapter 04 Psychobiologic Bases of Behavior
29
Chapter 05 Cultural Issues
38
Chapter 06 Spiritual Issues
47
Chapter 07 Models for Working with Psychiatric Patients 54
Chapter 08 Learning to Communicate Professionally
64
Chapter 09 Working With an Individual Patient
72
Chapter 10 Working With Groups of Patients 86
Chapter 11Working With the Family
95
Chapter 12 Introduction to Psychotropic Drugs
103
Chapter 13 Antiparkinsonian Drugs
110
Chapter 14 Antipsychotic Drugs
118
Chapter 15 Antidepressant Drugs 128
Chapter 16 Antimanic Drugs
135
Chapter 17 Antianxiety Drugs 143
Chapter 18 Antidementia Drugs
152
Chapter 19 Alternative Preparations and Over - the- Counter Drugs 158
Chapter 20 Introduction to Milieu Management
,165
Chapter 21 Variables Affecting the Therapeutic Environment Violence and Suicide
173
Chapter 22 Therapeutic Environment in Various Treatment Settings 185
Chapter 23 Introduction to Psychopathology 191
Chapter 24 Schizophrenia Spectrum and Other Psychotic Disorders 197
Chapter 25 Depressive Disorders
204
Chapter 26 Bipolar Disorders
211
Chapter 27 Anxiety - Related, Obsessive - Compulsive, Trauma - and Stressor -
Related, Somatic, and Dissociative Disorders
218
Chapter 28 Neurocognitive Disorders 227
Chapter 29 Personality Disorders
236
Chapter 30 Sexual Disorders and Gender Dysphoria 245
Chapter 31 Substance Use Disorders
252
Chapter 32 Eating Disorders 261
Chapter 33 Survivors of Violence and Trauma
268
Chapter 34 Children and Adolescents
277
Chapter 35 Older Adults
284
Chapter 36 Soldiers and Veterans
, Chapter 01: Me, Meds, Milieu
Steele: Keltner’s Psychiatric Nursing, 9th Edition
MULTIPLE CHOICE
1. A newly licensed nurse asks a nursing recruiter for a description of nursing
practice in thepsychiatric 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. ―Nurs ing action s are identified by the ins titution that dis tingui s hes
nur s ing from
other mental health professions. ‖
d. ―Nursing offers unique contributions to the psychotherapeutic
management of
psychiatric patients
ANS: 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
multidisciplinaryteam 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:
ImplementationMSC: Client Needs: Safe, Effective Care
Environment
2. Which component of the nursing process will the nurse focus
upon to address theresponsibility to match individual patient
needs with appropriate services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: 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: AssessmentMSC: Client Needs: Safe, Effective Care
Environment
3. An adult diagnosed with paranoid schizophrenia frequently experiences auditory
hallucinations and walks about the unit, muttering. Which nursing action
demonstrates thenurse‘s understanding of effective psychotherapeutic
management of this client?