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Test Bank for Psychiatric Nursing 8th Edition by Keltner

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Test Bank for
Psychiatric
Nursing 8th
Edition by
Keltner
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Chapter 01: Med, Meds, Milieu
Keltner: Psychiatric Nursing, 8th Edition


MULTIPLE CHOICE

1. A newly licensed asks a nursing recruiter for a description of nursing practice in the psychiatric setting
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.”
ANS: D
Professional role overlap cannot be denied; however, nursing is unique in its focus on and application o
management. Neither the facility nor the multidisciplinary team define the professional responsibilities
utilizes their unique skills to provide holistic care. Ideally, all team members support each other and ha

DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation
MSC: Client Needs: Safe, Effective Care Environment

2. Which component of the nursing process will the nurse focus upon to address the responsibility to mat
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 prov
considering patient input and at the lowest cost. Planning and implementation utilizes the assessment d
actions (treatment plan) that will provide appropriate care. Evaluation validates the effectiveness of the

DIF: Cognitive level: Applying TOP: Nursing process: Assessment
MSC: Client Needs: Safe, Effective Care Environment

3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations and walk
Which nursing action demonstrates the nurse’s understanding of effective psychotherapeutic managem
a. Discussing the disease process of schizophrenia with the client 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 client
may be hallucinating
d. Independently determining that behavior modification is appropriate to decrease
the client’s paranoid thoughts
ANS: A
An understanding of psychopathology is the foundation on which the three components of psychothera
facilitates therapeutic communication and provides a basis for understanding psychopharmacology and
Minimizing contact between the patient and others and administering PRN medication indiscriminately
interventions. Using behavior modification to decrease the frequency of hallucinations would need to b
of care by the care team.
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DIF: Cognitive level: Applying TOP: Nursing process: Implementation
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MSC: Client Needs: Safe, Effective Care Environment

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