Test Bank for Keltner’s Psychiatric Nursing, 9th Edition by Debbie Steele.pdf

Test Bank for Keltner’s Psychiatric Nu
m m m m mm




rsing, 9th Edition by Debbie Steele
m m m m m m




|Chapter 1-36 | All Chapters m m m m




Chapter m01:mMe,mMeds,mMilieu
Steele:mKeltner’smPsychiatric mNursing,m9thmEdition

MULTIPLEmCHOICE

1. A mnewlymlicensed mnursemasksmamnursingmrecruitermformamdescriptionmof mnursingmpracticeminmt
hempsychiatricmsetting.mWhat mismthemnursemrecruiter‘smbest mresponse?
a. ―Themnursemprimarilymservesmin mamsupportive mrole mtommembersmof mthemhealthmcare
mdeliverymteam.‖

b. ―Themmultidisciplinarymapproachmeliminatesmthemneed mtomclearlymdefinemthemrespo
nsibilitiesmof mnursingminmsuchmamsetting.‖
c. ―Nursingmactionsmaremidentified mbymtheminstitutionmthat mdistinguishesmnursingmfro
mmothermmentalmhealthmprofessions.‖
d. ―Nursingmoffersmuniquemcontributionsmtomthempsychotherapeuticmmanagement mof m
psychiatricmpatients.‖
ANS:m D
Professionalmrolemoverlapmcannot mbemdenied;mhowever,mnursingmismuniquem inmitsmfocusmonmand m
applicationmof mpsychotherapeuticmmanagement.mNeithermthemfacilitymnormthemmultidisciplinarym
teammdefinemthemprofessionalmresponsibilitiesmof mitsmmembersmbut mrathermutilizesmtheir muniquem
skillsmtomprovidemholisticmcare.mIdeally,mallmteammmembersmsupport meach mothermand mhavemfuncti
onsmwithinmthemteam.

DIF: Cognitivemlevel:mAnalyzing
TOP:mNursingmprocess:mImplementationmMSC:mClientmNeeds:mSafe,mEffectiv
emCaremEnvironment

2. Whichmcomponent mof mthemnursingmprocessmwillmthemnursemfocusmuponmtomaddressmt
hemresponsibilitymtommatchmindividualmpatient mneedsmwithmappropriatemservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS:m C
Propermassessment mismcriticalmformbeingmablemtomdeterminemthemappropriatemlevelmof mservicesmth
at mwillmprovidemoptimalmcaremwhilemconsideringmpatient minput mand mat mthemlowest mcost.mPlanning
mand mimplementationmutilizesmthemassessment mdatamtomidentifymand mexecutemactionsm(treatment m

plan)mthat mwillmprovidemappropriatemcare.mEvaluationmvalidatesmthemeffectivenessmof mthemtreatme
nt mplan.

DIF: Cognitivemlevel:mApplying
TOP:mNursingmprocess:mAssessmentmMSC:mClientmNeeds:mSafe,mEffectiv
emCaremEnvironment

3. Anmadult mdiagnosed mwithmparanoid mschizophreniamfrequentlymexperiencesmauditorymhalluci

,nationsmand mwalksmabout mthemunit,mmuttering.mWhichmnursingmactionmdemonstratesmthemnurs
e‘smunderstandingmof meffectivempsychotherapeuticmmanagement mof mthismclient?

,a. Discussingmthemdiseasemprocessmof mschizophreniamwithmthemclient mand mtheirmdomesti
cmpartner
b. Minimizingmcontact mbetweenmthismpatient mand mothermpatientsmtomassuremamstress-
freemmilieu
c. AdministeringmPRN mmedicationmwhenmfirst mobservingmthemevidencemthat mthemclient

, maymbemhallucinating
d. Independentlymdeterminingmthat mbehaviormmodificationmismappropriatemtomdecreas
emthemclient‘smparanoid mthoughts
ANS:mA
Anmunderstandingmof mpsychopathologymismthemfoundationmonmwhichmthemthreemcomponentsmof m
psychotherapeuticmmanagement mrest;mit mfacilitatesmtherapeuticmcommunicationmand mprovidesma
mbasismformunderstandingmpsychopharmacology mand mmilieummanagement.mMinimizingmcontact

mbetweenmthempatient mand mothersmand madministeringmPRN mmedicationmindiscriminatelymaremno

ntherapeuticminterventions.mUsingmbehaviormmodificationmtomdecreasemthemfrequencymof mhalluc
inationsmwould mneed mtombemincorporated mintomthemplanmof mcarembymthemcaremteam.

DIF: Cognitivemlevel:mApplying
TOP:mNursingmprocess:mImplementationmMSC:mClientmNeeds:mSafe,mEffectiv
emCaremEnvironment

4. Anmadult mdiagnosed mwithmchronicmdepressionmismhospitalized maftermamsuicidemattempt.mWhi
chminterventionmismcriticalminmassuring mlong-
term,meffectivemclient mcaremasmdescribed mbympsychotherapeuticmmanagement?
a. Involvement minmgroupmtherapies
b. Focusmof mclosemsupervisionmbymthemunit mstaff
c. Maintainingmeffectivemcommunicationmwithmsupport msyste
m
d. Frequentlymscheduled mone-on-onemtimemwithmnursingmstaff

ANS:mD
A mcriticalmelement mof mpsychotherapeuticmmanagement mismthempresencemof mamtherapeutic
nurse-patient mrelationship.mOne-on-
onemtimemwithmnursingmstaff mwillmhelpminmestablishingmthismconnection.mWhilemthemothermoption
smaremappropriatemand mclient mcentered,mthemnurse-client mrelationmismcriticalminmthem long-
termmdeliverymof mqualitymeffectivemcaremtomthismclient.

DIF: Cognitivemlevel:mApplying
TOP:mNursingmprocess:mImplementationmMSC:mClientmNeeds:mPsychosocialm
Integrity

5. A mpatient‘smhaloperidolmdosagemwasmreduced m2mweeksmagomtomdecreasemsidemeffects.mWh
at massessment mquestionmdemonstratesmthemnurse‘smunderstandingmof mthemresultingmneedsmo
f mthemclient?
a. ―Willmyoumhavemanymdifficultymgettingmyourmprescriptionmrefilled?‖
b. ―Havemyoumbegunmexperiencingmanymformsmof mhallucinations?‖
c. ―What mdomyoumexpect mwillmoccurmsincemthemdosagemhasmbeenmreduced?‖
d. ―What mcanmI mdomtomhelpmyoummanagemthismreductionminmhaloperidolmtherapy
?‖
ANS:mB
It mwillmbemnecessarymformthemnursemtomassessmformexacerbationmof mthempatient‘smsymptomsmof mp
sychosismasmwellmasmformamlesseningmof msidemeffects.mDosagemdecreasemmight mlead mtomthemreturn
mormworseningmof mpositivemsymptomsmsuchmasmhallucinationsmand mdelusions,mand mnegativemsy

mptomsmsuchmasmblunted maffect,msocialmwithdrawal,mand mpoormgrooming.mWhilemthemothermopti
onsmmaymbemappropriatemassessment mquestions,mtheymaremnot mdirected mat mthemcurrent mneedsmof mt
hemclient mwhichmismthemidentificationmof memergingmpsychoticmbehaviors.

DIF: Cognitivemlevel:mAnalyzing
TOP:mNursingmprocess:mAssessmentmMSC:mClientmNeeds:mPhysiologic mI
ntegrity