Psychiatric Nursing 8th Edition Test Ban
m m m m m
k
Chapter m01:mMed,mMeds,mMilieu
Keltner:mPsychiatric mNursing,m8thmEdition
MULTIPLEmCHOICE
1. A mnewlymlicensed masksmamnursingmrecruitermformamdescriptionmof mnursingmpracti
ceminmthempsychiatricmsetting.mWhat mismthemnursemrecruiter’smbest mresponse?
a. “Themnursemprimarilymservesm inmamsupportivem rolemtommembersmof mthe
healthmcaremdeliverymteam.”
b. “Themmultidisciplinarymapproachmeliminatesmthemneed mtomclearly mdefin
emthemresponsibilitiesmof mnursingminmsuchmam setting.”
c. “Nursingmactionsmaremidentified mbymtheminstitutionmthat mdistinguishesmn
ursingmfrommothermmentalmhealthmprofessions.”
d. “Nursingmoffersmuniquemcontributionsmtomthempsychotherapeuticmmana
gement mof mpsychiatricmpatients.”
ANS:m D
Professionalmrolemoverlapmcannot mbemdenied;mhowever,mnursingmismuniqueminm itsmfocusmonmand mapplicatio
nmof mpsychotherapeuticmmanagement.mNeithermthemfacilitymnormthemmultidisciplinarymteammdefinemthemp
rofessionalmresponsibilitiesmof mitsmmembersmbut mrathermutilizesmtheirmuniquemskillsmtomprovidemholisticmc
are.mIdeally,mallmteammmembersmsupport meachmothermand mhavemfunctionsmwithinmthemteam.
DIF: Cognitivemlevel:mAnalyzing
TOP:m Nursingmprocess:mImplementation mMSC:m ClientmNeeds:mSafe,mEffectiv
emCaremEnvironment
2. Whichmcomponent mof mthemnursingmprocessmwillmthemnursemfocusmuponmtomaddressmthemresponsibility
mtommatchmindividualmpatient mneedsmwithmappropriatemservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS:m C
Propermassessment mismcriticalmformbeingmablemtomdeterminemthemappropriatemlevelmof mservicesmthat mwill mp
rovidemoptimalmcaremwhilemconsideringmpatient minput mand mat mthemlowest mcost.mPlanningmand mimplementa
tionmutilizesmthemassessment mdatamtomidentifymand mexecutemactionsm(treatment mplan)mthat mwillmprovidemap
propriatemcare.mEvaluationmvalidatesmthemeffectivenessmof mthemtreatment mplan.
DIF: Cognitivemlevel:mApplying
TOP:m Nursingmprocess:mAssessmentmMSC:m ClientmNeeds:mSafe,mEffectiv
emCaremEnvironment
3. Anmadult mdiagnosed mwithmparanoid mschizophreniamfrequent mexperiencesmauditorymhallucinationsma
nd mwalksmabout mthemunit,mmuttering.mWhichmnursingmactionmdemonstratesmthemnurse’smunderstandi
ngmof meffectivempsychotherapeuticmmanagement mof mthismclient?
a. Discussingmthemdiseasemprocessmof mschizophreniamwithmthemclient mand mtheirmdomest
ic
partner
, Psychiatric Nursing 8th Edition Test Ban
m m m m m
k
b. Minimizingmcontact mbetweenmthismpatient mand mothermpatientsmtomassuremamstressmfr
ee
milieu
c. AdministeringmPRN mmedicationmwhenmfirst mobservingmthemevidencemthat mthemclien
t mmaymbemhallucinating
d. Independentlymdeterminingmthat mbehaviormmodificationmismappropriatemtomdecreas
emthemclient’smparanoid mthoughts
ANS:m A
Anmunderstandingmof mpsychopathologymismthemfoundationmonmwhichmthemthreemcomponentsmof mpsychoth
erapeuticmmanagement mrest;mit mfacilitatesmtherapeuticmcommunicationmand mprovidesmambasismformunderst
andingmpsychopharmacologymand mmilieummanagement.mMinimizingmcontact mbetweenmthempatient mand mo
thersmand madministeringmPRN mmedicationmindiscriminatelymaremnontherapeuticminterventions.mUsingmbe
haviormmodificationmtomdecreasemthemfrequencymof mhallucinationsmwould mneed mtombemincorporated mintomt
hemplanmof mcarembymthemcaremteam.
DIF: Cognitivemlevel:mApplying
TOP:m Nursingmprocess:mImplementation mMSC:m ClientmNeeds:mSafe,mEffectiv
emCaremEnvironment
4. Anmadult mdiagnosed mwithmchronicmdepressionmismhospitalized maftermamsuicidemattempt.mWhichminterventi
onmismcriticalminmassuringmlong-
term,meffectivemclient mcaremasmdescribed mbympsychotherapeuticmmanagement?
a. Involvement minmgroupmtherapies
b. Focusmof mclosemsupervisionmbymthemunit mstaff
c. Maintainingmeffectivemcommunicationmwithmsupport msyste
m
d. Frequentlymscheduled mone-on-onemtimemwithmnursingmstaff
ANS:m D
Amcriticalmelement mof mpsychotherapeuticmmanagement mismthempresencemof mamtherapeuticmnurse-
patient mrelationship.mOne-on-
onemtimemwithmnursingmstaff mwillmhelpminmestablishingmthismconnection.mWhilemthemothermoptionsmaremapp
ropriatemand mclient mcentered,mthemnurse-client mrelationmismcriticalminmthemlong-
termmdeliverymof mqualitymeffectivemcaremtomthismclient.
DIF: Cognitivemlevel:mApplying
TOP:m Nursingmprocess:mImplementation mMSC:m ClientmNeeds:mPsychosocialm
Integrity
5. Ampatient’smhaloperidolmdosagemwasmreduced m2mweeksmagomtomdecreasemsidemeffects.mWhat massessm
ent mquestionmdemonstratesmthemnurse’smunderstandingmof mthemresultingmneedsmof mthemclient?
a. “Willmyoumhavemanymdifficultymgettingmyourmprescriptionmrefilled?”
b. “Havemyoumbegunmexperiencingmanymformsmof mhallucinations?”
c. “What mdomyoumexpect mwillmoccurmsincemthemdosagemhasmbeenmreduced?”
d. “What mcanmI mdomtomhelpmyoummanagemthismreductionminmhaloperidolmtherapy
?”
ANS:m B
It mwillmbemnecessarymformthemnursemtomassessmformexacerbationmof mthempatient’smsymptomsmof mpsychosism
asmwellmasmformamlesseningmof msidemeffects.mDosagemdecreasemmight mlead mtomthemreturnmormworseningmof m
positivemsymptomsmsuchmasmhallucinationsmand mdelusions,mand mnegativemsymptoms msuchmas mblunted maff
ect,msocialmwithdrawal,mand mpoormgrooming.mWhilemthemothermoptionsmmaymbemappropriatemassessment mq
uestions,mtheymaremnot mdirected mat mthemcurrent mneedsmof mthemclient;mthemidentificationmof memergingmpsyc
,Psychiatric Nursing 8th Edition Test Ban
m m m m m
k
hoticmbehaviors.
DIF: Cognitivemlevel:mAnalyzing TOP:m Nursingmprocess:mAssessment
, Psychiatric Nursing 8th Edition Test Ban
m m m m m
k
MSC:m ClientmNeeds:mPhysiologic mIntegrity
6. Whichmstatement mformsmthemfoundationmuponmwhichmamnursemshould mbasemthemimplementationm
of mpsychotherapeuticmmanagement mtomthemcaremof mampatient mwithmmentalmillness?
a. Themnurse’smroleminmclient mcarem ismsupported mbymthemmultidisciplinary mteam.
b. Omittingmanymonemcomponent mwillmcompromisemthemeffectivenessmof mthemtreatment
.
c. Themmost mimportant melement mof mpsychotherapeuticmmanagement mismdrugmtherapy.
d. Amtherapeuticmnurse-
patient mrelationshipmismthemmost mimportant maspect mof mtreatment.
ANS:m B
Whenmonemelement mismmissing,mtreatment mismusuallymcompromised.mNomsinglem element mismmoremimporta
nt mthanmthemothers;mhowever,mpatients’mneedsmgovernmthemapplicationmof mthemcomponentsmand mpermit mju
diciousmuse.mThemremainingmoptionsmidentifymcomponentsmof mthempsychotherapeuticmmanagement mproc
ess.
DIF: Cognitivemlevel:mAnalyzing
TOP:m Nursingmprocess:mAnalysismMSC:m ClientmNeeds:mSafe,mEffectiv
emCaremEnvironment
7. Whichmstatement mmost maccuratelymdescribesmamnurse’smrolemregardingmpsychopharmacology?
a. “Youmwillmneed mtomfrequentlymmakemdecisionsmregardingmthemadministrationmof mPR
N
medicationsmtomhelpmthemclient mmanagemanger.”
b. “It’smamnursingmresponsibilitymtomadjust mammedicationmdosemtomassuremeffectivempatie
nt
responses.”
c. “Nursesmadministersmmedicationsmwhilemevaluatingmdrugmeffectivenessmismammedical
responsibility.”
d. “Tombest massuremappropriatemresponse,mampatient’smquestionsmabout mdrugmtherapy
should mbemreferred mtomthempsychiatrist.”
ANS:m A
Nursingmassessment mand manalysismof mdatammight msuggest mthemneed mformPRN mmedicationmasmpatient manxiet
ymincreasesmormpsychoticmsymptomsmbecomemmoremacute.mThemnursem ismthemhealthmteam mmembermwhomma
kesmthismdetermination.mNursesmaremresponsiblemformmonitoring mdrugmeffectivenessmasmwellmas madministeri
ngmmedication.mNursesmshould massumemresponsibilitymformteachingmpatientsmabout mthemsidemeffectsmof mmed
ications.mNursesmcannot maltermprescribed mdosagesmof mmedicationsmunlessmtheymhavemprescriptivemprivilege
s.
DIF: Cognitivemlevel:mAnalyzing
TOP:m Nursingmprocess:mAnalysismMSC:m ClientmNeeds:mSafe,mEffectiv
emCaremEnvironment
8. Whenmconsideringmenvironmentalmaspectsmof mmilieummanagement,mwhichminterventionmhasmthemhighe
st mprioritymformamclient madmitted maftermamfailed msuicidemattempt?
a. Sendingmthemclient’smnew mmedicationmprescriptionsmtomthempharmacy
b. Assigningmamstaff mmembermtomone-on-onemobservationmof mthemclient
c. Orientingmthemclient mtomthemmilieu’smpublicmand mprivatemspaces
d. Havingmallmpotentiallymdangerousmitemsmremoved mfrommthemclient’smbelonging
s
ANS:m B
m m m m m
k
Chapter m01:mMed,mMeds,mMilieu
Keltner:mPsychiatric mNursing,m8thmEdition
MULTIPLEmCHOICE
1. A mnewlymlicensed masksmamnursingmrecruitermformamdescriptionmof mnursingmpracti
ceminmthempsychiatricmsetting.mWhat mismthemnursemrecruiter’smbest mresponse?
a. “Themnursemprimarilymservesm inmamsupportivem rolemtommembersmof mthe
healthmcaremdeliverymteam.”
b. “Themmultidisciplinarymapproachmeliminatesmthemneed mtomclearly mdefin
emthemresponsibilitiesmof mnursingminmsuchmam setting.”
c. “Nursingmactionsmaremidentified mbymtheminstitutionmthat mdistinguishesmn
ursingmfrommothermmentalmhealthmprofessions.”
d. “Nursingmoffersmuniquemcontributionsmtomthempsychotherapeuticmmana
gement mof mpsychiatricmpatients.”
ANS:m D
Professionalmrolemoverlapmcannot mbemdenied;mhowever,mnursingmismuniqueminm itsmfocusmonmand mapplicatio
nmof mpsychotherapeuticmmanagement.mNeithermthemfacilitymnormthemmultidisciplinarymteammdefinemthemp
rofessionalmresponsibilitiesmof mitsmmembersmbut mrathermutilizesmtheirmuniquemskillsmtomprovidemholisticmc
are.mIdeally,mallmteammmembersmsupport meachmothermand mhavemfunctionsmwithinmthemteam.
DIF: Cognitivemlevel:mAnalyzing
TOP:m Nursingmprocess:mImplementation mMSC:m ClientmNeeds:mSafe,mEffectiv
emCaremEnvironment
2. Whichmcomponent mof mthemnursingmprocessmwillmthemnursemfocusmuponmtomaddressmthemresponsibility
mtommatchmindividualmpatient mneedsmwithmappropriatemservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS:m C
Propermassessment mismcriticalmformbeingmablemtomdeterminemthemappropriatemlevelmof mservicesmthat mwill mp
rovidemoptimalmcaremwhilemconsideringmpatient minput mand mat mthemlowest mcost.mPlanningmand mimplementa
tionmutilizesmthemassessment mdatamtomidentifymand mexecutemactionsm(treatment mplan)mthat mwillmprovidemap
propriatemcare.mEvaluationmvalidatesmthemeffectivenessmof mthemtreatment mplan.
DIF: Cognitivemlevel:mApplying
TOP:m Nursingmprocess:mAssessmentmMSC:m ClientmNeeds:mSafe,mEffectiv
emCaremEnvironment
3. Anmadult mdiagnosed mwithmparanoid mschizophreniamfrequent mexperiencesmauditorymhallucinationsma
nd mwalksmabout mthemunit,mmuttering.mWhichmnursingmactionmdemonstratesmthemnurse’smunderstandi
ngmof meffectivempsychotherapeuticmmanagement mof mthismclient?
a. Discussingmthemdiseasemprocessmof mschizophreniamwithmthemclient mand mtheirmdomest
ic
partner
, Psychiatric Nursing 8th Edition Test Ban
m m m m m
k
b. Minimizingmcontact mbetweenmthismpatient mand mothermpatientsmtomassuremamstressmfr
ee
milieu
c. AdministeringmPRN mmedicationmwhenmfirst mobservingmthemevidencemthat mthemclien
t mmaymbemhallucinating
d. Independentlymdeterminingmthat mbehaviormmodificationmismappropriatemtomdecreas
emthemclient’smparanoid mthoughts
ANS:m A
Anmunderstandingmof mpsychopathologymismthemfoundationmonmwhichmthemthreemcomponentsmof mpsychoth
erapeuticmmanagement mrest;mit mfacilitatesmtherapeuticmcommunicationmand mprovidesmambasismformunderst
andingmpsychopharmacologymand mmilieummanagement.mMinimizingmcontact mbetweenmthempatient mand mo
thersmand madministeringmPRN mmedicationmindiscriminatelymaremnontherapeuticminterventions.mUsingmbe
haviormmodificationmtomdecreasemthemfrequencymof mhallucinationsmwould mneed mtombemincorporated mintomt
hemplanmof mcarembymthemcaremteam.
DIF: Cognitivemlevel:mApplying
TOP:m Nursingmprocess:mImplementation mMSC:m ClientmNeeds:mSafe,mEffectiv
emCaremEnvironment
4. Anmadult mdiagnosed mwithmchronicmdepressionmismhospitalized maftermamsuicidemattempt.mWhichminterventi
onmismcriticalminmassuringmlong-
term,meffectivemclient mcaremasmdescribed mbympsychotherapeuticmmanagement?
a. Involvement minmgroupmtherapies
b. Focusmof mclosemsupervisionmbymthemunit mstaff
c. Maintainingmeffectivemcommunicationmwithmsupport msyste
m
d. Frequentlymscheduled mone-on-onemtimemwithmnursingmstaff
ANS:m D
Amcriticalmelement mof mpsychotherapeuticmmanagement mismthempresencemof mamtherapeuticmnurse-
patient mrelationship.mOne-on-
onemtimemwithmnursingmstaff mwillmhelpminmestablishingmthismconnection.mWhilemthemothermoptionsmaremapp
ropriatemand mclient mcentered,mthemnurse-client mrelationmismcriticalminmthemlong-
termmdeliverymof mqualitymeffectivemcaremtomthismclient.
DIF: Cognitivemlevel:mApplying
TOP:m Nursingmprocess:mImplementation mMSC:m ClientmNeeds:mPsychosocialm
Integrity
5. Ampatient’smhaloperidolmdosagemwasmreduced m2mweeksmagomtomdecreasemsidemeffects.mWhat massessm
ent mquestionmdemonstratesmthemnurse’smunderstandingmof mthemresultingmneedsmof mthemclient?
a. “Willmyoumhavemanymdifficultymgettingmyourmprescriptionmrefilled?”
b. “Havemyoumbegunmexperiencingmanymformsmof mhallucinations?”
c. “What mdomyoumexpect mwillmoccurmsincemthemdosagemhasmbeenmreduced?”
d. “What mcanmI mdomtomhelpmyoummanagemthismreductionminmhaloperidolmtherapy
?”
ANS:m B
It mwillmbemnecessarymformthemnursemtomassessmformexacerbationmof mthempatient’smsymptomsmof mpsychosism
asmwellmasmformamlesseningmof msidemeffects.mDosagemdecreasemmight mlead mtomthemreturnmormworseningmof m
positivemsymptomsmsuchmasmhallucinationsmand mdelusions,mand mnegativemsymptoms msuchmas mblunted maff
ect,msocialmwithdrawal,mand mpoormgrooming.mWhilemthemothermoptionsmmaymbemappropriatemassessment mq
uestions,mtheymaremnot mdirected mat mthemcurrent mneedsmof mthemclient;mthemidentificationmof memergingmpsyc
,Psychiatric Nursing 8th Edition Test Ban
m m m m m
k
hoticmbehaviors.
DIF: Cognitivemlevel:mAnalyzing TOP:m Nursingmprocess:mAssessment
, Psychiatric Nursing 8th Edition Test Ban
m m m m m
k
MSC:m ClientmNeeds:mPhysiologic mIntegrity
6. Whichmstatement mformsmthemfoundationmuponmwhichmamnursemshould mbasemthemimplementationm
of mpsychotherapeuticmmanagement mtomthemcaremof mampatient mwithmmentalmillness?
a. Themnurse’smroleminmclient mcarem ismsupported mbymthemmultidisciplinary mteam.
b. Omittingmanymonemcomponent mwillmcompromisemthemeffectivenessmof mthemtreatment
.
c. Themmost mimportant melement mof mpsychotherapeuticmmanagement mismdrugmtherapy.
d. Amtherapeuticmnurse-
patient mrelationshipmismthemmost mimportant maspect mof mtreatment.
ANS:m B
Whenmonemelement mismmissing,mtreatment mismusuallymcompromised.mNomsinglem element mismmoremimporta
nt mthanmthemothers;mhowever,mpatients’mneedsmgovernmthemapplicationmof mthemcomponentsmand mpermit mju
diciousmuse.mThemremainingmoptionsmidentifymcomponentsmof mthempsychotherapeuticmmanagement mproc
ess.
DIF: Cognitivemlevel:mAnalyzing
TOP:m Nursingmprocess:mAnalysismMSC:m ClientmNeeds:mSafe,mEffectiv
emCaremEnvironment
7. Whichmstatement mmost maccuratelymdescribesmamnurse’smrolemregardingmpsychopharmacology?
a. “Youmwillmneed mtomfrequentlymmakemdecisionsmregardingmthemadministrationmof mPR
N
medicationsmtomhelpmthemclient mmanagemanger.”
b. “It’smamnursingmresponsibilitymtomadjust mammedicationmdosemtomassuremeffectivempatie
nt
responses.”
c. “Nursesmadministersmmedicationsmwhilemevaluatingmdrugmeffectivenessmismammedical
responsibility.”
d. “Tombest massuremappropriatemresponse,mampatient’smquestionsmabout mdrugmtherapy
should mbemreferred mtomthempsychiatrist.”
ANS:m A
Nursingmassessment mand manalysismof mdatammight msuggest mthemneed mformPRN mmedicationmasmpatient manxiet
ymincreasesmormpsychoticmsymptomsmbecomemmoremacute.mThemnursem ismthemhealthmteam mmembermwhomma
kesmthismdetermination.mNursesmaremresponsiblemformmonitoring mdrugmeffectivenessmasmwellmas madministeri
ngmmedication.mNursesmshould massumemresponsibilitymformteachingmpatientsmabout mthemsidemeffectsmof mmed
ications.mNursesmcannot maltermprescribed mdosagesmof mmedicationsmunlessmtheymhavemprescriptivemprivilege
s.
DIF: Cognitivemlevel:mAnalyzing
TOP:m Nursingmprocess:mAnalysismMSC:m ClientmNeeds:mSafe,mEffectiv
emCaremEnvironment
8. Whenmconsideringmenvironmentalmaspectsmof mmilieummanagement,mwhichminterventionmhasmthemhighe
st mprioritymformamclient madmitted maftermamfailed msuicidemattempt?
a. Sendingmthemclient’smnew mmedicationmprescriptionsmtomthempharmacy
b. Assigningmamstaff mmembermtomone-on-onemobservationmof mthemclient
c. Orientingmthemclient mtomthemmilieu’smpublicmand mprivatemspaces
d. Havingmallmpotentiallymdangerousmitemsmremoved mfrommthemclient’smbelonging
s
ANS:m B
