TEST BANK For Keltners Psychiatric Nursing, 13th Edition By Debbie Steele, Verified Chapters 1 - 36

PsychiatrictNursingtContemporarytPracticet7thtEditiontBoydtLuebberttTesttBank

Chaptert1 Psychiatric–MentaltHealthtNursingtandtEvidence-BasedtPractice
1 Whichtoftthetfollowingtquestionstwouldtbetmostt helpful
.
intbeginningtantinitialtassessmenttinterviewtfortatpatienttwhothastjusttbeent
admittedttotatpsychiatrictinpatientt unit?
A)
Havetyouthadtanytprevioustpsych
iatrictadmissions?
B) Whattbringstyoutintotthethospitalt today?

C) Havetyouthadtanytthoughtstaboutttryingttotharmtyourself?


D) Howtwouldtyoutdescribetyourtrelationshiptwithtyourtspouse?



2.
Atpatienttistbeingtadmittedttotthetpsychiatrictunit.tWhiletexplainingthistr
easontfortseekingtadmission,thetdescribesthowthist32-year-
oldtsontrecentlytdiedtoftathearttattack.tWhichtresponsetbytthetnursetwouldt
enhancettheteffectivenesstoftthistinterview?


A) Howtistyourtwifethandlingtyourtsonst death?

B)
Dotyouthavetanytothertlivingtchildrentthattcanthelptyoutcopetwithtt
histloss?
C) Thistmusttbetatverytdifficultttimetfort you.

,D) Itknowtexactlythowtyouretfeeling;tmyt23-year-
oldtsontdiedtunexpectedlytlasttyear.


3.
Atpatienttwastadmittedttotthethospitaltaftertatsuicidetattempttmadetafterthist
daughtertwastkilledtintantautomobiletaccidenttduringtwhichthethadtbeentdrivi
ngtandtsurvivedtwithtonlytminortinjuries.tEventthoughtthetaccidenttwastunav
oidable,thetfeelstresponsible.tDuringtthetassessmenttinterview,tthetpatienttbe
ginsttotdescribetthetlasttconversationthethadtwiththistdaughtertbeforethetlosttc
ontroltoftthetautomobile.tAsthetspeakstaboutthistdaughter,thistvoicettrembles,
tandtatsilenttteartrollstdownthistface.tHetmakestatvisibletattemptttotstraightent

uptandtsmilestsuperficiallytattthetnurse,tstating,tIlltgettovertthis.t Itjusttneedttot
keeptatstifftuppertlip.tItthinktalltItneedttotdotiststaytovernight.tIlltbetastgoodtast
newtbyttomorrow.tWhichtresponsetbytthetnursetwouldtbetmostt appropriate?




A)
Telltmetabouttyourtdaughter.tHowtwouldtyoutdescribetthetrelation
shiptyouthadtwithther?
B) Imtsuretyoutaretright;tatgoodtnightstresttshouldtmaketatbigtdifference.


C) Astgoodtastnew?

D)
Youtmadetatserioustattempttontyourtlife;tyoutwilltnottbetreadyt
gothometbyttomorrow.

,4.
Aftertassessingtatpatient,tthetnursetnotedtthetfollowing:thetwasttearful,thettr
iedttotkillthimselftbeforetcomingtintotthethospital,thethadtnotimmediatetplantf
ortanothertsuicidetattempt,thetwastunablettotconcentrate,tandthetreportedthavi
ngttroubletsleepingtandthavingtlittletortnotappetite.tThetnursetalsotnotedtthattt
hetpatientstappearancetwastunkempt,tthatthetspoketintatlowtmonotone,tandtth
atthetwastunablettotestablishtandtmaintainteyetcontact.tBasedtontthistinformat
ion,twhichtnursingtdiagnosestwouldtbetthetmosttappropriate?




A) IneffectivetRoletPerformance

B) RisktfortInfection

C) RisktfortSuicide

D) RisktfortSelf-Mutilation


5.
Atstafftnursetontatpsychiatrictunittknowstthattpatientstoftenthavettroubletsl
eepingtbecausetofttheirtpsychiatrictconditions.tWhichtoftthetfollowingtwou
ldtreflecttatpsychiatrictnursingtinterventionttotappropriatelytaddresstthistpro
blem?


A) Limitingtamountstofteveningtsnackstandt beverages

B) Involvingtpatientstintatvolleyballtgametimmediatelytbeforetbedtime


C) Enforcingtthetruletthattalltpatientstbetintbedtwithtlightstouttbyt10:30tPM


D) Encouragingtpatientsttottaketshorttnapstintthetafternoons



6.
Thetnursetistdeterminingtthetsuccesstoftatpatientstplantoftcaretbytevaluatingt
outcometindicators.tThetnursetunderstandstthattthesetindicatorstaretusuallytde
terminedtinitiallytattwhichttime?

, A) Ontthetdaytoftdischarge

B) Duringtthetassessmenttprocess

C) Attthetinitialtinterview

D) Withtgoal-settingtprocess


7.
Basedtontassessmenttdata,tthetnursetformulatestthetnursingtdiagnosistf
ortatpatienttastsleeptpatterntdisturbance.tAftertteachingtthetpatientthowtt
otrelaxtbeforetbedtime,tthetnursetdeterminestthattthetteachingtwasteffect
ivetbytwhichtoutcome?


A) Discussestfeelingstabouttnottbeingtablettotfallt asleep

B) Reportstfeelingtrestedtontawakeningtintthetmorningtwithint3tdays


C) Requeststsleepingtmedicationteachtnighttbeforetbedtime


D) Istablettotsleeptfortshorttintervalstthroughouttthet night


8.
Atpatienttwastbroughtttotthetemergencytdepartmenttfortantinjurythetreceive
dtwhiletworkingtastatmigranttworker.tIttsoontbecomestevidenttthattthetpatientt
cannottspeaktEnglish.tAtnursetontdutytoffersttotfindtantinterpretertsotthetpatie
nttcantcommunicatetwithtthetmedicaltstaff.tThetnursestoffertistantexampletoft
whichttypetoftnursingtintervention?




A) Milieuttherapy

B) Conflicttresolution

C) Culturaltbrokering

D) Structuredtinteraction