Test bank for psychiatric nursing by norman l keltne debbie steele edition 8th editio

TEST BANK -
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uKeltners Psychiatric Nursing, 9th E
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dition (Steele), u u




Chapters 1 - 36 | All Chapters Complete
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,
,Chapter 01: Med, Meds, Milieu
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Keltner: Psychiatric Nursing, 8th Edition
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MULTIPLEuCHOICE

1. Aunewlyulicenseduasksuaunursingurecruiteruforuaudescriptionuofunursingupracticeuinutheup
sychiatricusetting.uWhatu isutheunurseurecruiter‘subesturesponse?
a. ―Theunurseuprimarilyuservesuinuausupportiveuroleutoumembersuofutheuhealthucareudeliv
eryuteam.‖
b. ―Theu multidisciplinaryuapproachueliminatesutheuneedutou clearlyudefineutheuresponsib
ilitiesuofunursinguinusuchuausetting.‖
c. ―Nursinguactionsuareu identifiedubyutheu institutionuthatu distinguishesunursingufromuot
herumentaluhealthuprofessions.‖
d. ―Nursinguoffersuuniqueucontributionsutoutheupsychotherapeuticu managementuofupsyc
hiatricu patients.‖
ANSWER:u D
Professionaluroleuoverlapucannotubeudenied;uhowever,unursinguisuuniqueuinuitsufocusuonuanduappl
icationuofupsychotherapeuticumanagement.uNeitherutheufacilityunorutheumultidisciplinaryuteamude
fineutheuprofessionaluresponsibilitiesuofuitsumembersubuturatheruutilizesutheiruuniqueuskillsutoupro
videuholisticucare.uIdeally,ualluteamumembersusupportueachuotheruanduhaveufunctionsuwithinutheut
eam.

DIF: Cognitiveulevel:uAnalyzing
TOP:u Nursinguprocess:uImplementationuMSC:u ClientuNeeds:uSafe,uEffectiveu
CareuEnvironment

2. Whichucomponentuofutheunursinguprocessuwillutheunurseufocusuuponutouaddressutheur
esponsibilityutoumatchuindividualupatientu needsuwithuappropriateuservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:u C
Properuassessmentuisucriticaluforubeinguableutoudetermineutheuappropriateuleveluofuservicesuthatuw
illuprovideuoptimalucareuwhileuconsideringupatientuinputuanduatutheulowestucost.uPlanninguanduim
plementationuutilizesutheuassessmentudatautouidentifyuanduexecuteuactionsu(treatmentuplan)uthatu
willuprovideuappropriateucare.uEvaluationuvalidatesutheueffectivenessuofutheutreatmentuplan.

DIF: Cognitiveulevel:uApplying
TOP:u Nursinguprocess:uAssessmentuMSC:u ClientuNeeds:uSafe,uEffectiveu
CareuEnvironment

3. Anuadultudiagnoseduwithuparanoiduschizophreniaufrequentuexperiencesuauditoryuhallucinationsu
anduwalksuaboututheuunit,umuttering.uWhichunursinguactionudemonstratesutheunurse‘suunderstan
dinguofueffectiveupsychotherapeuticu managementuofuthisuclient?
a. Discussingutheudiseaseuprocessuofuschizophreniauwithutheuclientuandutheirudomesticup
artner
b. Minimizingucontactubetweenuthisupatientuanduotherupatientsutouassureuaustressufreeu
milieu
c. AdministeringuPRNumedicationuwhenufirstuobservingutheuevidenceuthatutheuclient

, mayubeuhallucinating
d. Independentlyudetermininguthatubehaviorumodificationuisuappropriateutoudecreaseut
heuclient‘suparanoiduthoughts
ANSWER:u A
Anuunderstandinguofupsychopathologyuisutheufoundationuonuwhichutheuthreeucomponentsuofup
sychotherapeuticumanagementurest;uitufacilitatesutherapeuticucommunicationuanduprovidesuauba
sisuforuunderstandingupsychopharmacologyuandumilieuumanagement.uMinimizingucontactubet
weenutheupatientuanduothersuanduadministeringuPRNumedicationuindiscriminatelyuareunonther
apeuticuinterventions.uUsingubehaviorumodificationutoudecreaseutheufrequencyuofuhallucinatio
nsuwoulduneedutoubeuincorporateduintoutheuplanuofucareubyutheucareuteam.

DIF: Cognitiveulevel:uApplying
TOP:u Nursinguprocess:uImplementationuMSC:u ClientuNeeds:uSafe,uEffectiveu
CareuEnvironment

4. Anuadultudiagnoseduwithuchronicudepressionuisuhospitalizeduafteruausuicideuattempt.uWhichui
nterventionuisucriticaluinuassuringulong-
term,ueffectiveuclientucareuasudescribedubyupsychotherapeuticumanagement?
a. Involvementuinugrouputherapies
b. Focusuofucloseusupervisionubyutheuunitu staff
c. Maintainingueffectiveucommunicationuwithusupportusystem
d. Frequentlyuscheduleduone-on-oneutimeuwithunursingustaff
ANSWER:u D
Aucriticaluelementuofupsychotherapeuticumanagementuisutheupresenceuofuautherapeutic
nurse-patienturelationship.uOne-on-
oneutimeuwithunursingustaffuwilluhelpuinuestablishinguthisuconnection.uWhileutheuotheruoptionsu
areuappropriateuanduclientucentered,utheunurse-clienturelationuisucriticaluinutheu long-
termudeliveryuofuqualityueffectiveucareutouthisuclient.

DIF: Cognitiveulevel:uApplying
TOP:u Nursinguprocess:uImplementationuMSC:u ClientuNeeds:uPsychosocialuIn
tegrity

5. Aupatient‘suhaloperidoludosageuwasureducedu2uweeksuagoutoudecreaseusideueffects.uWhatuas
sessmentuquestionudemonstratesutheunurse‘suunderstandinguofutheuresultinguneedsuofutheucli
ent?
a. ―Willu youuhaveuanyudifficultyugettingu youruprescriptionurefilled?‖
b. ―Haveu youubegunuexperiencinguanyuformsuofuhallucinations?‖
c. ―Whatu dou youuexpectu willuoccurusinceutheudosageuhasubeenureduced?‖
d. ―Whatu canuIudoutou helpu youu manageuthisureductionuinuhaloperidolutherapy?‖
ANSWER:u B
Ituwillubeunecessaryuforutheunurseutouassessuforuexacerbationuofutheupatient‘susymptomsuofupsych
osisuasuwelluasuforuaulesseninguofusideueffects.uDosageudecreaseumightuleadutoutheureturnuoruwors
eninguofupositiveusymptomsusuchuasuhallucinationsuandudelusions,uandunegativeusymptomsusuc
huasublunteduaffect,usocialuwithdrawal,uandupoorugrooming.uWhileutheuotheruoptionsumayubeuapp
ropriateuassessmentuquestions,utheyuareunotudirecteduatutheucurrentuneedsuofutheuclient;utheuidentif
icationuofuemergingupsychoticubehaviors.

DIF: Cognitiveulevel:uAnalyzing
TOP:u Nursinguprocess:uAssessmentuMSC:u ClientuNeeds:uPhysiologicuInte
grity