9th Edition (Steele),
Chapters 1 - 36 | All Chapters Complete
,
,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 t
hepsychiatric setting. What is the nurse 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.‖
ANSWER: D
Professional role overlap cannot be denied; however, nursing is unique in its focus on and a
pplication of psychotherapeutic management. Neither the facility nor the multidisciplinaryte
am define the professional responsibilities of its members but rather utilizes their unique ski
lls to provide holistic care. Ideally, all team members support each other and have functions
within the team.
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 t
heresponsibility to match individual patient needs with appropriate services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER: C
Proper assessment is critical for being able to determine the appropriate level of services tha
t will provide optimal care while considering patient input and at the lowest cost. Planning a
nd implementation utilizes the assessment data to identify and execute actions (treatment pla
n) that will provide appropriate care. Evaluation validates the effectiveness of the treatment
plan.
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 hallucination
sand walks about the unit, muttering. Which nursing action demonstrates the nurse‘s under
standing of effective psychotherapeutic management of this client?
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