Y Y Y Y Y Y Y
by Debbie Steele Y Y
All Chapters Fully Covered 1-
Y Y Y Y
36| Verified Questions & 100% AccurateAnswers with Rationales for E
Y Y Y Y Y Y Y Y Y Y
xam Preparations| A+ PASS ASSURED
Y Y Y Y
PageY|Y1
, ChapterY01:YMe,YMeds,YMilie
uYMULTIPLEYCHOICE
1. AYnewlyYlicensedYnurseYasksYaYnursingYrecruiterYforYaYdescriptionYofYnursingYpracticeYinYtheYpsychiatricYset
ting.YWhatYisYtheYnurseYrecruiter‘sYbestYresponse?
a. TheYnurseYprimarilyYservesYinYaYsupportiveYroleYtoYmembersYofYtheYhealthYcareYdeliveryYteam.
b. TheYmultidisciplinaryYapproachYeliminatesYtheYneedYtoYclearlyYdefineYtheYresponsibilitiesYofYnursingYinYsu
chYaYsetting.
c. NursingYactionsYareYidentifiedYbyYtheYinstitutionYthatYdistinguishesYnursingYfromYotherYmentalYhe
althYprofessions.
d. NursingYoffersYuniqueYcontributionsYtoYtheYpsychotherapeuticYmanagementYofYpsychiatricYpatie
nts.YCORRECTYANSWER:YD
ProfessionalYroleYoverlapYcannotYbeYdenied;Yhowever,YnursingYisYuniqueYinYitsYfocusYonYandYapplicationYo
fYpsychotherapeuticYmanagement.YNeitherYtheYfacilityYnorYtheYmultidisciplinaryYteamYdefineYtheYprofessio
nalYresponsibilitiesYofYitsYmembersYbutYratherYutilizesYtheirYuniqueYskillsYtoYprovideYholisticYcare.YIdeally,Y
allYteamYmembersYsupportYeachYotherYandYhaveYfunctionsY withinYtheYteam.
DIF: CognitiveYlevel:YAnalyzing
TOP:YNursingYprocess:YImplementationYMSC:YClientYNeeds:YSafe,YEffectiveYCareYEnvironment
2. WhichYcomponentYofYtheYnursingYprocessYwillYtheYnurseYfocusYuponYtoYaddressYtheYresponsibilityYtoYm
atchYindividualYpatientYneedsYwithYappropriateYservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
YCORRECTYANSWER:Y
C
ProperYassessmentYisYcriticalYforYbeingYableYtoYdetermineYtheYappropriateYlevelYofYservicesYthatYwillYprovideYoptim
alYcareYwhileYconsideringYpatientYinputYandYatYtheYlowestYcost.YPlanningYandYimplementationYutilizesYtheYassessme
ntYdataYtoYidentifyYandYexecuteYactionsY(treatmentYplan)YthatYwillYprovideYappropriateYcare.YEvaluationYvalidatesYth
eYeffectivenessYofYtheYtreatmentYplan.
DIF:
CognitiveYlevel:YApplyingYTOP:YNursingYprocess:YAssessmentYMSC:YClientYNeeds:YSafe,YEffectiveY
CareYEnvironment
3. AnYadultYdiagnosedYwithYparanoidYschizophreniaYfrequentlyYexperiencesYauditoryYhallucinationsYandYwalksYab
outYtheYunit,Ymuttering.YWhichYnursingYactionYdemonstratesYtheYnurse‘sYunderstandingYofYeffectiveYpsychotherap
euticYmanagementYofYthisYclient?
PageY|Y2
,a. DiscussingYtheYdiseaseYprocessYofYschizophreniaYwithYtheYclientYandYtheirYdomesticYpartner
PageY|Y3
, b. MinimizingYcontactYbetweenYthisYpatientYandYotherYpatientsYtoYassureYaYstress-freeYmilieu
c. AdministeringYPRNYmedicationYwhenYfirstYobservingYtheYevidenceYthatYtheYclientYmayYbeYhallucinating
d. IndependentlyYdeterminingYthatYbehaviorYmodificationYisYappropriateYtoYdecreaseYtheYclient‘sYparanoid
thoughts
CORRECTYANSWER:YA
AnYunderstandingYofYpsychopathologyYisYtheYfoundationYonYwhichYtheYthreeYcomponentsYofYpsychotherapeuticYma
nagementYrest;YitYfacilitatesYtherapeuticYcommunicationYandYprovidesYaYbasisYforYunderstandingYpsychopharmacolo
gyYandYmilieuYmanagement.YMinimizingYcontactYbetweenYtheYpatientYandYothersYandYadministeringYPRNYmedicatio
nYindiscriminatelyYareYnontherapeuticYinterventions.YUsingYbehaviorYmodificationYtoYdecreaseYtheYfrequencyYofYha
llucinationsYwouldYneedYtoYbeYincorporatedYintoYtheYplanYofYcareYbyYtheYcareYteam.
DIF:
CognitiveYlevel:YApplyingYTOP:YNursingYprocess:YImplementationYMSC:YClientYNeeds:YSafe,YEffect
iveYCareYEnvironment
4. AnYadultYdiagnosedYwithYchronicYdepressionYisYhospitalizedYafterYaYsuicideYattempt.YWhichYinterventionYisYcri
ticalYinYassuringYlong-term,YeffectiveYclientYcareYasYdescribedYbyYpsychotherapeuticYmanagement?
a. InvolvementYinYgroupYtherapies
b. FocusYofYcloseYsupervisionYbyYtheYunitYstaff
c. MaintainingYeffectiveYcommunicationYwithYsupportYsystem
d. FrequentlyYscheduledYone-on-
oneYtimeYwithYnursingYstaffYCORRECTYANSWER:YD
AYcriticalYelementYofYpsychotherapeuticYmanagementYisYtheYpresenceYofYaYtherapeutic
nurse-patientYrelationship.YOne-on-
oneYtimeYwithYnursingYstaffYwillYhelpYinYestablishingYthisYconnection.YWhileYtheYotherYoptionsYareYappropriateYandY
clientYcentered,YtheYnurse-clientYrelationYisYcriticalYinYtheYlong-
termYdeliveryYofYqualityYeffectiveYcareYtoYthisYclient.
DIF:
CognitiveYlevel:YApplyingYTOP:YNursingYprocess:YImplementationYMSC:YClientYNeeds:YPsychoso
cialYIntegrity
5. AYpatient‘sYhaloperidolYdosageYwasYreducedY2YweeksYagoYtoYdecreaseYsideYeffects.YWhatYassessmentYques
tionYdemonstratesYtheYnurse‘sYunderstandingYofYtheYresultingYneedsYofYtheYclient?
a. WillYyouYhaveYanyYdifficultyYgettingYyourYprescriptionYrefilled?
b. HaveYyouYbegunYexperiencingYanyYformsYofYhallucinations?
c. WhatYdoYyouYexpectYwillYoccurYsinceYtheYdosageYhasYbeenYreduced?
d. WhatYcanYIYdoYtoYhelpYyouYmanageYthisYreductionYinYhaloperidolYthera
py?YCORRECTYANSWER:YB
PageY|Y4