Test bank for psychiatric nursing by norman l keltne debbie steele edition 8th Test bank for psychiatric nursing by norman l keltne debbie steele edition 8th
2. Which0component0of0the0nursing0process0will0the0nurse0focus0upon0to0address0the0
responsibility0to0match0individual0patient0 needs0with0appropriate0services?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:0 C
Proper0assessment0is0critical0for0being0able0to0determine0the0appropriate0level0of0services0that0
will0provide0optimal0care0while0considering0patient0input0and0at0the0lowest0cost.0Planning0and0
implementation0utilizes0the0assessment0data0to0identify0and0execute0actions0(treatment0plan)0th
at0will0provide0appropriate0care.0Evaluation0validates0the0effectiveness0of0the0treatment0plan.
3. An0adult0diagnosed0with0paranoid0schizophrenia0frequent0experiences0auditory0hallucinations0
and0walks0about0the0unit,0muttering.0Which0nursing0action0demonstrates0the0nurse‘s0understa
nding0of0effective0psychotherapeutic0management0 of0this0client?
a. Discussing0the0disease0process0of0schizophrenia0with0the0client0and0their0domestic
partner
b. Minimizing0contact0between0this0patient0and0other0patients0to0assure0a0stress0free
milieu
c. Administering0PRN0medication0when0first0observing0the0evidence0that0the0client
, may0be0hallucinating
d. Independently0determining0that0behavior0modification0is0appropriate0to0decrease
the0client‘s0paranoid0thoughts
ANSWER:0 A
An0understanding0of0psychopathology0is0the0foundation0on0which0the0three0components0of0psyc
hotherapeutic0management0rest;0it0facilitates0therapeutic0communication0and0provides0a0basis0for
0understanding0psychopharmacology0and0milieu0management.0Minimizing0contact0between0the0
4. An0adult0diagnosed0with0chronic0depression0is0hospitalized0after0a0suicide0attempt.0Which0
intervention0is0critical0in0assuring0long-
term,0effective0client0care0as0described0by0psychotherapeutic0management?
a. Involvement0in0group0therapies
b. Focus0of0close0supervision0by0the0unit0 staff
c. Maintaining0effective0communication0with0support0system
d. Frequently0scheduled0one-on-one0time0with0nursing0staff
ANSWER:0 D
A0critical0element0of0psychotherapeutic0management0is0the0presence0of0a0therapeutic
nurse-patient0relationship.0One-on-
one0time0with0nursing0staff0will0help0in0establishing0this0connection.0While0the0other0options0ar
e0appropriate0and0client0centered,0the0nurse-client0relation0is0critical0in0the0 long-
term0delivery0of0quality0effective0care0to0this0client.
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