TEST BANK for Keltners Psychiatric Nursing, 9th Edition by Steele, all Chapters 1-36 fully covered ISBN 9780323791960
TEST BANK for Keltners Psychiatric Nursing, 9th Edition by Steele, all Chapters 1-36 fully covered ISBN 9780323791960
TEST BANK for Keltners Psychiatric Nursing, 9th Edition by ...
TEST BANK for
Keltners Psychiatric Nursing,
9th Edition by Steele,
all Chapters 1-36 covered
,
,Chapter 01: Med, Meds, Milieu
e e e e
Keltner: Psychiatric Nursing, 8th Edition
e e e e
MULTIPLEeCHOICE
1. Aenewlyelicensedeaskseaenursingerecruitereforeaedescriptioneofenursingepracticeeinetheeps
ychiatricesetting.eWhate isetheenurseerecruiter‘sebesteresponse?
a. ―Theenurseeprimarilyeserveseineaesupportiveeroleetoememberseofetheehealthecare
deliveryeteam.‖
b. ―Theemultidisciplinaryeapproacheeliminatesetheeneedetoeclearlyedefineethe
responsibilitieseofenursinge inesucheaesetting.‖
c. ―Nursingeactionseareeidentifiedebyetheeinstitutionethatedistinguishesenursingefrom
othere mentalehealtheprofessions.‖
d. ―Nursingeofferseuniqueecontributionsetoetheepsychotherapeuticemanagementeof
psychiatrice patients.‖
ANSWER:e D
Professionaleroleeoverlapecannotebeedenied;ehowever,enursingeiseuniqueeineitsefocuseoneandeappli
cationeofepsychotherapeuticemanagement.eNeitheretheefacilityenoretheemultidisciplinaryeteamedefi
neetheeprofessionaleresponsibilitieseofeitsemembersebuterathereutilizesetheireuniqueeskillsetoeprovi
deeholisticecare.eIdeally,ealleteamemembersesupporteeacheothereandehaveefunctionsewithinetheetea
m.
2. Whichecomponenteofetheenursingeprocessewilletheenurseefocuseuponetoeaddressetheere
sponsibilityetoematcheindividualepatienteneedsewitheappropriateeservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANSWER:e C
Propereassessmenteisecriticaleforebeingeableetoedetermineetheeappropriateeleveleofeservicesethatewil
leprovideeoptimalecareewhileeconsideringepatienteinputeandeatetheelowestecost.ePlanningeandeimple
mentationeutilizesetheeassessmentedataetoeidentifyeandeexecuteeactionse(treatmenteplan)ethatewillep
rovideeappropriateecare.eEvaluationevalidatesetheeeffectivenesseofetheetreatmenteplan.
3. Aneadultediagnosedewitheparanoideschizophreniaefrequenteexperienceseauditoryehallucinationsea
ndewalkseaboutetheeunit,emuttering.eWhichenursingeactionedemonstratesetheenurse‘seunderstandi
ngeofeeffectiveepsychotherapeuticemanagementeofethiseclient?
a. Discussingetheediseaseeprocesseofeschizophreniaewithetheeclienteandetheiredomestic
partner
b. Minimizingecontactebetweenethisepatienteandeotherepatientsetoeassureeaestressefree
milieu
c. AdministeringePRNemedicationewhenefirsteobservingetheeevidenceethatetheeclient
, mayebeehallucinating
d. Independentlyedeterminingethatebehavioremodificationeiseappropriateetoedecrease
theeclient‘separanoidethoughts
ANSWER:e A
Aneunderstandingeofepsychopathologyeisetheefoundationeonewhichetheethreeecomponentseofepsycho
therapeuticemanagementerest;eitefacilitatesetherapeuticecommunicationeandeprovideseaebasiseforeund
erstandingepsychopharmacologyeandemilieuemanagement.eMinimizingecontactebetweenetheepatien
teandeotherseandeadministeringePRNemedicationeindiscriminatelyeareenontherapeuticeinterventions
.eUsingebehavioremodificationetoedecreaseetheefrequencyeofehallucinationsewouldeneedetoebeeincorp
oratedeintoetheeplaneofecareebyetheecareeteam.
4. Aneadultediagnosedewithechronicedepressioneisehospitalizedeaftereaesuicideeattempt.eWhichein
terventioneisecriticaleineassuringelong-
term,eeffectiveeclientecareeasedescribedebyepsychotherapeuticemanagement?
a. Involvementeinegroupetherapies
b. Focuseofecloseesupervisionebyetheeunitestaff
c. Maintainingeeffectiveecommunicationewithesupportesystem
d. Frequentlyescheduledeone-on-oneetimeewithenursingestaff
ANSWER:e D
Aecriticaleelementeofepsychotherapeuticemanagementeisetheepresenceeofeaetherapeutic
nurse-patienterelationship.eOne-on-
oneetimeewithenursingestaffewillehelpeineestablishingethiseconnection.eWhileetheeothereoptionsearee
appropriateeandeclientecentered,etheenurse-clienterelationeisecriticaleinetheelong-
termedeliveryeofequalityeeffectiveecareetoethiseclient.
5. Aepatient‘sehaloperidoledosageewasereducede2eweekseagoetoedecreaseesideeeffects.eWhateass
essmentequestionedemonstratesetheenurse‘seunderstandingeofetheeresultingeneedseofetheeclien
t?
a. ―Willeyouehaveeanyedifficultyegettingeyoureprescriptionerefilled?‖
b. ―Haveeyouebeguneexperiencingeanyeformseofehallucinations?‖
c. ―Whatedoeyoueexpectewilleoccuresinceetheedosageehasebeenereduced?‖
d. ―WhatecaneIedoetoehelpeyouemanageethisereductioneinehaloperidoletherapy?‖
ANSWER:e B
Itewillebeenecessaryeforetheenurseetoeassesseforeexacerbationeofetheepatient‘sesymptomseofepsycho
siseasewelleaseforeaelesseningeofesideeeffects.eDosageedecreaseemighteleadetoetheereturneoreworseni
ngeofepositiveesymptomsesucheasehallucinationseandedelusions,eandenegativeesymptomsesuchease
bluntedeaffect,esocialewithdrawal,eandepooregrooming.eWhileetheeothereoptionsemayebeeappropri
ateeassessmentequestions,etheyeareenotedirectedeatetheecurrenteneedseofetheeclient;etheeidentificatio
neofeemergingepsychoticebehaviors.
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