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Test Bank For Keltner’s Psychiatric Nursing 9th Edition By Debbie Steele | | 9780323791960 | Chapter 1- 36 | Complete Questions And Answers A+

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Test Bank For Keltner’s Psychiatric Nursing 9th
Edition By Debbie Steele | Chapter 1- 36 |
Complete Questions And Answers A+

,Chapteri01:iMe,iMeds,iMilieu
Steele:iKeltner’siPsychiatriciNursing,i9thiEdition

MULTIPLEiCHOICE

1. Ainewlyilicensedinurseiasksiainursingirecruiteriforiaidescriptioniofinursingipracticeiinitheips
ychiatricisetting.iWhati isitheinurseirecruiter‘sibestiresponse?
a. ―Theinurseiprimarilyiservesiiniaisupportiveiroleitoimembersiofitheihealthicare
deliveryi team.‖
b. ―Thei multidisciplinaryiapproachieliminatesitheineeditoiclearlyidefineithe
responsibilitiesiofinursingi inisuchiaisetting.‖
c. ―Nursingiactionsiarei identifiedibyithei institutionithati distinguishesinursingi from
otheri mentalihealthiprofessions.‖
d. ―Nursingioffersiuniqueicontributionsitoitheipsychotherapeutici managementiof
psychiatrici patients.‖
ANS:i D
Professionaliroleioverlapicannotibeidenied;ihowever,inursingiisiuniqueiiniitsifocusioniandiappli
cationiofipsychotherapeuticimanagement.iNeitheritheifacilityinoritheimultidisciplinaryiteamidefi
neitheiprofessionaliresponsibilitiesiofiitsimembersibutiratheriutilizesitheiriuniqueiskillsitoiprovi
deiholisticicare.iIdeally,ialliteamimembersisupportieachiotheriandihaveifunctionsiwithinitheitea
m.

DIF: Cognitiveilevel:iAnalyzing
TOP:i Nursingiprocess:iImplementationiMSC:i ClientiNeeds:iSafe,iEffectiveiC
areiEnvironment

2. Whichicomponentiofitheinursingiprocessiwillitheinurseifocusiuponitoiaddressitheire
sponsibilityitoimatchiindividualipatienti needsiwithiappropriateiservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS:i C
Properiassessmentiisicriticaliforibeingiableitoidetermineitheiappropriateileveliofiservicesithatiwil
liprovideioptimalicareiwhileiconsideringipatientiinputiandiatitheilowesticost.iPlanningiandiimple
mentationiutilizesitheiassessmentidataitoiidentifyiandiexecuteiactionsi(treatmentiplan)ithatiwillip
rovideiappropriateicare.iEvaluationivalidatesitheieffectivenessiofitheitreatmentiplan.

DIF: Cognitiveilevel:iApplying
TOP:i Nursingiprocess:iAssessmentiMSC:i ClientiNeeds:iSafe,iEffectiveiC
areiEnvironment

3. Aniadultidiagnosediwithiparanoidischizophreniaifrequentlyiexperiencesiauditoryihallucinat
ionsiandiwalksiaboutitheiunit,imuttering.iWhichinursingiactionidemonstratesitheinurse‘siund
erstandingiofieffectiveipsychotherapeuticimanagementiofithisiclient?
a. Discussingitheidiseaseiprocessiofischizophreniaiwithitheiclientianditheiridomestic
partner
b. Minimizingicontactibetweenithisipatientiandiotheripatientsitoiassureiaistress-free
milieu
c. AdministeringiPRNimedicationiwhenifirstiobservingitheievidenceithatitheiclient

, mayibeihallucinating
d. Independentlyideterminingithatibehaviorimodificationiisiappropriateitoidecrease
theiclient‘siparanoidithoughts
ANS:i A
Aniunderstandingiofipsychopathologyiisitheifoundationioniwhichitheithreeicomponentsiofipsyc
hotherapeuticimanagementirest;iitifacilitatesitherapeuticicommunicationiandiprovidesiaibasisifo
riunderstandingipsychopharmacologyiandimilieuimanagement.iMinimizingicontactibetweenith
eipatientiandiothersiandiadministeringiPRNimedicationiindiscriminatelyiareinontherapeuticiint
erventions.iUsingibehaviorimodificationitoidecreaseitheifrequencyiofihallucinationsiwouldinee
ditoibeiincorporatediintoitheiplanioficareibyitheicareiteam.

DIF: Cognitiveilevel:iApplying
TOP:i Nursingiprocess:iImplementationiMSC:i ClientiNeeds:iSafe,iEffectiveiC
areiEnvironment

4. Aniadultidiagnosediwithichronicidepressioniisihospitalizediafteriaisuicideiattempt.iWhichiin
terventioniisicriticaliiniassuringilong-
term,ieffectiveiclienticareiasidescribedibyipsychotherapeuticimanagement?
a. Involvementiinigroupitherapies
b. Focusioficloseisupervisionibyitheiuniti staff
c. Maintainingieffectiveicommunicationiwithisupportisystem
d. Frequentlyischeduledione-on-oneitimeiwithinursingistaff
ANS:i D
Aicriticalielementiofipsychotherapeuticimanagementiisitheipresenceiofiaitherapeutic
nurse-patientirelationship.iOne-on-
oneitimeiwithinursingistaffiwillihelpiiniestablishingithisiconnection.iWhileitheiotherioptionsiarei
appropriateiandiclienticentered,itheinurse-clientirelationiisicriticaliinithei long-
termideliveryiofiqualityieffectiveicareitoithisiclient.

DIF: Cognitiveilevel:iApplying
TOP:i Nursingiprocess:iImplementationiMSC:i ClientiNeeds:iPsychosocialiInt
egrity

5. Aipatient‘sihaloperidolidosageiwasireducedi2iweeksiagoitoidecreaseisideieffects.iWhatiass
essmentiquestionidemonstratesitheinurse‘siunderstandingiofitheiresultingineedsiofitheiclien
t?
a. ―Williyouihaveianyidifficultyigettingi youriprescriptionirefilled?‖
b. ―Havei youibeguniexperiencingianyiformsiofihallucinations?‖
c. ―Whati doiyouiexpecti willioccurisinceitheidosageihasibeenireduced?‖
d. ―Whati caniIidoitoi helpi youi manageithisireductioniinihaloperidolitherapy?‖
ANS:i B
Itiwillibeinecessaryiforitheinurseitoiassessiforiexacerbationiofitheipatient‘sisymptomsiofipsycho
sisiasiwelliasiforiailesseningiofisideieffects.iDosageidecreaseimightileaditoitheireturnioriworseni
ngiofipositiveisymptomsisuchiasihallucinationsiandidelusions,iandinegativeisymptomsisuchiasi
bluntediaffect,isocialiwithdrawal,iandipoorigrooming.iWhileitheiotherioptionsimayibeiappropri
ateiassessmentiquestions,itheyiareinotidirectediatitheicurrentineedsiofitheiclienti whichiisitheiiden
tificationiofiemergingipsychoticibehaviors.

DIF: Cognitiveilevel:iAnalyzing
TOP:i Nursingiprocess:iAssessmentiMSC:i ClientiNeeds:iPhysiologiciInte
grity

, 6. Whichistatementiformsitheifoundationiuponiwhichiainurseishouldibaseitheiimplementationiofips
ychotherapeuticimanagementitoitheicareiofiaipatienti withimentaliillness?
a. Theinurse‘siroleiiniclienticareiisisupportedibyitheimultidisciplinaryiteam.
b. Omittingianyioneicomponentiwillicompromiseitheieffectivenessiofitheitreatment.
c. Theimostiimportantielementiofipsychotherapeuticimanagementiisidrugitherapy.
d. Aitherapeuticinurse-patientirelationshipiisitheimostiimportantiaspectiofitreatment.
ANS:i B
Whenioneielementiisimissing,itreatmentiisiusuallyicompromised.iNoisingleielementiisimoreiim
portantithanitheiothers;ihowever,ipatients‘ineedsigovernitheiapplicationiofitheicomponentsiandi
permitijudiciousiuse.iTheiremainingioptionsiidentifyicomponentsiofitheipsychotherapeuticima
nagementi process.

DIF: Cognitiveilevel:iAnalyzing
TOP:i Nursingiprocess:iAnalysisiMSC:i ClientiNeeds:iSafe,iEffectiveiC
areiEnvironment

7. Whichistatementimostiaccuratelyidescribesiainurse‘siroleiregardingipsychopharmacology?
a. ―YouiwillineeditoifrequentlyimakeidecisionsiregardingitheiadministrationiofiPRN
medicationsitoihelpitheiclienti manageianger.‖
b. ―It‘siainursingiresponsibilityitoi adjusti aimedicationidoseitoiassureieffectiveipatientiresp
onses.‖
c. ―Nursesiadministersimedicationsiwhileievaluatingi drugieffectivenessiisiaimedicaliresp
onsibility.‖
d. ―Toi besti assureiappropriateiresponse,iaipatient‘siquestionsiabouti drugitherapyishouldi
beireferreditoitheipsychiatrist.‖
ANS:i A
Nursingiassessmenti andianalysisiofidataimighti suggestitheineediforiPRNimedicationiasipatientia
nxietyiincreasesioripsychoticisymptomsibecomeimoreiacute.iTheinurseiisitheihealthiteamimemb
eriwhoimakesithisidetermination.iNursesiareiresponsibleiforimonitoringidrugieffectivenessiasiw
elliasiadministeringimedication.iNursesishouldiassumeiresponsibilityiforiteachingipatientsiabou
titheisideieffectsiofimedications.iNursesicannotialteriprescribedidosagesiofimedicationsiunlessith
eyihaveiprescriptiveiprivileges.

DIF: Cognitiveilevel:iAnalyzing
TOP:i Nursingiprocess:iAnalysisiMSC:i ClientiNeeds:iSafe,iEffectiveiC
areiEnvironment

8. Wheniconsideringienvironmentaliaspectsiofimilieuimanagement,iwhichiinterventionihasitheih
ighestipriorityiforiaiclientiadmittediafteriaifailedisuicideiattempt?
a. Sendingitheiclient‘sinewimedicationiprescriptionsitoitheipharmacy
b. Assigningiaistaffimemberitoione-on-oneiobservationiofitheiclient
c. Orientingitheiclientitoitheimilieu‘sipubliciandiprivateispaces
d. Havingiallipotentiallyidangerousiitemsiremovedifromitheiclient‘sibelongings
ANS:i B
Milieuimanagementiprovidesiaiproactiveiapproachitoicare.iSafetyioverridesialliotheridimensio
nsiofitheimilieu.iInitiationiofisuicideiprecautionsiareitheipriorityiforithisiclient.iAllitheiremaining
ioptionsiareiappropriateibutinoneiprotectitheiclientifromitheiriskiofianotheriattemptitoi self-
harmiasieffectivelyiasione-on-oneiobservationiasipartiofisuicideiprecautions.

DIF: Cognitiveilevel:iAnalyzing TOP:i Nursingiprocess:iImplementation

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