TEST BANK For Keltners Psychiatric Nursing, 9th Edition (Steele), Verified Chapters 1 - 36, Complete Newest Version TEST BANK For Keltners Psychiatric Nursing, 9th Edition (Steele), Verified Chapters 1 - 36, Complete Newest Version TEST BANK For Keltners Psychiatric Nursing, 9th Edition (Steele), V...
d walks about the unit, muttering. Which nursing action demonstrates the nurse‘s understandin
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g of effective psychotherapeutic management of this client?
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a. Discussing the disease process of schizophrenia with the client and their domesticts ts ts ts ts ts ts ts ts ts ts
partner
b. Minimizing contact between this patient and other patients to assure a stress free ts ts ts ts ts ts ts ts ts ts ts ts
milieu
c. Administering PRN medication when first observing the evidence that the client ts ts ts ts ts ts ts ts ts ts
, may be hallucinating ts ts
d. Independently determining that behavior modification is appropriate to decrease ts ts ts ts ts ts ts ts
the client‘s paranoid thoughts
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ANSWER: A t s
An understanding of psychopathology is the foundation on which the three components of psychot
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herapeutic management rest; it facilitates therapeutic communication and provides abasis for under
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standing psychopharmacology and milieu management. Minimizing contact between the patient a
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nd others and administering PRN medication indiscriminately are nontherapeutic interventions. U
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sing behavior modification to decrease the frequency of hallucinations would need to be incorpora
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ted into the plan of care by the care team.
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DIF: Cognitive level: Applying ts ts
TOP: Nursing process: ImplementationMSC: Client Needs: Safe, Effective C t s ts ts ts t s ts ts ts ts
are Environment
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4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Whichint
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ervention is critical in assuring long- ts ts ts ts ts
term, effective client care as described by psychotherapeutic management?
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a. Involvement in group therapies ts ts ts
b. Focus of close supervision by the unit staff ts ts ts ts ts ts ts
c. Maintaining effective communication with support system ts ts ts ts ts
d. Frequently scheduled one-on-one time with nursing staff ts ts ts ts ts ts
ANSWER: D t s
A critical element of psychotherapeutic management is the presence of a therapeutic
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nurse-patient relationship. One-on- ts ts
one time with nursing staff will help in establishing thisconnection. While the other options are a
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ppropriate and client centered, the nurse-client relation is critical in the long-
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term delivery of quality effective care to this client.
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DIF: Cognitive level: Applying ts ts
TOP: Nursing process: ImplementationMSC: Client Needs: Psychosocial Int t s ts ts ts t s ts ts ts
egrity
5. A patient‘s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What ass
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essment question demonstrates the nurse‘s understanding of the resulting needs of theclient
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?
a. ―Will you have any difficulty getting your prescription refilled?‖
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b. ―Have you begun experiencing any forms of hallucinations?‖ ts ts ts ts ts ts ts
c. ―What do you expect will occur since the dosage has been reduced?‖ ts ts ts ts ts ts ts ts ts ts ts
d. ―What can I do to help you manage this reduction in haloperidol therapy?‖
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ANSWER: B t s
It will be necessary for the nurse to assess for exacerbation of the patient‘s symptoms of psychos
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is as well as for a lessening of side effects. Dosage decrease might lead to the return or worsenin
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g of positive symptoms such as hallucinations and delusions, and negative symptoms such as bl
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unted affect, social withdrawal, and poor grooming. While the other options may be appropriate
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assessment questions, they are not directed at the current needs ofthe client; the identification of
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emerging psychotic behaviors. ts ts
DIF: Cognitive level: Analyzing ts ts
TOP: Nursing process: AssessmentMSC: Client Needs: Physiologic Inte t s ts ts ts t s ts ts ts
grity
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