Test Bank for Keltner’s Psychiatric
b b b b
Nursing, 9th Edition by Debbie Steele
b b b
b
b b b
|Chapter 1-36 | All Chapters b b b b
Chapter b01: bMe, bMeds, bMilieu
Steele: bKeltner’s bPsychiatric bNursing, b9th bEdition
MULTIPLE
bCHOICE
1. A bnewly blicensed bnurse basks ba bnursing brecruiter bfor ba bdescription bof bnursing
bpractice bin bthebpsychiatric bsetting. bWhat bis bthe bnurse brecruiter‘s bbest b response?
a. ―The bnurse bprimarily bserves bin ba bsupportive brole bto bmembers bof bthe bhealth
bcare bdelivery bteam.‖
b. ―The bmultidisciplinary bapproach beliminates bthe bneed bto b clearly bdefine bthe
bresponsibilities bof bnursing bin bsuch ba bsetting.‖
c. ―Nursing bactions bare bidentified bby bthe b institution bthat b distinguishes bnursing
b from bother bmental bhealth bprofessions.‖
d. ―Nursing boffers bunique bcontributions bto bthe bpsychotherapeutic bmanagement
bof bpsychiatric b patients.‖
ANS: b D
Professional brole boverlap bcannot bbe bdenied; bhowever, bnursing bis bunique bin bits bfocus
bon band bapplication bof bpsychotherapeutic bmanagement. bNeither bthe bfacility bnor bthe
bmultidisciplinarybteam bdefine bthe bprofessional bresponsibilities bof bits bmembers bbut
brather butilizes btheir bunique bskills bto bprovide bholistic bcare. bIdeally, ball bteam bmembers
bsupport beach bother band bhave bfunctions bwithin bthe bteam.
DIF: Cognitive blevel: bAnalyzing TOP: bNursing bprocess:
bImplementationbMSC: bClient bNeeds: bSafe, bEffective bCare bEnvironment
2. Which bcomponent bof bthe bnursing bprocess bwill bthe bnurse bfocus bupon bto
baddress bthebresponsibility bto b match bindividual bpatient bneeds bwith
b appropriate bservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: b C
Proper bassessment bis bcritical bfor bbeing bable bto bdetermine bthe bappropriate blevel bof
bservices bthat bwill bprovide boptimal bcare bwhile bconsidering bpatient binput band bat bthe
blowest bcost. bPlanning band bimplementation butilizes bthe bassessment bdata bto bidentify band
bexecute bactions b(treatment bplan) bthat bwill bprovide bappropriate bcare. bEvaluation
bvalidates bthe beffectiveness bof bthe btreatment bplan.
DIF: Cognitive blevel: bApplying TOP: bNursing bprocess:
bAssessmentbMSC: bClient bNeeds: bSafe, bEffective bCare bEnvironment
,3. An badult bdiagnosed bwith bparanoid bschizophrenia bfrequently bexperiences bauditory
bhallucinations band bwalks babout bthe bunit, bmuttering. bWhich bnursing baction
bdemonstrates bthebnurse‘s bunderstanding bof beffective bpsychotherapeutic bmanagement
bof bthis bclient?
,a. Discussing bthe bdisease bprocess bof bschizophrenia bwith bthe bclient band btheir
bdomesticbpartner
b. Minimizing bcontact bbetween bthis bpatient band bother bpatients bto bassure ba
bstress-freebmilieu
c. Administering bPRN bmedication bwhen bfirst bobserving bthe bevidence bthat bthe
bclient
, may bbe bhallucinating
d. Independently bdetermining bthat bbehavior bmodification bis bappropriate bto
bdecreasebthe bclient‘s bparanoid bthoughts
ANS: bA
An bunderstanding bof bpsychopathology bis bthe bfoundation bon bwhich bthe bthree
bcomponents bof bpsychotherapeutic bmanagement brest; bit bfacilitates btherapeutic
bcommunication band bprovides babbasis bfor bunderstanding bpsychopharmacology band
bmilieu bmanagement. bMinimizing bcontact bbetween bthe bpatient band bothers band
badministering bPRN bmedication bindiscriminately bare bnontherapeutic binterventions.
bUsing bbehavior bmodification bto bdecrease bthe bfrequency bof bhallucinations bwould bneed
bto bbe bincorporated binto bthe bplan bof bcare bby bthe bcare bteam.
DIF: Cognitive blevel: bApplying TOP: bNursing bprocess:
bImplementationbMSC: bClient bNeeds: bSafe, bEffective bCare bEnvironment
4. An badult bdiagnosed bwith bchronic bdepression bis bhospitalized bafter ba bsuicide battempt.
bWhichbintervention bis bcritical bin bassuring blong-term, beffective bclient bcare bas
bdescribed bby bpsychotherapeutic b management?
a. Involvement bin bgroup btherapies
b. Focus bof bclose bsupervision bby bthe bunit bstaff
c. Maintaining beffective bcommunication bwith bsupport
bsystem
d. Frequently bscheduled bone-on-one btime bwith bnursing bstaff
ANS: bD
A bcritical belement bof bpsychotherapeutic bmanagement bis bthe bpresence bof ba btherapeutic
nurse-patient brelationship. bOne-on-one btime bwith bnursing bstaff bwill bhelp bin
bestablishing bthisbconnection. bWhile bthe bother boptions bare bappropriate band bclient
bcentered, bthe bnurse-client brelation bis bcritical bin bthe blong-term bdelivery bof bquality
beffective bcare bto bthis bclient.
DIF: Cognitive blevel: bApplying TOP: bNursing bprocess:
bImplementationbMSC: bClient bNeeds: bPsychosocial bIntegrity
5. A bpatient‘s bhaloperidol bdosage bwas breduced b2 bweeks bago bto bdecrease bside
beffects. bWhat bassessment bquestion bdemonstrates bthe bnurse‘s bunderstanding bof bthe
bresulting bneeds bofthebclient?
a. ―Will byou bhave bany bdifficulty bgetting byour bprescription brefilled?‖
b. ―Have b you bbegun bexperiencing bany bforms bof bhallucinations?‖
c. ―What b do byou bexpect bwill boccur bsince bthe bdosage bhas bbeen breduced?‖
d. ―What b can bI bdo bto b help b you b manage bthis breduction bin bhaloperidol
btherapy?‖
ANS: bB
It bwill bbe bnecessary bfor bthe bnurse bto bassess bfor bexacerbation bof bthe bpatient‘s
bsymptoms bof bpsychosis bas bwell bas bfor ba blessening bof bside beffects. bDosage bdecrease
bmight blead bto bthe breturn bor bworsening bof bpositive bsymptoms bsuch bas bhallucinations
band bdelusions, band bnegative bsymptoms bsuch bas bblunted baffect, bsocial bwithdrawal, band
bpoor bgrooming. bWhile bthe bother boptions bmay bbe bappropriate bassessment bquestions,
bthey bare bnot bdirected bat bthe bcurrent bneeds bofbthe bclient bwhich bis bthe bidentification bof
bemerging bpsychotic bbehaviors.
DIF: Cognitive blevel: bAnalyzing TOP: bNursing bprocess:
bAssessmentbMSC: bClient bNeeds: bPhysiologic bIntegrity
b b b b
Nursing, 9th Edition by Debbie Steele
b b b
b
b b b
|Chapter 1-36 | All Chapters b b b b
Chapter b01: bMe, bMeds, bMilieu
Steele: bKeltner’s bPsychiatric bNursing, b9th bEdition
MULTIPLE
bCHOICE
1. A bnewly blicensed bnurse basks ba bnursing brecruiter bfor ba bdescription bof bnursing
bpractice bin bthebpsychiatric bsetting. bWhat bis bthe bnurse brecruiter‘s bbest b response?
a. ―The bnurse bprimarily bserves bin ba bsupportive brole bto bmembers bof bthe bhealth
bcare bdelivery bteam.‖
b. ―The bmultidisciplinary bapproach beliminates bthe bneed bto b clearly bdefine bthe
bresponsibilities bof bnursing bin bsuch ba bsetting.‖
c. ―Nursing bactions bare bidentified bby bthe b institution bthat b distinguishes bnursing
b from bother bmental bhealth bprofessions.‖
d. ―Nursing boffers bunique bcontributions bto bthe bpsychotherapeutic bmanagement
bof bpsychiatric b patients.‖
ANS: b D
Professional brole boverlap bcannot bbe bdenied; bhowever, bnursing bis bunique bin bits bfocus
bon band bapplication bof bpsychotherapeutic bmanagement. bNeither bthe bfacility bnor bthe
bmultidisciplinarybteam bdefine bthe bprofessional bresponsibilities bof bits bmembers bbut
brather butilizes btheir bunique bskills bto bprovide bholistic bcare. bIdeally, ball bteam bmembers
bsupport beach bother band bhave bfunctions bwithin bthe bteam.
DIF: Cognitive blevel: bAnalyzing TOP: bNursing bprocess:
bImplementationbMSC: bClient bNeeds: bSafe, bEffective bCare bEnvironment
2. Which bcomponent bof bthe bnursing bprocess bwill bthe bnurse bfocus bupon bto
baddress bthebresponsibility bto b match bindividual bpatient bneeds bwith
b appropriate bservices?
a. Planning
b. Evaluation
c. Assessment
d. Implementation
ANS: b C
Proper bassessment bis bcritical bfor bbeing bable bto bdetermine bthe bappropriate blevel bof
bservices bthat bwill bprovide boptimal bcare bwhile bconsidering bpatient binput band bat bthe
blowest bcost. bPlanning band bimplementation butilizes bthe bassessment bdata bto bidentify band
bexecute bactions b(treatment bplan) bthat bwill bprovide bappropriate bcare. bEvaluation
bvalidates bthe beffectiveness bof bthe btreatment bplan.
DIF: Cognitive blevel: bApplying TOP: bNursing bprocess:
bAssessmentbMSC: bClient bNeeds: bSafe, bEffective bCare bEnvironment
,3. An badult bdiagnosed bwith bparanoid bschizophrenia bfrequently bexperiences bauditory
bhallucinations band bwalks babout bthe bunit, bmuttering. bWhich bnursing baction
bdemonstrates bthebnurse‘s bunderstanding bof beffective bpsychotherapeutic bmanagement
bof bthis bclient?
,a. Discussing bthe bdisease bprocess bof bschizophrenia bwith bthe bclient band btheir
bdomesticbpartner
b. Minimizing bcontact bbetween bthis bpatient band bother bpatients bto bassure ba
bstress-freebmilieu
c. Administering bPRN bmedication bwhen bfirst bobserving bthe bevidence bthat bthe
bclient
, may bbe bhallucinating
d. Independently bdetermining bthat bbehavior bmodification bis bappropriate bto
bdecreasebthe bclient‘s bparanoid bthoughts
ANS: bA
An bunderstanding bof bpsychopathology bis bthe bfoundation bon bwhich bthe bthree
bcomponents bof bpsychotherapeutic bmanagement brest; bit bfacilitates btherapeutic
bcommunication band bprovides babbasis bfor bunderstanding bpsychopharmacology band
bmilieu bmanagement. bMinimizing bcontact bbetween bthe bpatient band bothers band
badministering bPRN bmedication bindiscriminately bare bnontherapeutic binterventions.
bUsing bbehavior bmodification bto bdecrease bthe bfrequency bof bhallucinations bwould bneed
bto bbe bincorporated binto bthe bplan bof bcare bby bthe bcare bteam.
DIF: Cognitive blevel: bApplying TOP: bNursing bprocess:
bImplementationbMSC: bClient bNeeds: bSafe, bEffective bCare bEnvironment
4. An badult bdiagnosed bwith bchronic bdepression bis bhospitalized bafter ba bsuicide battempt.
bWhichbintervention bis bcritical bin bassuring blong-term, beffective bclient bcare bas
bdescribed bby bpsychotherapeutic b management?
a. Involvement bin bgroup btherapies
b. Focus bof bclose bsupervision bby bthe bunit bstaff
c. Maintaining beffective bcommunication bwith bsupport
bsystem
d. Frequently bscheduled bone-on-one btime bwith bnursing bstaff
ANS: bD
A bcritical belement bof bpsychotherapeutic bmanagement bis bthe bpresence bof ba btherapeutic
nurse-patient brelationship. bOne-on-one btime bwith bnursing bstaff bwill bhelp bin
bestablishing bthisbconnection. bWhile bthe bother boptions bare bappropriate band bclient
bcentered, bthe bnurse-client brelation bis bcritical bin bthe blong-term bdelivery bof bquality
beffective bcare bto bthis bclient.
DIF: Cognitive blevel: bApplying TOP: bNursing bprocess:
bImplementationbMSC: bClient bNeeds: bPsychosocial bIntegrity
5. A bpatient‘s bhaloperidol bdosage bwas breduced b2 bweeks bago bto bdecrease bside
beffects. bWhat bassessment bquestion bdemonstrates bthe bnurse‘s bunderstanding bof bthe
bresulting bneeds bofthebclient?
a. ―Will byou bhave bany bdifficulty bgetting byour bprescription brefilled?‖
b. ―Have b you bbegun bexperiencing bany bforms bof bhallucinations?‖
c. ―What b do byou bexpect bwill boccur bsince bthe bdosage bhas bbeen breduced?‖
d. ―What b can bI bdo bto b help b you b manage bthis breduction bin bhaloperidol
btherapy?‖
ANS: bB
It bwill bbe bnecessary bfor bthe bnurse bto bassess bfor bexacerbation bof bthe bpatient‘s
bsymptoms bof bpsychosis bas bwell bas bfor ba blessening bof bside beffects. bDosage bdecrease
bmight blead bto bthe breturn bor bworsening bof bpositive bsymptoms bsuch bas bhallucinations
band bdelusions, band bnegative bsymptoms bsuch bas bblunted baffect, bsocial bwithdrawal, band
bpoor bgrooming. bWhile bthe bother boptions bmay bbe bappropriate bassessment bquestions,
bthey bare bnot bdirected bat bthe bcurrent bneeds bofbthe bclient bwhich bis bthe bidentification bof
bemerging bpsychotic bbehaviors.
DIF: Cognitive blevel: bAnalyzing TOP: bNursing bprocess:
bAssessmentbMSC: bClient bNeeds: bPhysiologic bIntegrity
