{"id":113230,"date":"2023-08-15T23:42:31","date_gmt":"2023-08-15T23:42:31","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=113230"},"modified":"2023-08-15T23:42:34","modified_gmt":"2023-08-15T23:42:34","slug":"psychiatric-nursing-9th-edition","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/08\/15\/psychiatric-nursing-9th-edition\/","title":{"rendered":"PSYCHIATRIC NURSING 9th EDITION"},"content":{"rendered":"\n

MULTIPLE CHOICE<\/p>\n\n\n\n

    \n
  1. A newly licensed asks a nursing recruiter for a description of nursing practice in the
    psychiatric setting. What is the nurse recruiter\u2019s best response?
    a. \u201cThe nurse primarily serves in a supportive role to members of the health care
    delivery team.\u201d
    b. \u201cThe multidisciplinary approach eliminates the need to clearly define the
    responsibilities of nursing in such a setting.\u201d
    c. \u201cNursing actions are identified by the institution that distinguishes nursing from
    other mental health professions.\u201d
    d. \u201cNursing offers unique contributions to the psychotherapeutic management of
    psychiatric patients.\u201d
    ANS: D
    Professional role overlap cannot be denied; however, nursing is unique in its focus on and
    application of psychotherapeutic management. Neither the facility nor the multidisciplinary
    team define the professional responsibilities of its members but rather utilizes their unique
    skills to provide holistic care. Ideally, all team members support each other and have
    functions within the team.
    DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation
    MSC: Client Needs: Safe, Effective Care Environment<\/li>\n\n\n\n
  2. Which component of the nur
    N
    sinUg
    R
    pSro
    I
    ceNs
    G
    s wTi
    Bll.th
    C
    eOnu
    M
    rse focus upon to address the
    responsibility to match individual patient needs with appropriate services?
    a. Planning
    b. Evaluation
    c. Assessment
    d. Implementation
    ANS: C
    Proper assessment is critical for being able to determine the appropriate level of services that
    will provide optimal care while considering patient input and at the lowest cost. Planning and
    implementation utilizes the assessment data to identify and execute actions (treatment plan)
    that will provide appropriate care. Evaluation validates the effectiveness of the treatment plan.
    DIF: Cognitive level: Applying TOP: Nursing process: Assessment
    MSC: Client Needs: Safe, Effective Care Environment<\/li>\n\n\n\n
  3. An adult diagnosed with paranoid schizophrenia frequent experiences auditory hallucinations
    and walks about the unit, muttering. Which nursing action demonstrates the nurse\u2019s
    understanding of effective psychotherapeutic management of this client?
    a. Discussing the disease process of schizophrenia with the client and their domestic
    1 \/ 4
    Psychiatric Nursing 9th Edition Keltner Test Bank
    partner
    b. Minimizing contact between this patient and other patients to assure a stress free
    milieu
    c. Administering PRN medication when first observing the evidence that the client
    2 \/ 4
    Psychiatric Nursing 9th Edition Keltner Test Bank
    Psychiatric Nursing 9th Edition Keltner Test Bank
    may be hallucinating
    d. Independently determining that behavior modification is appropriate to decrease
    the client\u2019s paranoid thoughts
    ANS: A
    An understanding of psychopathology is the foundation on which the three components of
    psychotherapeutic management rest; it facilitates therapeutic communication and provides a
    basis for understanding psychopharmacology and milieu management. Minimizing contact
    between the patient and others and administering PRN medication indiscriminately are
    nontherapeutic interventions. Using behavior modification to decrease the frequency of
    hallucinations would need to be incorporated into the plan of care by the care team.
    DIF: Cognitive level: Applying TOP: Nursing process: Implementation
    MSC: Client Needs: Safe, Effective Care Environment<\/li>\n\n\n\n
  4. An adult diagnosed with chronic depression is hospitalized after a suicide attempt. Which
    intervention is critical in assuring long-term, effective client care as described by
    psychotherapeutic management?
    a. Involvement in group therapies
    b. Focus of close supervision by the unit staff
    c. Maintaining effective communication with support system
    d. Frequently scheduled one-on-one time with nursing staff
    ANS: D
    A critical element of psychotherapeutic management is the presence of a therapeutic
    nurse-patient relationship. One-on-one time with nursing staff will help in establishing this
    connection. While the other options are appropriate and client centered, the nurse-client
    relation is critical in the longN-teUrmRSdeIliNveGrTy Bof.qCuaOliMty effective care to this client.
    DIF: Cognitive level: Applying TOP: Nursing process: Implementation
    MSC: Client Needs: Psychosocial Integrity<\/li>\n\n\n\n
  5. A patient\u2019s haloperidol dosage was reduced 2 weeks ago to decrease side effects. What
    assessment question demonstrates the nurse\u2019s understanding of the resulting needs of the
    client?
    a. \u201cWill you have any difficulty getting your prescription refilled?\u201d
    b. \u201cHave you begun experiencing any forms of hallucinations?\u201d
    c. \u201cWhat do you expect will occur since the dosage has been reduced?\u201d
    d. \u201cWhat can I do to help you manage this reduction in haloperidol therapy?\u201d
    ANS: B
    It will be necessary for the nurse to assess for exacerbation of the patient\u2019s symptoms of
    psychosis as well as for a lessening of side effects. Dosage decrease might lead to the return
    or worsening of positive symptoms such as hallucinations and delusions, and negative
    symptoms such as blunted affect, social withdrawal, and poor grooming. While the other
    options may be appropriate assessment questions, they are not directed at the current needs of
    the client; the identification of emerging psychotic behaviors.
    DIF: Cognitive level: Analyzing TOP: Nursing process: Assessment
    MSC: Client Needs: Physiologic Integrity
    3 \/ 4
    Psychiatric Nursing 9th Edition Keltner Test Bank
    Psychiatric Nursing 9th Edition Keltner Test Bank<\/li>\n\n\n\n
  6. Which statement forms the foundation upon which a nurse should base the implementation of
    psychotherapeutic management to the care of a patient with mental illness?
    a. The nurse\u2019s role in client care is supported by the multidisciplinary team.
    b. Omitting any one component will compromise the effectiveness of the treatment.
    c. The most important element of psychotherapeutic management is drug therapy.
    d. A therapeutic nurse-patient relationship is the most important aspect of treatment.
    ANS: B
    When one element is missing, treatment is usually compromised. No single element is more
    important than the others; however, patients\u2019 needs govern the application of the components
    and permit judicious use. The remaining options identify components of the
    psychotherapeutic management process.
    DIF: Cognitive level: Analyzing TOP: Nursing process: Analysis
    MSC: Client Needs: Safe, Effective Care Environment<\/li>\n\n\n\n
  7. Which statement most accurately describes a nurse\u2019s role regarding psychopharmacology?
    a. \u201cYou will need to frequently make decisions regarding the administration of PRN
    medications to help the client manage anger.\u201d
    b. \u201cIt\u2019s a nursing responsibility to adjust a medication dose to assure effective patient
    responses.\u201d
    c. \u201cNurses administers medications while evaluating drug effectiveness is a medical
    responsibility.\u201d
    d. \u201cTo best assure appropriate response, a patient\u2019s questions about drug therapy
    should be referred to the psychiatrist.\u201d
    ANS: A
    Nursing assessment and analNysUisRoSf dIaNtaGmTigBh.t sCuOggMest the need for PRN medication as
    patient anxiety increases or psychotic symptoms become more acute. The nurse is the health
    team member who makes this determination. Nurses are responsible for monitoring drug
    effectiveness as well as administering medication. Nurses should assume responsibility for
    teaching patients about the side effects of medications. Nurses cannot alter prescribed dosages
    of medications unless they have prescriptive privileges.
    DIF: Cognitive level: Analyzing TOP: Nursing process: Analysis
    MSC: Client Needs: Safe, Effective Care Environment<\/li>\n\n\n\n
  8. When considering environmental aspects of milieu management, which intervention has the
    highest priority for a client admitted after a failed suicide attempt?
    a. Sending the client\u2019s new medication prescriptions to the pharmacy
    b. Assigning a staff member to one-on-one observation of the client
    c. Orienting the client to the milieu\u2019s public and private spaces
    d. Having all potentially dangerous items removed from the client\u2019s belongings
    ANS: B
    Milieu management provides a proactive approach to care. Safety overrides all other
    dimensions of the milieu. Initiation of suicide precautions are the priority for this client. All
    the remaining options are appropriate but none protect the client from the risk of another
    attempt to self-harm as effectively as one-on-one observation as part of suicide precautions<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"

    MULTIPLE CHOICE<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[25],"tags":[],"class_list":["post-113230","post","type-post","status-publish","format-standard","hentry","category-exams-certification"],"_links":{"self":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113230","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/comments?post=113230"}],"version-history":[{"count":0,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/posts\/113230\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/media?parent=113230"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/categories?post=113230"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.learnexams.com\/blog\/wp-json\/wp\/v2\/tags?post=113230"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}