{"id":128039,"date":"2023-11-28T08:44:09","date_gmt":"2023-11-28T08:44:09","guid":{"rendered":"https:\/\/learnexams.com\/blog\/?p=128039"},"modified":"2023-11-28T08:44:10","modified_gmt":"2023-11-28T08:44:10","slug":"psychiatric-nursing-8th-edition-by-norman-l-keltner-test-bank-your-complete-guide","status":"publish","type":"post","link":"https:\/\/www.learnexams.com\/blog\/2023\/11\/28\/psychiatric-nursing-8th-edition-by-norman-l-keltner-test-bank-your-complete-guide\/","title":{"rendered":"Psychiatric Nursing 8th Edition by Norman L. Keltner Test Bank – Your Complete Guide"},"content":{"rendered":"\n

Psychiatric Nursing 8th Edition by Norman L. Keltner Test Bank. Experience efficient study with our Test Bank (Study Questions). No waiting\u2014download instantly upon checkout. Elevate your exam readiness effortlessly. Don’t hesitate; download now to supercharge your studies!<\/p>\n\n\n\n

Psychiatric Nursing 8th Edition by Norman L. Keltner Test Bank – Your Complete Guide<\/p>\n\n\n\n

Psychiatric Nursing 8th Edition Test Bank
Chapter 01: Med, Meds, Milieu
Keltner: Psychiatric Nursing, 8th Edition
MULTIPLE CHOICE
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<\/p>\n\n\n\n

    \n
  1. Which component of the nursing process will the nurse 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
  2. 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
    partner<\/li>\n<\/ol>\n\n\n\n

    Psychiatric Nursing 8th Edition Test Bank
    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
    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<\/p>\n\n\n\n

      \n
    1. 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 long-term
      delivery of quality effective care to this client.
      DIF: Cognitive level: Applying TOP: Nursing process: Implementation
      MSC: Client Needs: Psychosocial Integrity<\/li>\n\n\n\n
    2. 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<\/li>\n<\/ol>\n\n\n\n

      Psychiatric Nursing 8th Edition Test Bank
      MSC: Client Needs: Physiologic Integrity<\/p>\n\n\n\n

        \n
      1. 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
      2. 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 analysis of data might suggest 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
      3. 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<\/li>\n<\/ol>\n\n\n\n

        Psychiatric Nursing 8th Edition Test Bank
        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.
        DIF: Cognitive level: Analyzing TOP: Nursing process: Implementation
        MSC: Client Needs: Safe, Effective Care Environment<\/p>\n\n\n\n

          \n
        1. The implementation of which unit policy directed at milieu balance would reflect a need for
          reconsideration on the part of the treatment team?
          a. All clients will receive verbal and written information explaining unit rules.
          b. Unit clients will engage in all unit activities to assure interaction with both staff
          and other clients.
          c. All clients will be uniformly expected to present themselves in a nonviolent
          manner to both staff and other clients.
          d. At times of unit stress, client will return to their rooms.
          ANS: B
          The situation described suggests a milieu in which patients have no time for planned therapeutic
          encounters with staff; hence, it is a milieu lacking balance. The remaining options address unit norms,
          limit setting, and environmental modifications that are reasonable and will contribute to a therapeutic
          milieu.
          DIF: Cognitive level: Evaluating TOP: Nursing process: Evaluation
          MSC: Client Needs: Safe, Effective Care Environment<\/li>\n\n\n\n
        2. Which intervention should the nurse implement when focusing on communicating therapeutically with
          a client?
          a. Explaining to the client why they will need to ask for a razor
          b. Providing the client with options to help achieve smoking cessation
          c. Encouraging the client to identify personal stressors
          d. Assuring the client that they can receive telephone call on the unit telephone
          ANS: C
          A nurse uses therapeutic communication techniques as part of the therapeutic nurse-patient
          relationship. An example of such communication is providing the client with an opportunity to safely
          identify personal stressors. The remaining options address safety, balance, and norms associated with
          their care.
          DIF: Cognitive level: Applying TOP: Nursing process: Implementation
          MSC: Client Needs: Psychosocial Integrity<\/li>\n\n\n\n
        3. During the risk assessment phase of care for a psychiatric patient, what is the nurse\u2019s primary goal?
          a. Making an initial assessment
          b. Confirming the patient\u2019s problem
          c. Assessing potential dangerousness to self or others
          d. Determining the level of supervision needed for the patient
          ANS: C
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        4. <\/li>\n<\/ol>\n\n\n\n