Chapter 01: Me, Meds, MilieuMULTIPLE CHOICE1.Select the best description of nursing practice in the psychiatric setting.a.The nurse primarily serves in a supportive role to other members of the team.b.The multidisciplinary approach eliminates the need to clearly define theresponsibilities of nursing.c.Clearly differentiated nursing actions have been identified that distinguish nursingfrom other professions.d.Although professional role overlap exists, nursing offers unique contributions topsychotherapeutic management.ANS:DProfessional role overlap cannot be denied; however, nursing is unique in its focus on andapplication of psychotherapeutic management. Psychiatric social workers do not haveexpertise in physical care. Ideally, all team members support each other.DIF:Cognitive level: ApplyingREF:p. 3TOP:Nursing process: ImplementationMSC: NCLEX: Safe, Effective Care Environment2.The primary element required to match individual patient needs with appropriate services isproper:a.planning.b.evaluation.c.assessment.d.implementation.ANS:CProper assessment is critical for being able to determine the appropriate level of services thatwill provide the patient with optimal care at the lowest cost. The decision tree for thecontinuum of care establishes this fact.DIF:Cognitive level: UnderstandingREF:p. 7TOP:Nursing process: AssessmentMSC: NCLEX: Safe, Effective Care Environment3.An adult with paranoid schizophrenia is hospitalized. This patient has frequent auditoryhallucinations and walks about the unit, muttering. To use psychotherapeutic managementeffectively, it is most important for the nurse to:a.understand the disease process of schizophrenia.b.minimize contact between this patient and other patients.c.administer PRN medication before interacting with the patient.d.use behavior modification to decrease the frequency of hallucinations.ANS:APreview Mode
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