Varcarolis Canadian Psychiatric Mental Health Nursing, 3rd Edition (Pollard) – Complete Test Bank for Chapters 1–35

TEST BANK
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35

,
,Chapter01:Mental Health andMental Illness
if if if if if if




Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition if if if if if if if




MULTIPLECHOICE if




1. A staffnursecompletes orientation to apsychiatric unit. Which ofthe following would thenurse
if if if if if if if if if if if if if if fi if




expect as an advanced practice intervention? if if if if if




a. Conduct mental health assessments if if if




b. Prescribepsychotropicmedication fi fi




c. Establishtherapeuticrelationships if if




d. Individualizenursing careplans if if if




ANSWER: B i f




Prescriptive privileges are granted to master’s- if if if if if




prepared nurse practitioners who have taken special courses on prescribing medication; thus it is if if if if if if if if if if if if if i




an advanced-
f if




practice intervention. The nurseprepared at thebasiclevel is permitted to perform mental health if if if if if if if if if if if if if if




assessments, establishrelationships, and provide individualized careplanning.
if if fi if if if if if




DIF: CognitiveLevel: Understand(Comprehension) fi if fi




TOP: NursingProcess: Implementation MSC: Client Needs:SafeEffective Care Environment
i f if if i f if if if if if




2. When anursingstudent expressesconcerns abouthow mentalhealth nurses “loseall theirnur
if if if if if if if if if if if if if fi




sing skills,”which of the following is the best response bythemental health nurse?
if if if if if if if if if if if if if if




a. “Psychiatric nurses practise in safer environments than other specialties. Nur if if if if if if if if if




se-to-patient ratios must be better becauseof thenatureof thepatients’ if if if if if if if if if if if




problems. .
”
b. “Psychiatricnursesusecomplexcommunication skillsas wellas critical thinkingto sol if if if if if if if if if if fi if




vemultidimensional problems. Iam challenged by thosesituations.” if if if if if if if if




c. “That’s a misconception. Psychiatric nurses frequently use high- if if if if if if if




technologymonitoring equipment and managecomplex intravenous therapie fi if if if if if if




s.”
d. “Psychiatricnursesdo nothaveto deal withasmuch painand suffering asmedi if if if if if if if if if if if if if fi




cal–surgical nurses do. That appeals to me.” if if if if if if




ANSWER: B i f




The practice of psychiatric nursing requires a different set of skills from medical–
if if if if if if if if if if if if




surgical nursing, though there is substantial overlap. Two domains relate specifically to psychiatrif if if if if if if if if if if if




ic nursing: behavioural, including communication, coping, and education; and safety, coveringc
if if if if if if if if if if fi




risis and risk management. Basic psychosocial nursing concepts are central to psychiatric nursin
if if if if if if if if if if if if




g practice and increase your competency as a practitioner in all clinical settings.
if if if if if if if if if if if if




Whatever setting you choose to work in, you will have the opportunity to improve the lives ofpeopl if if if if if if if if if if if if if if if if fi




e who areexperiencing mental illness as an additional challenge to their health.
if if if if if if if if if if if if




Your experience in the mental health nursing rotation can help you gain insight into yourself and gr
if if if if if if if if if if if if if if if if




eatly increaseyour insightinto theexperiences of others. This part of nursing educationcan provid
if if if if if if if if if if if if if fi if




e guidelines for and the opportunity to learn new skills for dealing with a variety ofchallenging beha
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viours. Psychosocial pain and suffering are as real as physical pain and suffering. if if if if if if if if if if if if




DIF: CognitiveLevel:Apply(Application) if if fi




TOP: NursingProcess: Implementation i f if if MSC: Client Needs:SafeEffective Care Environment i f if if if if if

, 3. When a new bill introduced in Parliament reduces funding for care of people with mental illness, a
if if if if if if if if if if if if if if if if if




group of people with mild mental illnesswriteletters to their elected representativesin oppositio
if if if if if if if if if if if if fi if




n to the legislation for all people with mental illness. Which role does this action portray?
if if if if if if if if if if if if if if if




a. Recovery
b. Self-care
c. Advocacy
d. Socialaction if




ANSWER: C i f




An advocate defends or asserts another’s cause, particularly when the other person lacks the abili
if if if if if if if if if if if if if if




ty to do that for himself or herself. On a community scale, advocacy includes political activity, publi
if if if if if if if if if if if if if if if if




c speaking, and publication in the interest of improving the human condition. Since funding is nec
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essary to deliver quality programming for people with mental illness, theletter-
if if if if if if if if if if fi




writing campaign advocates for the cause for all people with mental illness. if if if if if if if if if if if




DIF: CognitiveLevel: Understand(Comprehension) fi if fi




TOP: NursingProcess: Implementation iMSC: Client Needs:SafeEffective Care Environment
f if if i f if if if if if




4. Which ofthe following has been identified as a significant trend that will affect the future ofpsychi
if if if if if if if if if if if if if if if if fi




atric mental health nursing in Canada? if if if if if




a. Decreasein the aging population if if if if




b. Increasein cultural diversity if if if




c. Role ofthe advanced-practicenurse if if if if




d. Shortageof physicians in ruraland urban areas if if if if if if if




ANSWER: B i f




Four significant trends havT
eEbeSeT
nBidAeN
ntK
ifS
ieE
if dLthLatEwRi.llC
afOfeMct the future of psychiatric mental health n if if fi fi if if if if if if if




ursing in Canada; theseincludean aging population,an increasein cultural diversity,
if if if if if if if if if if if if




expanding technology, and an increased awareness of theimpact of the determinants of healthon if if if if if if if if if if if if if fi if




mental illness. if




DIF: CognitiveLevel: Understand(Comprehension) fi if fi




TOP: Nursing Process: Assessment iMSC: Client Needs:Safe Effective CareEnvironment
f if if i f if if if if if




5. Which assessment finding most clearly indicates that a patient maybe experiencing a mentalillne
if if if if if if if if if if if if if fi




ss?
a. Thepatient reports occasional sleeplessness and anxiety. if if if if if if




b. Thepatient reports aconsistently sad, discouraged, and hopeless mood.
if if if if if if if if if




c. Thepatient isable to describethe difference between “as if”and “for real.”
if if if if if if if if if if if if if




d. Thepatient perceives difficulty making adecision about whetherto change jobs.
if if if if if if if if if if if




ANSWER: B i f




Thecorrect response describes amood alteration, which reflectsmental illness. Alterations incog
fi if if if if if if if if if if if fi




nition, mood, or behaviour that are coupled with significant distress and impaired functioning cha
if if if if if if if if if if if if if




racterize mental illness. The distracters describe behaviours that are mentally healthy or within th if if if if if if if if if if if if if




e usual scopeof human experience.
if if if if if




DIF: CognitiveLevel:Apply(Application) if if fi




TOP: Nursing Process: Assessment i f if if MSC: Client Needs:PsychosocialIntegrity i f if if if