TEST BANK
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
nurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
ANSWER: B
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
special courses on prescribing medication; thus it is an advanced-practice intervention. The
nurse prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all
their nursing skills,” which of the following is the best response by the mental health
nurse?
a. “Psychiatric nurses practise in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the
patients’ problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto
solve multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high-technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering
as medical–surgical nurses do. That appeals to me.”
ANSWER: B
The practice of psychiatric nursing requires a different set of skills from medical–surgical
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
nursing: behavioural, including communication, coping, and education; and safety,
covering crisis and risk management. Basic psychosocial nursing concepts are central to
psychiatric nursing practice and increase your competency as a practitioner in all clinical
settings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
people who are experiencing mental illness as an additional challenge to their health.
Your experience in the mental health nursing rotation can help you gain insight into yourself and
greatly increase your insight into the experiences of others. This part of nursing educationcan
provide guidelines for and the opportunity to learn new skills for dealing with a variety of
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and
suffering.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
, 3. WhenhahnewhbillhintroducedhinhParliamenthreduceshfundinghforhcarehofhpeoplehwithhmentalhillness,h
ahgrouphofhpeoplehwithhmildhmentalhillnesshwritehlettershtohtheirhelectedhrepresentativesinh oppositio
nhtohthehlegislationhforhallhpeoplehwithhmentalhillness.hWhichhrolehdoeshthishactionh portray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialhaction
ANSWER:h C
Anhadvocatehdefendshorhassertshanother’shcause,hparticularlyhwhenhthehotherhpersonhlackshtheh
abilityhtohdohthathforhhimselfhorhherself.hOnhahcommunityhscale,hadvocacyhincludeshpoliticalh acti
vity,hpublichspeaking,handhpublicationhinhthehinteresthofhimprovinghthehhumanhcondition.h Sincehf
undinghishnecessaryhtohdeliverhqualityhprogramminghforhpeoplehwithhmentalhillness,htheh letter-
writinghcampaignhadvocateshforhthehcausehforhallhpeoplehwithhmentalhillness.
DIF: CognitivehLevel:hUnderstandh(Comprehension)
TOP:hh NursinghProcess:hImplementation MSC:h ClienthNeeds:hSafehEffectivehCarehEnvironment
4. Whichhofhthehfollowinghhashbeenhidentifiedhashahsignificanthtrendhthathwillhaffecththehfuturehofh
psychiatrichmentalhhealthhnursinghinhCanada?
a. Decreasehinhthehaginghpopulation
b. Increasehinhculturalhdiversity
c. Rolehofhthehadvanced-practicehnurse
d. Shortagehofhphysicianshinhruralhandhurbanhareas
ANSWER:h B
FourhsignificanthtrendshhavTe EbSeeTnBidAeN
ntK
ifSieEdhLthLatEw
Ri.ll C
afOfeMcththehfuturehofhpsychiatrichmental
healthhnursinghinhCanada;hthesehincludehanhaginghpopulation,hanhincreasehinhculturalhdiversity,h exp
andinghtechnology,handhanhincreasedhawarenesshofhthehimpacthofhthehdeterminantshofhhealthonh me
ntalhillness.
DIF: CognitivehLevel:hUnderstandh(Comprehension)
TOP:hh NursinghProcess:hAssessment MSC:h ClienthNeeds:hSafehEffectivehCarehEnvironment
5. Whichhassessmenthfindinghmosthclearlyhindicateshthathahpatienthmayhbehexperiencinghahmental
hillness?
a. Thehpatienthreportshoccasionalhsleeplessnesshandhanxiety.
b. Thehpatienthreportshahconsistentlyhsad,hdiscouraged,handhhopelesshmood.
c. Thehpatienthishablehtohdescribehthehdifferencehbetweenh“ashif”handh“forhreal.”
d. Thehpatienthperceiveshdifficultyhmakinghahdecisionhabouthwhetherhtohchangehjobs.
ANSWER:h B
Thehcorrecthresponsehdescribeshahmoodhalteration,hwhichhreflectshmentalhillness.hAlterationshinh cog
nition,hmood,horhbehaviourhthatharehcoupledhwithhsignificanthdistresshandhimpairedh functioninghch
aracterizehmentalhillness.hThehdistractershdescribehbehaviourshthatharehmentallyh healthyhorhwithinh
thehusualhscopehofhhumanhexperience.
DIF: CognitivehLevel:hApplyh(Application)
TOP:hh NursinghProcess:hAssessment MSC:h ClienthNeeds:hPsychosocialhIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
nurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
ANSWER: B
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
special courses on prescribing medication; thus it is an advanced-practice intervention. The
nurse prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all
their nursing skills,” which of the following is the best response by the mental health
nurse?
a. “Psychiatric nurses practise in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the
patients’ problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto
solve multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high-technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering
as medical–surgical nurses do. That appeals to me.”
ANSWER: B
The practice of psychiatric nursing requires a different set of skills from medical–surgical
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
nursing: behavioural, including communication, coping, and education; and safety,
covering crisis and risk management. Basic psychosocial nursing concepts are central to
psychiatric nursing practice and increase your competency as a practitioner in all clinical
settings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
people who are experiencing mental illness as an additional challenge to their health.
Your experience in the mental health nursing rotation can help you gain insight into yourself and
greatly increase your insight into the experiences of others. This part of nursing educationcan
provide guidelines for and the opportunity to learn new skills for dealing with a variety of
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and
suffering.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
, 3. WhenhahnewhbillhintroducedhinhParliamenthreduceshfundinghforhcarehofhpeoplehwithhmentalhillness,h
ahgrouphofhpeoplehwithhmildhmentalhillnesshwritehlettershtohtheirhelectedhrepresentativesinh oppositio
nhtohthehlegislationhforhallhpeoplehwithhmentalhillness.hWhichhrolehdoeshthishactionh portray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialhaction
ANSWER:h C
Anhadvocatehdefendshorhassertshanother’shcause,hparticularlyhwhenhthehotherhpersonhlackshtheh
abilityhtohdohthathforhhimselfhorhherself.hOnhahcommunityhscale,hadvocacyhincludeshpoliticalh acti
vity,hpublichspeaking,handhpublicationhinhthehinteresthofhimprovinghthehhumanhcondition.h Sincehf
undinghishnecessaryhtohdeliverhqualityhprogramminghforhpeoplehwithhmentalhillness,htheh letter-
writinghcampaignhadvocateshforhthehcausehforhallhpeoplehwithhmentalhillness.
DIF: CognitivehLevel:hUnderstandh(Comprehension)
TOP:hh NursinghProcess:hImplementation MSC:h ClienthNeeds:hSafehEffectivehCarehEnvironment
4. Whichhofhthehfollowinghhashbeenhidentifiedhashahsignificanthtrendhthathwillhaffecththehfuturehofh
psychiatrichmentalhhealthhnursinghinhCanada?
a. Decreasehinhthehaginghpopulation
b. Increasehinhculturalhdiversity
c. Rolehofhthehadvanced-practicehnurse
d. Shortagehofhphysicianshinhruralhandhurbanhareas
ANSWER:h B
FourhsignificanthtrendshhavTe EbSeeTnBidAeN
ntK
ifSieEdhLthLatEw
Ri.ll C
afOfeMcththehfuturehofhpsychiatrichmental
healthhnursinghinhCanada;hthesehincludehanhaginghpopulation,hanhincreasehinhculturalhdiversity,h exp
andinghtechnology,handhanhincreasedhawarenesshofhthehimpacthofhthehdeterminantshofhhealthonh me
ntalhillness.
DIF: CognitivehLevel:hUnderstandh(Comprehension)
TOP:hh NursinghProcess:hAssessment MSC:h ClienthNeeds:hSafehEffectivehCarehEnvironment
5. Whichhassessmenthfindinghmosthclearlyhindicateshthathahpatienthmayhbehexperiencinghahmental
hillness?
a. Thehpatienthreportshoccasionalhsleeplessnesshandhanxiety.
b. Thehpatienthreportshahconsistentlyhsad,hdiscouraged,handhhopelesshmood.
c. Thehpatienthishablehtohdescribehthehdifferencehbetweenh“ashif”handh“forhreal.”
d. Thehpatienthperceiveshdifficultyhmakinghahdecisionhabouthwhetherhtohchangehjobs.
ANSWER:h B
Thehcorrecthresponsehdescribeshahmoodhalteration,hwhichhreflectshmentalhillness.hAlterationshinh cog
nition,hmood,horhbehaviourhthatharehcoupledhwithhsignificanthdistresshandhimpairedh functioninghch
aracterizehmentalhillness.hThehdistractershdescribehbehaviourshthatharehmentallyh healthyhorhwithinh
thehusualhscopehofhhumanhexperience.
DIF: CognitivehLevel:hApplyh(Application)
TOP:hh NursinghProcess:hAssessment MSC:h ClienthNeeds:hPsychosocialhIntegrity
