TEST BANK ss
Varcarolis Canadian Psychiatric Mental Health Nursing
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3rd Edition By Pollard All Chapter 1 - 35
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,
,Chapter 01: Mental Health and Mental Illness
ss ss ss ss ss ss
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
ss ss ss ss ss ss ss
MULTIPLE
CHOICE
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1. A staff nurse completes orientation to a psychiatric unit. Which of the following would
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thenurse expect as an advanced practice intervention?
ss s ss ss ss ss ss ss
a. Conduct mental health assessments ss ss ss
b. Prescribe psychotropic medication ss ss
c. Establish therapeutic relationships ss ss
d. Individualize nursing care plans ss ss ss
ANSWER: B ss
Prescriptive privileges are granted to master‘s-prepared nurse practitioners who have taken
ss ss ss ss ss ss ss ss ss ss
special courses on prescribing medication; thus it is an advanced-practice intervention. The
ss ss ss ss ss ss ss ss ss ss ss ss
nurse prepared at the basic level is permitted to perform mental health assessments,
ss ss ss ss ss ss ss ss ss ss ss ss ss
establishrelationships, and provide individualized care planning.
ss s ss ss ss ss ss
DIF: Cognitive Level: Understand (Comprehension) ss ss ss
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
s s ss ss s s ss ss ss ss ss
2. When a nursing student expresses concerns about how mental health nurses ―lose all
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theirnursing skills,‖ which of the following is the best response by the mental health
ss s ss ss ss ss ss ss ss ss ss ss ss ss ss
nurse?
ss
a. ―Psychiatric nurses practise in safer environments than other specialties. ss ss ss ss ss ss ss ss
Nurse-to-patient ratios must be better because of the nature of the
ss ss ss ss ss ss ss ss ss ss ss
patients‘ ss
problems.‖ .
b. ―Psychiatric nurses use complex communication skills as well as critical thinkingto ss ss ss ss ss ss ss ss ss ss s
solve multidimensional problems. I am challenged by those situations.‖
ss ss ss ss ss ss ss ss ss
c. ―That‘s a misconception. Psychiatric nurses frequently use high-
ss ss ss ss ss ss ss
technologymonitoring equipment and manage complex intravenous s ss ss ss ss ss
therapies.‖
ss
d. ―Psychiatric nurses do not have to deal with as much pain and suffering ss ss ss ss ss ss ss ss ss ss ss ss
asmedical–surgical nurses do. That appeals to me.‖
ss s ss ss ss ss ss ss
ANSWER: B ss
The practice of psychiatric nursing requires a different set of skills from medical–surgical
ss ss ss ss ss ss ss ss ss ss ss ss
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
ss ss ss ss ss ss ss ss ss ss ss ss
nursing: behavioural, including communication, coping, and education; and safety,
ss ss ss ss ss ss ss ss ss
coveringcrisis and risk management. Basic psychosocial nursing concepts are central to
ss s ss ss ss ss ss ss ss ss ss ss
psychiatric nursing practice and increase your competency as a practitioner in all clinical
ss ss ss ss ss ss ss ss ss ss ss ss ss
settings.
ss
Whatever setting you choose to work in, you will have the opportunity to improve the lives
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ofpeople who are experiencing mental illness as an additional challenge to their health.
ss s ss ss ss ss ss ss ss ss ss ss ss ss
Your experience in the mental health nursing rotation can help you gain insight into yourself
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
and greatly increase your insight into the experiences of others. This part of nursing
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
educationcan provide guidelines for and the opportunity to learn new skills for dealing with a
ss s ss ss ss ss ss ss ss ss ss ss ss ss ss ss
variety ofchallenging behaviours. Psychosocial pain and suffering are as real as physical pain
ss ss s ss ss ss ss ss ss ss ss ss ss ss
and suffering.
ss ss
DIF: Cognitive Level: Apply (Application) ss ss ss
TOP: Nursing Process: Implementation MSC:
s s ss ss s s Client Needs: Safe Effective Care Environment
ss ss ss ss ss
, 3. When a new bill introduced in Parliament reduces funding for care of people with mental
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
illness, a group of people with mild mental illness write letters to their elected
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
representativesin opposition to the legislation for all people with mental illness. Which role
ss s ss ss ss ss ss ss ss ss ss ss ss ss
does this action portray?
ss ss ss ss
a. Recovery
b. Self-care
c. Advocacy
d. Social action ss
ANSWER: C ss
An advocate defends or asserts another‘s cause, particularly when the other person lacks the
ss ss ss ss ss ss ss ss ss ss ss ss ss
ability to do that for himself or herself. On a community scale, advocacy includes political
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
activity, public speaking, and publication in the interest of improving the human condition.
ss ss ss ss ss ss ss ss ss ss ss ss ss
Since funding is necessary to deliver quality programming for people with mental illness,
ss ss ss ss ss ss ss ss ss ss ss ss ss
theletter-writing campaign advocates for the cause for all people with mental illness.
ss s ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Understand (Comprehension) ss ss ss
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
s s ss ss s s ss ss ss ss ss
4. Which of the following has been identified as a significant trend that will affect the future
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ofpsychiatric mental health nursing in Canada?
ss s ss ss ss ss ss
a. Decrease in the aging population ss ss ss ss
b. Increase in cultural diversity ss ss ss
c. Role of the advanced-practice nurse ss ss ss ss
d. Shortage of physicians in rural and urban areas ss ss ss ss ss ss ss
ANSWER: B ss
Four significant trends havTe E
ss beSeT
nBidAeN
ntK
ifS
ieE
dL
thL
atEwRi.llC
afOfeMct the future of psychiatric mental
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health nursing in Canada; these include an aging population, an increase in cultural diversity,
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
expanding technology, and an increased awareness of the impact of the determinants of
ss ss ss ss ss ss ss ss ss ss ss ss
healthon mental illness.
ss s ss ss
DIF: Cognitive Level: Understand (Comprehension) ss ss ss
TOP: Nursing Process: Assessment
s s MSC: Client Needs: Safe Effective Care Environmentss ss s s ss ss ss ss ss
5. Which assessment finding most clearly indicates that a patient may be experiencing a
ss ss ss ss ss ss ss ss ss ss ss ss
mentalillness?
ss s
a. The patient ss ss reports occasional sleeplessness and anxiety.
ss ss ss ss
b. The patient ss ss reports a consistently sad, discouraged, and hopeless mood.
ss ss ss ss ss ss ss
c. The patient ss ss is able to describe the difference between ―as if‖ and ―for real.‖
ss ss ss ss ss ss ss ss ss ss ss
d. The patient ss ss perceives difficulty making a decision about whether to change jobs.
ss ss ss ss ss ss ss ss ss
ANSWER: B ss
The correct response describes a mood alteration, which reflects mental illness. Alterations
ss ss ss ss ss ss ss ss ss ss ss
incognition, mood, or behaviour that are coupled with significant distress and impaired
ss s ss ss ss ss ss ss ss ss ss ss ss
functioning characterize mental illness. The distracters describe behaviours that are mentally
ss ss ss ss ss ss ss ss ss ss ss
healthy or within the usual scope of human experience.
ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Apply (Application) ss ss ss
TOP: Nursing Process: Assessment
s s MSC: ss ss s s Client Needs: Psychosocial Integrity
ss ss ss
Varcarolis Canadian Psychiatric Mental Health Nursing
ss ss ss ss ss
3rd Edition By Pollard All Chapter 1 - 35
ss ss ss ss ss ss ss ss
,
,Chapter 01: Mental Health and Mental Illness
ss ss ss ss ss ss
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
ss ss ss ss ss ss ss
MULTIPLE
CHOICE
ss
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would
ss ss ss ss ss ss ss ss ss ss ss ss ss
thenurse expect as an advanced practice intervention?
ss s ss ss ss ss ss ss
a. Conduct mental health assessments ss ss ss
b. Prescribe psychotropic medication ss ss
c. Establish therapeutic relationships ss ss
d. Individualize nursing care plans ss ss ss
ANSWER: B ss
Prescriptive privileges are granted to master‘s-prepared nurse practitioners who have taken
ss ss ss ss ss ss ss ss ss ss
special courses on prescribing medication; thus it is an advanced-practice intervention. The
ss ss ss ss ss ss ss ss ss ss ss ss
nurse prepared at the basic level is permitted to perform mental health assessments,
ss ss ss ss ss ss ss ss ss ss ss ss ss
establishrelationships, and provide individualized care planning.
ss s ss ss ss ss ss
DIF: Cognitive Level: Understand (Comprehension) ss ss ss
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
s s ss ss s s ss ss ss ss ss
2. When a nursing student expresses concerns about how mental health nurses ―lose all
ss ss ss ss ss ss ss ss ss ss ss ss
theirnursing skills,‖ which of the following is the best response by the mental health
ss s ss ss ss ss ss ss ss ss ss ss ss ss ss
nurse?
ss
a. ―Psychiatric nurses practise in safer environments than other specialties. ss ss ss ss ss ss ss ss
Nurse-to-patient ratios must be better because of the nature of the
ss ss ss ss ss ss ss ss ss ss ss
patients‘ ss
problems.‖ .
b. ―Psychiatric nurses use complex communication skills as well as critical thinkingto ss ss ss ss ss ss ss ss ss ss s
solve multidimensional problems. I am challenged by those situations.‖
ss ss ss ss ss ss ss ss ss
c. ―That‘s a misconception. Psychiatric nurses frequently use high-
ss ss ss ss ss ss ss
technologymonitoring equipment and manage complex intravenous s ss ss ss ss ss
therapies.‖
ss
d. ―Psychiatric nurses do not have to deal with as much pain and suffering ss ss ss ss ss ss ss ss ss ss ss ss
asmedical–surgical nurses do. That appeals to me.‖
ss s ss ss ss ss ss ss
ANSWER: B ss
The practice of psychiatric nursing requires a different set of skills from medical–surgical
ss ss ss ss ss ss ss ss ss ss ss ss
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
ss ss ss ss ss ss ss ss ss ss ss ss
nursing: behavioural, including communication, coping, and education; and safety,
ss ss ss ss ss ss ss ss ss
coveringcrisis and risk management. Basic psychosocial nursing concepts are central to
ss s ss ss ss ss ss ss ss ss ss ss
psychiatric nursing practice and increase your competency as a practitioner in all clinical
ss ss ss ss ss ss ss ss ss ss ss ss ss
settings.
ss
Whatever setting you choose to work in, you will have the opportunity to improve the lives
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ofpeople who are experiencing mental illness as an additional challenge to their health.
ss s ss ss ss ss ss ss ss ss ss ss ss ss
Your experience in the mental health nursing rotation can help you gain insight into yourself
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
and greatly increase your insight into the experiences of others. This part of nursing
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
educationcan provide guidelines for and the opportunity to learn new skills for dealing with a
ss s ss ss ss ss ss ss ss ss ss ss ss ss ss ss
variety ofchallenging behaviours. Psychosocial pain and suffering are as real as physical pain
ss ss s ss ss ss ss ss ss ss ss ss ss ss
and suffering.
ss ss
DIF: Cognitive Level: Apply (Application) ss ss ss
TOP: Nursing Process: Implementation MSC:
s s ss ss s s Client Needs: Safe Effective Care Environment
ss ss ss ss ss
, 3. When a new bill introduced in Parliament reduces funding for care of people with mental
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
illness, a group of people with mild mental illness write letters to their elected
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
representativesin opposition to the legislation for all people with mental illness. Which role
ss s ss ss ss ss ss ss ss ss ss ss ss ss
does this action portray?
ss ss ss ss
a. Recovery
b. Self-care
c. Advocacy
d. Social action ss
ANSWER: C ss
An advocate defends or asserts another‘s cause, particularly when the other person lacks the
ss ss ss ss ss ss ss ss ss ss ss ss ss
ability to do that for himself or herself. On a community scale, advocacy includes political
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
activity, public speaking, and publication in the interest of improving the human condition.
ss ss ss ss ss ss ss ss ss ss ss ss ss
Since funding is necessary to deliver quality programming for people with mental illness,
ss ss ss ss ss ss ss ss ss ss ss ss ss
theletter-writing campaign advocates for the cause for all people with mental illness.
ss s ss ss ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Understand (Comprehension) ss ss ss
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
s s ss ss s s ss ss ss ss ss
4. Which of the following has been identified as a significant trend that will affect the future
ss ss ss ss ss ss ss ss ss ss ss ss ss ss ss
ofpsychiatric mental health nursing in Canada?
ss s ss ss ss ss ss
a. Decrease in the aging population ss ss ss ss
b. Increase in cultural diversity ss ss ss
c. Role of the advanced-practice nurse ss ss ss ss
d. Shortage of physicians in rural and urban areas ss ss ss ss ss ss ss
ANSWER: B ss
Four significant trends havTe E
ss beSeT
nBidAeN
ntK
ifS
ieE
dL
thL
atEwRi.llC
afOfeMct the future of psychiatric mental
ss ss s s ss ss ss ss ss
health nursing in Canada; these include an aging population, an increase in cultural diversity,
ss ss ss ss ss ss ss ss ss ss ss ss ss ss
expanding technology, and an increased awareness of the impact of the determinants of
ss ss ss ss ss ss ss ss ss ss ss ss
healthon mental illness.
ss s ss ss
DIF: Cognitive Level: Understand (Comprehension) ss ss ss
TOP: Nursing Process: Assessment
s s MSC: Client Needs: Safe Effective Care Environmentss ss s s ss ss ss ss ss
5. Which assessment finding most clearly indicates that a patient may be experiencing a
ss ss ss ss ss ss ss ss ss ss ss ss
mentalillness?
ss s
a. The patient ss ss reports occasional sleeplessness and anxiety.
ss ss ss ss
b. The patient ss ss reports a consistently sad, discouraged, and hopeless mood.
ss ss ss ss ss ss ss
c. The patient ss ss is able to describe the difference between ―as if‖ and ―for real.‖
ss ss ss ss ss ss ss ss ss ss ss
d. The patient ss ss perceives difficulty making a decision about whether to change jobs.
ss ss ss ss ss ss ss ss ss
ANSWER: B ss
The correct response describes a mood alteration, which reflects mental illness. Alterations
ss ss ss ss ss ss ss ss ss ss ss
incognition, mood, or behaviour that are coupled with significant distress and impaired
ss s ss ss ss ss ss ss ss ss ss ss ss
functioning characterize mental illness. The distracters describe behaviours that are mentally
ss ss ss ss ss ss ss ss ss ss ss
healthy or within the usual scope of human experience.
ss ss ss ss ss ss ss ss ss
DIF: Cognitive Level: Apply (Application) ss ss ss
TOP: Nursing Process: Assessment
s s MSC: ss ss s s Client Needs: Psychosocial Integrity
ss ss ss
