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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
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
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nursing skills,‖ which of the following is the best response by the mental health nurse?
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a. ―Psychiatric nurses practise in safer environments than other specialties.
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Nurse-to-
patient ratios must be better because of the nature of the patients’ proble
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ms.‖ .
b. ―Psychiatric nurses use complex communication skills as well as critical thinkingto
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solve multidimensional problems. I am challenged by those situations.‖
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c. ―That’s a misconception. Psychiatric nurses frequently use high-
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technology monitoring equipment and manage complex intravenous ther
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apies.‖
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as
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medical–surgical nurses do. That appeals to me.‖ jk jk jk jk jk jk
ANSWER: B jk
The practice of psychiatric nursing requires a different set of skills from medical–
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surgical nursing, though there is substantial overlap. Two domains relate specifically to psy
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chiatric nursing: behavioural, including communication, coping, and education; and safety,
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covering crisis and risk management. Basic psychosocial nursing concepts are central to ps
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ychiatric nursing practice and increase your competency as a practitioner in all clinical sett
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ings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives of p
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eople who are experiencing mental illness as an additional challenge to their health.
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Your experience in the mental health nursing rotation can help you gain insight into yourself and g
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reatly increase your insight into the experiences of others. This part of nursing educationcan provi
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de guidelines for and the opportunity to learn new skills for dealing with a variety of challenging
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behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
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DIF: Cognitive Level: Apply (Application) jk jk jk
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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, 3. When a new bill introduced in Parliament reduces funding for care of people with mental illness,
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ka group of people with mild mental illness write letters to their elected representativesin opposit
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ion to the legislation for all people with mental illness. Which role does this action portray?
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a. Recovery
b. Self-care
c. Advocacy
d. Social action jk
ANSWER: C jk
An advocate defends or asserts another’s cause, particularly when the other person lacks the
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kability to do that for himself or herself. On a community scale, advocacy includes political
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activity, public speaking, and publication in the interest of improving the human condition. Si
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nce funding is necessary to deliver quality programming for people with mental illness, the l
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etter-writing campaign advocates for the cause for all people with mental illness.
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DIF: Cognitive Level: Understand (Comprehension) jk jk jk
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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4. Which of the following has been identified as a significant trend that will affect the future of
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k psychiatric mental health nursing in Canada? jk jk jk jk jk
a. Decrease in the aging population jk jk jk jk
b. Increase in cultural diversity jk jk jk
c. Role of the advanced-practice nurse jk jk jk jk
d. Shortage of physicians in rural and urban areas jk jk jk jk jk jk jk
ANSWER: B jk
Four significant trends havTe EbSeeTnBidAeN
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ifSieEdLthLatEw
Ri.ll C
afOfeMct the future of psychiatric mental
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health nursing in Canada; these include an aging population, an increase in cultural diversity, ex
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panding technology, and an increased awareness of the impact of the determinants of healthon
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kmental illness. jk
DIF: Cognitive Level: Understand (Comprehension) jk jk jk
TOP: Nursing Process: Assessment
jkj k MSC: Client Needs: Safe Effective Care Environment jk jk j k jk jk jk jk jk
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
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illness?
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a. The patient reports occasional sleeplessness and anxiety.
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b. The patient reports a consistently sad, discouraged, and hopeless mood.
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c. The patient is able to describe the difference between ―as if‖ and ―for real.‖
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d. The patient perceives difficulty making a decision about whether to change jobs.
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ANSWER: B jk
The correct response describes a mood alteration, which reflects mental illness. Alterations in co
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gnition, mood, or behaviour that are coupled with significant distress and impaired functioning
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characterize mental illness. The distracters describe behaviours that are mentally healthy or wit
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hin the usual scope of human experience.
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DIF: Cognitive Level: Apply (Application) jk jk jk
TOP: Nursing Process: Assessment
jkj k MSC: Client Needs: Psychosocial Integrity jk jk j k jk jk jk
Varcarolis Canadian Psychiatric Mental Health Nursing
jk jk jk jk jk
3rd Edition By Pollard All Chapter 1 - 35
jk jk jk jk jk jk jk jk
,
,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
jk jk jk jk jk jk jk jk jk jk jk jk jk j k
nursing skills,‖ which of the following is the best response by the mental health nurse?
jk jk jk jk jk jk jk jk jk jk jk jk jk jk
a. ―Psychiatric nurses practise in safer environments than other specialties.
jk jk jk jk jk jk jk jk
Nurse-to-
patient ratios must be better because of the nature of the patients’ proble
jk jk jk jk jk jk jk jk jk jk jk j k
ms.‖ .
b. ―Psychiatric nurses use complex communication skills as well as critical thinkingto
jk jk jk jk jk jk jk jk jk jk
solve multidimensional problems. I am challenged by those situations.‖
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c. ―That’s a misconception. Psychiatric nurses frequently use high-
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technology monitoring equipment and manage complex intravenous ther
j k jk jk jk jk jk jk
apies.‖
d. ―Psychiatric nurses do not have to deal with as much pain and suffering as
jk jk jk jk jk jk jk jk jk jk jk jk jk j k
medical–surgical nurses do. That appeals to me.‖ jk jk jk jk jk jk
ANSWER: B jk
The practice of psychiatric nursing requires a different set of skills from medical–
jk jk jk jk jk jk jk jk jk jk jk jk
surgical nursing, though there is substantial overlap. Two domains relate specifically to psy
j k jk jk jk jk jk jk jk jk jk jk jk
chiatric nursing: behavioural, including communication, coping, and education; and safety,
j k jk jk jk jk jk jk jk jk jk
covering crisis and risk management. Basic psychosocial nursing concepts are central to ps
j k jk jk jk jk jk jk jk jk jk jk jk
ychiatric nursing practice and increase your competency as a practitioner in all clinical sett
j k jk jk jk jk jk jk jk jk jk jk jk jk
ings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives of p
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk j k
eople who are experiencing mental illness as an additional challenge to their health.
jk jk jk jk jk jk jk jk jk jk jk jk
Your experience in the mental health nursing rotation can help you gain insight into yourself and g
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk j k
reatly increase your insight into the experiences of others. This part of nursing educationcan provi
jk jk jk jk jk jk jk jk jk jk jk jk jk j k
de guidelines for and the opportunity to learn new skills for dealing with a variety of challenging
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk j k jk
behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
jk jk jk jk jk jk jk jk jk jk jk jk
DIF: Cognitive Level: Apply (Application) jk jk jk
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
jkj k jk jk j k jk jk jk jk jk
, 3. When a new bill introduced in Parliament reduces funding for care of people with mental illness,
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk j
ka group of people with mild mental illness write letters to their elected representativesin opposit
jk jk jk jk jk jk jk jk jk jk jk jk jk j k
ion to the legislation for all people with mental illness. Which role does this action portray?
jk jk jk jk jk jk jk jk jk jk jk jk jk jk j k
a. Recovery
b. Self-care
c. Advocacy
d. Social action jk
ANSWER: C jk
An advocate defends or asserts another’s cause, particularly when the other person lacks the
jk jk jk jk jk jk jk jk jk jk jk jk jk j
kability to do that for himself or herself. On a community scale, advocacy includes political
jk jk jk jk jk jk jk jk jk jk jk jk jk jk j k
activity, public speaking, and publication in the interest of improving the human condition. Si
jk jk jk jk jk jk jk jk jk jk jk jk jk
nce funding is necessary to deliver quality programming for people with mental illness, the l
jk jk jk jk jk jk jk jk jk jk jk jk jk j k
etter-writing campaign advocates for the cause for all people with mental illness.
jk jk jk jk jk jk jk jk jk jk jk
DIF: Cognitive Level: Understand (Comprehension) jk jk jk
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
jkj k jk jk j k jk jk jk jk jk
4. Which of the following has been identified as a significant trend that will affect the future of
jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk jk j
k psychiatric mental health nursing in Canada? jk jk jk jk jk
a. Decrease in the aging population jk jk jk jk
b. Increase in cultural diversity jk jk jk
c. Role of the advanced-practice nurse jk jk jk jk
d. Shortage of physicians in rural and urban areas jk jk jk jk jk jk jk
ANSWER: B jk
Four significant trends havTe EbSeeTnBidAeN
jk ntK
ifSieEdLthLatEw
Ri.ll C
afOfeMct the future of psychiatric mental
jk jk kj jk jk jk jk jk
health nursing in Canada; these include an aging population, an increase in cultural diversity, ex
jk jk jk jk jk jk jk jk jk jk jk jk jk j k
panding technology, and an increased awareness of the impact of the determinants of healthon
jk jk jk jk jk jk jk jk jk jk jk jk jk j
kmental illness. jk
DIF: Cognitive Level: Understand (Comprehension) jk jk jk
TOP: Nursing Process: Assessment
jkj k MSC: Client Needs: Safe Effective Care Environment jk jk j k jk jk jk jk jk
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
jk jk jk jk jk jk jk jk jk jk jk jk jk
illness?
j k
a. The patient reports occasional sleeplessness and anxiety.
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b. The patient reports a consistently sad, discouraged, and hopeless mood.
jk jk jk jk jk jk jk jk jk
c. The patient is able to describe the difference between ―as if‖ and ―for real.‖
jk jk jk jk jk jk jk jk jk jk jk jk jk
d. The patient perceives difficulty making a decision about whether to change jobs.
jk jk jk jk jk jk jk jk jk jk jk
ANSWER: B jk
The correct response describes a mood alteration, which reflects mental illness. Alterations in co
jk jk jk jk jk jk jk jk jk jk jk jk j k
gnition, mood, or behaviour that are coupled with significant distress and impaired functioning
jk jk jk jk jk jk jk jk jk jk jk j k jk
characterize mental illness. The distracters describe behaviours that are mentally healthy or wit
jk jk jk jk jk jk jk jk jk j k jk jk
hin the usual scope of human experience.
jk jk jk jk jk jk
DIF: Cognitive Level: Apply (Application) jk jk jk
TOP: Nursing Process: Assessment
jkj k MSC: Client Needs: Psychosocial Integrity jk jk j k jk jk jk
