TEST BANK
0
Varcarolis Canadian Psychiatric Mental Health Nursing
0 0 0 0 0
3rd Edition By Pollard All Chapter 1 - 35
0 0 0 0 0 0 0 0
,
,Chapter001:0Mental0Health0and0Mental0Illness
Varcarolis’s0Canadian0Psychiatric0Mental0Health0Nursing,03rd0Edition
MULTIPLE0CHOICE
1. A0staff0nurse0completes0orientation0to0a0psychiatric0unit.0Which0of0the0following0would0t
he0nurse0expect0as0an0advanced0practice0intervention?
a. Conduct0mental0health0assessments
b. Prescribe0psychotropic0medication
c. Establish0therapeutic0relationships
d. Individualize0nursing0care0plans
ANSWER:0 B
Prescriptive0privileges0are0granted0to0master’s-
prepared0nurse0practitioners0who0have0taken0special0courses0on0prescribing0medication;0t
hus0it0is0an0advanced-
practice0intervention.0The0nurse0prepared0at0the0basic0level0is0permitted0to0perform0menta
l0health0assessments,0establish0relationships,0and0provide0individualized0care0planning.
DIF: Cognitive0Level:0Understand0(Comprehension)
TOP:0 Nursing0Process:0Implementation MSC:0 Client0Needs:0Safe0Effective0Care0Environment
2. When0a0nursing0student0expresses0concerns0about0how0mental0health0nurses0“lose0all0t
heir0nursing0skills,”0which0of0the0following0is0the0best0response0by0the0mental0health0nur
se?
a. “Psychiatric0nurses0practise0in0safer0environments0than0other0specialties.
0Nurse-to-
patient0ratios0must0be0better0because0of0the0nature0of0the0patients’
problems. .
”
b. “Psychiatric0nurses0use0complex0communication0skills0as0well0as0critical0thinking0
to0solve0multidimensional0problems.0I0am0challenged0by0those0situations.”
c. “That’s0a0misconception.0Psychiatric0nurses0frequently0use0high-
technology0monitoring0equipment0and0manage0complex0intravenous0thera
pies.”
d. “Psychiatric0nurses0do0not0have0to0deal0with0as0much0pain0and0suffering0
as0medical–surgical0nurses0do.0That0appeals0to0me.”
ANSWER:0 B
The0practice0of0psychiatric0nursing0requires0a0different0set0of0skills0from0medical–
surgical0nursing,0though0there0is0substantial0overlap.0Two0domains0relate0specifically0to0ps
ychiatric0nursing:0behavioural,0including0communication,0coping,0and0education;0and0safet
y,0covering0crisis0and0risk0management.0Basic0psychosocial0nursing0concepts0are0central0to0
psychiatric0nursing0practice0and0increase0your0competency0as0a0practitioner0in0all0clinical0s
ettings.
Whatever0setting0you0choose0to0work0in,0you0will0have0the0opportunity0to0improve0the0lives0
of0people0who0are0experiencing0mental0illness0as0an0additional0challenge0to0their0health.
Your0experience0in0the0mental0health0nursing0rotation0can0help0you0gain0insight0into0yoursel
f0and0greatly0increase0your0insight0into0the0experiences0of0others.0This0part0of0nursing0educa
tion0can0provide0guidelines0for0and0the0opportunity0to0learn0new0skills0for0dealing0with0a0vari
, ety0of0challenging0behaviours.0Psychosocial0pain0and0suffering0are0as0real0as0physical0pain0an
d0suffering.
DIF: Cognitive0Level:0Apply0(Application)
TOP:0 Nursing0Process:0Implementation MSC:0 Client0Needs:0Safe0Effective0Care0Environment
0
Varcarolis Canadian Psychiatric Mental Health Nursing
0 0 0 0 0
3rd Edition By Pollard All Chapter 1 - 35
0 0 0 0 0 0 0 0
,
,Chapter001:0Mental0Health0and0Mental0Illness
Varcarolis’s0Canadian0Psychiatric0Mental0Health0Nursing,03rd0Edition
MULTIPLE0CHOICE
1. A0staff0nurse0completes0orientation0to0a0psychiatric0unit.0Which0of0the0following0would0t
he0nurse0expect0as0an0advanced0practice0intervention?
a. Conduct0mental0health0assessments
b. Prescribe0psychotropic0medication
c. Establish0therapeutic0relationships
d. Individualize0nursing0care0plans
ANSWER:0 B
Prescriptive0privileges0are0granted0to0master’s-
prepared0nurse0practitioners0who0have0taken0special0courses0on0prescribing0medication;0t
hus0it0is0an0advanced-
practice0intervention.0The0nurse0prepared0at0the0basic0level0is0permitted0to0perform0menta
l0health0assessments,0establish0relationships,0and0provide0individualized0care0planning.
DIF: Cognitive0Level:0Understand0(Comprehension)
TOP:0 Nursing0Process:0Implementation MSC:0 Client0Needs:0Safe0Effective0Care0Environment
2. When0a0nursing0student0expresses0concerns0about0how0mental0health0nurses0“lose0all0t
heir0nursing0skills,”0which0of0the0following0is0the0best0response0by0the0mental0health0nur
se?
a. “Psychiatric0nurses0practise0in0safer0environments0than0other0specialties.
0Nurse-to-
patient0ratios0must0be0better0because0of0the0nature0of0the0patients’
problems. .
”
b. “Psychiatric0nurses0use0complex0communication0skills0as0well0as0critical0thinking0
to0solve0multidimensional0problems.0I0am0challenged0by0those0situations.”
c. “That’s0a0misconception.0Psychiatric0nurses0frequently0use0high-
technology0monitoring0equipment0and0manage0complex0intravenous0thera
pies.”
d. “Psychiatric0nurses0do0not0have0to0deal0with0as0much0pain0and0suffering0
as0medical–surgical0nurses0do.0That0appeals0to0me.”
ANSWER:0 B
The0practice0of0psychiatric0nursing0requires0a0different0set0of0skills0from0medical–
surgical0nursing,0though0there0is0substantial0overlap.0Two0domains0relate0specifically0to0ps
ychiatric0nursing:0behavioural,0including0communication,0coping,0and0education;0and0safet
y,0covering0crisis0and0risk0management.0Basic0psychosocial0nursing0concepts0are0central0to0
psychiatric0nursing0practice0and0increase0your0competency0as0a0practitioner0in0all0clinical0s
ettings.
Whatever0setting0you0choose0to0work0in,0you0will0have0the0opportunity0to0improve0the0lives0
of0people0who0are0experiencing0mental0illness0as0an0additional0challenge0to0their0health.
Your0experience0in0the0mental0health0nursing0rotation0can0help0you0gain0insight0into0yoursel
f0and0greatly0increase0your0insight0into0the0experiences0of0others.0This0part0of0nursing0educa
tion0can0provide0guidelines0for0and0the0opportunity0to0learn0new0skills0for0dealing0with0a0vari
, ety0of0challenging0behaviours.0Psychosocial0pain0and0suffering0are0as0real0as0physical0pain0an
d0suffering.
DIF: Cognitive0Level:0Apply0(Application)
TOP:0 Nursing0Process:0Implementation MSC:0 Client0Needs:0Safe0Effective0Care0Environment
