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

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 theirnur
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sing 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. Nur
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se-to-patient ratios must be better because of the nature of the patients‘
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problems.‖ .
b. ―Psychiatric nurses use complex communication skills as well as critical thinkingto so
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lve 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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technologymonitoring equipment and manage complex intravenous therapies.
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‖
d. ―Psychiatric nurses do not have to deal with as much pain and suffering asme
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dical–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 psychiatr
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ic nursing: behavioural, including communication, coping, and education; and safety, coveringcr
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isis and risk management. Basic psychosocial nursing concepts are central to psychiatric nursing
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kpractice and increase your competency as a practitioner in all clinical settings.
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Whatever setting you choose to work in, you will have the opportunity to improve the lives ofpeo
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ple 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
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greatly increase your insight into the experiences of others. This part of nursing educationcan pro
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vide guidelines for and the opportunity to learn new skills for dealing with a variety ofchallenging
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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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a group of people with mild mental illness write letters to their elected representativesin oppositio
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n 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 abili
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ty to do that for himself or herself. On a community scale, advocacy includes political activity, p
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ublic speaking, and publication in the interest of improving the human condition. Since funding i
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s necessary to deliver quality programming for people with mental illness, theletter-
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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 ofpsyc
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hiatric mental health nursing in Canada?
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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 E
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ifS
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atEwRi.llC
afOfeMct the future of psychiatric mental heal
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th nursing in Canada; these include an aging population, an increase in cultural diversity,
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expanding technology, and an increased awareness of the impact of the determinants of healthon
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mental illness. jk




DIF: Cognitive Level: Understand (Comprehension) jk jk jk


TOP: Nursing Process: Assessment
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5. Which assessment finding most clearly indicates that a patient may be experiencing a mentalillne
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ss?
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 incog
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nition, mood, or behaviour that are coupled with significant distress and impaired functioning ch
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aracterize mental illness. The distracters describe behaviours that are mentally healthy or within t
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he usual scope of human experience.
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DIF: Cognitive Level: Apply (Application) jk jk jk


TOP: Nursing Process: Assessment
j k MSC: Client Needs: Psychosocial Integrity jk jk j k jk jk jk