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