TEST BANK
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapterx01:xMentalxHealthxandxMentalxIllness
Varcarolis’sxCanadianxPsychiatricxMentalxHealthxNursing,x3rdxEdition
MULTIPLExCHOICE
1. Axstaffxnursexcompletesxorientationxtoxaxpsychiatricxunit.xWhichxofxthexfollowingxwouldxthexnur
sexexpectxasxanxadvancedxpracticexintervention?
a. Conductxmentalxhealthxassessments
b. Prescribexpsychotropicxmedication
c. Establishxtherapeuticxrelationships
d. Individualizexnursingxcarexplans
ANSWER:x B
Prescriptivexprivilegesxarexgrantedxtoxmaster’s-
preparedxnursexpractitionersxwhoxhavextakenxspecialxcoursesxonxprescribingxmedication;xthusxitxis
xanxadvanced-
practicexintervention.xThexnursexpreparedxatxthexbasicxlevelxisxpermittedxtoxperformxmentalxhealt
hxassessments,xestablishxrelationships,xandxprovidexindividualizedxcarexplanning.
DIF: CognitivexLevel:xUnderstandx(Comprehension)
TOP:x NursingxProcess:xImplementation MSC:x ClientxNeeds:xSafexEffectivexCarexEnvironment
2. Whenxaxnursingxstudentxexpressesxconcernsxaboutxhowxmentalxhealthxnursesx“losexallxtheirxnur
singxskills,”xwhichxofxthexfollowingxisxthexbestxresponsexbyxthexmentalxhealthxnurse?
a. “Psychiatricxnursesxpractisexinxsaferxenvironmentsxthanxotherxspecialties.xNurs
e-to-patientxratiosxmustxbexbetterxbecausexofxthexnaturexofxthexpatients’
problems.” .
b. “Psychiatricxnursesxusexcomplexxcommunicationxskillsxasxwellxasxcriticalxthinkingxtoxs
olvexmultidimensionalxproblems.xIxamxchallengedxbyxthosexsituations.”
c. “That’sxaxmisconception.xPsychiatricxnursesxfrequentlyxusexhigh-
technologyxmonitoringxequipmentxandxmanagexcomplexxintravenousxtherapies.
”
d. “Psychiatricxnursesxdoxnotxhavextoxdealxwithxasxmuchxpainxandxsufferingxasxme
dical–surgicalxnursesxdo.xThatxappealsxtoxme.”
ANSWER:x B
Thexpracticexofxpsychiatricxnursingxrequiresxaxdifferentxsetxofxskillsxfromxmedical–
surgicalxnursing,xthoughxtherexisxsubstantialxoverlap.xTwoxdomainsxrelatexspecificallyxtoxpsychiatr
icxnursing:xbehavioural,xincludingxcommunication,xcoping,xandxeducation;xandxsafety,xcoveringxcr
isisxandxriskxmanagement.xBasicxpsychosocialxnursingxconceptsxarexcentralxtoxpsychiatricxnursingx
practicexandxincreasexyourxcompetencyxasxaxpractitionerxinxallxclinicalxsettings.
Whateverxsettingxyouxchoosextoxworkxin,xyouxwillxhavexthexopportunityxtoximprovexthexlivesxofxpeo
plexwhoxarexexperiencingxmentalxillnessxasxanxadditionalxchallengextoxtheirxhealth.
Yourxexperiencexinxthexmentalxhealthxnursingxrotationxcanxhelpxyouxgainxinsightxintoxyourselfxandx
greatlyxincreasexyourxinsightxintoxthexexperiencesxofxothers.xThisxpartxofxnursingxeducationxcanxpro
videxguidelinesxforxandxthexopportunityxtoxlearnxnewxskillsxforxdealingxwithxaxvarietyxofxchallengingx
behaviours.xPsychosocialxpainxandxsufferingxarexasxrealxasxphysicalxpainxandxsuffering.
DIF: CognitivexLevel:xApplyx(Application)
TOP:x NursingxProcess:xImplementation MSC:x ClientxNeeds:xSafexEffectivexCarexEnvironment
, 3. WhenxaxnewxbillxintroducedxinxParliamentxreducesxfundingxforxcarexofxpeoplexwithxmentalxillness,x
axgroupxofxpeoplexwithxmildxmentalxillnessxwritexlettersxtoxtheirxelectedxrepresentativesxinxoppositio
nxtoxthexlegislationxforxallxpeoplexwithxmentalxillness.xWhichxrolexdoesxthisxactionxportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialxaction
ANSWER:x C
Anxadvocatexdefendsxorxassertsxanother’sxcause,xparticularlyxwhenxthexotherxpersonxlacksxthexabili
tyxtoxdoxthatxforxhimselfxorxherself.xOnxaxcommunityxscale,xadvocacyxincludesxpoliticalxactivity,xpu
blicxspeaking,xandxpublicationxinxthexinterestxofximprovingxthexhumanxcondition.xSincexfundingxis
xnecessaryxtoxdeliverxqualityxprogrammingxforxpeoplexwithxmentalxillness,xthexletter-
writingxcampaignxadvocatesxforxthexcausexforxallxpeoplexwithxmentalxillness.
DIF: CognitivexLevel:xUnderstandx(Comprehension)
TOP:x NursingxProcess:xImplementation MSC:x ClientxNeeds:xSafexEffectivexCarexEnvironment
4. Whichxofxthexfollowingxhasxbeenxidentifiedxasxaxsignificantxtrendxthatxwillxaffectxthexfuturexofxpsyc
hiatricxmentalxhealthxnursingxinxCanada?
a. Decreasexinxthexagingxpopulation
b. Increasexinxculturalxdiversity
c. Rolexofxthexadvanced-practicexnurse
d. Shortagexofxphysiciansxinxruralxandxurbanxareas
ANSWER:x B
FourxsignificantxtrendsxhavTe E
beSeT
nBidAeN
ntK
ifS
ieE
dxL
thL
atEwRi.llxC
afOfeMctxthexfuturexofxpsychiatricxmentalxhea
lthxnursingxinxCanada;xthesexincludexanxagingxpopulation,xanxincreasexinxculturalxdiversity,
expandingxtechnology,xandxanxincreasedxawarenessxofxtheximpactxofxthexdeterminantsxofxhealthxonx
mentalxillness.
DIF: CognitivexLevel:xUnderstandx(Comprehension)
TOP:x NursingxProcess:xAssessment MSC:x ClientxNeeds:xSafexEffectivexCarexEnvironment
5. Whichxassessmentxfindingxmostxclearlyxindicatesxthatxaxpatientxmayxbexexperiencingxaxmentalxillne
ss?
a. Thexpatientxreportsxoccasionalxsleeplessnessxandxanxiety.
b. Thexpatientxreportsxaxconsistentlyxsad,xdiscouraged,xandxhopelessxmood.
c. Thexpatientxisxablextoxdescribexthexdifferencexbetweenx“asxif”xandx“forxreal.”
d. Thexpatientxperceivesxdifficultyxmakingxaxdecisionxaboutxwhetherxtoxchangexjobs.
ANSWER:x B
Thexcorrectxresponsexdescribesxaxmoodxalteration,xwhichxreflectsxmentalxillness.xAlterationsxinxcog
nition,xmood,xorxbehaviourxthatxarexcoupledxwithxsignificantxdistressxandximpairedxfunctioningxch
aracterizexmentalxillness.xThexdistractersxdescribexbehavioursxthatxarexmentallyxhealthyxorxwithinxt
hexusualxscopexofxhumanxexperience.
DIF: CognitivexLevel:xApplyx(Application)
TOP:x NursingxProcess:xAssessment MSC:x ClientxNeeds:xPsychosocialxIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapterx01:xMentalxHealthxandxMentalxIllness
Varcarolis’sxCanadianxPsychiatricxMentalxHealthxNursing,x3rdxEdition
MULTIPLExCHOICE
1. Axstaffxnursexcompletesxorientationxtoxaxpsychiatricxunit.xWhichxofxthexfollowingxwouldxthexnur
sexexpectxasxanxadvancedxpracticexintervention?
a. Conductxmentalxhealthxassessments
b. Prescribexpsychotropicxmedication
c. Establishxtherapeuticxrelationships
d. Individualizexnursingxcarexplans
ANSWER:x B
Prescriptivexprivilegesxarexgrantedxtoxmaster’s-
preparedxnursexpractitionersxwhoxhavextakenxspecialxcoursesxonxprescribingxmedication;xthusxitxis
xanxadvanced-
practicexintervention.xThexnursexpreparedxatxthexbasicxlevelxisxpermittedxtoxperformxmentalxhealt
hxassessments,xestablishxrelationships,xandxprovidexindividualizedxcarexplanning.
DIF: CognitivexLevel:xUnderstandx(Comprehension)
TOP:x NursingxProcess:xImplementation MSC:x ClientxNeeds:xSafexEffectivexCarexEnvironment
2. Whenxaxnursingxstudentxexpressesxconcernsxaboutxhowxmentalxhealthxnursesx“losexallxtheirxnur
singxskills,”xwhichxofxthexfollowingxisxthexbestxresponsexbyxthexmentalxhealthxnurse?
a. “Psychiatricxnursesxpractisexinxsaferxenvironmentsxthanxotherxspecialties.xNurs
e-to-patientxratiosxmustxbexbetterxbecausexofxthexnaturexofxthexpatients’
problems.” .
b. “Psychiatricxnursesxusexcomplexxcommunicationxskillsxasxwellxasxcriticalxthinkingxtoxs
olvexmultidimensionalxproblems.xIxamxchallengedxbyxthosexsituations.”
c. “That’sxaxmisconception.xPsychiatricxnursesxfrequentlyxusexhigh-
technologyxmonitoringxequipmentxandxmanagexcomplexxintravenousxtherapies.
”
d. “Psychiatricxnursesxdoxnotxhavextoxdealxwithxasxmuchxpainxandxsufferingxasxme
dical–surgicalxnursesxdo.xThatxappealsxtoxme.”
ANSWER:x B
Thexpracticexofxpsychiatricxnursingxrequiresxaxdifferentxsetxofxskillsxfromxmedical–
surgicalxnursing,xthoughxtherexisxsubstantialxoverlap.xTwoxdomainsxrelatexspecificallyxtoxpsychiatr
icxnursing:xbehavioural,xincludingxcommunication,xcoping,xandxeducation;xandxsafety,xcoveringxcr
isisxandxriskxmanagement.xBasicxpsychosocialxnursingxconceptsxarexcentralxtoxpsychiatricxnursingx
practicexandxincreasexyourxcompetencyxasxaxpractitionerxinxallxclinicalxsettings.
Whateverxsettingxyouxchoosextoxworkxin,xyouxwillxhavexthexopportunityxtoximprovexthexlivesxofxpeo
plexwhoxarexexperiencingxmentalxillnessxasxanxadditionalxchallengextoxtheirxhealth.
Yourxexperiencexinxthexmentalxhealthxnursingxrotationxcanxhelpxyouxgainxinsightxintoxyourselfxandx
greatlyxincreasexyourxinsightxintoxthexexperiencesxofxothers.xThisxpartxofxnursingxeducationxcanxpro
videxguidelinesxforxandxthexopportunityxtoxlearnxnewxskillsxforxdealingxwithxaxvarietyxofxchallengingx
behaviours.xPsychosocialxpainxandxsufferingxarexasxrealxasxphysicalxpainxandxsuffering.
DIF: CognitivexLevel:xApplyx(Application)
TOP:x NursingxProcess:xImplementation MSC:x ClientxNeeds:xSafexEffectivexCarexEnvironment
, 3. WhenxaxnewxbillxintroducedxinxParliamentxreducesxfundingxforxcarexofxpeoplexwithxmentalxillness,x
axgroupxofxpeoplexwithxmildxmentalxillnessxwritexlettersxtoxtheirxelectedxrepresentativesxinxoppositio
nxtoxthexlegislationxforxallxpeoplexwithxmentalxillness.xWhichxrolexdoesxthisxactionxportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialxaction
ANSWER:x C
Anxadvocatexdefendsxorxassertsxanother’sxcause,xparticularlyxwhenxthexotherxpersonxlacksxthexabili
tyxtoxdoxthatxforxhimselfxorxherself.xOnxaxcommunityxscale,xadvocacyxincludesxpoliticalxactivity,xpu
blicxspeaking,xandxpublicationxinxthexinterestxofximprovingxthexhumanxcondition.xSincexfundingxis
xnecessaryxtoxdeliverxqualityxprogrammingxforxpeoplexwithxmentalxillness,xthexletter-
writingxcampaignxadvocatesxforxthexcausexforxallxpeoplexwithxmentalxillness.
DIF: CognitivexLevel:xUnderstandx(Comprehension)
TOP:x NursingxProcess:xImplementation MSC:x ClientxNeeds:xSafexEffectivexCarexEnvironment
4. Whichxofxthexfollowingxhasxbeenxidentifiedxasxaxsignificantxtrendxthatxwillxaffectxthexfuturexofxpsyc
hiatricxmentalxhealthxnursingxinxCanada?
a. Decreasexinxthexagingxpopulation
b. Increasexinxculturalxdiversity
c. Rolexofxthexadvanced-practicexnurse
d. Shortagexofxphysiciansxinxruralxandxurbanxareas
ANSWER:x B
FourxsignificantxtrendsxhavTe E
beSeT
nBidAeN
ntK
ifS
ieE
dxL
thL
atEwRi.llxC
afOfeMctxthexfuturexofxpsychiatricxmentalxhea
lthxnursingxinxCanada;xthesexincludexanxagingxpopulation,xanxincreasexinxculturalxdiversity,
expandingxtechnology,xandxanxincreasedxawarenessxofxtheximpactxofxthexdeterminantsxofxhealthxonx
mentalxillness.
DIF: CognitivexLevel:xUnderstandx(Comprehension)
TOP:x NursingxProcess:xAssessment MSC:x ClientxNeeds:xSafexEffectivexCarexEnvironment
5. Whichxassessmentxfindingxmostxclearlyxindicatesxthatxaxpatientxmayxbexexperiencingxaxmentalxillne
ss?
a. Thexpatientxreportsxoccasionalxsleeplessnessxandxanxiety.
b. Thexpatientxreportsxaxconsistentlyxsad,xdiscouraged,xandxhopelessxmood.
c. Thexpatientxisxablextoxdescribexthexdifferencexbetweenx“asxif”xandx“forxreal.”
d. Thexpatientxperceivesxdifficultyxmakingxaxdecisionxaboutxwhetherxtoxchangexjobs.
ANSWER:x B
Thexcorrectxresponsexdescribesxaxmoodxalteration,xwhichxreflectsxmentalxillness.xAlterationsxinxcog
nition,xmood,xorxbehaviourxthatxarexcoupledxwithxsignificantxdistressxandximpairedxfunctioningxch
aracterizexmentalxillness.xThexdistractersxdescribexbehavioursxthatxarexmentallyxhealthyxorxwithinxt
hexusualxscopexofxhumanxexperience.
DIF: CognitivexLevel:xApplyx(Application)
TOP:x NursingxProcess:xAssessment MSC:x ClientxNeeds:xPsychosocialxIntegrity
