Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,ChapterJ01:JMentalJHealthJandJMentalJIllness
Varcarolis’sJCanadianJPsychiatricJMentalJHealthJNursing,J3rdJEdition
MULTIPLEJCHOICE
1. AJstaffJnurseJcompletesJorientationJtoJaJpsychiatricJunit.JWhichJofJtheJfollowingJwouldJtheJnurseJ
expectJasJanJadvancedJpracticeJintervention?
a. ConductJmentalJhealthJassessments
b. PrescribeJpsychotropicJmedication
c. EstablishJtherapeuticJrelationships
d. IndividualizeJnursingJcareJplans
ANSWER:J B
PrescriptiveJprivilegesJareJgrantedJtoJmaster’s-
preparedJnurseJpractitionersJwhoJhaveJtakenJspecialJcoursesJonJprescribingJmedication;JthusJitJisJa
nJadvanced-
practiceJintervention.JTheJnurseJpreparedJatJtheJbasicJlevelJisJpermittedJtoJperformJmentalJhealthJa
ssessments,JestablishJrelationships,JandJprovideJindividualizedJcareJplanning.
DIF: CognitiveJLevel:JUnderstandJ(Comprehension)
TOP:J NursingJProcess:JImplementation MSC:J ClientJNeeds:JSafeJEffectiveJCareJEnvironment
2. WhenJaJnursingJstudentJexpressesJconcernsJaboutJhowJmentalJhealthJnursesJ“loseJallJtheirJnursi
ngJskills,”JwhichJofJtheJfollowingJisJtheJbestJresponseJbyJtheJmentalJhealthJnurse?
a. “PsychiatricJnursesJpractiseJinJsaferJenvironmentsJthanJotherJspecialties.JNurse
-to-patientJratiosJmustJbeJbetterJbecauseJofJtheJnatureJofJtheJpatients’
problems.” .
b. “PsychiatricJnursesJuseJcomplexJcommunicationJskillsJasJwellJasJcriticalJthinkingJtoJsol
veJmultidimensionalJproblems.JIJamJchallengedJbyJthoseJsituations.”
c. “That’sJaJmisconception.JPsychiatricJnursesJfrequentlyJuseJhigh-
technologyJmonitoringJequipmentJandJmanageJcomplexJintravenousJtherapies.”
d. “PsychiatricJnursesJdoJnotJhaveJtoJdealJwithJasJmuchJpainJandJsufferingJasJmedi
cal–surgicalJnursesJdo.JThatJappealsJtoJme.”
ANSWER:J B
TheJpracticeJofJpsychiatricJnursingJrequiresJaJdifferentJsetJofJskillsJfromJmedical–
surgicalJnursing,JthoughJthereJisJsubstantialJoverlap.JTwoJdomainsJrelateJspecificallyJtoJpsychiatric
Jnursing:Jbehavioural,JincludingJcommunication,Jcoping,JandJeducation;JandJsafety,JcoveringJcrisisJ
andJriskJmanagement.JBasicJpsychosocialJnursingJconceptsJareJcentralJtoJpsychiatricJnursingJpracti
ceJandJincreaseJyourJcompetencyJasJaJpractitionerJinJallJclinicalJsettings.
WhateverJsettingJyouJchooseJtoJworkJin,JyouJwillJhaveJtheJopportunityJtoJimproveJtheJlivesJofJpeople
JwhoJareJexperiencingJmentalJillnessJasJanJadditionalJchallengeJtoJtheirJhealth.
YourJexperienceJinJtheJmentalJhealthJnursingJrotationJcanJhelpJyouJgainJinsightJintoJyourselfJandJgre
atlyJincreaseJyourJinsightJintoJtheJexperiencesJofJothers.JThisJpartJofJnursingJeducationJcanJprovideJg
uidelinesJforJandJtheJopportunityJtoJlearnJnewJskillsJforJdealingJwithJaJvarietyJofJchallengingJbehavio
urs.JPsychosocialJpainJandJsufferingJareJasJrealJasJphysicalJpainJandJsuffering.
DIF: CognitiveJLevel:JApplyJ(Application)
TOP:J NursingJProcess:JImplementation MSC:J ClientJNeeds:JSafeJEffectiveJCareJEnvironment
, 3. WhenJaJnewJbillJintroducedJinJParliamentJreducesJfundingJforJcareJofJpeopleJwithJmentalJillness,JaJg
roupJofJpeopleJwithJmildJmentalJillnessJwriteJlettersJtoJtheirJelectedJrepresentativesJinJoppositionJtoJ
theJlegislationJforJallJpeopleJwithJmentalJillness.JWhichJroleJdoesJthisJactionJportray?
a. Recovery
b. Self-care
c. Advocacy
d. SocialJaction
ANSWER:J C
AnJadvocateJdefendsJorJassertsJanother’sJcause,JparticularlyJwhenJtheJotherJpersonJlacksJtheJabilityJ
toJdoJthatJforJhimselfJorJherself.JOnJaJcommunityJscale,JadvocacyJincludesJpoliticalJactivity,JpublicJs
peaking,JandJpublicationJinJtheJinterestJofJimprovingJtheJhumanJcondition.JSinceJfundingJisJnecess
aryJtoJdeliverJqualityJprogrammingJforJpeopleJwithJmentalJillness,JtheJletter-
writingJcampaignJadvocatesJforJtheJcauseJforJallJpeopleJwithJmentalJillness.
DIF: CognitiveJLevel:JUnderstandJ(Comprehension)
TOP:J NursingJProcess:JImplementation MSC:J ClientJNeeds:JSafeJEffectiveJCareJEnvironment
4. WhichJofJtheJfollowingJhasJbeenJidentifiedJasJaJsignificantJtrendJthatJwillJaffectJtheJfutureJofJpsychi
atricJmentalJhealthJnursingJinJCanada?
a. DecreaseJinJtheJagingJpopulation
b. IncreaseJinJculturalJdiversity
c. RoleJofJtheJadvanced-practiceJnurse
d. ShortageJofJphysiciansJinJruralJandJurbanJareas
ANSWER:J B
FourJsignificantJtrendsJhavT
eEbeSeT
nBidAeN
ntK
ifS
ieE
dJL
thL
atEwRi.llJC
afOfeMctJtheJfutureJofJpsychiatricJmentalJhealt
hJnursingJinJCanada;JtheseJincludeJanJagingJpopulation,JanJincreaseJinJculturalJdiversity,
expandingJtechnology,JandJanJincreasedJawarenessJofJtheJimpactJofJtheJdeterminantsJofJhealthJonJm
entalJillness.
DIF: CognitiveJLevel:JUnderstandJ(Comprehension)
TOP:J NursingJProcess:JAssessment MSC:J ClientJNeeds:JSafeJEffectiveJCareJEnvironment
5. WhichJassessmentJfindingJmostJclearlyJindicatesJthatJaJpatientJmayJbeJexperiencingJaJmentalJillness
?
a. TheJpatientJreportsJoccasionalJsleeplessnessJandJanxiety.
b. TheJpatientJreportsJaJconsistentlyJsad,Jdiscouraged,JandJhopelessJmood.
c. TheJpatientJisJableJtoJdescribeJtheJdifferenceJbetweenJ“asJif”JandJ“forJreal.”
d. TheJpatientJperceivesJdifficultyJmakingJaJdecisionJaboutJwhetherJtoJchangeJjobs.
ANSWER:J B
TheJcorrectJresponseJdescribesJaJmoodJalteration,JwhichJreflectsJmentalJillness.JAlterationsJinJcognit
ion,Jmood,JorJbehaviourJthatJareJcoupledJwithJsignificantJdistressJandJimpairedJfunctioningJcharact
erizeJmentalJillness.JTheJdistractersJdescribeJbehavioursJthatJareJmentallyJhealthyJorJwithinJtheJusual
JscopeJofJhumanJexperience.
DIF: CognitiveJLevel:JApplyJ(Application)
TOP:J NursingJProcess:JAssessment MSC:J ClientJNeeds:JPsychosocialJIntegrity