TEST BANK Halter varcarolis canadian psychiatric mental health nursing 3rd Edition By Pollard All Chapter 1 - 35

TEST BANK Halter 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 thenurse 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, establishrelationships, 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 their nursing skills,” which of the following is the best response by the mental health nurse? a. “Psychiatric nurses practise in safer environments than other specialties. Nurse￾to-patient ratios must be better because of the nature of the patients’ problems.” . b. “Psychiatric nurses use complex communication skills as well as critical thinkingto solve multidimensional problems. I am challenged by those situations.” c. “That’s a misconception. Psychiatric nurses frequently use high-technology monitoring equipment and manage complex intravenous therapies.” d. “Psychiatric nurses do not have to deal with as much pain and suffering as medical–surgical nurses do. That appeals to me.” ANSWER: B The practice of psychiatric nursing requires a different set of skills from medical–surgical nursing, though there is substantial overlap. Two domains relate specifically to psychiatric nursing: behavioural, including communication, coping, and education; and safety, coveringcrisis and risk management. Basic psychosocial nursing concepts are central to psychiatric nursing practice and increase your competency as a practitioner in all clinical settings. Whatever setting you choose to work in, you will have the opportunity to improve the lives ofpeople who are experiencing mental illness as an additional challenge to their health. Your experience in the mental health nursing rotation can help you gain insight into yourself and greatly increase your insight into the experiences of others. This part of nursing educationcan provide guidelines for and the opportunity to learn new skills for dealing with a variety ofchallenging behaviours. Psychosocial pain and suffering are as real as physical pain and suffering. 3. When a new bill introduced in Parliament reduces funding for care of people with mental illness, a group of people with mild mental illness write letters to their elected representativesin opposition to the legislation for all people with mental illness. Which role does this action portray? a. Recovery b. Self-care c. Advocacy d. Social action ANSWER: C An advocate defends or asserts another’s cause, particularly when the other person lacks the ability to do that for himself or herself. On a community scale, advocacy includes political activity, public speaking, and publication in the interest of improving the human condition. Since funding is necessary to deliver quality programming for people with mental illness, theletter-writing campaign advocates for the cause for all people with mental illness. DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment 4. Which of the following has been identified as a significant trend that will affect the future ofpsychiatric mental health nursing in Canada? a. Decrease in the aging population b. Increase in cultural diversity c. Role of the advanced-practice nurse d. Shortage of physicians in rural and urban areas ANSWER: B Four significant trends havTeEbeSeTnBidAeNntKifSieEdLthLatEwRCafOfeMct the future of psychiatric mental health nursing in Canada; these include an aging population, an increase in cultural diversity, expanding technology, and an increased awareness of the impact of the determinants of healthon mental illness. DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Assessment MSC: Client Needs: Safe Effective Care Environment 5. Which assessment finding most clearly indicates that a patient may be experiencing a mentalillness? a. The patient reports occasional sleeplessness and anxiety. b. The patient reports a consistently sad, discouraged, and hopeless mood. c. The patient is able to describe the difference between “as if” and “for real.” d. The patient perceives difficulty making a decision about whether to change jobs. ANSWER: B The correct response describes a mood alteration, which reflects mental illness. Alterations incognition, mood, or behaviour that are coupled with significant distress and impaired functioning characterize mental illness. The distracters describe behaviours that are mentally healthy or within the usual scope of human experience. DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment MSC: Client Needs: Psychosocial Integrity 6. Which finding best indicates that the goal “Demonstrates mentally healthy behaviour” wasachieved? a. A patient sees self as capable of achieving ideals and meeting demands. b. A patient behaves without considering the consequences of personal actions. c. A patient aggressively meets own needs without considering the rights of others. d. A patient seeks help from others when assuming responsibility for major areas ofown life. ANSWER: A The correct response describes an adaptive, healthy behaviour. The WHO defines mental health as “a state of well-being in which each individual is able to realize his or her own potential, cope with the normal stresses of life, work productively and fruitfully, and make acontribution to the community” (World Health Organization, 2010). The distracters describemaladaptive behaviours. DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Evaluation MSC: Client Needs: Psychosocial Integrity 7. A nurse encounters an unfamiliar psychiatric disorder on a new patient’s admission form. Which resource should the nurse consult to determine criteria used to establish this diagnosis? a. International Statistical Classification of Diseases and Related Health Problems (ICD-10) b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) c. A behavioural health reference manual d. NurseOne online ANSWER: B The DSM-5 gives the criteTriaEuSsTedBtAoNdKiaSgnEoLseLeEaRch.mCeOnMtal disorder. The distracters may not contain diagnostic criteria for a psychiatric illness. DIF: Cognitive Level: Apply (Application) TOP: Nursing Process: Assessment MSC: Client Needs: Safe Effective Care Environment 8. A nurse wants to find a description of diagnostic criteria for anxiety disorders. Which resourcewould have the most complete information? a. Nursing Outcomes Classification (NOC) b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) c. The ANA’s Psychiatric–Mental Health Nursing Scope and Standards of Practice d. International Statistical Classification of Diseases and Related Health Problems (ICD-10) ANSWER: B The DSM-5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for diagnosing psychiatric disorders. The other references are good resources but do notdefine the diagnostic criteria. DIF: Cognitive Level: Understand (Comprehension) TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment 9. Which individual is demonstrating the highest level of resilience? a. One who is able to repress stressors. b. One who becomes depressed after the death of a spouse. c. One who lives in a shelter for 2 years after his or her home is destroyed by fire. d. One who is able to connect with their support systems and secure the resourcesthey need to be well. ANSWER: D Resilience is closely associated with the process of adapting and helps people facing tragedies, loss, trauma, and severe stress. It is a process and outcome of complex cultural systems rather than simply an individual’s ability to overcome adversity. Repression and depression are unhealthy. Living in a shelter for 2 years shows a failure to move forward aftera tragedy. See related audience response question.