,
,Chapter 01: Mental Health and Mental Illness
n n n n n n
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
n n n n n n n
MULTIPLE nCHOICE
1. A nstaff nnurse ncompletes norientation nto na npsychiatric nunit. nWhich nof nthe nfollowing nwould
nthennurse nexpect nas nan nadvanced npractice nintervention?
a. Conduct nmental nhealth nassessments
b. Prescribe npsychotropic nmedication
c. Establish ntherapeutic nrelationships
d. Individualize nnursing ncare nplans
ANSWER: n B
Prescriptive nprivileges nare ngranted nto nmaster’s-prepared nnurse npractitioners nwho nhave
ntaken nspecial ncourses non nprescribing nmedication; nthus nit nis nan nadvanced-practice
nintervention. nThe nnurse nprepared nat nthe nbasic nlevel nis npermitted nto nperform nmental
nhealth nassessments, nestablishn relationships, nand nprovide nindividualized ncare nplanning.
DIF: Cognitive nLevel: nUnderstand n(Comprehension)
TOP: n Nursing nProcess: nImplementation MSC: n Client nNeeds: nSafe nEffective nCare nEnvironment
2. When na nnursing nstudent nexpresses nconcerns nabout nhow nmental nhealth nnurses n“lose nall
ntheirnnursing nskills,” nwhich nof nthe nfollowing nis nthe nbest nresponse nby nthe nmental nhealth
nnurse?
a. “Psychiatric nnurses npractise nin nsafer nenvironments nthan nother
nspecialties. nNurse-to-patient nratios nmust nbe nbetter nbecause nof nthe
nnature nof nthe npatients’
problems. .
”
b. “Psychiatric nnurses nuse ncomplex ncommunication nskills nas nwell nas ncritical
nthinkingnto nsolve nmultidimensional nproblems. nI nam nchallenged nby nthose
nsituations.”
c. “That’s na nmisconception. nPsychiatric nnurses nfrequently nuse nhigh-
technologynmonitoring nequipment nand nmanage ncomplex nintravenous
ntherapies.”
d. “Psychiatric nnurses ndo nnot nhave nto ndeal nwith nas nmuch npain nand
nsuffering nasnmedical–surgical nnurses ndo. nThat nappeals nto nme.”
ANSWER: n B
The npractice nof npsychiatric nnursing nrequires na ndifferent nset nof nskills nfrom nmedical–surgical
nnursing, nthough nthere nis nsubstantial noverlap. nTwo ndomains nrelate nspecifically nto
npsychiatric nnursing: nbehavioural, nincluding ncommunication, ncoping, nand neducation; nand
nsafety, ncoveringn crisis nand nrisk nmanagement. nBasic npsychosocial nnursing nconcepts nare
ncentral nto npsychiatric nnursing npractice nand nincrease nyour ncompetency nas na npractitioner nin
nall nclinical nsettings.
Whatever nsetting nyou nchoose nto nwork nin, nyou nwill nhave nthe nopportunity nto nimprove nthe
nlives nofnpeople nwho nare nexperiencing nmental nillness nas nan nadditional nchallenge nto ntheir
nhealth.
Your nexperience nin nthe nmental nhealth nnursing nrotation ncan nhelp nyou ngain ninsight ninto
nyourself nand ngreatly nincrease nyour ninsight ninto nthe nexperiences nof nothers. nThis npart nof
, nnursing neducationncan nprovide nguidelines nfor nand nthe nopportunity nto nlearn nnew nskills nfor
ndealing nwith na nvariety nofnchallenging nbehaviours. nPsychosocial npain nand nsuffering nare nas
nreal nas nphysical npain nand nsuffering.
DIF: Cognitive nLevel: nApply n(Application)
TOP: n Nursing nProcess: nImplementation MSC: n Client nNeeds: nSafe nEffective nCare nEnvironment
,Chapter 01: Mental Health and Mental Illness
n n n n n n
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
n n n n n n n
MULTIPLE nCHOICE
1. A nstaff nnurse ncompletes norientation nto na npsychiatric nunit. nWhich nof nthe nfollowing nwould
nthennurse nexpect nas nan nadvanced npractice nintervention?
a. Conduct nmental nhealth nassessments
b. Prescribe npsychotropic nmedication
c. Establish ntherapeutic nrelationships
d. Individualize nnursing ncare nplans
ANSWER: n B
Prescriptive nprivileges nare ngranted nto nmaster’s-prepared nnurse npractitioners nwho nhave
ntaken nspecial ncourses non nprescribing nmedication; nthus nit nis nan nadvanced-practice
nintervention. nThe nnurse nprepared nat nthe nbasic nlevel nis npermitted nto nperform nmental
nhealth nassessments, nestablishn relationships, nand nprovide nindividualized ncare nplanning.
DIF: Cognitive nLevel: nUnderstand n(Comprehension)
TOP: n Nursing nProcess: nImplementation MSC: n Client nNeeds: nSafe nEffective nCare nEnvironment
2. When na nnursing nstudent nexpresses nconcerns nabout nhow nmental nhealth nnurses n“lose nall
ntheirnnursing nskills,” nwhich nof nthe nfollowing nis nthe nbest nresponse nby nthe nmental nhealth
nnurse?
a. “Psychiatric nnurses npractise nin nsafer nenvironments nthan nother
nspecialties. nNurse-to-patient nratios nmust nbe nbetter nbecause nof nthe
nnature nof nthe npatients’
problems. .
”
b. “Psychiatric nnurses nuse ncomplex ncommunication nskills nas nwell nas ncritical
nthinkingnto nsolve nmultidimensional nproblems. nI nam nchallenged nby nthose
nsituations.”
c. “That’s na nmisconception. nPsychiatric nnurses nfrequently nuse nhigh-
technologynmonitoring nequipment nand nmanage ncomplex nintravenous
ntherapies.”
d. “Psychiatric nnurses ndo nnot nhave nto ndeal nwith nas nmuch npain nand
nsuffering nasnmedical–surgical nnurses ndo. nThat nappeals nto nme.”
ANSWER: n B
The npractice nof npsychiatric nnursing nrequires na ndifferent nset nof nskills nfrom nmedical–surgical
nnursing, nthough nthere nis nsubstantial noverlap. nTwo ndomains nrelate nspecifically nto
npsychiatric nnursing: nbehavioural, nincluding ncommunication, ncoping, nand neducation; nand
nsafety, ncoveringn crisis nand nrisk nmanagement. nBasic npsychosocial nnursing nconcepts nare
ncentral nto npsychiatric nnursing npractice nand nincrease nyour ncompetency nas na npractitioner nin
nall nclinical nsettings.
Whatever nsetting nyou nchoose nto nwork nin, nyou nwill nhave nthe nopportunity nto nimprove nthe
nlives nofnpeople nwho nare nexperiencing nmental nillness nas nan nadditional nchallenge nto ntheir
nhealth.
Your nexperience nin nthe nmental nhealth nnursing nrotation ncan nhelp nyou ngain ninsight ninto
nyourself nand ngreatly nincrease nyour ninsight ninto nthe nexperiences nof nothers. nThis npart nof
, nnursing neducationncan nprovide nguidelines nfor nand nthe nopportunity nto nlearn nnew nskills nfor
ndealing nwith na nvariety nofnchallenging nbehaviours. nPsychosocial npain nand nsuffering nare nas
nreal nas nphysical npain nand nsuffering.
DIF: Cognitive nLevel: nApply n(Application)
TOP: n Nursing nProcess: nImplementation MSC: n Client nNeeds: nSafe nEffective nCare nEnvironment
