Psychiatric and Mental Health Nụrsing fọr
Canadian Practice
5th editiọn
By
Wendy Aụstin, Cindy Ann Peternelj-Taylọr1
,Contents
Chapter 1: Psychiatric and Mental Health Nursing: From Past to Present ............................................................3
Chapter 2: Mental Health, Mental Disorders, Wellbeing, and Recovery ............................................................ 12
Chapter 3: Identity, Inclusion, and Society ......................................................................................................... 21
Chapter 4: The Context of Mental Health Care: Cultural, Socioeconomic, and Geographic.............................. 30
Chapter 5: The Continuum of Canadian Mental Health Care ............................................................................. 40
Chapter 6: Contemporary Psychiatric and Mental Health Nursing Practice ....................................................... 50
Chapter 7: Communication and the Therapeutic Relationship ........................................................................... 60
Chapter 8: Legal and Ethical Aspects of Practice ............................................................................................... 70
Chapter 9: Theoretic Basis of Practice ................................................................................................................ 80
Chapter 10: Biologic Basis of Practice ............................................................................................................... 90
Chapter 11: The Assessment Process .................................................................................................................. 99
Chapter 12: Care Planning and Implementation in Psychiatric and Mental Health Nursing ............................ 109
Chapter 13: Psychopharmacology and Other Biologic Treatments .................................................................. 117
Chapter 14: Cognitive-Behavioural Interventions ............................................................................................ 126
Chapter 15: Interventions With Groups ............................................................................................................ 136
Chapter 16: Family Assessment and Intervention............................................................................................. 143
Chapter 17: Psychological Health and Safety in the Workplace ....................................................................... 150
Chapter 18: Stress, Trauma, Crisis, and Disasters ............................................................................................ 158
Chapter 19: Anger, Aggression, and Violence .................................................................................................. 165
Chapter 20. Self-Harm and Suicidal Behaviors ......................................................................................................... 175
Chapter 21. Schizophrenia Spectrum and Other Psychotic Disorders ....................................................................... 183
Chapter 22. Depressive, Bipolar, and Related Disorders ........................................................................................... 194
Chapter 23. Anxiety, Obsessive-Compulsive, and Related Disorders ....................................................................... 204
Chapter 24. Somatic Symptom and Related Disorders .............................................................................................. 214
Chapter 25. Eating Disorders ..................................................................................................................................... 225
Chapter 26. Substance-Related and Addictive Disorders .......................................................................................... 236
Chapter 27. Personality Disorders and Disruptive, Impulse-Control, and Conduct Disorders .................................. 246
Chapter 28. Sleep-Wake Disorders........................................................................................................................... 256
Chapter 29. Mental Health Promotion and Assessment: Children and Adolescents ................................................. 267
Chapter 30. Psychiatric Disorders in Children and Adolescents ............................................................................... 277
Chapter 31. Mental Health of Older Adults: Promotion and Assessment ................................................................. 288
Chapter 32. Neurocognitive Disorders: Delirium and Dementia ............................................................................... 298
Chapter 33. Care of Persons With Concurrent Substance-Related, Addictive, and Other Mental Disorders ............ 309
Chapter 34. Care of Persons With Experiences of Abuse .......................................................................................... 316
Chapter 35. Care of Persons Under Forensic Purview............................................................................................... 327
2
,Chapter 1: Psychiatric and Mental Health Nursing: From Past to Present
1. Which of the following best describes the historical development of
psychiatric nursing?
a) It emerged as a specialization after World War II.
b) It developed from social work during the 18th century.
c) It has always been integrated with general medical nursing.
d) It was founded by psychiatric physicians in the 20th century.
✔ Answer: a) It emerged as a specialization after World War II.
Rationale: Psychiatric nursing became more defined as a specialty after World
War II, as nurses began focusing on the mental health needs of soldiers returning
from war.
2. What key concept differentiates psychiatric nursing from general nursing?
a) Physical health assessment
b) Focus on mental health care
c) Use of medications
d) Surgical interventions
✔ Answer: b) Focus on mental health care
Rationale: Psychiatric nursing is primarily focused on mental health care,
including assessment, therapeutic interventions, and support for patients with
mental health disorders.
3. Who is considered a pioneer in the field of psychiatric nursing?
a) Florence Nightingale
b) Linda Richards
c) Hildegard Peplau
d) Jean Watson
3
, ✔ Answer: c) Hildegard Peplau
Rationale: Hildegard Peplau is considered one of the pioneers of psychiatric
nursing, particularly for her development of the interpersonal relations theory in
nursing.
4. What was the primary role of nurses in psychiatric hospitals during the
early 20th century?
a) To administer medical treatments
b) To maintain patient safety and hygiene
c) To provide psychotherapy
d) To lead group therapy sessions
✔ Answer: b) To maintain patient safety and hygiene
Rationale: Early psychiatric nurses were primarily tasked with maintaining patient
safety and hygiene, with little involvement in therapeutic interventions or patient
education.
5. The establishment of which major organization significantly advanced
psychiatric nursing in Canada?
a) The Canadian Mental Health Association
b) The Canadian Nurses Association
c) The International Council of Nurses
d) The National Institute of Mental Health
✔ Answer: a) The Canadian Mental Health Association
Rationale: The Canadian Mental Health Association has played a key role in
advancing mental health awareness and the development of mental health nursing
in Canada.
6. What was one major challenge facing psychiatric nurses in the mid-20th
century?
a) Lack of formal education programs
4
Canadian Practice
5th editiọn
By
Wendy Aụstin, Cindy Ann Peternelj-Taylọr1
,Contents
Chapter 1: Psychiatric and Mental Health Nursing: From Past to Present ............................................................3
Chapter 2: Mental Health, Mental Disorders, Wellbeing, and Recovery ............................................................ 12
Chapter 3: Identity, Inclusion, and Society ......................................................................................................... 21
Chapter 4: The Context of Mental Health Care: Cultural, Socioeconomic, and Geographic.............................. 30
Chapter 5: The Continuum of Canadian Mental Health Care ............................................................................. 40
Chapter 6: Contemporary Psychiatric and Mental Health Nursing Practice ....................................................... 50
Chapter 7: Communication and the Therapeutic Relationship ........................................................................... 60
Chapter 8: Legal and Ethical Aspects of Practice ............................................................................................... 70
Chapter 9: Theoretic Basis of Practice ................................................................................................................ 80
Chapter 10: Biologic Basis of Practice ............................................................................................................... 90
Chapter 11: The Assessment Process .................................................................................................................. 99
Chapter 12: Care Planning and Implementation in Psychiatric and Mental Health Nursing ............................ 109
Chapter 13: Psychopharmacology and Other Biologic Treatments .................................................................. 117
Chapter 14: Cognitive-Behavioural Interventions ............................................................................................ 126
Chapter 15: Interventions With Groups ............................................................................................................ 136
Chapter 16: Family Assessment and Intervention............................................................................................. 143
Chapter 17: Psychological Health and Safety in the Workplace ....................................................................... 150
Chapter 18: Stress, Trauma, Crisis, and Disasters ............................................................................................ 158
Chapter 19: Anger, Aggression, and Violence .................................................................................................. 165
Chapter 20. Self-Harm and Suicidal Behaviors ......................................................................................................... 175
Chapter 21. Schizophrenia Spectrum and Other Psychotic Disorders ....................................................................... 183
Chapter 22. Depressive, Bipolar, and Related Disorders ........................................................................................... 194
Chapter 23. Anxiety, Obsessive-Compulsive, and Related Disorders ....................................................................... 204
Chapter 24. Somatic Symptom and Related Disorders .............................................................................................. 214
Chapter 25. Eating Disorders ..................................................................................................................................... 225
Chapter 26. Substance-Related and Addictive Disorders .......................................................................................... 236
Chapter 27. Personality Disorders and Disruptive, Impulse-Control, and Conduct Disorders .................................. 246
Chapter 28. Sleep-Wake Disorders........................................................................................................................... 256
Chapter 29. Mental Health Promotion and Assessment: Children and Adolescents ................................................. 267
Chapter 30. Psychiatric Disorders in Children and Adolescents ............................................................................... 277
Chapter 31. Mental Health of Older Adults: Promotion and Assessment ................................................................. 288
Chapter 32. Neurocognitive Disorders: Delirium and Dementia ............................................................................... 298
Chapter 33. Care of Persons With Concurrent Substance-Related, Addictive, and Other Mental Disorders ............ 309
Chapter 34. Care of Persons With Experiences of Abuse .......................................................................................... 316
Chapter 35. Care of Persons Under Forensic Purview............................................................................................... 327
2
,Chapter 1: Psychiatric and Mental Health Nursing: From Past to Present
1. Which of the following best describes the historical development of
psychiatric nursing?
a) It emerged as a specialization after World War II.
b) It developed from social work during the 18th century.
c) It has always been integrated with general medical nursing.
d) It was founded by psychiatric physicians in the 20th century.
✔ Answer: a) It emerged as a specialization after World War II.
Rationale: Psychiatric nursing became more defined as a specialty after World
War II, as nurses began focusing on the mental health needs of soldiers returning
from war.
2. What key concept differentiates psychiatric nursing from general nursing?
a) Physical health assessment
b) Focus on mental health care
c) Use of medications
d) Surgical interventions
✔ Answer: b) Focus on mental health care
Rationale: Psychiatric nursing is primarily focused on mental health care,
including assessment, therapeutic interventions, and support for patients with
mental health disorders.
3. Who is considered a pioneer in the field of psychiatric nursing?
a) Florence Nightingale
b) Linda Richards
c) Hildegard Peplau
d) Jean Watson
3
, ✔ Answer: c) Hildegard Peplau
Rationale: Hildegard Peplau is considered one of the pioneers of psychiatric
nursing, particularly for her development of the interpersonal relations theory in
nursing.
4. What was the primary role of nurses in psychiatric hospitals during the
early 20th century?
a) To administer medical treatments
b) To maintain patient safety and hygiene
c) To provide psychotherapy
d) To lead group therapy sessions
✔ Answer: b) To maintain patient safety and hygiene
Rationale: Early psychiatric nurses were primarily tasked with maintaining patient
safety and hygiene, with little involvement in therapeutic interventions or patient
education.
5. The establishment of which major organization significantly advanced
psychiatric nursing in Canada?
a) The Canadian Mental Health Association
b) The Canadian Nurses Association
c) The International Council of Nurses
d) The National Institute of Mental Health
✔ Answer: a) The Canadian Mental Health Association
Rationale: The Canadian Mental Health Association has played a key role in
advancing mental health awareness and the development of mental health nursing
in Canada.
6. What was one major challenge facing psychiatric nurses in the mid-20th
century?
a) Lack of formal education programs
4
