TEST BANK i
Varcarolis Canadian Psychiatric Mental Health Nursing
i i i i i
3rd Edition By Pollard All Chapter 1 - 35
i i i i i i i i
,
,Chapter 01: Mental Health and Mental Illness
i i i i i i
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
i i i i i i i
MULTIPLE iCHOICE
1. A istaff inurse icompletes iorientation ito ia ipsychiatric iunit. iWhich iof ithe ifollowing iwould ithe
nurse iexpect ias ian iadvanced ipractice iintervention?
i
a. Conduct imental ihealth iassessments
b. Prescribe ipsychotropic imedication
c. Establish itherapeutic irelationships
d. Individualize inursing icare iplans
ANSWER: i B
Prescriptive iprivileges iare igranted ito imaster’s-prepared inurse ipractitioners iwho ihave itaken
ispecial icourses ion iprescribing imedication; ithus iit iis ian iadvanced-practice iintervention. iThe inurse
iprepared iat ithe ibasic ilevel iis ipermitted ito iperform imental ihealth iassessments, iestablish
irelationships, iand iprovide iindividualized icare iplanning.
DIF: Cognitive iLevel: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
2. When ia inursing istudent iexpresses iconcerns iabout ihow imental ihealth inurses i“lose iall itheir
nursing iskills,” iwhich iof ithe ifollowing iis ithe ibest iresponse iby ithe imental ihealth inurse?
i
a. “Psychiatric inurses ipractise iin isafer ienvironments ithan iother ispecialties.
iNurse-to-patient iratios imust ibe ibetter ibecause iof ithe inature iof ithe ipatients’
problems.” .
b. “Psychiatric inurses iuse icomplex icommunication iskills ias iwell ias icritical ithinkingito
isolve imultidimensional iproblems. iI iam ichallenged iby ithose isituations.”
c. “That’s ia imisconception. iPsychiatric inurses ifrequently iuse ihigh-technology
imonitoring iequipment iand imanage icomplex iintravenous itherapies.”
d. “Psychiatric inurses ido inot ihave ito ideal iwith ias imuch ipain iand isuffering ias
imedical–surgical inurses i do. iThat iappeals ito ime.”
ANSWER: i B
The ipractice iof ipsychiatric inursing irequires ia idifferent iset iof iskills ifrom imedical–surgical
inursing, ithough ithere iis isubstantial ioverlap. iTwo idomains irelate ispecifically ito ipsychiatric
inursing: ibehavioural, iincluding icommunication, icoping, iand ieducation; iand isafety, icoveringicrisis
iand irisk imanagement. iBasic ipsychosocial inursing iconcepts iare icentral ito ipsychiatric inursing
ipractice iand iincrease iyour icompetency ias ia ipractitioner iin iall iclinical isettings.
Whatever isetting iyou ichoose ito iwork iin, iyou iwill ihave ithe iopportunity ito iimprove ithe ilives iof
ipeople iwho iare iexperiencing imental iillness ias ian i additional ichallenge ito itheir ihealth.
Your iexperience iin ithe imental ihealth inursing irotation ican ihelp iyou igain iinsight iinto iyourself iand
igreatly iincrease iyour iinsight iinto ithe iexperiences iof iothers. iThis ipart iof inursing ieducationican
iprovide iguidelines ifor iand ithe iopportunity ito ilearn inew iskills ifor idealing iwith ia ivariety iof
ichallenging ibehaviours. iPsychosocial ipain iand isuffering iare ias ireal ias iphysical ipain iand isuffering.
DIF: Cognitive iLevel: iApply i(Application)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
, 3. When ia inew ibill iintroduced iin iParliament ireduces ifunding ifor icare iof ipeople iwith imental iillness, ia
igroup iof ipeople iwith imild imental iillness iwrite iletters ito itheir ielected irepresentativesiin iopposition
ito ithe ilegislation ifor iall ipeople iwith imental iillness. iWhich irole idoes ithis iaction iportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social iaction
ANSWER: i C
An iadvocate idefends ior iasserts ianother’s icause, iparticularly iwhen ithe iother iperson ilacks ithe
iability ito ido ithat ifor ihimself ior iherself. iOn ia icommunity iscale, iadvocacy iincludes ipolitical iactivity,
ipublic ispeaking, iand ipublication iin ithe iinterest iof iimproving ithe ihuman icondition. iSince ifunding
iis inecessary ito ideliver iquality iprogramming ifor ipeople iwith imental iillness, itheiletter-writing
icampaign iadvocates ifor ithe icause ifor iall ipeople iwith imental iillness.
DIF: Cognitive iLevel: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
4. Which iof ithe ifollowing ihas ibeen iidentified ias ia isignificant itrend ithat iwill iaffect ithe ifuture iof
psychiatric imental ihealth inursing iin iCanada?
i
a. Decrease iin ithe iaging ipopulation
b. Increase iin icultural idiversity
c. Role iof ithe iadvanced-practice inurse
d. Shortage iof iphysicians iin irural iand iurban iareas
ANSWER: i B
Four isignificant itrends ihavT eE
beSeTnBidAeN
ntKifS
ieEdiL
thL
atEwRi.lliC
afOfeMct ithe ifuture iof ipsychiatric imental
ihealth inursing iin iCanada; ithese iinclude ian iaging ipopulation, ian iincrease iin icultural idiversity,
expanding itechnology, iand ian iincreased iawareness iof ithe iimpact iof ithe ideterminants iof ihealthion
imental iillness.
DIF: Cognitive iLevel: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
5. Which iassessment ifinding imost iclearly iindicates ithat ia ipatient imay ibe iexperiencing ia imental
illness?
i
a. The ipatient ireports ioccasional isleeplessness iand ianxiety.
b. The ipatient ireports ia iconsistently isad, idiscouraged, iand ihopeless imood.
c. The ipatient iis iable ito idescribe ithe idifference ibetween i“as iif” iand i“for ireal.”
d. The ipatient iperceives idifficulty imaking ia idecision iabout iwhether ito ichange ijobs.
ANSWER: i B
The icorrect iresponse idescribes ia imood ialteration, iwhich ireflects imental iillness. iAlterations iin
icognition, imood, ior ibehaviour ithat iare icoupled iwith isignificant idistress iand iimpaired ifunctioning
icharacterize imental iillness. iThe idistracters idescribe ibehaviours ithat iare imentally ihealthy ior iwithin
ithe iusual iscope iof ihuman iexperience.
DIF: Cognitive iLevel: iApply i(Application)
TOP: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPsychosocial iIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
i i i i i
3rd Edition By Pollard All Chapter 1 - 35
i i i i i i i i
,
,Chapter 01: Mental Health and Mental Illness
i i i i i i
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
i i i i i i i
MULTIPLE iCHOICE
1. A istaff inurse icompletes iorientation ito ia ipsychiatric iunit. iWhich iof ithe ifollowing iwould ithe
nurse iexpect ias ian iadvanced ipractice iintervention?
i
a. Conduct imental ihealth iassessments
b. Prescribe ipsychotropic imedication
c. Establish itherapeutic irelationships
d. Individualize inursing icare iplans
ANSWER: i B
Prescriptive iprivileges iare igranted ito imaster’s-prepared inurse ipractitioners iwho ihave itaken
ispecial icourses ion iprescribing imedication; ithus iit iis ian iadvanced-practice iintervention. iThe inurse
iprepared iat ithe ibasic ilevel iis ipermitted ito iperform imental ihealth iassessments, iestablish
irelationships, iand iprovide iindividualized icare iplanning.
DIF: Cognitive iLevel: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
2. When ia inursing istudent iexpresses iconcerns iabout ihow imental ihealth inurses i“lose iall itheir
nursing iskills,” iwhich iof ithe ifollowing iis ithe ibest iresponse iby ithe imental ihealth inurse?
i
a. “Psychiatric inurses ipractise iin isafer ienvironments ithan iother ispecialties.
iNurse-to-patient iratios imust ibe ibetter ibecause iof ithe inature iof ithe ipatients’
problems.” .
b. “Psychiatric inurses iuse icomplex icommunication iskills ias iwell ias icritical ithinkingito
isolve imultidimensional iproblems. iI iam ichallenged iby ithose isituations.”
c. “That’s ia imisconception. iPsychiatric inurses ifrequently iuse ihigh-technology
imonitoring iequipment iand imanage icomplex iintravenous itherapies.”
d. “Psychiatric inurses ido inot ihave ito ideal iwith ias imuch ipain iand isuffering ias
imedical–surgical inurses i do. iThat iappeals ito ime.”
ANSWER: i B
The ipractice iof ipsychiatric inursing irequires ia idifferent iset iof iskills ifrom imedical–surgical
inursing, ithough ithere iis isubstantial ioverlap. iTwo idomains irelate ispecifically ito ipsychiatric
inursing: ibehavioural, iincluding icommunication, icoping, iand ieducation; iand isafety, icoveringicrisis
iand irisk imanagement. iBasic ipsychosocial inursing iconcepts iare icentral ito ipsychiatric inursing
ipractice iand iincrease iyour icompetency ias ia ipractitioner iin iall iclinical isettings.
Whatever isetting iyou ichoose ito iwork iin, iyou iwill ihave ithe iopportunity ito iimprove ithe ilives iof
ipeople iwho iare iexperiencing imental iillness ias ian i additional ichallenge ito itheir ihealth.
Your iexperience iin ithe imental ihealth inursing irotation ican ihelp iyou igain iinsight iinto iyourself iand
igreatly iincrease iyour iinsight iinto ithe iexperiences iof iothers. iThis ipart iof inursing ieducationican
iprovide iguidelines ifor iand ithe iopportunity ito ilearn inew iskills ifor idealing iwith ia ivariety iof
ichallenging ibehaviours. iPsychosocial ipain iand isuffering iare ias ireal ias iphysical ipain iand isuffering.
DIF: Cognitive iLevel: iApply i(Application)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
, 3. When ia inew ibill iintroduced iin iParliament ireduces ifunding ifor icare iof ipeople iwith imental iillness, ia
igroup iof ipeople iwith imild imental iillness iwrite iletters ito itheir ielected irepresentativesiin iopposition
ito ithe ilegislation ifor iall ipeople iwith imental iillness. iWhich irole idoes ithis iaction iportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social iaction
ANSWER: i C
An iadvocate idefends ior iasserts ianother’s icause, iparticularly iwhen ithe iother iperson ilacks ithe
iability ito ido ithat ifor ihimself ior iherself. iOn ia icommunity iscale, iadvocacy iincludes ipolitical iactivity,
ipublic ispeaking, iand ipublication iin ithe iinterest iof iimproving ithe ihuman icondition. iSince ifunding
iis inecessary ito ideliver iquality iprogramming ifor ipeople iwith imental iillness, itheiletter-writing
icampaign iadvocates ifor ithe icause ifor iall ipeople iwith imental iillness.
DIF: Cognitive iLevel: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
4. Which iof ithe ifollowing ihas ibeen iidentified ias ia isignificant itrend ithat iwill iaffect ithe ifuture iof
psychiatric imental ihealth inursing iin iCanada?
i
a. Decrease iin ithe iaging ipopulation
b. Increase iin icultural idiversity
c. Role iof ithe iadvanced-practice inurse
d. Shortage iof iphysicians iin irural iand iurban iareas
ANSWER: i B
Four isignificant itrends ihavT eE
beSeTnBidAeN
ntKifS
ieEdiL
thL
atEwRi.lliC
afOfeMct ithe ifuture iof ipsychiatric imental
ihealth inursing iin iCanada; ithese iinclude ian iaging ipopulation, ian iincrease iin icultural idiversity,
expanding itechnology, iand ian iincreased iawareness iof ithe iimpact iof ithe ideterminants iof ihealthion
imental iillness.
DIF: Cognitive iLevel: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
5. Which iassessment ifinding imost iclearly iindicates ithat ia ipatient imay ibe iexperiencing ia imental
illness?
i
a. The ipatient ireports ioccasional isleeplessness iand ianxiety.
b. The ipatient ireports ia iconsistently isad, idiscouraged, iand ihopeless imood.
c. The ipatient iis iable ito idescribe ithe idifference ibetween i“as iif” iand i“for ireal.”
d. The ipatient iperceives idifficulty imaking ia idecision iabout iwhether ito ichange ijobs.
ANSWER: i B
The icorrect iresponse idescribes ia imood ialteration, iwhich ireflects imental iillness. iAlterations iin
icognition, imood, ior ibehaviour ithat iare icoupled iwith isignificant idistress iand iimpaired ifunctioning
icharacterize imental iillness. iThe idistracters idescribe ibehaviours ithat iare imentally ihealthy ior iwithin
ithe iusual iscope iof ihuman iexperience.
DIF: Cognitive iLevel: iApply i(Application)
TOP: i Nursing iProcess: iAssessment MSC: i Client iNeeds: iPsychosocial iIntegrity
