Test Bank - Varcarolis Canadian Psychiatric Mental Health Nursing, 2nd Edition (Halter, 2019), Chapter 1-35 | All Chapters

TESTBANK q




Varcarolis Canadian Psychiatric Mental Health Nursing
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3rd Edition By Pollard All Chapter 1 - 35
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,
,Chapter 01: Mental Health and Mental Illness
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Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
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MULTIPLE CHOICE q




1. A staff nurse completes orientation to a psychiatric unit. Which of the following would thenurse
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expect as an advanced practice intervention?
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a. Conduct mental health assessments q q q




b. Prescribepsychotropic medication q q




c. Establish therapeutic relationships q q




d. Individualize nursing care plans q q q




ANSWER: B q




Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken special q q q q q q q q q q q




courses on prescribing medication; thus it is an advanced-practice intervention. The nurse prepared at
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the basic level is permitted to perform mental health assessments, establishrelationships, and provide
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individualized care planning.
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DIF: CognitiveLevel: Understand(Comprehension) q q q




TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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2. When a nursing student expresses concerns about how mental health nurses “lose all theirnursing
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q skills,” which of the following is the best response by the mental health nurse?
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a. “Psychiatric nurses practise in safer environments than other specialties. Nurse- q q q q q q q q q




to-patient ratios must be better because of the nature of the patients’ q q q q q q q q q q q




problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto solve q q q q q q q q q q q q




multidimensional problems. I am challenged by those situations.”
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c. “That’s a misconception. Psychiatric nurses frequently use high-technology q q q q q q q




monitoring equipment and manage complex intravenous therapies.”
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d. “Psychiatric nurses do not have to deal with as much pain and suffering asmedical– q q q q q q q q q q q q q q




surgical nurses do. That appeals to me.” q q q q q q




ANSWER: B q




The practice of psychiatric nursing requires a different set of skills from medical–surgical nursing,
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though there is substantial overlap. Two domains relate specifically to psychiatric nursing:
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behavioural, including communication, coping, and education; and safety, coveringcrisis and risk
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management. Basic psychosocial nursing concepts are central to psychiatric nursing practice and
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increase your competency as a practitioner in all clinical settings.
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Whatever setting you choose to work in, you will have the opportunity to improve the lives ofpeople
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who are experiencing mental illness as an additional challenge to their health.
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Your experience in the mental health nursing rotation can help you gain insight into yourself and greatly
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increase your insight into the experiences of others. This part of nursing educationcan provide
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guidelines for and the opportunity to learn new skills for dealing with a variety ofchallenging behaviours.
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Psychosocial pain and suffering are as real as physical pain and suffering.
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DIF: Cognitive Level: Apply(Application) q q q




TOP: Nursing Process: Implementation q q q MSC: Client Needs: Safe Effective Care Environment q q q q q q

, 3. When a new bill introduced in Parliament reduces funding for care of people with mental illness, a group
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of people with mild mental illness write letters to their elected representativesin opposition to the
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legislation for all people with mental illness. Which role does this action portray?
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a. Recovery
b. Self-care
c. Advocacy
d. Social action q




ANSWER: C q




An advocate defends or asserts another’s cause, particularly when the other person lacks the ability to
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do that for himself or herself. On a community scale, advocacy includes political activity, public
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speaking, and publication in the interest of improving the human condition. Since funding is necessary
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to deliver quality programming for people with mental illness, theletter-writing campaign advocates
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for the cause for all people with mental illness.
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DIF: CognitiveLevel: Understand(Comprehension) q q q




TOP: Nursing Process: Implementation
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4. Which of the following has been identified as a significant trend that will affect the future ofpsychiatric
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q mental health nursing in Canada? q q q q




a. Decrease in the aging population q q q q




b. Increase in cultural diversity q q q




c. Role of the advanced-practice nurse q q q q




d. Shortage of physicians in rural and urban areas q q q q q q q




ANSWER: B q




Four significant trends havTe E
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afOfeMct the future of psychiatric mental health q q q q q q q q q q




nursing in Canada; these include an aging population, an increase in cultural diversity,
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expanding technology, and an increased awareness of the impact of the determinants of healthon mental
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illness.
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DIF: CognitiveLevel: Understand(Comprehension) q q q




TOP: Nursing Process: Assessment q MSC: Client Needs: Safe Effective Care Environment q q q q q q q q




5. Which assessment finding most clearly indicates that a patient may be experiencing a mentalillness?
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a. The patient reports occasional sleeplessness and anxiety. q q q q q q




b. The patient reports a consistently sad, discouraged, and hopeless mood.
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c. The patient is able to describe the difference between “as if” and “for real.”
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d. The patient perceives difficulty making a decision about whether to change jobs.
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ANSWER: B q




Thecorrect response describes a mood alteration, which reflects mental illness. Alterations in
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cognition, mood, or behaviour that are coupled with significant distress and impaired functioning
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characterize mental illness. The distracters describe behaviours that are mentally healthy or within the
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usual scope of human experience.
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DIF: Cognitive Level: Apply(Application) q q q




TOP: Nursing Process: Assessment q q q MSC: Client Needs: Psychosocial Integrity q q q q