TEST BANK
b
Varcarolis Canadian Psychiatric Mental Health Nursing
b b b b b
3rd Edition By Pollard All Chapter 1 - 35
b b b b b b b b
,
,Chapter 01: Mental Health and Mental Illness
b b b b b b
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
b b b b b b b
MULTIPLE CHOICE b
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
b b b b b b b b b b b b b b
nurse expect as an advanced practice intervention?
b b b b b b b
a. Conduct mental health assessments b b b
b. Prescribe psychotropic medication b b
c. Establish therapeutic relationships b b
d. Individualize nursing care plans b b b
ANSWER: B b
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
b b b b b b b b b b
special courses on prescribing medication; thus it is an advanced-practice intervention. The
b b b b b b b b b b b b
nurse prepared at the basic level is permitted to perform mental health assessments, establish
b b b b b b b b b b b b b b
relationships, and provide individualized care planning.
b b b b b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Implementation
b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
2. When a nursing student expresses concerns about how mental health nurses “lose all their
b b b b b b b b b b b b b
nursing skills,” which of the following is the best response by the mental health nurse?
b b b b b b b b b b b b b b b
a. “Psychiatric nurses practise in safer environments than other specialties. b b b b b b b b
Nurse-to-patient ratios must be better because of the nature of the
b b b b b b b b b b b
patients’b
problems. .
”
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto b b b b b b b b b b b
solve multidimensional problems. I am challenged by those situations.”
b b b b b b b b b
c. “That’s a misconception. Psychiatric nurses frequently use high-technology
b b b b b b b
monitoring equipment and manage complex intravenous therapies.”
b b b b b b b
d. “Psychiatric nurses do not have to deal with as much pain and suffering as b b b b b b b b b b b b b
medical–surgical nurses do. That appeals to me.”
b b b b b b b
ANSWER: B b
The practice of psychiatric nursing requires a different set of skills from medical–surgical
b b b b b b b b b b b b
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
b b b b b b b b b b b b
nursing: behavioural, including communication, coping, and education; and safety, covering
b b b b b b b b b b
crisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
b b b b b b b b b b b b
nursing practice and increase your competency as a practitioner in all clinical settings.
b b b b b b b b b b b b b
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
b b b b b b b b b b b b b b b b
people who are experiencing mental illness as an additional challenge to their health.
b b b b b b b b b b b b b
Your experience in the mental health nursing rotation can help you gain insight into yourself
b b b b b b b b b b b b b b
and greatly increase your insight into the experiences of others. This part of nursing education
b b b b b b b b b b b b b b b
can provide guidelines for and the opportunity to learn new skills for dealing with a variety of
b b b b b b b b b b b b b b b b b
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and
b b b b b b b b b b b b b
suffering.
b
DIF: Cognitive Level: Apply (Application) b b b
TOP: Nursing Process: Implementation
b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
, 3. When a new bill introduced in Parliament reduces funding for care of people with mental
b b b b b b b b b b b b b b
illness, a group of people with mild mental illness write letters to their elected representatives
b b b b b b b b b b b b b b b
in opposition to the legislation for all people with mental illness. Which role does this action
b b b b b b b b b b b b b b b b
portray?
b
a. Recovery
b. Self-care
c. Advocacy
d. Social action b
ANSWER: C b
An advocate defends or asserts another’s cause, particularly when the other person lacks the
b b b b b b b b b b b b b
ability to do that for himself or herself. On a community scale, advocacy includes political
b b b b b b b b b b b b b b b
activity, public speaking, and publication in the interest of improving the human condition.
b b b b b b b b b b b b b
Since funding is necessary to deliver quality programming for people with mental illness, the
b b b b b b b b b b b b b b
letter-writing campaign advocates for the cause for all people with mental illness.
b b b b b b b b b b b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Implementation
b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
4. Which of the following has been identified as a significant trend that will affect the future of
b b b b b b b b b b b b b b b b
psychiatric mental health nursing in Canada?
b b b b b b
a. Decrease in the aging population b b b b
b. Increase in cultural diversity b b b
c. Role of the advanced-practice nurse b b b b
d. Shortage of physicians in rural and urban areas b b b b b b b
ANSWER: B b
Four significant trends havT
b eEbeSeT
nBidAeN
ntK
ifS
ieE
dLthLatEwRi.llC
afOfeMct the future of psychiatric mental b b b b b b b b b
health nursing in Canada; these include an aging population, an increase in cultural diversity,
b b b b b b b b b b b b b b
expanding technology, and an increased awareness of the impact of the determinants of health
b b b b b b b b b b b b b
on mental illness.
b b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Assessment
b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
b b b b b b b b b b b b b
illness?
b
a. The patient reports occasional sleeplessness and anxiety.
b b b b b b
b. The patient reports a consistently sad, discouraged, and hopeless mood.
b b b b b b b b b
c. The patient is able to describe the difference between “as if” and “for real.”
b b b b b b b b b b b b b
d. The patient perceives difficulty making a decision about whether to change jobs.
b b b b b b b b b b b
ANSWER: B b
The correct response describes a mood alteration, which reflects mental illness. Alterations in
b b b b b b b b b b b b
cognition, mood, or behaviour that are coupled with significant distress and impaired
b b b b b b b b b b b b
functioning characterize mental illness. The distracters describe behaviours that are mentally
b b b b b b b b b b b
healthy or within the usual scope of human experience.
b b b b b b b b b
DIF: Cognitive Level: Apply (Application) b b b
TOP: Nursing Process: Assessment
b MSC: Client Needs: Psychosocial Integrity b b b b b b
b
Varcarolis Canadian Psychiatric Mental Health Nursing
b b b b b
3rd Edition By Pollard All Chapter 1 - 35
b b b b b b b b
,
,Chapter 01: Mental Health and Mental Illness
b b b b b b
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
b b b b b b b
MULTIPLE CHOICE b
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
b b b b b b b b b b b b b b
nurse expect as an advanced practice intervention?
b b b b b b b
a. Conduct mental health assessments b b b
b. Prescribe psychotropic medication b b
c. Establish therapeutic relationships b b
d. Individualize nursing care plans b b b
ANSWER: B b
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
b b b b b b b b b b
special courses on prescribing medication; thus it is an advanced-practice intervention. The
b b b b b b b b b b b b
nurse prepared at the basic level is permitted to perform mental health assessments, establish
b b b b b b b b b b b b b b
relationships, and provide individualized care planning.
b b b b b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Implementation
b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
2. When a nursing student expresses concerns about how mental health nurses “lose all their
b b b b b b b b b b b b b
nursing skills,” which of the following is the best response by the mental health nurse?
b b b b b b b b b b b b b b b
a. “Psychiatric nurses practise in safer environments than other specialties. b b b b b b b b
Nurse-to-patient ratios must be better because of the nature of the
b b b b b b b b b b b
patients’b
problems. .
”
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto b b b b b b b b b b b
solve multidimensional problems. I am challenged by those situations.”
b b b b b b b b b
c. “That’s a misconception. Psychiatric nurses frequently use high-technology
b b b b b b b
monitoring equipment and manage complex intravenous therapies.”
b b b b b b b
d. “Psychiatric nurses do not have to deal with as much pain and suffering as b b b b b b b b b b b b b
medical–surgical nurses do. That appeals to me.”
b b b b b b b
ANSWER: B b
The practice of psychiatric nursing requires a different set of skills from medical–surgical
b b b b b b b b b b b b
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
b b b b b b b b b b b b
nursing: behavioural, including communication, coping, and education; and safety, covering
b b b b b b b b b b
crisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
b b b b b b b b b b b b
nursing practice and increase your competency as a practitioner in all clinical settings.
b b b b b b b b b b b b b
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
b b b b b b b b b b b b b b b b
people who are experiencing mental illness as an additional challenge to their health.
b b b b b b b b b b b b b
Your experience in the mental health nursing rotation can help you gain insight into yourself
b b b b b b b b b b b b b b
and greatly increase your insight into the experiences of others. This part of nursing education
b b b b b b b b b b b b b b b
can provide guidelines for and the opportunity to learn new skills for dealing with a variety of
b b b b b b b b b b b b b b b b b
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and
b b b b b b b b b b b b b
suffering.
b
DIF: Cognitive Level: Apply (Application) b b b
TOP: Nursing Process: Implementation
b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
, 3. When a new bill introduced in Parliament reduces funding for care of people with mental
b b b b b b b b b b b b b b
illness, a group of people with mild mental illness write letters to their elected representatives
b b b b b b b b b b b b b b b
in opposition to the legislation for all people with mental illness. Which role does this action
b b b b b b b b b b b b b b b b
portray?
b
a. Recovery
b. Self-care
c. Advocacy
d. Social action b
ANSWER: C b
An advocate defends or asserts another’s cause, particularly when the other person lacks the
b b b b b b b b b b b b b
ability to do that for himself or herself. On a community scale, advocacy includes political
b b b b b b b b b b b b b b b
activity, public speaking, and publication in the interest of improving the human condition.
b b b b b b b b b b b b b
Since funding is necessary to deliver quality programming for people with mental illness, the
b b b b b b b b b b b b b b
letter-writing campaign advocates for the cause for all people with mental illness.
b b b b b b b b b b b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Implementation
b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
4. Which of the following has been identified as a significant trend that will affect the future of
b b b b b b b b b b b b b b b b
psychiatric mental health nursing in Canada?
b b b b b b
a. Decrease in the aging population b b b b
b. Increase in cultural diversity b b b
c. Role of the advanced-practice nurse b b b b
d. Shortage of physicians in rural and urban areas b b b b b b b
ANSWER: B b
Four significant trends havT
b eEbeSeT
nBidAeN
ntK
ifS
ieE
dLthLatEwRi.llC
afOfeMct the future of psychiatric mental b b b b b b b b b
health nursing in Canada; these include an aging population, an increase in cultural diversity,
b b b b b b b b b b b b b b
expanding technology, and an increased awareness of the impact of the determinants of health
b b b b b b b b b b b b b
on mental illness.
b b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Assessment
b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
b b b b b b b b b b b b b
illness?
b
a. The patient reports occasional sleeplessness and anxiety.
b b b b b b
b. The patient reports a consistently sad, discouraged, and hopeless mood.
b b b b b b b b b
c. The patient is able to describe the difference between “as if” and “for real.”
b b b b b b b b b b b b b
d. The patient perceives difficulty making a decision about whether to change jobs.
b b b b b b b b b b b
ANSWER: B b
The correct response describes a mood alteration, which reflects mental illness. Alterations in
b b b b b b b b b b b b
cognition, mood, or behaviour that are coupled with significant distress and impaired
b b b b b b b b b b b b
functioning characterize mental illness. The distracters describe behaviours that are mentally
b b b b b b b b b b b
healthy or within the usual scope of human experience.
b b b b b b b b b
DIF: Cognitive Level: Apply (Application) b b b
TOP: Nursing Process: Assessment
b MSC: Client Needs: Psychosocial Integrity b b b b b b
