Test Bankfor Varcarolis’s Canadian Psychiatric Mental Health
Nursing: A Clinical Approach (3rd Edition, Cheryl L. Pollard)
—
Chapters 1–35
Chapter01:MentalHealthand MentalIllness
Pollard:Varcarolis’sCanadianPsychiatricMentalHealthNursing: A Clinical Approach,3rd Edition
MULTIPLE CHOICE
1. Which of thefollowingis consideredan AdvancedPractice
Intervention?
a. Conductingmentalhealthassessments(MSA)
b. Prescribingpsychotropicmedication
c. Establishingtherapeuticrelationships
d. Individualizing nursing careplans
1
, ANS: B
Registered nurses and registered psychiatric nurses can further their
education at a baccalaureate levelor at the graduate level (master’s
doctorate) and become qualified to practise psychiatric mental health
nursing at two levels
– basic and advanced– developing on their education
preparation.Prescriptiveprivilegesaregrantedto master’s-
prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribing medicat
Appropriateuseof diagnostictestsmustbecompletedaswellas having hospitaladmitting privileges.
Establishing therapeutic relationship, conducting mental health assessments (MSAs), and individualizing
nursing care plans are foundational psychiatric nursing skills. Therefore, they are considered
-Level
Basic
Interventions.
DIF: CognitiveLevel:Understand(Comprehension)
TOP: Nursing Process:Implementation MSC: Client Needs:SafeEffectiveCare Environment
2. Which has beenidentifiedas a priority for nationalplans and strategiesin psychiatricmentalhealth
nursing in Canada?
a. Decreasein theaging population
b. Increasein culturaldiversity
c. Role of theadvancedpracticenurse
d. Shortageof physiciansin rural and urbanareas
ANS: B
In earlyphasesof strategicdevelopment,theMentalHealth Commissionof Canadaidentifiedcultural
diversity as a priority for national plans and strategies. Increasing cultural diversity within Canada warrants
deeper attention to culturally safe care and concern for the mental health consequences of colonization an
racism. An aging population and shortage of physicians are important to future trends. The role of the
advanced practice nurse is continuing to evolve in psychiatric mental health nursing in Canada.
DIF: CognitiveLevel:Understand(Comprehension)
TOP: Nursing Process: Outcome Evaluation
MSC: Client Needs:SafeEffectiveCare Environment
3. Which servesas theofficial guidefor diagnosingpsychiatricdisorders?
a. InternationalClassificationof Diseases(ICD -11)
b. Diagnosticand StatisticalManualof MentalDisorders(DSM)
c. A behaviouralhealthreferencemanual
2
,Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
d. NurseOneonline
ANS: B
The firstDiagnostic and Statistical Manual of Mental Disorders (DSM) was published by the American
Psychiatric Association in 1952. Its purpose was to provide clinicians, educators, and researchers
with a
commonframeworkto understandand communicateaboutmentaldisorders.With a common understanding
about mental disorders, researchers and clinicians could work together in their attempts
to improvecarefor
peoplewith mentalillness.The currentDSM-5 servesas theofficialguide fordiagnosingpsychiatricdisorders.
The InternationalClassificationof Diseases(ICD ) setstheglobal health information standard for mortality and
morbidity statistics. Clinicians and researchers use this classification system to define diseases, study diseas
patterns, monitor outcomes, and subsequently allocate resources based on the prevalence of disease. The
Canadian Institute for Health Information developed an enhanced version of the previous ,version
ICD-10
referred to as the
ICD 10-CA period thatversionextendsbeyonddefiningand classifyingdiseasesto describe
conditionsand situationsthat are not diseases, including for example, risk factors to health and psychosocial
circumstances.A behavioral health reference manual and NurseOne onlineare not used as official guides for
diagnosis.
DIF: CognitiveLevel:Apply (Application)
TOP: Nursing Process:Assessment MSC: Client Needs:SafeEffectiveCare Environment
4. When locatingthedescriptionand diagnosticcriteriafor anxietydisorders,which resourcewouldhave the
most complete information?
a. NursingOutcomesClassification(NOC)
b. Diagnosticand StatisticalManualof MentalDisorders(DSM-5)
c. The ANA’s Psychiatric-MentalHealthNursingScopeand Standardsof Practice
d. InternationalStatisticalClassificationof Diseasesand RelatedHealthProblems(ICD -
10)
ANS: B
The DSM-5 detailsthediagnosticcriteriafor psychiatricclinical conditionsand is theofficialguidefor
diagnosing psychiatric disorders. The other references are good resources but do not define the diagnostic
criteria.
DIF: CognitiveLevel:Understand(Comprehension)
TOP: Nursing Process:Implementation MSC: Client Needs:SafeEffectiveCare Environment
5. Which individual is demonstratingthehighestlevelof resilience?
a. An individual repressingtheirstressorswho is having a difficulttimecoping with
activities of daily living (ADLs)
b. An individual who is in a depressedstateafter thedeathof theirspouse
c. An individual who lives in a shelterfor 2 yearsaftertheir homeis destroyedby a fire
d. An individual who navigatesand negotiatesresourcesto supporttheirwell- being
ANS: D
3
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
A characteristic of mental health increasingly being promoted as essential to the recovery process is resilien
Resilienceis a process and outcome of complex, cultural systems, rather than as an individual capacity to
overcome adversity. In this way, when exposed to adversity, one’s resilience depends on the navigation an
negotiation of resources that can support -being.
well Resilience is closely associated with the process of
adapting and helps people facing tragedies, loss, trauma, and severe stress. An individual who is repressing
their stressors may need support for developing coping strategies.
It is importantfor theindividual who is in a
depressedstateafterthedeathof theirspouseto navigate and negotiate resources that can support their - well
being (e.g., grief support or counselling). An individual living in a shelter needs immediate support and
assistance when entering the shelter to navigate services and supports. Shelters -term are short
resources.
DIF: Cognitive Level: Apply (Application) TOP:
Nursing Process: Outcome Evaluation MSC:
Client Needs: Psychosocial Integrity
6. A multidisciplinaryteamis working with twogroupsof patientsdiagnosedwith depression.One group of
patients receives supportive interventions and psychotropic medication (e.g., antidepressants). The other
group receives only psychotropic medication. Outcomes are measured for each group. Which is being studi
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology
ANS: D
Clinical epidemiologyis a broadfield thataddressesstudiesof thenaturalhistory(or whathappensif there is
no treatment and the problem is left to run its course) of an illness, studies of diagnostic screening tests, an
observational and experimental studies of interventions used to treat people with the illness or symptoms.
Prevalencerefers to numbers of new cases. Comorbidityrefers to having more than one mental disorder at a
time.Incidencerefers to the number of new cases of mental disorders in a healthy population within a given
period.
DIF: CognitiveLevel:Understand(Comprehension)
TOP: Nursing Process: Outcome Evaluation
MSC: Client Needs:SafeEffectiveCare Environment
7. A category5 tornadooccurredin a communityof 400 people,resultingin destructionof many homes and
businesses. In the 2 years after this disaster, 140 individuals were diagnosed with
-traumatic
post stress
disorder (PTSD). Which term best applies to these newly diagnosed individuals?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology
ANS: C
4
Nursing: A Clinical Approach (3rd Edition, Cheryl L. Pollard)
—
Chapters 1–35
Chapter01:MentalHealthand MentalIllness
Pollard:Varcarolis’sCanadianPsychiatricMentalHealthNursing: A Clinical Approach,3rd Edition
MULTIPLE CHOICE
1. Which of thefollowingis consideredan AdvancedPractice
Intervention?
a. Conductingmentalhealthassessments(MSA)
b. Prescribingpsychotropicmedication
c. Establishingtherapeuticrelationships
d. Individualizing nursing careplans
1
, ANS: B
Registered nurses and registered psychiatric nurses can further their
education at a baccalaureate levelor at the graduate level (master’s
doctorate) and become qualified to practise psychiatric mental health
nursing at two levels
– basic and advanced– developing on their education
preparation.Prescriptiveprivilegesaregrantedto master’s-
prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribing medicat
Appropriateuseof diagnostictestsmustbecompletedaswellas having hospitaladmitting privileges.
Establishing therapeutic relationship, conducting mental health assessments (MSAs), and individualizing
nursing care plans are foundational psychiatric nursing skills. Therefore, they are considered
-Level
Basic
Interventions.
DIF: CognitiveLevel:Understand(Comprehension)
TOP: Nursing Process:Implementation MSC: Client Needs:SafeEffectiveCare Environment
2. Which has beenidentifiedas a priority for nationalplans and strategiesin psychiatricmentalhealth
nursing in Canada?
a. Decreasein theaging population
b. Increasein culturaldiversity
c. Role of theadvancedpracticenurse
d. Shortageof physiciansin rural and urbanareas
ANS: B
In earlyphasesof strategicdevelopment,theMentalHealth Commissionof Canadaidentifiedcultural
diversity as a priority for national plans and strategies. Increasing cultural diversity within Canada warrants
deeper attention to culturally safe care and concern for the mental health consequences of colonization an
racism. An aging population and shortage of physicians are important to future trends. The role of the
advanced practice nurse is continuing to evolve in psychiatric mental health nursing in Canada.
DIF: CognitiveLevel:Understand(Comprehension)
TOP: Nursing Process: Outcome Evaluation
MSC: Client Needs:SafeEffectiveCare Environment
3. Which servesas theofficial guidefor diagnosingpsychiatricdisorders?
a. InternationalClassificationof Diseases(ICD -11)
b. Diagnosticand StatisticalManualof MentalDisorders(DSM)
c. A behaviouralhealthreferencemanual
2
,Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
d. NurseOneonline
ANS: B
The firstDiagnostic and Statistical Manual of Mental Disorders (DSM) was published by the American
Psychiatric Association in 1952. Its purpose was to provide clinicians, educators, and researchers
with a
commonframeworkto understandand communicateaboutmentaldisorders.With a common understanding
about mental disorders, researchers and clinicians could work together in their attempts
to improvecarefor
peoplewith mentalillness.The currentDSM-5 servesas theofficialguide fordiagnosingpsychiatricdisorders.
The InternationalClassificationof Diseases(ICD ) setstheglobal health information standard for mortality and
morbidity statistics. Clinicians and researchers use this classification system to define diseases, study diseas
patterns, monitor outcomes, and subsequently allocate resources based on the prevalence of disease. The
Canadian Institute for Health Information developed an enhanced version of the previous ,version
ICD-10
referred to as the
ICD 10-CA period thatversionextendsbeyonddefiningand classifyingdiseasesto describe
conditionsand situationsthat are not diseases, including for example, risk factors to health and psychosocial
circumstances.A behavioral health reference manual and NurseOne onlineare not used as official guides for
diagnosis.
DIF: CognitiveLevel:Apply (Application)
TOP: Nursing Process:Assessment MSC: Client Needs:SafeEffectiveCare Environment
4. When locatingthedescriptionand diagnosticcriteriafor anxietydisorders,which resourcewouldhave the
most complete information?
a. NursingOutcomesClassification(NOC)
b. Diagnosticand StatisticalManualof MentalDisorders(DSM-5)
c. The ANA’s Psychiatric-MentalHealthNursingScopeand Standardsof Practice
d. InternationalStatisticalClassificationof Diseasesand RelatedHealthProblems(ICD -
10)
ANS: B
The DSM-5 detailsthediagnosticcriteriafor psychiatricclinical conditionsand is theofficialguidefor
diagnosing psychiatric disorders. The other references are good resources but do not define the diagnostic
criteria.
DIF: CognitiveLevel:Understand(Comprehension)
TOP: Nursing Process:Implementation MSC: Client Needs:SafeEffectiveCare Environment
5. Which individual is demonstratingthehighestlevelof resilience?
a. An individual repressingtheirstressorswho is having a difficulttimecoping with
activities of daily living (ADLs)
b. An individual who is in a depressedstateafter thedeathof theirspouse
c. An individual who lives in a shelterfor 2 yearsaftertheir homeis destroyedby a fire
d. An individual who navigatesand negotiatesresourcesto supporttheirwell- being
ANS: D
3
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
A characteristic of mental health increasingly being promoted as essential to the recovery process is resilien
Resilienceis a process and outcome of complex, cultural systems, rather than as an individual capacity to
overcome adversity. In this way, when exposed to adversity, one’s resilience depends on the navigation an
negotiation of resources that can support -being.
well Resilience is closely associated with the process of
adapting and helps people facing tragedies, loss, trauma, and severe stress. An individual who is repressing
their stressors may need support for developing coping strategies.
It is importantfor theindividual who is in a
depressedstateafterthedeathof theirspouseto navigate and negotiate resources that can support their - well
being (e.g., grief support or counselling). An individual living in a shelter needs immediate support and
assistance when entering the shelter to navigate services and supports. Shelters -term are short
resources.
DIF: Cognitive Level: Apply (Application) TOP:
Nursing Process: Outcome Evaluation MSC:
Client Needs: Psychosocial Integrity
6. A multidisciplinaryteamis working with twogroupsof patientsdiagnosedwith depression.One group of
patients receives supportive interventions and psychotropic medication (e.g., antidepressants). The other
group receives only psychotropic medication. Outcomes are measured for each group. Which is being studi
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology
ANS: D
Clinical epidemiologyis a broadfield thataddressesstudiesof thenaturalhistory(or whathappensif there is
no treatment and the problem is left to run its course) of an illness, studies of diagnostic screening tests, an
observational and experimental studies of interventions used to treat people with the illness or symptoms.
Prevalencerefers to numbers of new cases. Comorbidityrefers to having more than one mental disorder at a
time.Incidencerefers to the number of new cases of mental disorders in a healthy population within a given
period.
DIF: CognitiveLevel:Understand(Comprehension)
TOP: Nursing Process: Outcome Evaluation
MSC: Client Needs:SafeEffectiveCare Environment
7. A category5 tornadooccurredin a communityof 400 people,resultingin destructionof many homes and
businesses. In the 2 years after this disaster, 140 individuals were diagnosed with
-traumatic
post stress
disorder (PTSD). Which term best applies to these newly diagnosed individuals?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology
ANS: C
4
