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

sing

,
,Chapter01:MentalHealthandMentalIllness
b b b b b b




Varcarolis’sCanadianPsychiatricMentalHealthNursing,3rdEdition
b b b b b b b




MULTIPLECHOICE b




1. Astaffnursecompletesorientationtoapsychiatricunit.Whichofthefollowingwouldthenurse
b b b b b b b




expectasanadvancedpracticeintervention?
b b b b b




a. Conductmentalhealthassessments b b b




b. Prescribe psychotropic medication n b




c. Establishtherapeuticrelationships b b




d. Individualize nursing careplans b b b




ANSWER: B b




Prescriptiveprivilegesaregrantedtomaster‘s-preparednursepractitionerswhohavetakenspecial
b b b b b b b b b b




coursesonprescribingmedication;thusitisanadvanced-practiceintervention.Thenurseprepared
b b b b b b b b b b b b




atthebasiclevelispermittedtoperformmentalhealthassessments,establishrelationships,and
b b b b b b b b b b b




provideindividualizedcareplanning.
b b b b




DIF: Cognitive Level: Understand (Comprehension) n b n




TOP: NursingProcess:Implementation MSC: ClientNeeds:SafeEffectiveCareEnvironment b b b b b b b b




2. Whenanursing student expresses concernsabout how mentalhealth nurses ―lose all
b b n b b b b b b b




theirnursingskills,‖whichofthefollowingisthebestresponsebythemental health nurse?
b b b b b b




a. ―Psychiatricnursespractiseinsaferenvironmentsthanotherspecialties.Nurse- to- b b b b b b b b b b




patient ratios must be better becauseofthenatureofthepatients‘ b n b b b b b




problems.‖ .
b. ―Psychiatric nursesuse complex communication skills aswell as critical thinkingto solve b b b b b b b b n b




multidimensionalproblems.Iamchallengedbythosesituations.‖ b b b b




c. ―That‘samisconception.Psychiatricnursesfrequentlyusehigh- b b b b b




technologymonitoringequipmentandmanagecomplexintravenoustherapies.‖
b b b b b b b




d. ―Psychiatric nurses do not have to dealwithasmuch pain and suffering b b b b b b b b b b b




asmedical–surgicalnursesdo.Thatappealstome.‖
b n b b b b b b




ANSWER: B b




Thepracticeofpsychiatricnursingrequiresadifferentsetofskillsfrommedical–surgicalnursing,
b b b b b b b b b b b b




thoughthereissubstantialoverlap.Twodomainsrelatespecificallytopsychiatricnursing: behavioural,
b b b b b b b b b b b b b




includingcommunication,coping,andeducation;andsafety,coveringcrisisandrisk
b b b b b b b b b




management.Basicpsychosocialnursingconceptsarecentraltopsychiatricnursingpracticeand
b b b b b b b b b b b




increaseyourcompetencyasapractitionerinallclinicalsettings.
b b b b b b b b b




Whateversettingyouchoosetoworkin,youwillhavetheopportunitytoimprovethelivesofpeople
b b b b b b b b b b b b b b




whoareexperiencingmentalillnessasanadditionalchallengetotheirhealth.
b b b b b b b b b b b




Yourexperienceinthementalhealthnursingrotationcanhelpyougaininsightintoyourselfand greatly
b b b b b b b b b b b b b b




increaseyourinsightintotheexperiencesofothers.Thispart ofnursingeducationcanprovide
b b b b b b b b b n b b n b




guidelinesforandtheopportunitytolearnnewskillsfordealingwithavarietyofchallenging
b b b b b b b b b b b b b b b




behaviours.Psychosocialpainandsufferingareasrealasphysicalpainandsuffering.
b b b b b b b b b b b b




DIF: Cognitive Level:Apply(Application) n b




TOP: NursingProcess:Implementation
b b b MSC: ClientNeeds:SafeEffectiveCareEnvironment b b b b b b

, 3. WhenanewbillintroducedinParliamentreducesfundingforcareofpeoplewithmentalillness,a
b b b b b b b b b b b b




groupofpeoplewithmildmental illnesswriteletterstotheirelectedrepresentativesi nopposition to
b b b b b b b b b b n b b




thelegislationforallpeoplewithmentalillness.Whichroledoesthisactionportray?
b b b b b b b b b b




a. Recovery
b. Self-care
c. Advocacy
d. Socialaction b




ANSWER: C b




Anadvocatedefendsorassertsanother‘scause,particularlywhentheotherpersonlackstheability b b b b b b b b b b b




todothatforhimselforherself.Onacommunityscale,advocacyincludespoliticalactivity,public
b b b b b b b b b b b b b b




speaking,andpublicationintheinterestofimprovingthehumancondition.Sincefundingis
b b b b b b b b b b b




necessarytodeliverqualityprogrammingforpeoplewithmentalillness,t hel etter-writingcampaign
b b b b b b b b b b n b b




advocatesforthecauseforallpeoplewithmentalillness.
b b b b b b b b




DIF: Cognitive Level: Understand (Comprehension) n b n




TOP: Nursing Process: Implementation MSC: ClientNeeds:SafeEffectiveCareEnvironment n b b b b b b b




4. Whichofthefollowinghasbeenidentifiedasasignificanttrendthatwillaffectthefuture b b b b b b b




bofpsychiatricmentalhealthnursinginCanada? b b b b b




a. Decrease intheaging population b b




b. Increaseinculturaldiversity b b b




c. Roleoftheadvanced-practicenurse b




d. Shortageofphysiciansinruralandurbanareas b b b b b




ANSWER: B b




Four significant trends havTe E
b beSeT
nBidAeN
ntK
ifiSeE
dL
thL
atEwRil.lC
afOfeMct the future ofpsychiatric mental health
b b b b b b b




nursinginCanada;theseincludeanagingpopulation,anincreaseinculturaldiversity,
b b b b b b b b




expanding technology, and anincreased awareness oftheimpact of thedeterminants ofhealthon
b b b b b b n b b




mentalillness.
b b




DIF: Cognitive Level: Understand (Comprehension) n b n




TOP: NursingProcess:Assessment MSC: ClientNeeds:SafeEffectiveCareEnvironment b b b b b b b b




5. Whichassessmentfinding most clearly indicatesthat a patient may be experiencing a mentali llness? b b b b b b b b b b n b




a. Thepatient reportsoccasionalsleeplessnessandanxiety.
b n b b b b




b. Thepatient reportsaconsistentlysad,discouraged,andhopelessmood.
b n b b b b b b b




c. Thepatient isable to describethe differencebetween ―asif‖and ―for real.‖
b b b b b b b b b b b b




d. Thepatient perceives difficultymakingadecision about whethertochange jobs.
b n b b b b b b b




ANSWER: B b




Thecorrectresponsedescribesamoodalteration,whichreflectsmentalillness.Alterations b b b b b b b




incognition,mood,orbehaviourthatarecoupledwithsignificantdistressandimpairedfunctioning
b b b b b b b b b b b b




characterizementalillness.Thedistractersdescribebehavioursthatarementallyhealthyorwithin
b b b b b b b b b b b b




theusual scopeofhumanexperience.
b b b b




DIF: Cognitive Level:Apply(Application) n b




TOP: NursingProcess:Assessment
b b b MSC: ClientNeeds:PsychosocialIntegrity
b b b b