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