1
,Chapter 01: Mental Health and Mental Illness
x@ x@ x@ x@ x@ x@
Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach, 3
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
rd Edition
x@
MULTIPLE CHOICE x@
1. Which of the following is considered an Advanced Prac
x@ x@ x@ x@ x@ x@ x@ x@
tice Intervention?
x@
a. Conducting mental health assessments (MSA) x@ x@ x@ x@
b. Prescribing psychotropic medication x@ x@
c. Establishing therapeutic relationships x@ x@
d. Individualizing nursing care plans x@ x@ x@
ANS: B x@
Registered nurses and registered psychiatric nurses can further the
x@ x@ x@ x@ x@ x@ x@ x@
ir education at a baccalaureate levelor at the graduate level (mast
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
er‟s doctorate) and become qualified to practise psychiatric menta
x@ x@ x@ x@ x@ x@ x@ x@
l health nursing at two levels – basic and advanced –
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x@developing on their education preparation. Prescriptive privileges
x@ x@ x@ x@ x@ x@ x@
are granted to master‟s-
x@ x@ x@
prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribin
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
g medication. Appropriate use of diagnostic tests must be completed aswell as having hospital a
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
dmitting privileges. Establishing therapeutic relationship, conducting mental health assessments (
x@ x@ x@ x@ x@ x@ x@ x@ x@
MSAs), and individualizing nursing care plans are foundational psychiatric nursing skills. Theref
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ore, they are considered Basic-Level Interventions.
x@ x@ x@ x@ x@
DIF: Cognitive Level: Understand (Comprehension) x@ x@ x@
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
x @ x@ x@ x @ x@ x@ x@ x@ x@
2. Which has been identified as a priority for national plans and strategies in psychiatric menta
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
l health nursing in Canada?
x@ x@ x@ x@
a. Decrease in the aging population x@ x@ x@ x@
b. Increase in cultural diversity x@ x@ x@
c. Role of the advanced practice nurse
x@ x@ x@ x@ x@
d. Shortage of physicians in rural and urban areas
x@ x@ x@ x@ x@ x@ x@
ANS: B x@
In early phases of strategic development, the Mental Health Commission of Canada identified c
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ultural diversity as a priority for national plans and strategies. Increasing cultural diversity with
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
in Canada warrants deeper attention to culturally safe care and concern for the mental health c
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
onsequences of colonization and racism. An aging population and shortage of physicians are i
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
mportant to future trends. The role of the advanced practice nurse is continuing to evolve in p
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
sychiatric mental health nursing in Canada.
x@ x@ x@ x@ x@
DIF:
Cognitive Level: Understand (Comprehensio x@ x@ x@
n) TOP: Nursing Process: Outcome Evaluation
x@ x @ x@ x@ x@
MSC: Client Needs: Safe Effective Care Environment
x @ x@ x@ x@ x@ x@
3. Which serves as the official guide for diagnosing psychiatric disorders?
x@ x@ x@ x@ x@ x@ x@ x@ x@
a. International Classification of Diseases (ICD-11) x@ x@ x@ x@
b. Diagnostic and Statistical Manual of Mental Disorders (DSM)
x@ x@ x@ x@ x@ x@ x@
2
,c. A behavioural health reference manual
x@ x@ x@ x@
3
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Te
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
st Bank
d. NurseOne online x@
ANS: B x@
The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
American Psychiatric Association in 1952. Its purpose was to provide clinicians, educators, and
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@researchers with a common framework to understand and communicate about mental disorders.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@With a common understanding about mental disorders, researchers and clinicians could work t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ogether in their attempts to improve care for people with mental illness. The current DSM-
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
5 serves as the official guide for diagnosing psychiatric disorders. The International Classificati
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on of Diseases (ICD) sets the global health information standard for mortality and morbidity st
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
atistics. Clinicians and researchers use this classification system to define diseases, study diseas
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
e patterns, monitor outcomes, and subsequently allocate resources based on the prevalence of di
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
sease. The Canadian Institute for Health Information developed an enhanced version of the pre
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
vious version, ICD-10 referred to as the ICD 10-
x@ x@ x@ x@ x@ x@ x@ x@
CA period that version extends beyond defining and classifying diseases to describe conditions
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
and situations that are not diseases, including for example, risk factors to health and psychosoc
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ial circumstances. A behavioral health reference manual and NurseOne online are not used as
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
official guides for diagnosis.
x@ x@ x@
DIF: Cognitive Level: Apply (Application) x@ x@ x@
TOP: Nursing Process: Assessment
x @ MSC: Client Needs: Safe Effective Care Environment
x@ x@ x @ x@ x@ x@ x@ x@
4. When locating the description and diagnostic criteria for anxiety disorders, which resource woul
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
d have the most complete information?
x@ x@ x@ x@ x@
a. Nursing Outcomes Classification (NOC) x@ x@ x@
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
x@ x@ x@ x@ x@ x@ x@
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
x@ x@ x@ x@ x@ x@ x@ x@ x@
d. International Statistical Classification of Diseases and Related Health Probl
x@ x@ x@ x@ x@ x@ x@ x@
ems (ICD-10) x@
ANS: B x@
The DSM- x@
5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for di
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
agnosing psychiatric disorders. The other references are good resources but do not define the di
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
agnostic criteria. x@
DIF: Cognitive Level: Understand (Comprehension) x@ x@ x@
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
x @ x@ x@ x @ x@ x@ x@ x@ x@
5. Which individual is demonstrating the highest level of resilience?
x@ x@ x@ x@ x@ x@ x@ x@
a. An individual repressing their stressors who is having a difficult time copin
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
g with activities of daily living (ADLs)
x@ x@ x@ x@ x@ x@
b. An individual who is in a depressed state after the death of their spouse
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
c. An individual who lives in a shelter for 2 years after their home is destroy
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ed by a fire x@ x@ x@
d. An individual who navigates and negotiates resources to support their well-being
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ANS: D x@
4
,Chapter 01: Mental Health and Mental Illness
x@ x@ x@ x@ x@ x@
Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach, 3
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
rd Edition
x@
MULTIPLE CHOICE x@
1. Which of the following is considered an Advanced Prac
x@ x@ x@ x@ x@ x@ x@ x@
tice Intervention?
x@
a. Conducting mental health assessments (MSA) x@ x@ x@ x@
b. Prescribing psychotropic medication x@ x@
c. Establishing therapeutic relationships x@ x@
d. Individualizing nursing care plans x@ x@ x@
ANS: B x@
Registered nurses and registered psychiatric nurses can further the
x@ x@ x@ x@ x@ x@ x@ x@
ir education at a baccalaureate levelor at the graduate level (mast
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
er‟s doctorate) and become qualified to practise psychiatric menta
x@ x@ x@ x@ x@ x@ x@ x@
l health nursing at two levels – basic and advanced –
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
x@developing on their education preparation. Prescriptive privileges
x@ x@ x@ x@ x@ x@ x@
are granted to master‟s-
x@ x@ x@
prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribin
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
g medication. Appropriate use of diagnostic tests must be completed aswell as having hospital a
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
dmitting privileges. Establishing therapeutic relationship, conducting mental health assessments (
x@ x@ x@ x@ x@ x@ x@ x@ x@
MSAs), and individualizing nursing care plans are foundational psychiatric nursing skills. Theref
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ore, they are considered Basic-Level Interventions.
x@ x@ x@ x@ x@
DIF: Cognitive Level: Understand (Comprehension) x@ x@ x@
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
x @ x@ x@ x @ x@ x@ x@ x@ x@
2. Which has been identified as a priority for national plans and strategies in psychiatric menta
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
l health nursing in Canada?
x@ x@ x@ x@
a. Decrease in the aging population x@ x@ x@ x@
b. Increase in cultural diversity x@ x@ x@
c. Role of the advanced practice nurse
x@ x@ x@ x@ x@
d. Shortage of physicians in rural and urban areas
x@ x@ x@ x@ x@ x@ x@
ANS: B x@
In early phases of strategic development, the Mental Health Commission of Canada identified c
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ultural diversity as a priority for national plans and strategies. Increasing cultural diversity with
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
in Canada warrants deeper attention to culturally safe care and concern for the mental health c
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
onsequences of colonization and racism. An aging population and shortage of physicians are i
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
mportant to future trends. The role of the advanced practice nurse is continuing to evolve in p
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
sychiatric mental health nursing in Canada.
x@ x@ x@ x@ x@
DIF:
Cognitive Level: Understand (Comprehensio x@ x@ x@
n) TOP: Nursing Process: Outcome Evaluation
x@ x @ x@ x@ x@
MSC: Client Needs: Safe Effective Care Environment
x @ x@ x@ x@ x@ x@
3. Which serves as the official guide for diagnosing psychiatric disorders?
x@ x@ x@ x@ x@ x@ x@ x@ x@
a. International Classification of Diseases (ICD-11) x@ x@ x@ x@
b. Diagnostic and Statistical Manual of Mental Disorders (DSM)
x@ x@ x@ x@ x@ x@ x@
2
,c. A behavioural health reference manual
x@ x@ x@ x@
3
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Te
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
st Bank
d. NurseOne online x@
ANS: B x@
The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
American Psychiatric Association in 1952. Its purpose was to provide clinicians, educators, and
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@researchers with a common framework to understand and communicate about mental disorders.
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x
@With a common understanding about mental disorders, researchers and clinicians could work t
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ogether in their attempts to improve care for people with mental illness. The current DSM-
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
5 serves as the official guide for diagnosing psychiatric disorders. The International Classificati
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
on of Diseases (ICD) sets the global health information standard for mortality and morbidity st
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
atistics. Clinicians and researchers use this classification system to define diseases, study diseas
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
e patterns, monitor outcomes, and subsequently allocate resources based on the prevalence of di
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
sease. The Canadian Institute for Health Information developed an enhanced version of the pre
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
vious version, ICD-10 referred to as the ICD 10-
x@ x@ x@ x@ x@ x@ x@ x@
CA period that version extends beyond defining and classifying diseases to describe conditions
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
and situations that are not diseases, including for example, risk factors to health and psychosoc
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ial circumstances. A behavioral health reference manual and NurseOne online are not used as
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
official guides for diagnosis.
x@ x@ x@
DIF: Cognitive Level: Apply (Application) x@ x@ x@
TOP: Nursing Process: Assessment
x @ MSC: Client Needs: Safe Effective Care Environment
x@ x@ x @ x@ x@ x@ x@ x@
4. When locating the description and diagnostic criteria for anxiety disorders, which resource woul
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
d have the most complete information?
x@ x@ x@ x@ x@
a. Nursing Outcomes Classification (NOC) x@ x@ x@
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
x@ x@ x@ x@ x@ x@ x@
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
x@ x@ x@ x@ x@ x@ x@ x@ x@
d. International Statistical Classification of Diseases and Related Health Probl
x@ x@ x@ x@ x@ x@ x@ x@
ems (ICD-10) x@
ANS: B x@
The DSM- x@
5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for di
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
agnosing psychiatric disorders. The other references are good resources but do not define the di
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
agnostic criteria. x@
DIF: Cognitive Level: Understand (Comprehension) x@ x@ x@
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
x @ x@ x@ x @ x@ x@ x@ x@ x@
5. Which individual is demonstrating the highest level of resilience?
x@ x@ x@ x@ x@ x@ x@ x@
a. An individual repressing their stressors who is having a difficult time copin
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
g with activities of daily living (ADLs)
x@ x@ x@ x@ x@ x@
b. An individual who is in a depressed state after the death of their spouse
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
c. An individual who lives in a shelter for 2 years after their home is destroy
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ed by a fire x@ x@ x@
d. An individual who navigates and negotiates resources to support their well-being
x@ x@ x@ x@ x@ x@ x@ x@ x@ x@
ANS: D x@
4