Test Bank for Varcarolis Canadian Psychiatric Mental Health Nursing, 3rd Edition

Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
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Chapter 01: Mental Health and Mental Illness
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Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach, 3rd
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Edition


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1. Which of the following is considered an Advanced Practic
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e Intervention?
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a. Conducting mental health assessments (MSA) WW WW WW WW




b. Prescribing psychotropic medication WW WW




c. Establishing therapeutic relationships WW WW




d. Individualizing nursing care plans WW WW WW




ANS: B W W




Registered nurses and registered psychiatric nurses can further their
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education at a baccalaureate levelor at the graduate level (master’s d
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octorate) and become qualified to practise psychiatric mental health
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nursing at two levels – basic and advanced –
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developing on their education preparation. Prescriptive privileges are
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granted to master’s-
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prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribing me
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dication. Appropriate use of diagnostic tests must be completed aswell as having hospital admitting pr
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ivileges. Establishing therapeutic relationship, conducting mental health assessments (MSAs), and ind
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ividualizing nursing care plans are foundational psychiatric nursing skills. Therefore, they are conside
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red Basic-Level Interventions.
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DIF: Cognitive Level: Understand (Comprehension) WW WW WW




TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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2. Which has been identified as a priority for national plans and strategies in psychiatric mental heal
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th nursing in Canada?
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a. Decrease in the aging population WW WW WW WW




b. Increase in cultural diversity WW WW WW




c. Role of the advanced practice nurse WW WW WW WW WW




d. Shortage of physicians in rural and urban areas WW WW WW WW WW WW WW




ANS: B W W




In early phases of strategic development, the Mental Health Commission of Canada identified cultur
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al diversity as a priority for national plans and strategies. Increasing cultural diversity within Canad
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a warrants deeper attention to culturally safe care and concern for the mental health consequences o
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f colonization and racism. An aging population and shortage of physicians are important to future tr
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ends. The role of the advanced practice nurse is continuing to evolve in psychiatric mental health n
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ursing in Canada. WW WW




DIF:
Cognitive Level: Understand (Comprehension) WW WW WW




TOP: Nursing Process: Outcome Evaluation
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MSC: Client Needs: Safe Effective Care Environment
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3. Which serves as the official guide for diagnosing psychiatric disorders?
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a. International Classification of Diseases (ICD-11) WW WW WW WW




b. Diagnostic and Statistical Manual of Mental Disorders (DSM) WW WW WW WW WW WW WW




1

,Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
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c. A behavioural health reference manual
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2

,Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
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d. NurseOne online WW




ANS: B W W




The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the Ameri
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can Psychiatric Association in 1952. Its purpose was to provide clinicians, educators, and researcher
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s with a common framework to understand and communicate about mental disorders. With a commo
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n understanding about mental disorders, researchers and clinicians could work together in their atte
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mpts to improve care for people with mental illness. The current DSM-
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5 serves as the official guide for diagnosing psychiatric disorders. The International Classification of
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Diseases (ICD) sets the global health information standard for mortality and morbidity statistics. Cli
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nicians and researchers use this classification system to define diseases, study disease patterns, moni
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tor outcomes, and subsequently allocate resources based on the prevalence of disease. The Canadian
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WInstitute for Health Information developed an enhanced version of the previous version, ICD-
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10 referred to as the ICD 10-
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CA period that version extends beyond defining and classifying diseases to describe conditions and s
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ituations that are not diseases, including for example, risk factors to health and psychosocial circums
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tances. A behavioral health reference manual and NurseOne online are not used as official guides for
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WWdiagnosis.

DIF: Cognitive Level: Apply (Application) WW WW WW




TOP: Nursing Process: Assessment
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4. When locating the description and diagnostic criteria for anxiety disorders, which resource would ha
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ve the most complete information?
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a. Nursing Outcomes Classification (NOC) WW WW WW




b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) WW WW WW WW WW WW WW




c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
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d. International Statistical Classification of Diseases and Related Health Problems
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(ICD-10) W




ANS: B W W




The DSM- WW




5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for diagnosi
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ng psychiatric disorders. The other references are good resources but do not define the diagnostic crit
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eria.

DIF: Cognitive Level: Understand (Comprehension) WW WW WW




TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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5. Which individual is demonstrating the highest level of resilience?
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a. An individual repressing their stressors who is having a difficult time coping wit
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h activities of daily living (ADLs)
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b. An individual who is in a depressed state after the death of their spouse
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c. An individual who lives in a shelter for 2 years after their home is destroyed by
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a fire WW WW




d. An individual who navigates and negotiates resources to support their well-being
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ANS: D W W




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, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
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A characteristic of mental health increasingly being promoted as essential to the recovery process is
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resilience. Resilience is a process and outcome of complex, cultural systems, rather than as an indivi
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dual capacity to overcome adversity. In this way, when exposed to adversity, one’s resilience depen
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ds on the navigation and negotiation of resources that can support well-
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being. Resilience is closely associated with the process of adapting and helps people facing tragedies
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, loss, trauma, and severe stress. An individual who is repressing their stressors may need support fo
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r developing coping strategies. It is important for the individual who is in a depressed state after the
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death of their spouse to navigate and negotiate resources that can support their well-
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being (e.g., grief support or counselling). An individual living in a shelter needs immediate support
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and assistance when entering the shelter to navigate services and supports. Shelters are short-
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term resources. WW




DIF: Cognitive Level: Apply (Application)
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TOP: Nursing Process: Outcome Evaluation
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MSC: Client Needs: Psychosocial Integrity
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6. A multidisciplinary team is working with two groups of patients diagnosed with depression. One gro
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up of patients receives supportive interventions and psychotropic medication (e.g., antidepressants).
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The other group receives only psychotropic medication. Outcomes are measured for each group. Wh
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ich is being studied?
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a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology WW




ANS: D W W




Clinical epidemiology is a broad field that addresses studies of the natural history (or what happens i
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f there is no treatment and the problem is left to run its course) of an illness, studies of diagnostic s
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creening tests, and observational and experimental studies of interventions used to treat people with
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the illness or symptoms. Prevalence refers to numbers of new cases. Comorbidity refers to having
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more than one mental disorder at a time. Incidence refers to the number of new cases of mental dis
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orders in a healthy population within a given period.
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DIF:
Cognitive Level: Understand (Comprehension) WW WW WW




TOP: Nursing Process: Outcome Evaluation
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MSC: Client Needs: Safe Effective Care Environment
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7. A category 5 tornado occurred in a community of 400 people, resulting in destruction of many hom
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es and businesses. In the 2 years after this disaster, 140 individuals were diagnosed with post-
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traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed individuals?
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a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology WW




ANS: C W W




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