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

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Varcarolis Canadian Psychiatric Mental Health Nursing
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3rd Edition By Pollard All Chapter 1 - 35
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,Chapter 01: Mental Health and Mental Illness
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Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
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MULTIPLEmCHOIC
E

1. Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mWhichmofmthemfollowingmwouldmthem
nursemexpectmasmanmadvancedmpracticemintervention?
a. Conductmmentalmhealthmassessments
b. Prescribempsychotropicmmedication
c. Establishmtherapeuticmrelationships
d. Individualizemnursingmcaremplans
ANSWER:m B
Prescriptivemprivilegesmaremgrantedmtommaster’s-
preparedmnursempractitionersmwhomhavemtakenmspecialmcoursesmonmprescribingmmedication;mthusmi
tmismanmadvanced-
practicemintervention.mThemnursempreparedmatmthembasicmlevelmismpermittedmtomperformmmentalmhe
althmassessments,mestablishmrelationships,mandmprovidemindividualizedmcaremplanning.

DIF: CognitivemLevel:mUnderstandm(Comprehension)
TOP:m NursingmProcess:mImplementation MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment

2. Whenmamnursingmstudentmexpressesmconcernsmaboutmhowmmentalmhealthmnursesm“losemallmtheirm
nursingmskills,”mwhichmofmthemfollowingmismthembestmresponsembymthemmentalmhealthmnurse?
a. “Psychiatricmnursesmpractiseminmsafermenvironmentsmthanmothermspecialties.mN
urse-to-patientmratiosmmustmbembettermbecausemofmthemnaturemofmthempatients’
problems.” .
b. “Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingmto
msolvemmultidimensionalmproblems.mImammchallengedmbymthosemsituations.”

c. “That’smammisconception.mPsychiatricmnursesmfrequentlymusemhigh-
technologymmonitoringmequipmentmandmmanagemcomplexmintravenousmtherapie
s.”
d. “Psychiatricmnursesmdomnotmhavemtomdealmwithmasmmuchmpainmandmsufferingmasm
medical–surgicalmnursesmdo.mThatmappealsmtomme.”
ANSWER:m B
Thempracticemofmpsychiatricmnursingmrequiresmamdifferentmsetmofmskillsmfrommmedical–
surgicalmnursing,mthoughmtheremismsubstantialmoverlap.mTwomdomainsmrelatemspecificallymtompsych
iatricmnursing:mbehavioural,mincludingmcommunication,mcoping,mandmeducation;mandmsafety,mcove
ringmcrisismandmriskmmanagement.mBasicmpsychosocialmnursingmconceptsmaremcentralmtompsychiatric
mnursingmpracticemandmincreasemyourmcompetencymasmampractitionerminmallmclinicalmsettings.

Whatevermsettingmyoumchoosemtomworkmin,myoumwillmhavemthemopportunitymtomimprovemthemlivesmofm
peoplemwhomaremexperiencingmmentalmillnessmasmanmadditionalmchallengemtomtheirmhealth.
Yourmexperienceminmthemmentalmhealthmnursingmrotationmcanmhelpmyoumgainminsightmintomyourselfma
ndmgreatlymincreasemyourminsightmintomthemexperiencesmofmothers.mThismpartmofmnursingmeducationmc
anmprovidemguidelinesmformandmthemopportunitymtomlearnmnewmskillsmformdealingmwithmamvarietymofmc
hallengingmbehaviours.mPsychosocialmpainmandmsufferingmaremasmrealmasmphysicalmpainmandmsufferin
g.

DIF: CognitivemLevel:mApplym(Application)
TOP:m NursingmProcess:mImplementation MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment

, 3. WhenmamnewmbillmintroducedminmParliamentmreducesmfundingmformcaremofmpeoplemwithmmentalmilln
ess,mamgroupmofmpeoplemwithmmildmmentalmillnessmwritemlettersmtomtheirmelectedmrepresentativesminmo
ppositionmtomthemlegislationmformallmpeoplemwithmmentalmillness.mWhichmrolemdoesmthismactionmport
ray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialmaction
ANSWER:m C
Anmadvocatemdefendsmormassertsmanother’smcause,mparticularlymwhenmthemothermpersonmlacksmthema
bilitymtomdomthatmformhimselfmormherself.mOnmamcommunitymscale,madvocacymincludesmpoliticalmacti
vity,mpublicmspeaking,mandmpublicationminmtheminterestmofmimprovingmthemhumanmcondition.mSince
mfundingmismnecessarymtomdelivermqualitymprogrammingmformpeoplemwithmmentalmillness,mthemletter-
writingmcampaignmadvocatesmformthemcausemformallmpeoplemwithmmentalmillness.

DIF: CognitivemLevel:mUnderstandm(Comprehension)
TOP:m NursingmProcess:mImplementation MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment

4. Whichmofmthemfollowingmhasmbeenmidentifiedmasmamsignificantmtrendmthatmwillmaffectmthemfuturemofm
psychiatricmmentalmhealthmnursingminmCanada?
a. Decreaseminmthemagingmpopulation
b. Increaseminmculturalmdiversity
c. Rolemofmthemadvanced-practicemnurse
d. Shortagemofmphysiciansminmruralmandmurbanmareas
ANSWER:m B
FourmsignificantmtrendsmhavTe E
beSeT
nBidAeN
ntK
ifS
ieE
dmL
thL
atEwRi.llmC
afOfeMctmthemfuturemofmpsychiatricmmentalmh
ealthmnursingminmCanada;mthesemincludemanmagingmpopulation,manmincreaseminmculturalmdiversity,
expandingmtechnology,mandmanmincreasedmawarenessmofmthemimpactmofmthemdeterminantsmofmhealthm
onmmentalmillness.

DIF: CognitivemLevel:mUnderstandm(Comprehension)
TOP:m NursingmProcess:mAssessment MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment

5. Whichmassessmentmfindingmmostmclearlymindicatesmthatmampatientmmaymbemexperiencingmammentalmil
lness?
a. Thempatientmreportsmoccasionalmsleeplessnessmandmanxiety.
b. Thempatientmreportsmamconsistentlymsad,mdiscouraged,mandmhopelessmmood.
c. Thempatientmismablemtomdescribemthemdifferencembetweenm“asmif”mandm“formreal.”
d. Thempatientmperceivesmdifficultymmakingmamdecisionmaboutmwhethermtomchangemjobs.
ANSWER:m B
Themcorrectmresponsemdescribesmammoodmalteration,mwhichmreflectsmmentalmillness.mAlterationsminmc
ognition,mmood,mormbehaviourmthatmaremcoupledmwithmsignificantmdistressmandmimpairedmfunctioni
ngmcharacterizemmentalmillness.mThemdistractersmdescribembehavioursmthatmaremmentallymhealthymorm
withinmthemusualmscopemofmhumanmexperience.

DIF: CognitivemLevel:mApplym(Application)
TOP:m NursingmProcess:mAssessment MSC:m ClientmNeeds:mPsychosocialmIntegrity