1
Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Ed
,2
Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Ed
Table of Contents
Chapter 01: Mental Health and Mental Illness ..................................................................................................................................................... 3
Chapter 02: Historical Overview of Psychiatric Mental Health Nursing Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition............... 17
Chapter 03: Overview of Psychiatric Mental Health Nursing Care Within Various Settings Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd
Edition...................................................................................................................................................................................................... 23
Chapter 04: Relevant Theories and Therapies for Nursing Practice Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition ................. 42
Chapter 05: Understanding Responses to Stress................................................................................................................................................ 64
Chapter 06: The Nursing Process and Standards of Care for Psychiatric Mental HealthNursi ng .............................................................................. 80
Chapter 07: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice ..................................................... 92
Chapter 08: Cultural Considerations for Psychiatric Mental Health Nursing Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition..... 104
Chapter 09: Therapeutic Relationships ...................................................................................................................................................... 116
Chapter 10: Communication and the Clinical Interview ............................................................................................................................. 128
Chapter 11: Psychotropic Drugs ................................................................................................................................................................... 137
Chapter 12: Anxiety and Related Disorders ................................................................................................................................................ 149
Chapter 13: Depressive Disorders ................................................................................................................................................................. 172
Chapter 14: Bipolar Disorders ...................................................................................................................................................................... 184
Chapter 15: Schizophrenia Spectrumand Other Psychotic Disorders Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition ............ 197
Chapter 16: Eating and Feeding Disorders ...................................................................................................................................................... 211
Chapter 17: Neurocognitive Disorders ........................................................................................................................................................... 221
Chapter 18: Psychoactive Substance Use and Treatment .................................................................................................................................. 232
Chapter 19: Personality Disorders ................................................................................................................................................................. 244
Chapter 20: Sleep–Wake Disorders .......................................................................................................................................................... 255
Chapter 21: Crisis and Disaster ..................................................................................................................................................................... 265
Chapter 22: Suicide and Nonsuicidal Self-Injury ....................................................................................................................................... 275
Chapter 23: Anger, Aggression, and Violence ........................................................................................................................................... 285
Chapter 24: Interpersonal Violence: Child, Older Adult, and Intimate Partner AbuseVarcarol is’s Canadian Psychiatric Mental Health Nursing, 3rd
Edition.................................................................................................................................................................................................... 296
Chapter 25: SexualsAssault .......................................................................................................................................................................... 305
Chapter 26: Sexuality and Gender................................................................................................................................................................. 314
Chapter 27: Disorders of Children and Adolescents ........................................................................................................................................... 324
Chapter 28: Psychosocial Needs of the Older Adult ........................................................................................................................................ 334
Chapter 29: Living With Recurrentand Persistent Mental Illness Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition ................... 346
Chapter 30: Psychological Needs of Patients With Medical Conditions Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition.......... 359
Chapter 31: Care for the Dying and for Those WhoGrieve .................................................................................................................................. 369
Chapter 32: Forensic Psychiatric Nursing ....................................................................................................................................................... 381
Chapter 33: Therapeutic Groups.................................................................................................................................................................... 391
Chapter 34: Family Interventions .................................................................................................................................................................. 402
Chapter 35: Integrative and Complimentary Therapies....................................................................................................................................... 413
,3
Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Ed
TEST BANK
VARCAROLIS CANADIAN PSYCHIATRIC
MENTAL HEALTH NURSING 3RD EDITION BY
POLLARD ALL CHAPTER 1 - 35
Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the nurse
expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
CORRECT ANSWER: B
Prescriptive privileges are granted to master’s-
prepared nurse practitioners who have staken special courses on prescribing medication; thus it is
an advanced-
practice intervention. The nurse prepared at the basic level is permitted to perform mental health
assessments, establish relationships, and provide individualized care planning.
DIF: Cognitive Level: Understands(Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effectives Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all the
irnursingsskills,” which of the following is the best response by the mental health nurse?
a. “Psychiatric nurses practise in safer environments than other specialties. Nurse
-to-patient ratios must be better because of the nature of the patients’
problems.”
b. “Psychiatric nurses use complex communicationsskills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high-
technologymonitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
medical–surgical nurses do. That appeals to me.”
CORRECT ANSWER: s B
The practice of psychiatric nursing requires a different set of skills from medical–
surgical nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
, 4
Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Ed
nursing: behavioural, including communication, coping, and education; andssafety, coveringcrisis a
nd risk management. Basic psychosocial nursing concepts are central to psychiatric nursing practic
e and increase your competency as a practitioner in all clinical settings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives ofpeople
who are experiencing mental illness as an additional challenge to their health.
Your experience in the mental health nursingrotation can help you gain insight into yourself and gre
atly increase your insightsinto the experiences of others. This part of nursing educationcan provide g
uidelines for and the opportunity to learn new skills for dealingswith a variety ofchallenging behaviou
rs. Psychosocial pain and suffering are as real as physical pain and suffering.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe EffectivesCare Environment
Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Ed
,2
Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Ed
Table of Contents
Chapter 01: Mental Health and Mental Illness ..................................................................................................................................................... 3
Chapter 02: Historical Overview of Psychiatric Mental Health Nursing Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition............... 17
Chapter 03: Overview of Psychiatric Mental Health Nursing Care Within Various Settings Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd
Edition...................................................................................................................................................................................................... 23
Chapter 04: Relevant Theories and Therapies for Nursing Practice Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition ................. 42
Chapter 05: Understanding Responses to Stress................................................................................................................................................ 64
Chapter 06: The Nursing Process and Standards of Care for Psychiatric Mental HealthNursi ng .............................................................................. 80
Chapter 07: Ethical Responsibilities and Legal Obligations for Psychiatric Mental Health Nursing Practice ..................................................... 92
Chapter 08: Cultural Considerations for Psychiatric Mental Health Nursing Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition..... 104
Chapter 09: Therapeutic Relationships ...................................................................................................................................................... 116
Chapter 10: Communication and the Clinical Interview ............................................................................................................................. 128
Chapter 11: Psychotropic Drugs ................................................................................................................................................................... 137
Chapter 12: Anxiety and Related Disorders ................................................................................................................................................ 149
Chapter 13: Depressive Disorders ................................................................................................................................................................. 172
Chapter 14: Bipolar Disorders ...................................................................................................................................................................... 184
Chapter 15: Schizophrenia Spectrumand Other Psychotic Disorders Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition ............ 197
Chapter 16: Eating and Feeding Disorders ...................................................................................................................................................... 211
Chapter 17: Neurocognitive Disorders ........................................................................................................................................................... 221
Chapter 18: Psychoactive Substance Use and Treatment .................................................................................................................................. 232
Chapter 19: Personality Disorders ................................................................................................................................................................. 244
Chapter 20: Sleep–Wake Disorders .......................................................................................................................................................... 255
Chapter 21: Crisis and Disaster ..................................................................................................................................................................... 265
Chapter 22: Suicide and Nonsuicidal Self-Injury ....................................................................................................................................... 275
Chapter 23: Anger, Aggression, and Violence ........................................................................................................................................... 285
Chapter 24: Interpersonal Violence: Child, Older Adult, and Intimate Partner AbuseVarcarol is’s Canadian Psychiatric Mental Health Nursing, 3rd
Edition.................................................................................................................................................................................................... 296
Chapter 25: SexualsAssault .......................................................................................................................................................................... 305
Chapter 26: Sexuality and Gender................................................................................................................................................................. 314
Chapter 27: Disorders of Children and Adolescents ........................................................................................................................................... 324
Chapter 28: Psychosocial Needs of the Older Adult ........................................................................................................................................ 334
Chapter 29: Living With Recurrentand Persistent Mental Illness Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition ................... 346
Chapter 30: Psychological Needs of Patients With Medical Conditions Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition.......... 359
Chapter 31: Care for the Dying and for Those WhoGrieve .................................................................................................................................. 369
Chapter 32: Forensic Psychiatric Nursing ....................................................................................................................................................... 381
Chapter 33: Therapeutic Groups.................................................................................................................................................................... 391
Chapter 34: Family Interventions .................................................................................................................................................................. 402
Chapter 35: Integrative and Complimentary Therapies....................................................................................................................................... 413
,3
Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Ed
TEST BANK
VARCAROLIS CANADIAN PSYCHIATRIC
MENTAL HEALTH NURSING 3RD EDITION BY
POLLARD ALL CHAPTER 1 - 35
Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the nurse
expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
CORRECT ANSWER: B
Prescriptive privileges are granted to master’s-
prepared nurse practitioners who have staken special courses on prescribing medication; thus it is
an advanced-
practice intervention. The nurse prepared at the basic level is permitted to perform mental health
assessments, establish relationships, and provide individualized care planning.
DIF: Cognitive Level: Understands(Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effectives Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all the
irnursingsskills,” which of the following is the best response by the mental health nurse?
a. “Psychiatric nurses practise in safer environments than other specialties. Nurse
-to-patient ratios must be better because of the nature of the patients’
problems.”
b. “Psychiatric nurses use complex communicationsskills as well as critical thinking to solve
multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high-
technologymonitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
medical–surgical nurses do. That appeals to me.”
CORRECT ANSWER: s B
The practice of psychiatric nursing requires a different set of skills from medical–
surgical nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
, 4
Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Ed
nursing: behavioural, including communication, coping, and education; andssafety, coveringcrisis a
nd risk management. Basic psychosocial nursing concepts are central to psychiatric nursing practic
e and increase your competency as a practitioner in all clinical settings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives ofpeople
who are experiencing mental illness as an additional challenge to their health.
Your experience in the mental health nursingrotation can help you gain insight into yourself and gre
atly increase your insightsinto the experiences of others. This part of nursing educationcan provide g
uidelines for and the opportunity to learn new skills for dealingswith a variety ofchallenging behaviou
rs. Psychosocial pain and suffering are as real as physical pain and suffering.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe EffectivesCare Environment
