TEST BANK Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Edition By Pollard All Chapters 1–35 Complete Practice Questions with Answers

TEST BANK
Varcarolis Canadian Psychiatric Mental Health
Nursing3rd Edition By Pollard All Chapter 1 - 35

,Chapter 01: Mental Health and Mental Illness
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Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
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MULTIPLE CHOICE kn




1. A staff nurse completes orientation to a psychiatric unit. Which of the following would t
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henurse expect as an advanced practice intervention?
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a. Conduct mental health assessments kn kn kn




b. Prescribe psychotropic medication kn kn




c. Establish therapeutic relationships kn kn




d. Individualize nursing care plans kn kn kn




ANSWER: B k n




Prescriptive privileges are granted to master’s- kn kn kn kn kn




prepared nurse practitioners who have taken special courses on prescribing medication; t
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hus it is an advanced-
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practice intervention. The nurse prepared at the basic level is permitted to perform ment
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al health assessments, establishrelationships, and provide individualized care planning.
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DIF: Cognitive Level: Understand (Comprehension) kn kn kn




TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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2. When a nursing student expresses concerns about how mental health nurses “lose all t
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heirnursing skills,” which of the following is the best response by the mental health nur
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se?
a. “Psychiatric nurses practise in safer environments than other specialtie kn kn kn kn kn kn kn kn




s. Nurse-to- kn




patient ratios must be better because of the nature of the patients’ kn kn kn kn kn kn kn kn kn kn kn




problems. .
”
b. “Psychiatric nurses use complex communication skills as well as critical thinkin kn kn kn kn kn kn kn kn kn kn




gto solve multidimensional problems. I am challenged by those situations.”
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c. “That’s a misconception. Psychiatric nurses frequently use high- kn kn kn kn kn kn kn




technologymonitoring equipment and manage complex intravenous the n
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rapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering kn kn kn kn kn kn kn kn kn kn kn kn kn




asmedical–surgical nurses do. That appeals to me.”
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ANSWER: B k n




The practice of psychiatric nursing requires a different set of skills from medical–
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surgical nursing, though there is substantial overlap. Two domains relate specifically to p
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sychiatric nursing: behavioural, including communication, coping, and education; and saf
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ety, coveringcrisis and risk management. Basic psychosocial nursing concepts are central
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to psychiatric nursing practice and increase your competency as a practitioner in all clinic
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al settings.
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Whatever setting you choose to work in, you will have the opportunity to improve the lives
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ofpeople who are experiencing mental illness as an additional challenge to their health.
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Your experience in the mental health nursing rotation can help you gain insight into yourse
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lf and greatly increase your insight into the experiences of others. This part of nursing educ
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,ationcan provide guidelines for and the opportunity to learn new skills for dealing with a va
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riety ofchallenging behaviours. Psychosocial pain and suffering are as real as physical pain
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and suffering.
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DIF: Cognitive Level: Apply (Application)
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TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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, 3. When a new bill introduced in Parliament reduces funding for care of people with mental il
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lness, a group of people with mild mental illness write letters to their elected representativ
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esin opposition to the legislation for all people with mental illness. Which role does this ac
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tion portray? kn




a. Recovery
b. Self-care
c. Advocacy
d. Social action kn




ANSWER: C k n




An advocate defends or asserts another’s cause, particularly when the other person lacks
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the ability to do that for himself or herself. On a community scale, advocacy includes politi
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cal activity, public speaking, and publication in the interest of improving the human condit
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ion. Since funding is necessary to deliver quality programming for people with mental illne
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ss, theletter-writing campaign advocates for the cause for all people with mental illness.
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DIF: Cognitive Level: Understand (Comprehension) kn kn kn




TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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4. Which of the following has been identified as a significant trend that will affect the future
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ofpsychiatric mental health nursing in Canada?
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a. Decrease in the aging population kn kn kn kn




b. Increase in cultural diversity kn kn kn




c. Role of the advanced-practice nurse kn kn kn kn




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




ANSWER: B k n




Four significant trends havTe E
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ifS
ieE
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atEwRi.llC
afOfeMct the future of psychiatric mental kn kn n
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health nursing in Canada; these include an aging population, an increase in cultural diversit
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y,
expanding technology, and an increased awareness of the impact of the determinants of h
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ealthon mental illness. n
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DIF: Cognitive Level: Understand (Comprehension) kn kn kn




TOP: Nursing Process: Assessment
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5. Which assessment finding most clearly indicates that a patient may be experiencing a me
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ntalillness? n
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a. The patient reports occasional sleeplessness and anxiety.
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b. The patient reports a consistently sad, discouraged, and hopeless mood.
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c. The patient is able to describe the difference between “as if” and “for real.”
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d. The patient perceives difficulty making a decision about whether to change jobs.
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ANSWER: B k n




The correct response describes a mood alteration, which reflects mental illness. Alteration
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s incognition, mood, or behaviour that are coupled with significant distress and impaired f
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unctioning characterize mental illness. The distracters describe behaviours that are menta
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lly healthy or within the usual scope of human experience.
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DIF: Cognitive Level: Apply (Application) kn kn kn




TOP: Nursing Process: Assessment
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