c. Supporting him in arranging, preparing for, and completing multiple interviews
Resilience, the capacity to rebound from stressors via adaptive coping, is associated
with positive mental health. Your friend has just been laid off from his job. Which of the
following responses on your part would most likely contribute to his enhanced
resilience?
a. Using your connections to set up an interview with your employer
b. Connecting him with a friend of the family who owns his own business
c. Supporting him in arranging, preparing for, and completing multiple interviews
d. Helping him to understand that the layoff resulted
d. A man develops schizophrenia, but his identical twin remains free of mental illness.
Which of the following situations best supports the diathesis-stress model of mental
illness development?
a. The rate of suicide increases during times of national disaster and despair.
b. A woman feels mildly anxious when asked to speak to a large group of people.
c. A man with no prior mental health problems experiences sadness after his divorce.
d. A man develops schizophrenia, but his identical twin remains free of mental illness.
a. About 20% of Canadians experience a mental disorder during their lifetime.
d. The Mental Health Commission of Canada’s report Changing Directions, Changing
Lives outlines the mental health strategy for Canada.
Of the following statements about mental illness, identify all of the correct ones:
a. About 20% of Canadians experience a mental disorder during their lifetime.
b. Mental disorders and diagnoses occur very consistently across cultures.
c. Most serious mental illnesses are psychological rather than biological in nature.
d. The Mental Health Commission of Canada’s report Changing Directions, Changing
Lives outlines the mental health strategy for Canada.
a. Optimal mental health with mental illness
,Jane is a 32-year-old mother of four. She is active with her family and in her community
despite having a diagnosis of severe anxiety. Refer to the mental health/illness
continuum shown in Figure 1-2 and consider where you would place Jane.
a. Optimal mental health with mental illness
b. Optimal mental health without mental illness
c. Poor mental health with mental illness
d. Poor mental health without mental illness
c. Identifying how a patient is coping with a symptom such as hallucinations
d. Guiding a patient to learn and use a variety of stress-management techniques
e. Helping a patient without personal transportation find a way to his or her treatment
appointments
f. Collecting petition signatures seeking the removal of stigmatizing images on television
Which of the following actions represent the primary focus of psychiatric nursing for a
basic-level registered nurse? Select all that apply.
a. Determining a patient’s diagnosis according to the DSM-5
b. Ordering diagnostic tests such as EEGs or MRI scans
c. Identifying how a patient is coping with a symptom such as hallucinations
d. Guiding a patient to learn and use a variety of stress-management techniques
e. Helping a patient without personal transportation find a way to his or her treatment
appointments
f. Collecting petition signatures seeking the removal of stigmatizing images on television
c. 1845: Beauport in Quebec was the first asylum in Canada.
Asylum care of people with mental illness in Canada began in which year?
,a. 1620: No asylums had been established at this time; families and communities or
religious orders were responsible for the care of people with mental illness.
b. 1932: This was the date of the “Weir Report.”
c. 1845: Beauport in Quebec was the first asylum in Canada.
d. 1798: Asylum care was not present at this time; an increased number of people with
mental illnesses were being housed in prisons.
b. The “Weir Report,” published in 1932, called for reform in nursing education
curriculum.
The “Weir Report” was considered influential in which of the following areas?
a. Asylum reform was done by many social rights groups in the late 1800 and early
1900s.
b. The “Weir Report,” published in 1932, called for reform in nursing education
curriculum.
c. Deinstitutionalization occurred in the 1960s and was related to changes in treatment
and funding rather than to the “Weir Report.”
d. The registered psychiatric nurse designation was established in the four western
provinces and was not related to the “Weir Report,” which called for the inclusion of
mental health and generalist training for all registered nurses.
b. Deinstitutionalization led to an increased focus on care of people with mental illness
in the community and to the creation of the role of the community mental health nurse.
Psychiatric mental health nursing in the community setting was influenced by which of
the following factors?
a. The “Weir Report” was influential in nursing education reform in the 1930s. At that
time, psychiatric mental health nursing care was not performed in the community
setting.
b. Deinstitutionalization led to an increased focus on care of people with mental illness
in the community and to the creation of the role of the community mental health nurse.
c. The increased medicalization of psychiatry was an early influence in the creation of
the psychiatric mental health nursing role in the asylum setting.
, d. While many registered psychiatric nurses in the West did work in community settings,
the RPN designation itself did not influence the creation of the community mental health
nursing role.
b. Individuals with acute suicidal ideation are in a crisis situation, which requires
immediate assessment.
A friend recognizes that his depression has returned and tells you he is suicidal and
concerned he will harm himself. He is afraid that if he seeks help he will be involuntarily
admitted to a psychiatric hospital, an idea that terrifies him. Which of the following
responses best meets his immediate care needs?
a. Your encouragement and support may assist him to seek out the help he needs.
b. Individuals with acute suicidal ideation are in a crisis situation, which requires
immediate assessment.
c. Your friend has not indicated that he is unwilling to go for an assessment. Contacting
the police or provincial magistrate as a first step is not appropriate. The police or
magistrates become involved in involuntary admissions when individuals do not
voluntarily seek treatment and are at high risk for hurting themselves or someone else.
d. Since there is a risk that he will hurt himself, an immediate assessment is required.
Waiting for an appointment is not appropriate.
b. The patient may be anxious, embarrassed, or ashamed about his condition and about
being on a mental health unit. Anxiety can increase patient distress and lead to
behavioural concerns such as agitation or resistance; it should be assessed and
addressed early in treatment. Providing support and an opportunity to explore and
address such concerns is helpful after safety and other urgent clinical elements are
addressed.
c. Newly admitted patients, especially if they have not been in treatment previously, may
have many questions and concerns about their treatment. Ensuring that new patients
understand their rights as mental health clients is an essential nursing duty and should
occur on the day of admission (and is often done as part of the admission process
itself).
d. Mental health patients may have overlooked or inadequately treated physical medical
conditions, and some can masquerade as, or be mistaken for, psychiatric conditions.
Either situation could harm the patient’s health; thus, a full assessment of the patient’s
physical health is essential early after the admission.
Resilience, the capacity to rebound from stressors via adaptive coping, is associated
with positive mental health. Your friend has just been laid off from his job. Which of the
following responses on your part would most likely contribute to his enhanced
resilience?
a. Using your connections to set up an interview with your employer
b. Connecting him with a friend of the family who owns his own business
c. Supporting him in arranging, preparing for, and completing multiple interviews
d. Helping him to understand that the layoff resulted
d. A man develops schizophrenia, but his identical twin remains free of mental illness.
Which of the following situations best supports the diathesis-stress model of mental
illness development?
a. The rate of suicide increases during times of national disaster and despair.
b. A woman feels mildly anxious when asked to speak to a large group of people.
c. A man with no prior mental health problems experiences sadness after his divorce.
d. A man develops schizophrenia, but his identical twin remains free of mental illness.
a. About 20% of Canadians experience a mental disorder during their lifetime.
d. The Mental Health Commission of Canada’s report Changing Directions, Changing
Lives outlines the mental health strategy for Canada.
Of the following statements about mental illness, identify all of the correct ones:
a. About 20% of Canadians experience a mental disorder during their lifetime.
b. Mental disorders and diagnoses occur very consistently across cultures.
c. Most serious mental illnesses are psychological rather than biological in nature.
d. The Mental Health Commission of Canada’s report Changing Directions, Changing
Lives outlines the mental health strategy for Canada.
a. Optimal mental health with mental illness
,Jane is a 32-year-old mother of four. She is active with her family and in her community
despite having a diagnosis of severe anxiety. Refer to the mental health/illness
continuum shown in Figure 1-2 and consider where you would place Jane.
a. Optimal mental health with mental illness
b. Optimal mental health without mental illness
c. Poor mental health with mental illness
d. Poor mental health without mental illness
c. Identifying how a patient is coping with a symptom such as hallucinations
d. Guiding a patient to learn and use a variety of stress-management techniques
e. Helping a patient without personal transportation find a way to his or her treatment
appointments
f. Collecting petition signatures seeking the removal of stigmatizing images on television
Which of the following actions represent the primary focus of psychiatric nursing for a
basic-level registered nurse? Select all that apply.
a. Determining a patient’s diagnosis according to the DSM-5
b. Ordering diagnostic tests such as EEGs or MRI scans
c. Identifying how a patient is coping with a symptom such as hallucinations
d. Guiding a patient to learn and use a variety of stress-management techniques
e. Helping a patient without personal transportation find a way to his or her treatment
appointments
f. Collecting petition signatures seeking the removal of stigmatizing images on television
c. 1845: Beauport in Quebec was the first asylum in Canada.
Asylum care of people with mental illness in Canada began in which year?
,a. 1620: No asylums had been established at this time; families and communities or
religious orders were responsible for the care of people with mental illness.
b. 1932: This was the date of the “Weir Report.”
c. 1845: Beauport in Quebec was the first asylum in Canada.
d. 1798: Asylum care was not present at this time; an increased number of people with
mental illnesses were being housed in prisons.
b. The “Weir Report,” published in 1932, called for reform in nursing education
curriculum.
The “Weir Report” was considered influential in which of the following areas?
a. Asylum reform was done by many social rights groups in the late 1800 and early
1900s.
b. The “Weir Report,” published in 1932, called for reform in nursing education
curriculum.
c. Deinstitutionalization occurred in the 1960s and was related to changes in treatment
and funding rather than to the “Weir Report.”
d. The registered psychiatric nurse designation was established in the four western
provinces and was not related to the “Weir Report,” which called for the inclusion of
mental health and generalist training for all registered nurses.
b. Deinstitutionalization led to an increased focus on care of people with mental illness
in the community and to the creation of the role of the community mental health nurse.
Psychiatric mental health nursing in the community setting was influenced by which of
the following factors?
a. The “Weir Report” was influential in nursing education reform in the 1930s. At that
time, psychiatric mental health nursing care was not performed in the community
setting.
b. Deinstitutionalization led to an increased focus on care of people with mental illness
in the community and to the creation of the role of the community mental health nurse.
c. The increased medicalization of psychiatry was an early influence in the creation of
the psychiatric mental health nursing role in the asylum setting.
, d. While many registered psychiatric nurses in the West did work in community settings,
the RPN designation itself did not influence the creation of the community mental health
nursing role.
b. Individuals with acute suicidal ideation are in a crisis situation, which requires
immediate assessment.
A friend recognizes that his depression has returned and tells you he is suicidal and
concerned he will harm himself. He is afraid that if he seeks help he will be involuntarily
admitted to a psychiatric hospital, an idea that terrifies him. Which of the following
responses best meets his immediate care needs?
a. Your encouragement and support may assist him to seek out the help he needs.
b. Individuals with acute suicidal ideation are in a crisis situation, which requires
immediate assessment.
c. Your friend has not indicated that he is unwilling to go for an assessment. Contacting
the police or provincial magistrate as a first step is not appropriate. The police or
magistrates become involved in involuntary admissions when individuals do not
voluntarily seek treatment and are at high risk for hurting themselves or someone else.
d. Since there is a risk that he will hurt himself, an immediate assessment is required.
Waiting for an appointment is not appropriate.
b. The patient may be anxious, embarrassed, or ashamed about his condition and about
being on a mental health unit. Anxiety can increase patient distress and lead to
behavioural concerns such as agitation or resistance; it should be assessed and
addressed early in treatment. Providing support and an opportunity to explore and
address such concerns is helpful after safety and other urgent clinical elements are
addressed.
c. Newly admitted patients, especially if they have not been in treatment previously, may
have many questions and concerns about their treatment. Ensuring that new patients
understand their rights as mental health clients is an essential nursing duty and should
occur on the day of admission (and is often done as part of the admission process
itself).
d. Mental health patients may have overlooked or inadequately treated physical medical
conditions, and some can masquerade as, or be mistaken for, psychiatric conditions.
Either situation could harm the patient’s health; thus, a full assessment of the patient’s
physical health is essential early after the admission.
