TEST BANK r
Varcarolis Canadian Psychiatric Mental Health Nursing
r r r r r
3rd Edition By Pollard All Chapter 1 - 35
r r r r r r r r r
,
,Chapterr01:rMentalrHealthrandrMentalrIllness
Varcarolis’srCanadianrPsychiatric rMentalrHealthrNursing,r3rdrEdition
MULTIPLE rCHOICE
1. Arstaffrnursercompletesrorientationrtorarpsychiatricrunit.rWhichrofrtherfollowingrwouldsthenurse
rexpect ras ran radvanced rpracticerintervention?
a. Conductrmental rhealthrassessments
b. Prescriberpsychotropicrmedication
c. Establish rtherapeutic rrelationships
d. Individualize snursing rcaresplans
ANSWER:s r B
Prescriptivesprivileges rare rgranted rto rmaster’s-
preparedrnurserpractitionersrwhorhavestakenrspecialrcoursesronrprescribingrmedication;rthusritrisran
radvanced-
practicerintervention.rThernursespreparedratstherbasicrlevelrisrpermittedstorperformrmentalrhealthras
rsessments, restablishrelationships, randsprovide rindividualized rcare rplanning.
DIF: CognitivesLevel: rUnderstands(Comprehension)
TOP: r Nursing rProcess: rImplementation MSC: r ClientrNeeds:rSaferEffectivesCarerEnvironment
2. Whenrarnursingrstudentrexpressesrconcernsraboutrhowrmentalrhealthrnursesr“loserallrtheirnursi
rngsskills,”rwhichrofrthesfollowingsisrthesbestrresponserbyrthermentalrhealthrnurse?
a. “Psychiatric rnurses rpractise rin rsafer renvironments rthan rother rspecialties. rNurse
-to-patientsratios rmust rberbetterrbecauserofrthernaturerofrtherpatients’
rproblems.” .
b. “Psychiatric rnurses ruse rcomplex rcommunicationsskills ras rwell ras rcriticalsthinkingsto r solv
esmultidimensional rproblems. rIram rchallenged rby rthosersituations.”
c. “That’srasmisconception.rPsychiatricrnursesrfrequentlyruserhigh-
rtechnologymonitoringrequipmentrandrmanagercomplexrintravenousrtherapies.”
d. “Psychiatricrnursesrdosnotrhavertordealrwithrasrmuchrpainrandrsufferingsassmedi
rcal–surgical rnurses rdo. rThat rappeals rto rme.”
ANSWER:s r B
Therpracticerofrpsychiatric rnursingrrequires rardifferentrset rofsskills rfrom rmedical–
surgicalrnursing,rthoughrthererisrsubstantialroverlap.rTwordomainsrrelaterspecificallyrtorpsychiatric
rnursing: rbehavioural,sincluding rcommunication, rcoping, rand reducation; randssafety, rcoveringcrisis ra
rndrriskrmanagement.rBasicrpsychosocialrnursingsconceptsrarercentralrtospsychiatric rnursingspractic
resand rincrease ryour rcompetency ras ra rpractitioner rin rall rclinical rsettings.
Whateverrsettingryourchoosertorworkrin,syourwillrhavertheropportunityrtorimprovestherlivesrofpeople
rwho raresexperiencing rmental rillness ras ran radditional rchallengesto rtheir rhealth.
Your rexperience rin rthe rmental rhealth rnursingsrotation rcan rhelp ryou rgain rinsight rinto ryourself rand rgre
ratly rincrease ryour rinsightsinto rthe rexperiences rof rothers. rThis rpartsof rnursing reducationcan rprovide
rg ruidelines rfor rand rthe ropportunity rto rlearn rnew rskills rforsdealingswith ra rvariety
rofchallengingsbehaviou r rs. rPsychosocial rpain rand rsuffering rare ras rrealsas rphysical rpain rand
rsuffering.
DIF: CognitivesLevel: rApply r(Application)
TOP: r Nursing rProcess: rImplementation MSC: r ClientrNeeds:rSaferEffectivesCarerEnvironment
, 3. When ra rnew rbill rintroduced rin rParliament rreduces rfunding rfor rcare rof rpeople rwith rmental rillness, ra rgr
roup rof rpeople rwith rmild rmental rillness rwrite rletters rtostheir relected rrepresentativesinsopposition rto
rth reslegislation rfor rall rpeople rwith rmental rillness. rWhich rrole rdoes rthis raction rportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social raction
ANSWER:s r C
Anradvocaterdefendsrorrassertsranother’srcause,rparticularlyrwhenrtherotherrpersonrlacksrtherabilityrt ro
rdosthatsfor rhimself ror rherself. rOn ra rcommunity rscale, radvocacy rincludes rpolitical ractivity, rpublicssp
reaking, rand rpublication rin rthe rinterest rof rimproving rthe rhuman rcondition. rSince rfundingsis rnecessar
ry rto rdeliver rquality rprogramming rfor rpeople rwith rmental rillness, rtheletter-
writingscampaignradvocatesrforrthercauserforsallrpeopleswithrmentalrillness.
DIF: CognitivesLevel: rUnderstands(Comprehension)
TOP: r Nursing rProcess: rImplementation MSC: r ClientrNeeds:rSaferEffectivesCarerEnvironment
4. Which rofrtherfollowing rhasrbeen ridentifiedras rarsignificant rtrend rthat rwillraffect rthe rfuturerofpsychia
tricrmental rhealth rnursing rinrCanada?
r
a. Decreaserinrtheragingspopulation
b. Increaserinrculturalrdiversity
c. Role rofrthe radvanced-practicesnurse
d. Shortagerofrphysicians rinrruralrandrurbanrareas
ANSWER:s r B
FourrsignificantrtrendsrhavTe EbeSeTn BidAe N
ntKifiSe E
d sLthLatEwRil. l Ca fOfeMct s the rfuturerofrpsychiatricrmentalrhealt
h rnursing rinrCanada; rtheserincludesanragingspopulation, ranrincreaserin rcultural rdiversity,
rexpandingstechnology, randransincreasedsawareness rofrtherimpact rofrthesdeterminants rofrhealthonrme
rntal rillness.
DIF: CognitivesLevel: rUnderstands(Comprehension)
TOP: r NursingsProcess: rAssessment MSC: r ClientrNeeds:rSaferEffectivesCarerEnvironment
5. Which rassessmentsfindingsmost rclearly rindicates rthatsa rpatientsmay rbe rexperiencing ra rmentalillness?
a. Therpatient rreports roccasional rsleeplessness rand ranxiety.
b. Therpatient rreports rasconsistently rsad, rdiscouraged, rand rhopeless rmood.
c. Therpatientrisrablertosdescribestherdifferencerbetweenr“asrif”randr“forrreal.”
d. Therpatient rperceivesrdifficulty rmaking rardecision raboutrwhetherrtorchange rjobs.
ANSWER:s r B
The rcorrect rresponse rdescribes ra rmood ralteration,swhich rreflects rmental rillness. rAlterations rincognit
rion, rmood, ror rbehaviour rthatsare rcoupled rwith rsignificantsdistress rand rimpaired rfunctioning
rcharacte rrizesmental rillness. rThe rdistracters rdescribe rbehaviours rthat rare rmentally rhealthy ror rwithin
rthe rusual rs rcope rof rhumansexperience.
DIF: CognitivesLevel: rApply r(Application)
TOP: r NursingsProcess: rAssessment MSC: r ClientrNeeds:rPsychosocialrIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
r r r r r
3rd Edition By Pollard All Chapter 1 - 35
r r r r r r r r r
,
,Chapterr01:rMentalrHealthrandrMentalrIllness
Varcarolis’srCanadianrPsychiatric rMentalrHealthrNursing,r3rdrEdition
MULTIPLE rCHOICE
1. Arstaffrnursercompletesrorientationrtorarpsychiatricrunit.rWhichrofrtherfollowingrwouldsthenurse
rexpect ras ran radvanced rpracticerintervention?
a. Conductrmental rhealthrassessments
b. Prescriberpsychotropicrmedication
c. Establish rtherapeutic rrelationships
d. Individualize snursing rcaresplans
ANSWER:s r B
Prescriptivesprivileges rare rgranted rto rmaster’s-
preparedrnurserpractitionersrwhorhavestakenrspecialrcoursesronrprescribingrmedication;rthusritrisran
radvanced-
practicerintervention.rThernursespreparedratstherbasicrlevelrisrpermittedstorperformrmentalrhealthras
rsessments, restablishrelationships, randsprovide rindividualized rcare rplanning.
DIF: CognitivesLevel: rUnderstands(Comprehension)
TOP: r Nursing rProcess: rImplementation MSC: r ClientrNeeds:rSaferEffectivesCarerEnvironment
2. Whenrarnursingrstudentrexpressesrconcernsraboutrhowrmentalrhealthrnursesr“loserallrtheirnursi
rngsskills,”rwhichrofrthesfollowingsisrthesbestrresponserbyrthermentalrhealthrnurse?
a. “Psychiatric rnurses rpractise rin rsafer renvironments rthan rother rspecialties. rNurse
-to-patientsratios rmust rberbetterrbecauserofrthernaturerofrtherpatients’
rproblems.” .
b. “Psychiatric rnurses ruse rcomplex rcommunicationsskills ras rwell ras rcriticalsthinkingsto r solv
esmultidimensional rproblems. rIram rchallenged rby rthosersituations.”
c. “That’srasmisconception.rPsychiatricrnursesrfrequentlyruserhigh-
rtechnologymonitoringrequipmentrandrmanagercomplexrintravenousrtherapies.”
d. “Psychiatricrnursesrdosnotrhavertordealrwithrasrmuchrpainrandrsufferingsassmedi
rcal–surgical rnurses rdo. rThat rappeals rto rme.”
ANSWER:s r B
Therpracticerofrpsychiatric rnursingrrequires rardifferentrset rofsskills rfrom rmedical–
surgicalrnursing,rthoughrthererisrsubstantialroverlap.rTwordomainsrrelaterspecificallyrtorpsychiatric
rnursing: rbehavioural,sincluding rcommunication, rcoping, rand reducation; randssafety, rcoveringcrisis ra
rndrriskrmanagement.rBasicrpsychosocialrnursingsconceptsrarercentralrtospsychiatric rnursingspractic
resand rincrease ryour rcompetency ras ra rpractitioner rin rall rclinical rsettings.
Whateverrsettingryourchoosertorworkrin,syourwillrhavertheropportunityrtorimprovestherlivesrofpeople
rwho raresexperiencing rmental rillness ras ran radditional rchallengesto rtheir rhealth.
Your rexperience rin rthe rmental rhealth rnursingsrotation rcan rhelp ryou rgain rinsight rinto ryourself rand rgre
ratly rincrease ryour rinsightsinto rthe rexperiences rof rothers. rThis rpartsof rnursing reducationcan rprovide
rg ruidelines rfor rand rthe ropportunity rto rlearn rnew rskills rforsdealingswith ra rvariety
rofchallengingsbehaviou r rs. rPsychosocial rpain rand rsuffering rare ras rrealsas rphysical rpain rand
rsuffering.
DIF: CognitivesLevel: rApply r(Application)
TOP: r Nursing rProcess: rImplementation MSC: r ClientrNeeds:rSaferEffectivesCarerEnvironment
, 3. When ra rnew rbill rintroduced rin rParliament rreduces rfunding rfor rcare rof rpeople rwith rmental rillness, ra rgr
roup rof rpeople rwith rmild rmental rillness rwrite rletters rtostheir relected rrepresentativesinsopposition rto
rth reslegislation rfor rall rpeople rwith rmental rillness. rWhich rrole rdoes rthis raction rportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social raction
ANSWER:s r C
Anradvocaterdefendsrorrassertsranother’srcause,rparticularlyrwhenrtherotherrpersonrlacksrtherabilityrt ro
rdosthatsfor rhimself ror rherself. rOn ra rcommunity rscale, radvocacy rincludes rpolitical ractivity, rpublicssp
reaking, rand rpublication rin rthe rinterest rof rimproving rthe rhuman rcondition. rSince rfundingsis rnecessar
ry rto rdeliver rquality rprogramming rfor rpeople rwith rmental rillness, rtheletter-
writingscampaignradvocatesrforrthercauserforsallrpeopleswithrmentalrillness.
DIF: CognitivesLevel: rUnderstands(Comprehension)
TOP: r Nursing rProcess: rImplementation MSC: r ClientrNeeds:rSaferEffectivesCarerEnvironment
4. Which rofrtherfollowing rhasrbeen ridentifiedras rarsignificant rtrend rthat rwillraffect rthe rfuturerofpsychia
tricrmental rhealth rnursing rinrCanada?
r
a. Decreaserinrtheragingspopulation
b. Increaserinrculturalrdiversity
c. Role rofrthe radvanced-practicesnurse
d. Shortagerofrphysicians rinrruralrandrurbanrareas
ANSWER:s r B
FourrsignificantrtrendsrhavTe EbeSeTn BidAe N
ntKifiSe E
d sLthLatEwRil. l Ca fOfeMct s the rfuturerofrpsychiatricrmentalrhealt
h rnursing rinrCanada; rtheserincludesanragingspopulation, ranrincreaserin rcultural rdiversity,
rexpandingstechnology, randransincreasedsawareness rofrtherimpact rofrthesdeterminants rofrhealthonrme
rntal rillness.
DIF: CognitivesLevel: rUnderstands(Comprehension)
TOP: r NursingsProcess: rAssessment MSC: r ClientrNeeds:rSaferEffectivesCarerEnvironment
5. Which rassessmentsfindingsmost rclearly rindicates rthatsa rpatientsmay rbe rexperiencing ra rmentalillness?
a. Therpatient rreports roccasional rsleeplessness rand ranxiety.
b. Therpatient rreports rasconsistently rsad, rdiscouraged, rand rhopeless rmood.
c. Therpatientrisrablertosdescribestherdifferencerbetweenr“asrif”randr“forrreal.”
d. Therpatient rperceivesrdifficulty rmaking rardecision raboutrwhetherrtorchange rjobs.
ANSWER:s r B
The rcorrect rresponse rdescribes ra rmood ralteration,swhich rreflects rmental rillness. rAlterations rincognit
rion, rmood, ror rbehaviour rthatsare rcoupled rwith rsignificantsdistress rand rimpaired rfunctioning
rcharacte rrizesmental rillness. rThe rdistracters rdescribe rbehaviours rthat rare rmentally rhealthy ror rwithin
rthe rusual rs rcope rof rhumansexperience.
DIF: CognitivesLevel: rApply r(Application)
TOP: r NursingsProcess: rAssessment MSC: r ClientrNeeds:rPsychosocialrIntegrity
