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
thenurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
ANSWER: B
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have
taken 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, establishrelationships, and provide individualized care planning.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all
theirnursing skills,” 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 communication skills 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
asmedical–surgical nurses do. That appeals to me.”
ANSWER: B
The ipractice iof ipsychiatric inursing irequires ia idifferent iset iof iskills ifrom imedical–surgical
inursing, ithough ithere iis isubstantial ioverlap. iTwo idomains irelate ispecifically ito
ipsychiatric inursing: ibehavioural, iincluding icommunication, icoping, iand ieducation; iand
isafety, icoveringicrisis iand irisk imanagement. iBasic ipsychosocial inursing iconcepts iare
icentral ito ipsychiatric inursing ipractice iand iincrease iyour icompetency ias ia ipractitioner iin
iall iclinical isettings.
Whatever isetting iyou ichoose ito iwork iin, iyou iwill ihave ithe iopportunity ito iimprove ithe
ilives iofipeople iwho iare iexperiencing imental iillness ias ian iadditional ichallenge ito itheir
ihealth.
Your iexperience iin ithe imental ihealth inursing irotation ican ihelp iyou igain iinsight iinto
iyourself iand igreatly iincrease iyour iinsight iinto ithe iexperiences iof iothers. iThis ipart iof
inursing ieducationican iprovide iguidelines ifor iand ithe iopportunity ito ilearn inew iskills ifor
idealing iwith ia ivariety iofichallenging ibehaviours. iPsychosocial ipain iand isuffering iare ias
ireal ias iphysical ipain iand isuffering.
DIF: Cognitive iLevel: iApply i(Application)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
3. When ia inew ibill iintroduced iin iParliament ireduces ifunding ifor icare iof ipeople iwith imental
iillness, ia igroup iof ipeople iwith imild imental iillness iwrite iletters ito itheir ielected
irepresentativesiin iopposition ito ithe ilegislation ifor iall ipeople iwith imental iillness. iWhich
irole idoes ithis iaction iportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social iaction
ANSWER: i C
An iadvocate idefends ior iasserts ianother’s icause, iparticularly iwhen ithe iother iperson ilacks
ithe iability ito ido ithat ifor ihimself ior iherself. iOn ia icommunity iscale, iadvocacy iincludes
ipolitical iactivity, ipublic ispeaking, iand ipublication iin ithe iinterest iof iimproving ithe ihuman
icondition. iSince ifunding iis inecessary ito ideliver iquality iprogramming ifor ipeople iwith
imental iillness, itheiletter-writing icampaign iadvocates ifor ithe icause ifor iall ipeople iwith
imental iillness.
DIF: Cognitive iLevel: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
4. Which iof ithe ifollowing ihas ibeen iidentified ias ia isignificant itrend ithat iwill iaffect ithe
ifuture iofipsychiatric imental ihealth inursing iin iCanada?
a. Decrease iin ithe iaging ipopulation
b. Increase iin icultural idiversity
c. Role iof ithe iadvanced-practice inurse
d. Shortage iof iphysicians iin irural iand iurban iareas
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
thenurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
ANSWER: B
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have
taken 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, establishrelationships, and provide individualized care planning.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all
theirnursing skills,” 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 communication skills 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
asmedical–surgical nurses do. That appeals to me.”
ANSWER: B
The ipractice iof ipsychiatric inursing irequires ia idifferent iset iof iskills ifrom imedical–surgical
inursing, ithough ithere iis isubstantial ioverlap. iTwo idomains irelate ispecifically ito
ipsychiatric inursing: ibehavioural, iincluding icommunication, icoping, iand ieducation; iand
isafety, icoveringicrisis iand irisk imanagement. iBasic ipsychosocial inursing iconcepts iare
icentral ito ipsychiatric inursing ipractice iand iincrease iyour icompetency ias ia ipractitioner iin
iall iclinical isettings.
Whatever isetting iyou ichoose ito iwork iin, iyou iwill ihave ithe iopportunity ito iimprove ithe
ilives iofipeople iwho iare iexperiencing imental iillness ias ian iadditional ichallenge ito itheir
ihealth.
Your iexperience iin ithe imental ihealth inursing irotation ican ihelp iyou igain iinsight iinto
iyourself iand igreatly iincrease iyour iinsight iinto ithe iexperiences iof iothers. iThis ipart iof
inursing ieducationican iprovide iguidelines ifor iand ithe iopportunity ito ilearn inew iskills ifor
idealing iwith ia ivariety iofichallenging ibehaviours. iPsychosocial ipain iand isuffering iare ias
ireal ias iphysical ipain iand isuffering.
DIF: Cognitive iLevel: iApply i(Application)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
3. When ia inew ibill iintroduced iin iParliament ireduces ifunding ifor icare iof ipeople iwith imental
iillness, ia igroup iof ipeople iwith imild imental iillness iwrite iletters ito itheir ielected
irepresentativesiin iopposition ito ithe ilegislation ifor iall ipeople iwith imental iillness. iWhich
irole idoes ithis iaction iportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social iaction
ANSWER: i C
An iadvocate idefends ior iasserts ianother’s icause, iparticularly iwhen ithe iother iperson ilacks
ithe iability ito ido ithat ifor ihimself ior iherself. iOn ia icommunity iscale, iadvocacy iincludes
ipolitical iactivity, ipublic ispeaking, iand ipublication iin ithe iinterest iof iimproving ithe ihuman
icondition. iSince ifunding iis inecessary ito ideliver iquality iprogramming ifor ipeople iwith
imental iillness, itheiletter-writing icampaign iadvocates ifor ithe icause ifor iall ipeople iwith
imental iillness.
DIF: Cognitive iLevel: iUnderstand i(Comprehension)
TOP: i Nursing iProcess: iImplementation MSC: i Client iNeeds: iSafe iEffective iCare iEnvironment
4. Which iof ithe ifollowing ihas ibeen iidentified ias ia isignificant itrend ithat iwill iaffect ithe
ifuture iofipsychiatric imental ihealth inursing iin iCanada?
a. Decrease iin ithe iaging ipopulation
b. Increase iin icultural idiversity
c. Role iof ithe iadvanced-practice inurse
d. Shortage iof iphysicians iin irural iand iurban iareas
