TEST BANK
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapter 01: Mental Health and Mental Illness
s s s s s s
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
s s s s s s s
MULTIPLEsCHOICE
1. Asstaffsnursescompletessorientationstosaspsychiatricsunit.sWhichsofsthesfollowingswouldsthesnurses
expectsassansadvancedspracticesintervention?
a. Conductsmentalshealthsassessments
b. Prescribespsychotropicsmedication
c. Establishstherapeuticsrelationships
d. Individualizesnursingscaresplans
ANSWER:s B
Prescriptivesprivilegessaresgrantedstosmaster’s-
preparedsnursespractitionersswhoshavestakensspecialscoursessonsprescribingsmedication;sthussitsissan
sadvanced-
practicesintervention.sThesnursespreparedsatsthesbasicslevelsisspermittedstosperformsmentalshealthsas
sessments,sestablishsrelationships,sandsprovidesindividualizedscaresplanning.
DIF: CognitivesLevel:sUnderstands(Comprehension)
TOP:s NursingsProcess:sImplementation MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
2. Whensasnursingsstudentsexpressessconcernssaboutshowsmentalshealthsnursess“losesallstheirsnursi
ngsskills,”swhichsofsthesfollowingsissthesbestsresponsesbysthesmentalshealthsnurse?
a. “Psychiatricsnursesspractisesinssafersenvironmentssthansothersspecialties.sNurse
-to-patientsratiossmustsbesbettersbecausesofsthesnaturesofsthespatients’
problems.” .
b. “Psychiatricsnursessusescomplexscommunicationsskillssasswellsasscriticalsthinkingstossolv
esmultidimensionalsproblems.sIsamschallengedsbysthosessituations.”
c. “That’ssasmisconception.sPsychiatricsnursessfrequentlysuseshigh-
technologysmonitoringsequipmentsandsmanagescomplexsintravenousstherapies.”
d. “Psychiatricsnursessdosnotshavestosdealswithsassmuchspainsandssufferingsassmedi
cal–surgicalsnursessdo.sThatsappealsstosme.”
ANSWER:s B
Thespracticesofspsychiatricsnursingsrequiressasdifferentssetsofsskillssfromsmedical–
surgicalsnursing,sthoughstheresisssubstantialsoverlap.sTwosdomainssrelatesspecificallystospsychiatrics
nursing:sbehavioural,sincludingscommunication,scoping,sandseducation;sandssafety,scoveringscrisissa
ndsrisksmanagement.sBasicspsychosocialsnursingsconceptssarescentralstospsychiatricsnursingspractic
esandsincreasesyourscompetencysassaspractitionersinsallsclinicalssettings.
Whateverssettingsyouschoosestosworksin,syouswillshavesthesopportunitystosimprovestheslivessofspeoples
whosaresexperiencingsmentalsillnesssassansadditionalschallengestostheirshealth.
Yoursexperiencesinsthesmentalshealthsnursingsrotationscanshelpsyousgainsinsightsintosyourselfsandsgre
atlysincreasesyoursinsightsintosthesexperiencessofsothers.sThisspartsofsnursingseducationscansprovidesg
uidelinessforsandsthesopportunitystoslearnsnewsskillssforsdealingswithsasvarietysofschallengingsbehaviou
rs.sPsychosocialspainsandssufferingsaresassrealsassphysicalspainsandssuffering.
DIF: CognitivesLevel:sApplys(Application)
TOP:s NursingsProcess:sImplementation MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
, 3. WhensasnewsbillsintroducedsinsParliamentsreducessfundingsforscaresofspeopleswithsmentalsillness,sasgr
oupsofspeopleswithsmildsmentalsillnessswriteslettersstostheirselectedsrepresentativessinsoppositionstosth
eslegislationsforsallspeopleswithsmentalsillness.sWhichsrolesdoessthissactionsportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialsaction
ANSWER:s C
Ansadvocatesdefendssorsassertssanother’sscause,sparticularlyswhensthesotherspersonslackssthesabilityst
osdosthatsforshimselfsorsherself.sOnsascommunitysscale,sadvocacysincludesspoliticalsactivity,spublicssp
eaking,sandspublicationsinsthesinterestsofsimprovingstheshumanscondition.sSincesfundingsissnecessar
ystosdeliversqualitysprogrammingsforspeopleswithsmentalsillness,sthesletter-
writingscampaignsadvocatessforsthescausesforsallspeopleswithsmentalsillness.
DIF: CognitivesLevel:sUnderstands(Comprehension)
TOP:s NursingsProcess:sImplementation MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
4. Whichsofsthesfollowingshassbeensidentifiedsassassignificantstrendsthatswillsaffectsthesfuturesofspsychia
tricsmentalshealthsnursingsinsCanada?
a. Decreasesinsthesagingspopulation
b. Increasesinsculturalsdiversity
c. Rolesofsthesadvanced-practicesnurse
d. Shortagesofsphysicianssinsruralsandsurbansareas
ANSWER:s B
FourssignificantstrendsshavT
eEbeSeT
nBidAeN
ntK
ifS
ieE
dsL
thL
atEwRi.llsC
afOfeMctsthesfuturesofspsychiatricsmentalshealt
hsnursingsinsCanada;sthesesincludesansagingspopulation,sansincreasesinsculturalsdiversity,
expandingstechnology,sandsansincreasedsawarenesssofsthesimpactsofsthesdeterminantssofshealthsonsme
ntalsillness.
DIF: CognitivesLevel:sUnderstands(Comprehension)
TOP:s NursingsProcess:sAssessment MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
5. Whichsassessmentsfindingsmostsclearlysindicatessthatsaspatientsmaysbesexperiencingsasmentalsillness?
a. Thespatientsreportssoccasionalssleeplessnesssandsanxiety.
b. Thespatientsreportssasconsistentlyssad,sdiscouraged,sandshopelesssmood.
c. Thespatientsissablestosdescribesthesdifferencesbetweens“assif”sands“forsreal.”
d. Thespatientsperceivessdifficultysmakingsasdecisionsaboutswhetherstoschangesjobs.
ANSWER:s B
Thescorrectsresponsesdescribessasmoodsalteration,swhichsreflectssmentalsillness.sAlterationssinscognit
ion,smood,sorsbehavioursthatsarescoupledswithssignificantsdistresssandsimpairedsfunctioningscharacte
rizesmentalsillness.sThesdistracterssdescribesbehaviourssthatsaresmentallyshealthysorswithinsthesusualss
copesofshumansexperience.
DIF: CognitivesLevel:sApplys(Application)
TOP:s NursingsProcess:sAssessment MSC:s ClientsNeeds:sPsychosocialsIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapter 01: Mental Health and Mental Illness
s s s s s s
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
s s s s s s s
MULTIPLEsCHOICE
1. Asstaffsnursescompletessorientationstosaspsychiatricsunit.sWhichsofsthesfollowingswouldsthesnurses
expectsassansadvancedspracticesintervention?
a. Conductsmentalshealthsassessments
b. Prescribespsychotropicsmedication
c. Establishstherapeuticsrelationships
d. Individualizesnursingscaresplans
ANSWER:s B
Prescriptivesprivilegessaresgrantedstosmaster’s-
preparedsnursespractitionersswhoshavestakensspecialscoursessonsprescribingsmedication;sthussitsissan
sadvanced-
practicesintervention.sThesnursespreparedsatsthesbasicslevelsisspermittedstosperformsmentalshealthsas
sessments,sestablishsrelationships,sandsprovidesindividualizedscaresplanning.
DIF: CognitivesLevel:sUnderstands(Comprehension)
TOP:s NursingsProcess:sImplementation MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
2. Whensasnursingsstudentsexpressessconcernssaboutshowsmentalshealthsnursess“losesallstheirsnursi
ngsskills,”swhichsofsthesfollowingsissthesbestsresponsesbysthesmentalshealthsnurse?
a. “Psychiatricsnursesspractisesinssafersenvironmentssthansothersspecialties.sNurse
-to-patientsratiossmustsbesbettersbecausesofsthesnaturesofsthespatients’
problems.” .
b. “Psychiatricsnursessusescomplexscommunicationsskillssasswellsasscriticalsthinkingstossolv
esmultidimensionalsproblems.sIsamschallengedsbysthosessituations.”
c. “That’ssasmisconception.sPsychiatricsnursessfrequentlysuseshigh-
technologysmonitoringsequipmentsandsmanagescomplexsintravenousstherapies.”
d. “Psychiatricsnursessdosnotshavestosdealswithsassmuchspainsandssufferingsassmedi
cal–surgicalsnursessdo.sThatsappealsstosme.”
ANSWER:s B
Thespracticesofspsychiatricsnursingsrequiressasdifferentssetsofsskillssfromsmedical–
surgicalsnursing,sthoughstheresisssubstantialsoverlap.sTwosdomainssrelatesspecificallystospsychiatrics
nursing:sbehavioural,sincludingscommunication,scoping,sandseducation;sandssafety,scoveringscrisissa
ndsrisksmanagement.sBasicspsychosocialsnursingsconceptssarescentralstospsychiatricsnursingspractic
esandsincreasesyourscompetencysassaspractitionersinsallsclinicalssettings.
Whateverssettingsyouschoosestosworksin,syouswillshavesthesopportunitystosimprovestheslivessofspeoples
whosaresexperiencingsmentalsillnesssassansadditionalschallengestostheirshealth.
Yoursexperiencesinsthesmentalshealthsnursingsrotationscanshelpsyousgainsinsightsintosyourselfsandsgre
atlysincreasesyoursinsightsintosthesexperiencessofsothers.sThisspartsofsnursingseducationscansprovidesg
uidelinessforsandsthesopportunitystoslearnsnewsskillssforsdealingswithsasvarietysofschallengingsbehaviou
rs.sPsychosocialspainsandssufferingsaresassrealsassphysicalspainsandssuffering.
DIF: CognitivesLevel:sApplys(Application)
TOP:s NursingsProcess:sImplementation MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
, 3. WhensasnewsbillsintroducedsinsParliamentsreducessfundingsforscaresofspeopleswithsmentalsillness,sasgr
oupsofspeopleswithsmildsmentalsillnessswriteslettersstostheirselectedsrepresentativessinsoppositionstosth
eslegislationsforsallspeopleswithsmentalsillness.sWhichsrolesdoessthissactionsportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialsaction
ANSWER:s C
Ansadvocatesdefendssorsassertssanother’sscause,sparticularlyswhensthesotherspersonslackssthesabilityst
osdosthatsforshimselfsorsherself.sOnsascommunitysscale,sadvocacysincludesspoliticalsactivity,spublicssp
eaking,sandspublicationsinsthesinterestsofsimprovingstheshumanscondition.sSincesfundingsissnecessar
ystosdeliversqualitysprogrammingsforspeopleswithsmentalsillness,sthesletter-
writingscampaignsadvocatessforsthescausesforsallspeopleswithsmentalsillness.
DIF: CognitivesLevel:sUnderstands(Comprehension)
TOP:s NursingsProcess:sImplementation MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
4. Whichsofsthesfollowingshassbeensidentifiedsassassignificantstrendsthatswillsaffectsthesfuturesofspsychia
tricsmentalshealthsnursingsinsCanada?
a. Decreasesinsthesagingspopulation
b. Increasesinsculturalsdiversity
c. Rolesofsthesadvanced-practicesnurse
d. Shortagesofsphysicianssinsruralsandsurbansareas
ANSWER:s B
FourssignificantstrendsshavT
eEbeSeT
nBidAeN
ntK
ifS
ieE
dsL
thL
atEwRi.llsC
afOfeMctsthesfuturesofspsychiatricsmentalshealt
hsnursingsinsCanada;sthesesincludesansagingspopulation,sansincreasesinsculturalsdiversity,
expandingstechnology,sandsansincreasedsawarenesssofsthesimpactsofsthesdeterminantssofshealthsonsme
ntalsillness.
DIF: CognitivesLevel:sUnderstands(Comprehension)
TOP:s NursingsProcess:sAssessment MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
5. Whichsassessmentsfindingsmostsclearlysindicatessthatsaspatientsmaysbesexperiencingsasmentalsillness?
a. Thespatientsreportssoccasionalssleeplessnesssandsanxiety.
b. Thespatientsreportssasconsistentlyssad,sdiscouraged,sandshopelesssmood.
c. Thespatientsissablestosdescribesthesdifferencesbetweens“assif”sands“forsreal.”
d. Thespatientsperceivessdifficultysmakingsasdecisionsaboutswhetherstoschangesjobs.
ANSWER:s B
Thescorrectsresponsesdescribessasmoodsalteration,swhichsreflectssmentalsillness.sAlterationssinscognit
ion,smood,sorsbehavioursthatsarescoupledswithssignificantsdistresssandsimpairedsfunctioningscharacte
rizesmentalsillness.sThesdistracterssdescribesbehaviourssthatsaresmentallyshealthysorswithinsthesusualss
copesofshumansexperience.
DIF: CognitivesLevel:sApplys(Application)
TOP:s NursingsProcess:sAssessment MSC:s ClientsNeeds:sPsychosocialsIntegrity