Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chaptero01:oMentaloHealthoandoMentaloIllness
Varcarolis’soCanadianoPsychiatricoMentaloHealthoNursing,o3rdoEdition
MULTIPLEoCHOICE
1. Aostaffonurseocompletesoorientationotooaopsychiatricounit.oWhichoofotheofollowingJwouldothenurseoex
pectoasoanoadvancedopracticeointervention?
a. Conductomentalohealthoassessments
b. Prescribeopsychotropicomedication
c. Establishotherapeuticorelationships
d. IndividualizeonursingJcareoplans
ANSWER:JoB
Prescriptiveo privilegeso areograntedo too master’s-
preparedonurseopractitionersowhoJhaveotakenospecialocoursesoonoprescribingJmedication;othusoitoisoaono
advanced-
practiceointervention.oTheonurseopreparedoatJtheobasicoleveloisopermittedotooperformomentalJhealthoaossessme
nts,oestablishrelationships,oandoprovideoindividualizedocareoplanning.
DIF: CognitiveoLevel:oUnderstando(Comprehension)
TOP:o NursingJProcess:oImplementation MSC:o ClientoNeeds:oSafeJEffectiveoCareoEnvironment
2. WhenoaonursingostudentoexpressesoconcernsoaboutohowomentalJhealthonurseso“loseoallotheirnursion
gJskills,”owhichoofJtheofollowingoisotheobestoresponseJbyotheomentalohealthonurse?
a. “PsychiatriconursesopractiseJinosaferJenvironmentsothanootherospecialties.oNurse
-to-
patientJratiosomustJbeobetterJbecauseoofotheonatureoofotheopatients’oprob
lems.” .
b. “PsychiatriconursesouseocomplexocommunicationoskillsoasowelloasocriticalothinkingJtoosol
veomultidimensionaloproblems.oIoamochallengedobyothoseosituations.”
c. “That’soaomisconception.oPsychiatriconursesofrequentlyouseohigh-
otechnologymonitoringoequipmentJandomanageocomplexointravenousotherapies.”
d. “PsychiatriconursesodoonotJhaveotoJdealowithoasomuchopainoandosufferingJasmedioc
al–surgicalonursesodo.oThatoappealsotoome.”
ANSWER:JoB
TheopracticeoofopsychiatriconursingJrequiresoaJdifferentJsetJofoskillsofromomedical–
surgicalonursing,othoughothereoisosubstantialooverlap.oTwoodomainsorelateospecificallyotoopsychiatricon
ursing:obehavioural,oincludingJcommunication,ocoping,oandoeducation;oandosafety,ocoveringJcrisisoan
doriskomanagement.oBasicopsychosocialonursingJconceptsoareocentralotoopsychiatriconursingJpractioceoa
ndoincreaseoyourocompetencyoasoaopractitionerJinJalloclinicalosettings.
WhateverosettingJyouochooseotooworkoin,oyouowillohaveJtheoopportunityotooimproveotheJlivesoofpeopleow
hooareoexperiencingJmentaloillnessoasoanoadditionalochallengeotootheirohealth.
YouroexperienceoinotheJmentalohealthonursingJrotationocanohelpoyouogainoinsightointooyourselfoandogreoatl
yoincreaseoyouroinsightointootheoexperiencesoofoothers.oThisopartJofonursingoeducationcanoprovideogouidel
inesoforoandotheoopportunityotoolearnonewoskillsoforodealingJwithoaovarietyoofchallengingJbehavioours.oPsy
chosocialopainoandosufferingoareoasorealoasophysicalopainoandosuffering.
DIF:o CognitiveJLevel:oApplyJ(Application)
TOP:o NursingJProcess:oImplementation MSC:o ClientoNeeds:oSafeJEffectiveoCareoEnvironment
, 3. WhenoaJnewJbillointroducedoinoParliamentoreducesofundingJforJcareoofopeopleowithomentaloillness,oaogoro
upoofopeopleowithomildomentaloillnessowriteJlettersotootheirJelectedorepresentativesinooppositionotoJo theol
egislationoforoallopeopleowithomentaloillness.oWhichoroleodoesothisoactionoportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialoaction
ANSWER:JoC
AnoadvocateodefendsoorJassertsoanother’socause,Jparticularlyowhenotheootheropersonolacksotheoabilityotoo
doothatJforJhimselfooroherself.oOnoaocommunityoscale,oadvocacyoincludesopoliticaloactivity,opublicJsopeaki
ng,oandopublicationoinotheointerestoofoimprovingJtheohumanocondition.oSinceofundingoisonecessoaryJtoode
liverJqualityoprogrammingJforJpeopleowithomentaloillness,otheJletter-
writingJcampaigno advocateso foro theJcauseJforJallo peopleo witho mentalo illness.
DIF: CognitiveoLevel:oUnderstando(Comprehension)
TOP:o NursingJProcess:oImplementation MSC:o ClientoNeeds:oSafeJEffectiveoCareoEnvironment
4. WhichoofotheofollowingJhasobeenoidentifiedoasoaosignificantJtrendothatowilloaffectJtheofutureoofpsychioatr
icomentalohealthonursingJinoCanada?
a. DecreaseoinotheJagingJpopulation
b. Increaseoinoculturalodiversity
c. RoleoofotheJadvanced-practiceonurse
d. ShortageoofophysiciansoinJruraloandourbanoareas
ANSWER:JoB
Fourosignificantotrendso ha vTe EbeSeTn BidAe N
ntKifiSe E
d JLthLa tEwRil. l CafOfeMct J the ofutureoofopsychiatricomentalohealt
honursingJinoCanada;otheseoincludeJanoagingopopulation,oanoincreaseoinoculturalodiversity,oexpandingJte
chnology,oandoanoincreasedoawarenessoofotheoimpactoofotheodeterminantsoofohealthonomoentaloillness.
DIF: CognitiveoLevel:oUnderstando(Comprehension)
TOP:o NursingJProcess:oAssessment MSC:o ClientoNeeds:oSafeJEffectiveoCareoEnvironment
5. Whichoassessmento findingJmosto clearlyoindicateso thatoao patiento mayo beo experiencingo ao mentalillness
?
a. TheopatientoreportsooccasionalosleeplessnessoandJanxiety.
b. Theopatientoreportsoaoconsistentlyosad,odiscouraged,oandohopelessomood.
c. TheopatientoisoableotoodescribeotheodifferenceJbetweeno“asoif”oando“fororeal.”
d. TheopatientoperceivesodifficultyomakingJaodecisionoaboutowhetherJtoJchangeojobs.
ANSWER:JoB
TheocorrectJresponseodescribesoaomoodoalteration,Jwhichoreflectsomentaloillness.oAlterationsoincognitoio
n,omood,oorJbehaviourothatoareocoupledowithosignificantodistressoandoimpairedofunctioningJcharactoerizeo
mentaloillness.oTheodistractersodescribeobehavioursothatoareomentallyohealthyoorJwithinotheousualoscopeoo
fohumanoexperience.
DIF: CognitiveJLevel:o ApplyJ(Application)
TOP:o NursingJProcess:oAssessment MSC:o ClientoNeeds:oPsychosocialoIntegrity