Test Bank For Varcarolis's Canadian Psychiatric Mental Health Nursing (Canadian Edition) 2nd Edition By Margaret Halter; Cheryl Pollard; Sonya Jakubec , Chapter 1-35 Complete Guide .

,Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 2nd Edition


MULTIPLEgCHOICE

1. Agstaffgnursegcompletesgorientationgtogagpsychiatricgunit.gWhichgofgthegfollowinggwould
gthegnursegexpectgasgangadvancedgpracticegintervention?
a. Conductgmentalghealthgassessments
b. Prescribegpsychotropicgmedication
c. Establishgtherapeuticgrelationships
d. Individualizegnursinggcaregplans
ANSWER:g B
Prescriptivegprivilegesgareggrantedgtogmaster’s-
preparedgnursegpractitionersgwhoghavegtakengspecialgcoursesgongprescribinggmedication;g
thusgitgisgangadvanced-
practicegintervention.gThegnursegpreparedgatgthegbasicglevelgisgpermittedgtogperformgmen
talghealthgassessments,gestablishgrelationships,gandgprovidegindividualizedgcaregplanning.

DIF: CognitivegLevel:gUnderstandg(Comprehension)
TOP:g NursinggProcess:gImplementation MSC:g ClientgNeeds:gSafegEffectivegCaregEnvironment

2. Whengagnursinggstudentgexpressesgconcernsgaboutghowgmentalghealthgnursesg“losegall
gtheirgnursinggskills,”gwhichgofgthegfollowinggisgthegbestgresponsegbygthegmentalghealthg
nurse?
a. “Psychiatricgnursesgpractisegingsafergenvironmentsgthangothergspecialtie
s.gNurse-to-
patientgratiosgmustgbegbettergbecausegofgthegnaturegofgthegpatients’
problems.”
.
b. “Psychiatricgnursesgusegcomplexgcommunicationgskillsgasgwellgasgcriticalgthinki
nggtogsolvegmultidimensionalgproblems.gIgamgchallengedgbygthosegsituations.”
c. “That’sgagmisconception.gPsychiatricgnursesgfrequentlyguseghigh-
technologygmonitoringgequipmentgandgmanagegcomplexgintravenousgther
apies.”
d. “Psychiatricgnursesgdognotghavegtogdealgwithgasgmuchgpaingandgsufferin
ggasgmedical–surgicalgnursesgdo.gThatgappealsgtogme.”
ANSWER:g B
Thegpracticegofgpsychiatricgnursinggrequiresgagdifferentgsetgofgskillsgfromgmedical–
surgicalgnursing,gthoughgtheregisgsubstantialgoverlap.gTwogdomainsgrelategspecificallygtog
psychiatricgnursing:gbehavioural,gincludinggcommunication,gcoping,gandgeducation;gandgs
afety,gcoveringgcrisisgandgriskgmanagement.gBasicgpsychosocialgnursinggconceptsgaregcentr
algtogpsychiatricgnursinggpracticegandgincreasegyourgcompetencygasgagpractitionergingallgcl
inicalgsettings.
Whatevergsettinggyougchoosegtogworkgin,gyougwillghavegthegopportunitygtogimprovegthegliv
esgofgpeoplegwhogaregexperiencinggmentalgillnessgasgangadditionalgchallengegtogtheirghealth
.
Yourgexperiencegingthegmentalghealthgnursinggrotationgcanghelpgyouggainginsightgintogyours
elfgandggreatlygincreasegyourginsightgintogthegexperiencesgofgothers.gThisgpartgofgnursingge

, ducationgcangprovidegguidelinesgforgandgthegopportunitygtoglearngnewgskillsgforgdealinggwit
hgagvarietygofgchallenginggbehaviours.gPsychosocialgpaingandgsufferinggaregasgrealgasgphysic
algpaingandgsuffering.

DIF: CognitivegLevel:gApplyg(Application)
TOP:g NursinggProcess:gImplementation MSC:g ClientgNeeds:gSafegEffectivegCaregEnvironment
3. WhengagnewgbillgintroducedgingParliamentgreducesgfundinggforgcaregofgpeoplegwithgmenta
lgillness,gaggroupgofgpeoplegwithgmildgmentalgillnessgwriteglettersgtogtheirgelectedgrepresen
tativesgingoppositiongtogtheglegislationgforgallgpeoplegwithgmentalgillness.gWhichgrolegdoesg
thisgactiongportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialgaction

ANSWER:g C
Angadvocategdefendsgorgassertsganother’sgcause,gparticularlygwhengthegothergpersonglacks
gthegabilitygtogdogthatgforghimselfgorgherself.gOngagcommunitygscale,gadvocacygincludesgpo
liticalgactivity,gpublicgspeaking,gandgpublicationgingtheginterestgofgimprovinggtheghumangco
ndition.gSincegfundinggisgnecessarygtogdelivergqualitygprogramminggforgpeoplegwithgmenta
lgillness,gthegletter-
writinggcampaigngadvocatesgforgthegcausegforgallgpeoplegwithgmentalgillness.

DIF: CognitivegLevel:gUnderstandg(Comprehension)
TOP:g NursinggProcess:gImplementation MSC:g ClientgNeeds:gSafegEffectivegCaregEnvironment

4. Whichgofgthegfollowingghasgbeengidentifiedgasgagsignificantgtrendgthatgwillgaffectgthegfutu
regofgpsychiatricgmentalghealthgnursinggingCanada?
a. Decreasegingthegaginggpopulation
b. Increasegingculturalgdiversity
c. Rolegofgthegadvanced-practicegnurse
d. Shortagegofgphysiciansgingruralgandgurbangareas
ANSWER:g B
FourgsignificantgtrendsghavTe E
beSeT
nBidAeN
ntK
ifS
ieE
dgLthLatEwRi.llgC
afOfeMctgthegfuturegofgpsychiatricgmentalg
healthgnursinggingCanada;gthesegincludegangaginggpopulation,gangincreasegingculturalgdiver
sity,
expandinggtechnology,gandgangincreasedgawarenessgofgthegimpactgofgthegdeterminantsgofg
healthgongmentalgillness.

DIF: CognitivegLevel:gUnderstandg(Comprehension)
TOP:g NursinggProcess:gAssessment MSC:g ClientgNeeds:gSafegEffectivegCaregEnvironment

5. Whichgassessmentgfindinggmostgclearlygindicatesgthatgagpatientgmaygbegexperiencinggagm
entalgillness?
a. Thegpatientgreportsgoccasionalgsleeplessnessgandganxiety.
b. Thegpatientgreportsgagconsistentlygsad,gdiscouraged,gandghopelessgmood.
c. Thegpatientgisgablegtogdescribegthegdifferencegbetweeng“asgif”gandg“forgreal.”
d. Thegpatientgperceivesgdifficultygmakinggagdecisiongaboutgwhethergtogchangegjobs.

ANSWER:g B
Thegcorrectgresponsegdescribesgagmoodgalteration,gwhichgreflectsgmentalgillness.gAlteratio
nsgingcognition,gmood,gorgbehaviourgthatgaregcoupledgwithgsignificantgdistressgandgimpaire
dgfunctioninggcharacterizegmentalgillness.gThegdistractersgdescribegbehavioursgthatgaregme

, ntallyghealthygorgwithingthegusualgscopegofghumangexperience.

DIF: CognitivegLevel:gApplyg(Application)
TOP:g NursinggProcess:gAssessment MSC:g ClientgNeeds:gPsychosocialgIntegrity
6. Whichgfindinggbestgindicatesgthatgtheggoalg“Demonstratesgmentallyghealthygbehaviour”g
wasgachieved?
a. Agpatientgseesgselfgasgcapablegofgachievinggidealsgandgmeetinggdemands.
b. Agpatientgbehavesgwithoutgconsideringgthegconsequencesgofgpersonalgactions.
c. Agpatientgaggressivelygmeetsgowngneedsgwithoutgconsideringgthegrightsgofgothers.
d. Agpatientgseeksghelpgfromgothersgwhengassuminggresponsibilitygforgmajorgarea
sgofgownglife.
ANSWER:g A
Thegcorrectgresponsegdescribesgangadaptive,ghealthygbehaviour.gThegWHOgdefinesgmenta
lghealthgasg“agstategofgwell-
beinggingwhichgeachgindividualgisgablegtogrealizeghisgorghergowngpotential,gcopegwithgtheg
normalgstressesgofglife,gworkgproductivelygandgfruitfully,gandgmakegagcontributiongtogthegc
ommunity”g(WorldgHealthgOrganization,g2010).gThegdistractersgdescribegmaladaptivegbeha
viours.

DIF: CognitivegLevel:gApplyg(Application)
TOP:g NursinggProcess:gEvaluationgMSC:g ClientgNeeds:gPsychosocialgIntegrity

7. Agnursegencountersgangunfamiliargpsychiatricgdisordergongagnewgpatient’sgadmissiongform.g
Whichgresourcegshouldgthegnursegconsultgtogdeterminegcriteriagusedgtogestablishgthisgdiagn
osis?
a. InternationalgStatisticalgClassificationgofgDiseasesgandgRelatedgHealthgProble
msg(ICD-10)
b. DiagnosticgandgStatisticalgManualgofgMentalgDisordersg(DSM-5)
c. Agbehaviouralghealthgreferencegmanual
d. NurseOnegonline
ANSWER:g B
ThegDSM-
5ggivesgthegcriteTriaEuSsT
edBtA
oNdK
iaS
gnEoLseLeEaR
ch.m
CeOnMtalgdisorder.gThegdistractersgmaygnotgcontaingdiag
nosticgcriteriagforgagpsychiatricgillness.

DIF: CognitivegLevel:gApplyg(Application)
TOP:g NursinggProcess:gAssessment MSC:g ClientgNeeds:gSafegEffectivegCaregEnvironment

8. Agnursegwantsgtogfindgagdescriptiongofgdiagnosticgcriteriagforganxietygdisorders.gWhichgreso
urcegwouldghavegthegmostgcompleteginformation?
a. NursinggOutcomesgClassificationg(NOC)
b. DiagnosticgandgStatisticalgManualgofgMentalgDisordersg(DSM-5)
c. ThegANA’sgPsychiatric–MentalgHealthgNursinggScopegandgStandardsgofgPractice
d. InternationalgStatisticalgClassificationgofgDiseasesgandgRelatedgHealthgProble
msg(ICD-10)
ANSWER:g B
ThegDSM-
5gdetailsgthegdiagnosticgcriteriagforgpsychiatricgclinicalgconditionsgandgisgthegofficialgguidegf
orgdiagnosinggpsychiatricgdisorders.gThegothergreferencesgareggoodgresourcesgbutgdognotgd
efinegthegdiagnosticgcriteria.