Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Edition Test Bank by Pollard, 9780323778794

TEST BANK
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Varcarolis Canadian Psychiatric Mental Health Nursing
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3rd Edition By Pollard All Chapter 1 - 35
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,
,Chapter 01: Mental Health and MentalIllness
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Varcarolis’s Canadian Psychiatric Mental HealthNursing, 3rdEdition
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MULTIPLE CHOICEv




1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
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vnurse expect as an advanced practice intervention?
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a. Conductmental healthassessments v v v




b. Prescribepsychotropicmedication v v




c. Establish therapeutic relationships v v




d. Individualize nursing care plans v v v




ANSWER: B v




Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
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vspecial courses on prescribing medication; thus it is an advanced-practice intervention. The nurse
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prepared at the basic level is permitted to perform mental health assessments, establish
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relationships, and provide individualized care planning.
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DIF: Cognitive Level: Understand (Comprehension) v v v




TOP: Nursing Process: Implementation
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2. When a nursing student expresses concerns about how mental health nurses ―lose all their
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v nursing skills,‖ which of the following is the best response by the mental health nurse?
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a. ―Psychiatric nurses practise in safer environments than other specialties. v v v v v v v v




Nurse-to-patient ratios must be better because of the nature of the patients’ v v v v v v v v v v v




problems.‖
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b. ―Psychiatric nurses use complex communication skills as well as critical thinkingto v v v v v v v v v v




solve multidimensional problems. I am challenged by those situations.‖
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c. ―That’s a misconception. Psychiatric nurses frequently use high-technology
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monitoring equipment and manage complex intravenous therapies.‖
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d. ―Psychiatric nurses do not have to deal with as much pain and suffering as v v v v v v v v v v v v v




medical–surgical nurses do. That appeals to me.‖
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ANSWER: B v




The practice of psychiatric nursing requires a different set of skills from medical–surgical
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vnursing, though there is substantial overlap. Two domains relate specifically to psychiatric
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vnursing: behavioural, including communication, coping, and education; and safety, covering
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vcrisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
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vnursing practice and increase your competency as a practitioner in all clinical settings.
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Whatever setting you choose to work in, you will have the opportunity to improve the lives of
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vpeople who are experiencing mental illness as an additional challenge to their health.
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Your experience in the mental health nursing rotation can help you gain insight into yourself and
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vgreatly increase your insight into the experiences of others. This part of nursing educationcan
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vprovide guidelines for and the opportunity to learn new skills for dealing with a variety of
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vchallenging behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
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DIF: Cognitive Level: Apply (Application) v v v




TOP: Nursing Process: Implementation
v v MSC: Client Needs: Safe Effective Care Environment v v v v v v v v

, 3. When a new bill introduced in Parliament reduces funding for care of people with mental illness, a
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group of people with mild mental illness write letters to their elected representativesin opposition to
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the legislation for all people with mental illness. Which role does this action portray?
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a. Recovery
b. Self-care
c. Advocacy
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ANSWER: C v




An advocate defends or asserts another’s cause, particularly when the other person lacks the
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vability to do that for himself or herself. On a community scale, advocacy includes political
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vactivity, public speaking, and publication in the interest of improving the human condition. Since
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funding is necessary to deliver quality programming for people with mental illness, the letter-
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writing campaign advocates for the cause for all people with mental illness.
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DIF: Cognitive Level: Understand (Comprehension) v v v




TOP: Nursing Process: Implementation
v v MSC: Client Needs: Safe Effective Care Environment v v v v v v v v




4. Which of the following has been identified as a significant trend that will affect the future of
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v psychiatric mental health nursing in Canada? v v v v v




a. Decrease in the aging population v v v v




b. Increase in cultural diversity v v v




c. Role of the advanced-practice nurse v v v v




d. Shortage of physicians in rural and urban areas v v v v v v v




ANSWER: B v




Four significant trends havTe EbSeeTnBidAeN
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ifSieEdLthLatEw
Ri.ll C
afOfeMct the future of psychiatric mentalv v v v v v v v




health nursing in Canada; these include an aging population, an increase in cultural diversity,
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vexpanding technology, and an increased awareness of the impact of the determinants of healthon
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vmentalillness. v




DIF: Cognitive Level: Understand (Comprehension) v v v




TOP: Nursing Process: Assessment
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5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
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villness?
a. The patient reports occasional sleeplessness and anxiety.
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b. The patient reports a consistently sad, discouraged, and hopeless mood.
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c. The patient is able to describe the difference between ―as if‖ and ―for real.‖
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d. The patient perceives difficulty making a decision about whether to change jobs.
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ANSWER: B v




The correct response describes a mood alteration, which reflects mental illness. Alterations in
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vcognition, mood, or behaviour that are coupled with significant distress and impaired functioning
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characterize mental illness. The distracters describe behaviours that are mentally healthy or within
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the usual scope of human experience.
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DIF: Cognitive Level: Apply (Application) v v v




TOP: Nursing Process: Assessment
v v MSC: Client Needs: Psychosocial Integrity v v v v v v