Chapterk01:kMentalkHealthkandkMentalkIllness
Halter:kVarcarolis’skCanadiankPsychiatrickMentalkHealthkNursing,k2ndkEdition
MULTIPLEkCHOICE
1. Akstaffknursekcompleteskorientationktokakpsychiatrickunit.kWhichkofkthekfollowingkwouldk
theknursekexpectkaskankadvancedkpracticekintervention?
a. Conductkmentalkhealthkassessments
b. Prescribek psychotropick medication
c. Establishktherapeutickrelationships
d. Individualizeknursingkcarekplans
ANS:kB
k
Prescriptivekprivilegeskarekgrantedktokmaster’s-preparedknursekpractitionerskwhokhavektakenkspecial
courseskonkprescribingkmedication;kthuskitkiskankadvanced-
practicekintervention.kTheknursekpreparedkatkthe
basicklevelkiskpermittedktokperformkmentalkhealthkassessments,kestablishkrelationships,kandkprovidekindivid
ualizedkcarekplanning.
DIF:kCognitivekLevel:kUnderstandk(Comprehension)
TOP:kNursingkProcess:kImplementationkMSC:kClientkNeeds:kSafekEffectivekCarekEnvironme
nt
2. Whenkaknursingkstudentkexpresseskconcernskaboutkhowkmentalkhealthknursesk“losekallkthe
irknursingkskills,”kwhichkofkthekfollowingkiskthekbestkresponsekbykthekmentalkhealthknurse?
a. “Psychiatricknurseskpractisekinksaferkenvironmentskthankotherkspecialties.kNurse-to-
patientkratioskmustkbekbetterkbecausekofktheknaturekofkthekpatients’kproblems.”
k
b. “Psychiatricknurseskusekcomplexkcommunicationkskillskaskwellkaskcriticalkthinkingktok
solvekmultidimensionalkproblems.kIkamkchallengedkbykthoseksituations.”
c. “That’skakmisconception.kPsychiatricknurseskfrequentlykusekhigh-
technologykmonitoringkequipmentkandkmanagekcomplexkintravenousktherapi
es.”
,d. “Psychiatricknurseskdoknotkhavektokdealkwithkaskmuchkpainkandksufferingkaskmedical–
surgicalknurseskdo.kThatkappealsktokme.”
k
ANS:kB
Thekpracticekofkpsychiatricknursingkrequireskakdifferentksetkofkskillskfromkmedical–
surgicalknursing,kthoughktherekisksubstantialkoverlap.kTwokdomainskrelatekspecificallyktokpsychiatricknursin
g:kbehavioural,kincludingkcommunication,kcoping,kandkeducation;kandksafety,kcoveringkcrisiskandkriskkman
agement.kBasic
psychosocialknursingkconceptskarekcentralktokpsychiatricknursingkpracticekandkincreasekyourkcompetencyk
as
akpractitionerkinkallkclinicalksettings.kWhateverksettingkyoukchoosektokworkkin,kyoukwillkhavekthe
opportunityktokimprovekthekliveskofkpeoplekwhokarekexperiencingkmentalkillnesskaskankadditionalkchalleng
e
toktheirkhealth.
Yourkexperiencekinkthekmentalkhealthknursingkrotationkcankhelpkyoukgainkinsightkintokyourselfkandkgreatly
increasekyourkinsightkintokthekexperienceskofkothers.kThiskpartkofknursingkeducationkcankprovidekguideline
s
forkandkthekopportunityktoklearnknewkskillskforkdealingkwithkakvarietykofkchallengingkbehaviours.kPsychosoci
alkpainkandksufferingkarekaskrealkaskphysicalkpainkandksuffering.
DIF:kCognitivekLevel:kApplyk(Application)
TOP:kNursingkProcess:kImplementationkMSC:kClientkNeeds:kSafekEffectivekCarekEnvironme
nt
3. WhenkaknewkbillkintroducedkinkParliamentkreduceskfundingkforkcarekofkpeoplekwithk
mentalkillness,kakgroupkofkpeoplekwithkmildkmentalkillnesskwriteklettersktoktheirkelected
representativeskinkoppositionktoktheklegislationkforkallkpeoplekwithkmentalkillness.kWhichkrolekdoeskth
iskactionkportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialkaction
ANS:kC
k
,Ankadvocatekdefendskorkassertskanother’skcause,kparticularlykwhenkthekotherkpersonklackskthekabilityktokd
o
thatkforkhimselfkorkherself.kOnkakcommunitykscale,kadvocacykincludeskpoliticalkactivity,kpublickspeaking,kan
dkpublicationkinkthekinterestkofkimprovingkthekhumankcondition.kSincekfundingkisknecessaryktokdeliverkquali
tykprogrammingkforkpeoplekwithkmentalkillness,kthekletter-
writingkcampaignkadvocateskforkthekcausekforkallkpeoplekwithkmentalkillness.
DIF:kCognitivekLevel:kUnderstandk(Comprehension)
TOP:kNursingkProcess:kImplementationkMSC:kClientkNeeds:kSafekEffectivekCarekEnvironme
nt
4. Whichkofkthekfollowingkhaskbeenkidentifiedkaskaksignificantktrendkthatkwillkaffectkthek
futurekofkpsychiatrickmentalkhealthknursingkinkCanada?
a. Decreasekinkthekagingkpopulation
b. Increasekinkculturalkdiversity
c. Rolekofkthekadvanced-practiceknurse
d. Shortagekofkphysicianskinkruralkandkurbankareask
ANS:kB
Fourksignificantktrendskhavekbeenkidentifiedkthatkwillkaffectkthekfuturekofkpsychiatrickmentalkhealthknursin
g
inkCanada;kthesekincludekankagingkpopulation,kankincreasekinkculturalkdiversity,kexpandingktechnology,kandk
ankincreasedkawarenesskofkthekimpactkofkthekdeterminantskofkhealthkonkmentalkillness.
DIF:kCognitivekLevel:kUnderstandk(Comprehension)
TOP:kNursingkProcess:kAssessmentkMSC:kClientkNeeds:kSafekEffectivekCarekEnvironment
5. Whichkassessmentkfindingkmostkclearlykindicateskthatkakpatientkmaykbekexperiencingkak
mentalkillness?
a. Thekpatientkreportskoccasionalksleeplessnesskandkanxiety.
b. Thekpatientkreportskakconsistentlyksad,kdiscouraged,kandkhopelesskmood.
c. Thekpatientkiskablektokdescribekthekdifferencekbetweenk“askif”kandk“forkreal.”
d. Thekpatientkperceiveskdifficultykmakingkakdecisionkaboutkwhetherktokchangekjobs.k
ANS:kB
, Thekcorrectkresponsekdescribeskakmoodkalteration,kwhichkreflectskmentalkillness.kAlterationskinkcognition,k
mood,korkbehaviourkthatkarekcoupledkwithksignificantkdistresskandkimpairedkfunctioningkcharacterizekment
alkillness.kThekdistracterskdescribekbehaviourskthatkarekmentallykhealthykorkwithinkthekusualkscopekofkhuma
nkexperience.
DIF:kCognitivekLevel:kApplyk(Application)
TOP:kNursingkProcess:kAssessmentkMSC:kClientkNeeds:kPsychosocialkIntegrity
6. Whichkfindingkbestkindicateskthatkthekgoalk“Demonstrateskmentallykhealthykbehaviour”k
waskachieved?
a. Akpatientkseeskselfkaskcapablekofkachievingkidealskandkmeetingkdemands.
b. Akpatientkbehaveskwithoutkconsideringkthekconsequenceskofkpersonalkactions.
c. Akpatientkaggressivelykmeetskownkneedskwithoutkconsideringkthekrightskofkothers.
d. Akpatientkseekskhelpkfromkotherskwhenkassumingkresponsibilitykforkmajorkareaskofk
ownklife.
ANS:kA
Thekcorrectkresponsekdescribeskankadaptive,khealthykbehaviour.kThekWHOkdefineskmentalkhealthkask“akstat
ekofkwell-
beingkinkwhichkeachkindividualkiskablektokrealizekhiskorkherkownkpotential,kcopekwithktheknormalkstresseskofk
life,kworkkproductivelykandkfruitfully,kandkmakekakcontributionktokthekcommunity”k(WorldkHealthkOrganiza
tion,k2010).kThekdistracterskdescribekmaladaptivekbehaviours.
DIF:kCognitivekLevel:kApplyk(Application)kTOP:kNursingkProcess:kEvaluation
MSC:kClientkNeeds:kPsychosocialkIntegrity
7. Aknursekencounterskankunfamiliarkpsychiatrickdisorderkonkaknewkpatient’skadmissionkfor
m.kWhichkresourcekshouldktheknursekconsultktokdeterminekcriteriakusedktokestablishkthiskdia
gnosis?
a. InternationalkStatisticalkClassificationkofkDiseaseskandkRelatedkHealthkProblemsk
(ICD-10)
b. DiagnostickandkStatisticalkManualkofkMentalkDisordersk(DSM-5)
c. Akbehaviouralkhealthkreferencekmanual
d. NurseOnekonline
Halter:kVarcarolis’skCanadiankPsychiatrickMentalkHealthkNursing,k2ndkEdition
MULTIPLEkCHOICE
1. Akstaffknursekcompleteskorientationktokakpsychiatrickunit.kWhichkofkthekfollowingkwouldk
theknursekexpectkaskankadvancedkpracticekintervention?
a. Conductkmentalkhealthkassessments
b. Prescribek psychotropick medication
c. Establishktherapeutickrelationships
d. Individualizeknursingkcarekplans
ANS:kB
k
Prescriptivekprivilegeskarekgrantedktokmaster’s-preparedknursekpractitionerskwhokhavektakenkspecial
courseskonkprescribingkmedication;kthuskitkiskankadvanced-
practicekintervention.kTheknursekpreparedkatkthe
basicklevelkiskpermittedktokperformkmentalkhealthkassessments,kestablishkrelationships,kandkprovidekindivid
ualizedkcarekplanning.
DIF:kCognitivekLevel:kUnderstandk(Comprehension)
TOP:kNursingkProcess:kImplementationkMSC:kClientkNeeds:kSafekEffectivekCarekEnvironme
nt
2. Whenkaknursingkstudentkexpresseskconcernskaboutkhowkmentalkhealthknursesk“losekallkthe
irknursingkskills,”kwhichkofkthekfollowingkiskthekbestkresponsekbykthekmentalkhealthknurse?
a. “Psychiatricknurseskpractisekinksaferkenvironmentskthankotherkspecialties.kNurse-to-
patientkratioskmustkbekbetterkbecausekofktheknaturekofkthekpatients’kproblems.”
k
b. “Psychiatricknurseskusekcomplexkcommunicationkskillskaskwellkaskcriticalkthinkingktok
solvekmultidimensionalkproblems.kIkamkchallengedkbykthoseksituations.”
c. “That’skakmisconception.kPsychiatricknurseskfrequentlykusekhigh-
technologykmonitoringkequipmentkandkmanagekcomplexkintravenousktherapi
es.”
,d. “Psychiatricknurseskdoknotkhavektokdealkwithkaskmuchkpainkandksufferingkaskmedical–
surgicalknurseskdo.kThatkappealsktokme.”
k
ANS:kB
Thekpracticekofkpsychiatricknursingkrequireskakdifferentksetkofkskillskfromkmedical–
surgicalknursing,kthoughktherekisksubstantialkoverlap.kTwokdomainskrelatekspecificallyktokpsychiatricknursin
g:kbehavioural,kincludingkcommunication,kcoping,kandkeducation;kandksafety,kcoveringkcrisiskandkriskkman
agement.kBasic
psychosocialknursingkconceptskarekcentralktokpsychiatricknursingkpracticekandkincreasekyourkcompetencyk
as
akpractitionerkinkallkclinicalksettings.kWhateverksettingkyoukchoosektokworkkin,kyoukwillkhavekthe
opportunityktokimprovekthekliveskofkpeoplekwhokarekexperiencingkmentalkillnesskaskankadditionalkchalleng
e
toktheirkhealth.
Yourkexperiencekinkthekmentalkhealthknursingkrotationkcankhelpkyoukgainkinsightkintokyourselfkandkgreatly
increasekyourkinsightkintokthekexperienceskofkothers.kThiskpartkofknursingkeducationkcankprovidekguideline
s
forkandkthekopportunityktoklearnknewkskillskforkdealingkwithkakvarietykofkchallengingkbehaviours.kPsychosoci
alkpainkandksufferingkarekaskrealkaskphysicalkpainkandksuffering.
DIF:kCognitivekLevel:kApplyk(Application)
TOP:kNursingkProcess:kImplementationkMSC:kClientkNeeds:kSafekEffectivekCarekEnvironme
nt
3. WhenkaknewkbillkintroducedkinkParliamentkreduceskfundingkforkcarekofkpeoplekwithk
mentalkillness,kakgroupkofkpeoplekwithkmildkmentalkillnesskwriteklettersktoktheirkelected
representativeskinkoppositionktoktheklegislationkforkallkpeoplekwithkmentalkillness.kWhichkrolekdoeskth
iskactionkportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialkaction
ANS:kC
k
,Ankadvocatekdefendskorkassertskanother’skcause,kparticularlykwhenkthekotherkpersonklackskthekabilityktokd
o
thatkforkhimselfkorkherself.kOnkakcommunitykscale,kadvocacykincludeskpoliticalkactivity,kpublickspeaking,kan
dkpublicationkinkthekinterestkofkimprovingkthekhumankcondition.kSincekfundingkisknecessaryktokdeliverkquali
tykprogrammingkforkpeoplekwithkmentalkillness,kthekletter-
writingkcampaignkadvocateskforkthekcausekforkallkpeoplekwithkmentalkillness.
DIF:kCognitivekLevel:kUnderstandk(Comprehension)
TOP:kNursingkProcess:kImplementationkMSC:kClientkNeeds:kSafekEffectivekCarekEnvironme
nt
4. Whichkofkthekfollowingkhaskbeenkidentifiedkaskaksignificantktrendkthatkwillkaffectkthek
futurekofkpsychiatrickmentalkhealthknursingkinkCanada?
a. Decreasekinkthekagingkpopulation
b. Increasekinkculturalkdiversity
c. Rolekofkthekadvanced-practiceknurse
d. Shortagekofkphysicianskinkruralkandkurbankareask
ANS:kB
Fourksignificantktrendskhavekbeenkidentifiedkthatkwillkaffectkthekfuturekofkpsychiatrickmentalkhealthknursin
g
inkCanada;kthesekincludekankagingkpopulation,kankincreasekinkculturalkdiversity,kexpandingktechnology,kandk
ankincreasedkawarenesskofkthekimpactkofkthekdeterminantskofkhealthkonkmentalkillness.
DIF:kCognitivekLevel:kUnderstandk(Comprehension)
TOP:kNursingkProcess:kAssessmentkMSC:kClientkNeeds:kSafekEffectivekCarekEnvironment
5. Whichkassessmentkfindingkmostkclearlykindicateskthatkakpatientkmaykbekexperiencingkak
mentalkillness?
a. Thekpatientkreportskoccasionalksleeplessnesskandkanxiety.
b. Thekpatientkreportskakconsistentlyksad,kdiscouraged,kandkhopelesskmood.
c. Thekpatientkiskablektokdescribekthekdifferencekbetweenk“askif”kandk“forkreal.”
d. Thekpatientkperceiveskdifficultykmakingkakdecisionkaboutkwhetherktokchangekjobs.k
ANS:kB
, Thekcorrectkresponsekdescribeskakmoodkalteration,kwhichkreflectskmentalkillness.kAlterationskinkcognition,k
mood,korkbehaviourkthatkarekcoupledkwithksignificantkdistresskandkimpairedkfunctioningkcharacterizekment
alkillness.kThekdistracterskdescribekbehaviourskthatkarekmentallykhealthykorkwithinkthekusualkscopekofkhuma
nkexperience.
DIF:kCognitivekLevel:kApplyk(Application)
TOP:kNursingkProcess:kAssessmentkMSC:kClientkNeeds:kPsychosocialkIntegrity
6. Whichkfindingkbestkindicateskthatkthekgoalk“Demonstrateskmentallykhealthykbehaviour”k
waskachieved?
a. Akpatientkseeskselfkaskcapablekofkachievingkidealskandkmeetingkdemands.
b. Akpatientkbehaveskwithoutkconsideringkthekconsequenceskofkpersonalkactions.
c. Akpatientkaggressivelykmeetskownkneedskwithoutkconsideringkthekrightskofkothers.
d. Akpatientkseekskhelpkfromkotherskwhenkassumingkresponsibilitykforkmajorkareaskofk
ownklife.
ANS:kA
Thekcorrectkresponsekdescribeskankadaptive,khealthykbehaviour.kThekWHOkdefineskmentalkhealthkask“akstat
ekofkwell-
beingkinkwhichkeachkindividualkiskablektokrealizekhiskorkherkownkpotential,kcopekwithktheknormalkstresseskofk
life,kworkkproductivelykandkfruitfully,kandkmakekakcontributionktokthekcommunity”k(WorldkHealthkOrganiza
tion,k2010).kThekdistracterskdescribekmaladaptivekbehaviours.
DIF:kCognitivekLevel:kApplyk(Application)kTOP:kNursingkProcess:kEvaluation
MSC:kClientkNeeds:kPsychosocialkIntegrity
7. Aknursekencounterskankunfamiliarkpsychiatrickdisorderkonkaknewkpatient’skadmissionkfor
m.kWhichkresourcekshouldktheknursekconsultktokdeterminekcriteriakusedktokestablishkthiskdia
gnosis?
a. InternationalkStatisticalkClassificationkofkDiseaseskandkRelatedkHealthkProblemsk
(ICD-10)
b. DiagnostickandkStatisticalkManualkofkMentalkDisordersk(DSM-5)
c. Akbehaviouralkhealthkreferencekmanual
d. NurseOnekonline
