TEST BANK b
Varcarolis Canadian Psychiatric Mental Health Nursing
b b b b b
3rd Edition By Pollard All Chapter 1 - 35
b b b b b b b b
,
,Chapter 01: Mental Health and Mental Illness
b b b b b b
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
b b b b b b b
MULTIPLE CHOICE b
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would thenurse
b b b b b b b b b b b b b b b
expect as an advanced practice intervention?
b b b b b b
a. Conduct mental health assessments b b b
b. Prescribe psychotropic medication b b
c. Establish therapeutic relationships b b
d. Individualize nursing care plans b b b
ANSWER: B b
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken special
b b b b b b b b b b b
courses on prescribing medication; thus it is an advanced-practice intervention. The nurse prepared
b b b b b b b b b b b b b
at the basic level is permitted to perform mental health assessments, establishrelationships, and
b b b b b b b b b b b b b b
provide individualized care planning.
b b b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Implementation b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
2. When a nursing student expresses concerns about how mental health nurses “lose all
b b b b b b b b b b b b
b theirnursing skills,” which of the following is the best response by the mental health nurse?
b b b b b b b b b b b b b b b
a. “Psychiatric nurses practise in safer environments than other specialties. Nurse- b b b b b b b b b
to-patient ratios must be better because of the nature of the patients’ b b b b b b b b b b b
problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto solve b b b b b b b b b b b b
multidimensional problems. I am challenged by those situations.”
b b b b b b b b
c. “That’s a misconception. Psychiatric nurses frequently use high- b b b b b b b
technologymonitoring equipment and manage complex intravenous therapies.” b b b b b b b
d. “Psychiatric nurses do not have to deal with as much pain and suffering b b b b b b b b b b b b
asmedical–surgical nurses do. That appeals to me.”
b b b b b b b b
ANSWER: B b
The practice of psychiatric nursing requires a different set of skills from medical–surgical nursing,
b b b b b b b b b b b b b
though there is substantial overlap. Two domains relate specifically to psychiatric nursing:
b b b b b b b b b b b b
behavioural, including communication, coping, and education; and safety, coveringcrisis and risk
b b b b b b b b b b b b
management. Basic psychosocial nursing concepts are central to psychiatric nursing practice and
b b b b b b b b b b b b
increase your competency as a practitioner in all clinical settings.
b b b b b b b b b b
Whatever setting you choose to work in, you will have the opportunity to improve the lives ofpeople
b b b b b b b b b b b b b b b b b
who are experiencing mental illness as an additional challenge to their health.
b b b b b b b b b b b b
Your experience in the mental health nursing rotation can help you gain insight into yourself and
b b b b b b b b b b b b b b b
greatly increase your insight into the experiences of others. This part of nursing educationcan provide
b b b b b b b b b b b b b b b b
guidelines for and the opportunity to learn new skills for dealing with a variety ofchallenging
b b b b b b b b b b b b b b b b
behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
b b b b b b b b b b b b b
DIF: Cognitive Level: Apply (Application) b b b
TOP: Nursing Process: Implementation b b b MSC: Client Needs: Safe Effective Care Environment b b b b b b
, 3. When a new bill introduced in Parliament reduces funding for care of people with mental illness, a
b b b b b b b b b b b b b b b b
group of people with mild mental illness write letters to their elected representativesin opposition to
b b b b b b b b b b b b b b b b
the legislation for all people with mental illness. Which role does this action portray?
b b b b b b b b b b b b b b
a. Recovery
b. Self-care
c. Advocacy
d. Social action b
ANSWER: C b
An advocate defends or asserts another’s cause, particularly when the other person lacks the ability
b b b b b b b b b b b b b b
to do that for himself or herself. On a community scale, advocacy includes political activity, public
b b b b b b b b b b b b b b b b
speaking, and publication in the interest of improving the human condition. Since funding is
b b b b b b b b b b b b b b
necessary to deliver quality programming for people with mental illness, theletter-writing campaign
b b b b b b b b b b b b b
advocates for the cause for all people with mental illness.
b b b b b b b b b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Implementation
b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
4. Which of the following has been identified as a significant trend that will affect the future
b b b b b b b b b b b b b b b
b ofpsychiatric mental health nursing in Canada?
b b b b b b
a. Decrease in the aging population b b b b
b. Increase in cultural diversity b b b
c. Role of the advanced-practice nurse b b b b
d. Shortage of physicians in rural and urban areas b b b b b b b
ANSWER: B b
Four significant trends havT
b eEbeSeT
nBidAeN
ntK
ifS
ieE
dL
thL
atEwRi.llC
afOfeMct the future of psychiatric mental health b b b b b b b b b b
nursing in Canada; these include an aging population, an increase in cultural diversity,
b b b b b b b b b b b b b
expanding technology, and an increased awareness of the impact of the determinants of healthon
b b b b b b b b b b b b b b
mental illness.
b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Assessment b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
5. Which assessment finding most clearly indicates that a patient may be experiencing a mentalillness?
b b b b b b b b b b b b b b
a. The patient reports occasional sleeplessness and anxiety.
b b b b b b
b. The patient reports a consistently sad, discouraged, and hopeless mood.
b b b b b b b b b
c. The patient is able to describe the difference between “as if” and “for real.”
b b b b b b b b b b b b b
d. The patient perceives difficulty making a decision about whether to change jobs.
b b b b b b b b b b b
ANSWER: B b
The correct response describes a mood alteration, which reflects mental illness. Alterations
b b b b b b b b b b b
incognition, mood, or behaviour that are coupled with significant distress and impaired functioning
b b b b b b b b b b b b b b
characterize mental illness. The distracters describe behaviours that are mentally healthy or within
b b b b b b b b b b b b b
the usual scope of human experience.
b b b b b b
DIF: Cognitive Level: Apply (Application) b b b
TOP: Nursing Process: Assessment b b b MSC: Client Needs: Psychosocial Integrity b b b b
Varcarolis Canadian Psychiatric Mental Health Nursing
b b b b b
3rd Edition By Pollard All Chapter 1 - 35
b b b b b b b b
,
,Chapter 01: Mental Health and Mental Illness
b b b b b b
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
b b b b b b b
MULTIPLE CHOICE b
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would thenurse
b b b b b b b b b b b b b b b
expect as an advanced practice intervention?
b b b b b b
a. Conduct mental health assessments b b b
b. Prescribe psychotropic medication b b
c. Establish therapeutic relationships b b
d. Individualize nursing care plans b b b
ANSWER: B b
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken special
b b b b b b b b b b b
courses on prescribing medication; thus it is an advanced-practice intervention. The nurse prepared
b b b b b b b b b b b b b
at the basic level is permitted to perform mental health assessments, establishrelationships, and
b b b b b b b b b b b b b b
provide individualized care planning.
b b b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Implementation b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
2. When a nursing student expresses concerns about how mental health nurses “lose all
b b b b b b b b b b b b
b theirnursing skills,” which of the following is the best response by the mental health nurse?
b b b b b b b b b b b b b b b
a. “Psychiatric nurses practise in safer environments than other specialties. Nurse- b b b b b b b b b
to-patient ratios must be better because of the nature of the patients’ b b b b b b b b b b b
problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto solve b b b b b b b b b b b b
multidimensional problems. I am challenged by those situations.”
b b b b b b b b
c. “That’s a misconception. Psychiatric nurses frequently use high- b b b b b b b
technologymonitoring equipment and manage complex intravenous therapies.” b b b b b b b
d. “Psychiatric nurses do not have to deal with as much pain and suffering b b b b b b b b b b b b
asmedical–surgical nurses do. That appeals to me.”
b b b b b b b b
ANSWER: B b
The practice of psychiatric nursing requires a different set of skills from medical–surgical nursing,
b b b b b b b b b b b b b
though there is substantial overlap. Two domains relate specifically to psychiatric nursing:
b b b b b b b b b b b b
behavioural, including communication, coping, and education; and safety, coveringcrisis and risk
b b b b b b b b b b b b
management. Basic psychosocial nursing concepts are central to psychiatric nursing practice and
b b b b b b b b b b b b
increase your competency as a practitioner in all clinical settings.
b b b b b b b b b b
Whatever setting you choose to work in, you will have the opportunity to improve the lives ofpeople
b b b b b b b b b b b b b b b b b
who are experiencing mental illness as an additional challenge to their health.
b b b b b b b b b b b b
Your experience in the mental health nursing rotation can help you gain insight into yourself and
b b b b b b b b b b b b b b b
greatly increase your insight into the experiences of others. This part of nursing educationcan provide
b b b b b b b b b b b b b b b b
guidelines for and the opportunity to learn new skills for dealing with a variety ofchallenging
b b b b b b b b b b b b b b b b
behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
b b b b b b b b b b b b b
DIF: Cognitive Level: Apply (Application) b b b
TOP: Nursing Process: Implementation b b b MSC: Client Needs: Safe Effective Care Environment b b b b b b
, 3. When a new bill introduced in Parliament reduces funding for care of people with mental illness, a
b b b b b b b b b b b b b b b b
group of people with mild mental illness write letters to their elected representativesin opposition to
b b b b b b b b b b b b b b b b
the legislation for all people with mental illness. Which role does this action portray?
b b b b b b b b b b b b b b
a. Recovery
b. Self-care
c. Advocacy
d. Social action b
ANSWER: C b
An advocate defends or asserts another’s cause, particularly when the other person lacks the ability
b b b b b b b b b b b b b b
to do that for himself or herself. On a community scale, advocacy includes political activity, public
b b b b b b b b b b b b b b b b
speaking, and publication in the interest of improving the human condition. Since funding is
b b b b b b b b b b b b b b
necessary to deliver quality programming for people with mental illness, theletter-writing campaign
b b b b b b b b b b b b b
advocates for the cause for all people with mental illness.
b b b b b b b b b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Implementation
b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
4. Which of the following has been identified as a significant trend that will affect the future
b b b b b b b b b b b b b b b
b ofpsychiatric mental health nursing in Canada?
b b b b b b
a. Decrease in the aging population b b b b
b. Increase in cultural diversity b b b
c. Role of the advanced-practice nurse b b b b
d. Shortage of physicians in rural and urban areas b b b b b b b
ANSWER: B b
Four significant trends havT
b eEbeSeT
nBidAeN
ntK
ifS
ieE
dL
thL
atEwRi.llC
afOfeMct the future of psychiatric mental health b b b b b b b b b b
nursing in Canada; these include an aging population, an increase in cultural diversity,
b b b b b b b b b b b b b
expanding technology, and an increased awareness of the impact of the determinants of healthon
b b b b b b b b b b b b b b
mental illness.
b b
DIF: Cognitive Level: Understand (Comprehension) b b b
TOP: Nursing Process: Assessment b MSC: Client Needs: Safe Effective Care Environment b b b b b b b b
5. Which assessment finding most clearly indicates that a patient may be experiencing a mentalillness?
b b b b b b b b b b b b b b
a. The patient reports occasional sleeplessness and anxiety.
b b b b b b
b. The patient reports a consistently sad, discouraged, and hopeless mood.
b b b b b b b b b
c. The patient is able to describe the difference between “as if” and “for real.”
b b b b b b b b b b b b b
d. The patient perceives difficulty making a decision about whether to change jobs.
b b b b b b b b b b b
ANSWER: B b
The correct response describes a mood alteration, which reflects mental illness. Alterations
b b b b b b b b b b b
incognition, mood, or behaviour that are coupled with significant distress and impaired functioning
b b b b b b b b b b b b b b
characterize mental illness. The distracters describe behaviours that are mentally healthy or within
b b b b b b b b b b b b b
the usual scope of human experience.
b b b b b b
DIF: Cognitive Level: Apply (Application) b b b
TOP: Nursing Process: Assessment b b b MSC: Client Needs: Psychosocial Integrity b b b b
