TEST BANK
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapterlv01:lvMentallvHealthlvandlvMentallvIllness
Varcarolis’slvCanadianlvPsychiatriclvMentallvHealthlvNursing,lv3rdlvEdition
MULTIPLElvCHOICE
1. Alvstafflvnurselvcompleteslvorientationlvtolvalvpsychiatriclvunit.lvWhichlvoflvthelvfollowinglvwouldlvth
el v nurselvexpectlvaslvanlvadvancedlvpracticelvintervention?
a. Conductlvmentallvhealthlvassessments
b. Prescribelvpsychotropiclvmedication
c. Establishlvtherapeuticlvrelationships
d. Individualizelvnursinglvcarelvplans
ANSWER:l v B
Prescriptivelvprivilegeslvarelvgrantedlvtolvmaster’s-
preparedlvnurselvpractitionerslvwholvhavelvtakenl v speciallvcourseslvonlvprescribinglvmedication;lvth
uslvitlvislvanlvadvanced-
practicelvintervention.lvThel v nurselvpreparedlvatlvthelvbasiclvlevellvislvpermittedlvtolvperformlvmentallv
healthlvassessments,lvestablishl v relationships,lvandlvprovidelvindividualizedlvcarelvplanning.
DIF: CognitivelvLevel:lvUnderstandlv(Comprehension)
TOP:lvl v NursinglvProcess:lvImplementation MSC:l v ClientlvNeeds:lvSafelvEffectivelvCarelvEnvironment
2. Whenlvalvnursinglvstudentlvexpresseslvconcernslvaboutlvhowlvmentallvhealthlvnurseslv“loselvalllvthe
irl v nursinglvskills,”lvwhichlvoflvthelvfollowinglvislvthelvbestlvresponselvbylvthelvmentallvhealthlvnurse?
a. “Psychiatriclvnurseslvpractiselvinlvsaferlvenvironmentslvthanlvotherlvspecialties.
Nurse-to-
patientlvratioslvmustlvbelvbetterlvbecauselvoflvthelvnaturelvoflvthelvpatients’l v pro
blems.” .
b. “Psychiatriclvnurseslvuselvcomplexlvcommunicationlvskillslvaslvwelllvaslvcriticallvthinkingto
solvelvmultidimensionallvproblems.lvIlvamlvchallengedlvbylvthoselvsituations.”
c. “That’slvalvmisconception.lvPsychiatriclvnurseslvfrequentlylvuselvhigh-
technologyl v monitoringlvequipmentlvandlvmanagelvcomplexlvintravenouslvth
erapies.”
d. “Psychiatriclvnurseslvdolvnotlvhavelvtolvdeallvwithlvaslvmuchlvpainlvandlvsufferinglv
asl v medical–surgicallvnurseslvdo.lvThatlvappealslvtolvme.”
ANSWER:l v B
Thelvpracticelvoflvpsychiatriclvnursinglvrequireslvalvdifferentlvsetlvoflvskillslvfromlvmedical–
surgicall v nursing,lvthoughlvtherelvislvsubstantiallvoverlap.lvTwolvdomainslvrelatelvspecificallylvtolv
psychiatricl v nursing:lvbehavioural,lvincludinglvcommunication,lvcoping,lvandlveducation;lvandlvs
afety,lvcoveringl v crisislvandlvrisklvmanagement.lvBasiclvpsychosociallvnursinglvconceptslvarelvce
ntrallvtolvpsychiatricl v nursinglvpracticelvandlvincreaselvyourlvcompetencylvaslvalvpractitionerlvinlv
alllvclinicallvsettings.
Whateverlvsettinglvyoulvchooselvtolvworklvin,lvyoulvwilllvhavelvthelvopportunitylvtolvimprovelvthelvliveslv
ofl v peoplelvwholvarelvexperiencinglvmentallvillnesslvaslvanlvadditionallvchallengelvtolvtheirlvhealth.
Yourlvexperiencelvinlvthelvmentallvhealthlvnursinglvrotationlvcanlvhelplvyoulvgainlvinsightlvintolvyourselflvan
dl v greatlylvincreaselvyourlvinsightlvintolvthelvexperienceslvoflvothers.lvThislvpartlvoflvnursinglveducationca
nl v providelvguidelineslvforlvandlvthelvopportunitylvtolvlearnlvnewlvskillslvforlvdealinglvwithlvalvvarietylvofl v
challenginglvbehaviours.lvPsychosociallvpainlvandlvsufferinglvarelvaslvreallvaslvphysicallvpainlvandlvsuffer
ing.
DIF: CognitivelvLevel:lvApplylv(Application)
TOP:lvl v NursinglvProcess:lvImplementation MSC:l v ClientlvNeeds:lvSafelvEffectivelvCarelvEnvironment
, 3. WhenlvalvnewlvbilllvintroducedlvinlvParliamentlvreduceslvfundinglvforlvcarelvoflvpeoplelvwithlvmentallvilln
ess,l v alvgrouplvoflvpeoplelvwithlvmildlvmentallvillnesslvwritelvletterslvtolvtheirlvelectedlvrepresentativesinl
v oppositionlvtolvthelvlegislationlvforlvalllvpeoplelvwithlvmentallvillness.lvWhichlvrolelvdoeslvthislvactionl v p
ortray?
a. Recovery
b. Self-care
c. Advocacy
d. Sociallvaction
ANSWER:l v C
Anlvadvocatelvdefendslvorlvassertslvanother’slvcause,lvparticularlylvwhenlvthelvotherlvpersonlvlackslv
thel v abilitylvtolvdolvthatlvforlvhimselflvorlvherself.lvOnlvalvcommunitylvscale,lvadvocacylvincludeslvpo
liticall v activity,lvpubliclvspeaking,lvandlvpublicationlvinlvthelvinterestlvoflvimprovinglvthelvhumanlvco
ndition.l v Sincelvfundinglvislvnecessarylvtolvdeliverlvqualitylvprogramminglvforlvpeoplelvwithlvmenta
llvillness,lvthel v letter-
writinglvcampaignlvadvocateslvforlvthelvcauselvforlvalllvpeoplelvwithlvmentallvillness.
DIF: CognitivelvLevel:lvUnderstandlv(Comprehension)
TOP:lvl v NursinglvProcess:lvImplementation MSC:l v ClientlvNeeds:lvSafelvEffectivelvCarelvEnvironment
4. Whichlvoflvthelvfollowinglvhaslvbeenlvidentifiedlvaslvalvsignificantlvtrendlvthatlvwilllvaffectlvthelvfutur
elvofl v psychiatriclvmentallvhealthlvnursinglvinlvCanada?
a. Decreaselvinlvthelvaginglvpopulation
b. Increaselvinlvculturallvdiversity
c. Rolelvoflvthelvadvanced-practicelvnurse
d. Shortagelvoflvphysicianslvinlvrurallvandlvurbanlvareas
ANSWER:l v B
FourlvsignificantlvtrendslvhavTe EbSeeTnBidAeN
ntK
ifSieEdlvLthLatEw
Ri.ll C
afOfeMctlvthelvfuturelvoflvpsychiatriclvmental
healthlvnursinglvinlvCanada;lvtheselvincludelvanlvaginglvpopulation,lvanlvincreaselvinlvculturallvdiversity,l
v expandinglvtechnology,lvandlvanlvincreasedlvawarenesslvoflvthelvimpactlvoflvthelvdeterminantslvoflvhe
althonl v mentallvillness.
DIF: CognitivelvLevel:lvUnderstandlv(Comprehension)
TOP:lvl v NursinglvProcess:lvAssessment MSC:l v ClientlvNeeds:lvSafelvEffectivelvCarelvEnvironment
5. Whichlvassessmentlvfindinglvmostlvclearlylvindicateslvthatlvalvpatientlvmaylvbelvexperiencinglvalvme
ntall v illness?
a. Thelvpatientlvreportslvoccasionallvsleeplessnesslvandlvanxiety.
b. Thelvpatientlvreportslvalvconsistentlylvsad,lvdiscouraged,lvandlvhopelesslvmood.
c. Thelvpatientlvislvablelvtolvdescribelvthelvdifferencelvbetweenlv“aslvif”lvandlv“forlvreal.”
d. Thelvpatientlvperceiveslvdifficultylvmakinglvalvdecisionlvaboutlvwhetherlvtolvchangelvjobs.
ANSWER:l v B
Thelvcorrectlvresponselvdescribeslvalvmoodlvalteration,lvwhichlvreflectslvmentallvillness.lvAlterationslvinl
v cognition,lvmood,lvorlvbehaviourlvthatlvarelvcoupledlvwithlvsignificantlvdistresslvandlvimpairedl v func
tioninglvcharacterizelvmentallvillness.lvThelvdistracterslvdescribelvbehaviourslvthatlvarelvmentallyl v he
althylvorlvwithinlvthelvusuallvscopelvoflvhumanlvexperience.
DIF: CognitivelvLevel:lvApplylv(Application)
TOP:lvl v NursinglvProcess:lvAssessment MSC:l v ClientlvNeeds:lvPsychosociallvIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapterlv01:lvMentallvHealthlvandlvMentallvIllness
Varcarolis’slvCanadianlvPsychiatriclvMentallvHealthlvNursing,lv3rdlvEdition
MULTIPLElvCHOICE
1. Alvstafflvnurselvcompleteslvorientationlvtolvalvpsychiatriclvunit.lvWhichlvoflvthelvfollowinglvwouldlvth
el v nurselvexpectlvaslvanlvadvancedlvpracticelvintervention?
a. Conductlvmentallvhealthlvassessments
b. Prescribelvpsychotropiclvmedication
c. Establishlvtherapeuticlvrelationships
d. Individualizelvnursinglvcarelvplans
ANSWER:l v B
Prescriptivelvprivilegeslvarelvgrantedlvtolvmaster’s-
preparedlvnurselvpractitionerslvwholvhavelvtakenl v speciallvcourseslvonlvprescribinglvmedication;lvth
uslvitlvislvanlvadvanced-
practicelvintervention.lvThel v nurselvpreparedlvatlvthelvbasiclvlevellvislvpermittedlvtolvperformlvmentallv
healthlvassessments,lvestablishl v relationships,lvandlvprovidelvindividualizedlvcarelvplanning.
DIF: CognitivelvLevel:lvUnderstandlv(Comprehension)
TOP:lvl v NursinglvProcess:lvImplementation MSC:l v ClientlvNeeds:lvSafelvEffectivelvCarelvEnvironment
2. Whenlvalvnursinglvstudentlvexpresseslvconcernslvaboutlvhowlvmentallvhealthlvnurseslv“loselvalllvthe
irl v nursinglvskills,”lvwhichlvoflvthelvfollowinglvislvthelvbestlvresponselvbylvthelvmentallvhealthlvnurse?
a. “Psychiatriclvnurseslvpractiselvinlvsaferlvenvironmentslvthanlvotherlvspecialties.
Nurse-to-
patientlvratioslvmustlvbelvbetterlvbecauselvoflvthelvnaturelvoflvthelvpatients’l v pro
blems.” .
b. “Psychiatriclvnurseslvuselvcomplexlvcommunicationlvskillslvaslvwelllvaslvcriticallvthinkingto
solvelvmultidimensionallvproblems.lvIlvamlvchallengedlvbylvthoselvsituations.”
c. “That’slvalvmisconception.lvPsychiatriclvnurseslvfrequentlylvuselvhigh-
technologyl v monitoringlvequipmentlvandlvmanagelvcomplexlvintravenouslvth
erapies.”
d. “Psychiatriclvnurseslvdolvnotlvhavelvtolvdeallvwithlvaslvmuchlvpainlvandlvsufferinglv
asl v medical–surgicallvnurseslvdo.lvThatlvappealslvtolvme.”
ANSWER:l v B
Thelvpracticelvoflvpsychiatriclvnursinglvrequireslvalvdifferentlvsetlvoflvskillslvfromlvmedical–
surgicall v nursing,lvthoughlvtherelvislvsubstantiallvoverlap.lvTwolvdomainslvrelatelvspecificallylvtolv
psychiatricl v nursing:lvbehavioural,lvincludinglvcommunication,lvcoping,lvandlveducation;lvandlvs
afety,lvcoveringl v crisislvandlvrisklvmanagement.lvBasiclvpsychosociallvnursinglvconceptslvarelvce
ntrallvtolvpsychiatricl v nursinglvpracticelvandlvincreaselvyourlvcompetencylvaslvalvpractitionerlvinlv
alllvclinicallvsettings.
Whateverlvsettinglvyoulvchooselvtolvworklvin,lvyoulvwilllvhavelvthelvopportunitylvtolvimprovelvthelvliveslv
ofl v peoplelvwholvarelvexperiencinglvmentallvillnesslvaslvanlvadditionallvchallengelvtolvtheirlvhealth.
Yourlvexperiencelvinlvthelvmentallvhealthlvnursinglvrotationlvcanlvhelplvyoulvgainlvinsightlvintolvyourselflvan
dl v greatlylvincreaselvyourlvinsightlvintolvthelvexperienceslvoflvothers.lvThislvpartlvoflvnursinglveducationca
nl v providelvguidelineslvforlvandlvthelvopportunitylvtolvlearnlvnewlvskillslvforlvdealinglvwithlvalvvarietylvofl v
challenginglvbehaviours.lvPsychosociallvpainlvandlvsufferinglvarelvaslvreallvaslvphysicallvpainlvandlvsuffer
ing.
DIF: CognitivelvLevel:lvApplylv(Application)
TOP:lvl v NursinglvProcess:lvImplementation MSC:l v ClientlvNeeds:lvSafelvEffectivelvCarelvEnvironment
, 3. WhenlvalvnewlvbilllvintroducedlvinlvParliamentlvreduceslvfundinglvforlvcarelvoflvpeoplelvwithlvmentallvilln
ess,l v alvgrouplvoflvpeoplelvwithlvmildlvmentallvillnesslvwritelvletterslvtolvtheirlvelectedlvrepresentativesinl
v oppositionlvtolvthelvlegislationlvforlvalllvpeoplelvwithlvmentallvillness.lvWhichlvrolelvdoeslvthislvactionl v p
ortray?
a. Recovery
b. Self-care
c. Advocacy
d. Sociallvaction
ANSWER:l v C
Anlvadvocatelvdefendslvorlvassertslvanother’slvcause,lvparticularlylvwhenlvthelvotherlvpersonlvlackslv
thel v abilitylvtolvdolvthatlvforlvhimselflvorlvherself.lvOnlvalvcommunitylvscale,lvadvocacylvincludeslvpo
liticall v activity,lvpubliclvspeaking,lvandlvpublicationlvinlvthelvinterestlvoflvimprovinglvthelvhumanlvco
ndition.l v Sincelvfundinglvislvnecessarylvtolvdeliverlvqualitylvprogramminglvforlvpeoplelvwithlvmenta
llvillness,lvthel v letter-
writinglvcampaignlvadvocateslvforlvthelvcauselvforlvalllvpeoplelvwithlvmentallvillness.
DIF: CognitivelvLevel:lvUnderstandlv(Comprehension)
TOP:lvl v NursinglvProcess:lvImplementation MSC:l v ClientlvNeeds:lvSafelvEffectivelvCarelvEnvironment
4. Whichlvoflvthelvfollowinglvhaslvbeenlvidentifiedlvaslvalvsignificantlvtrendlvthatlvwilllvaffectlvthelvfutur
elvofl v psychiatriclvmentallvhealthlvnursinglvinlvCanada?
a. Decreaselvinlvthelvaginglvpopulation
b. Increaselvinlvculturallvdiversity
c. Rolelvoflvthelvadvanced-practicelvnurse
d. Shortagelvoflvphysicianslvinlvrurallvandlvurbanlvareas
ANSWER:l v B
FourlvsignificantlvtrendslvhavTe EbSeeTnBidAeN
ntK
ifSieEdlvLthLatEw
Ri.ll C
afOfeMctlvthelvfuturelvoflvpsychiatriclvmental
healthlvnursinglvinlvCanada;lvtheselvincludelvanlvaginglvpopulation,lvanlvincreaselvinlvculturallvdiversity,l
v expandinglvtechnology,lvandlvanlvincreasedlvawarenesslvoflvthelvimpactlvoflvthelvdeterminantslvoflvhe
althonl v mentallvillness.
DIF: CognitivelvLevel:lvUnderstandlv(Comprehension)
TOP:lvl v NursinglvProcess:lvAssessment MSC:l v ClientlvNeeds:lvSafelvEffectivelvCarelvEnvironment
5. Whichlvassessmentlvfindinglvmostlvclearlylvindicateslvthatlvalvpatientlvmaylvbelvexperiencinglvalvme
ntall v illness?
a. Thelvpatientlvreportslvoccasionallvsleeplessnesslvandlvanxiety.
b. Thelvpatientlvreportslvalvconsistentlylvsad,lvdiscouraged,lvandlvhopelesslvmood.
c. Thelvpatientlvislvablelvtolvdescribelvthelvdifferencelvbetweenlv“aslvif”lvandlv“forlvreal.”
d. Thelvpatientlvperceiveslvdifficultylvmakinglvalvdecisionlvaboutlvwhetherlvtolvchangelvjobs.
ANSWER:l v B
Thelvcorrectlvresponselvdescribeslvalvmoodlvalteration,lvwhichlvreflectslvmentallvillness.lvAlterationslvinl
v cognition,lvmood,lvorlvbehaviourlvthatlvarelvcoupledlvwithlvsignificantlvdistresslvandlvimpairedl v func
tioninglvcharacterizelvmentallvillness.lvThelvdistracterslvdescribelvbehaviourslvthatlvarelvmentallyl v he
althylvorlvwithinlvthelvusuallvscopelvoflvhumanlvexperience.
DIF: CognitivelvLevel:lvApplylv(Application)
TOP:lvl v NursinglvProcess:lvAssessment MSC:l v ClientlvNeeds:lvPsychosociallvIntegrity
