TEST BANK 17
Varcarolis Canadian Psychiatric Mental Health Nursin
17 17 17 17 17
g 3rd Edition By Pollard All Chapter 1 - 35
17 17 17 17 17 17 17 17 17
,
,Chapter1701:17Mental17Health17and17Mental17Illness
Varcarolis’s17Canadian17Psychiatric17Mental17Health17Nursing,173rd17Edition
MULTIPLE17CHOICE
1. A17staff17nurse17completes17orientation17to17a17psychiatric17unit.17Which17of17the17following17wouldst
henurse17expect17as17an17advanced17practice17intervention?
a. Conduct17mental17health17assessments
b. Prescribe17psychotropic17medication
c. Establish17therapeutic17relationships
d. Individualizesnursing 17caresplans
ANSWER:s17 B
Prescriptivesprivileges17are17granted17to17master‘s-
prepared17nurse17practitioners17who17havestaken17special17courses17on17prescribing17medication;17thus1
7it17is17an17advanced-
practice17intervention.17The17nursesprepared17atsthe17basic17level17is17permittedsto17perform17mental17health17a
s17sessments,17establishrelationships,17andsprovide17individualized17care17planning.
DIF: CognitivesLevel:17Understands(Comprehension)
TOP:1 7 Nursing17Process:17Implementation MSC:1 7 Client17Needs:17Safe17EffectivesCare17Environment
2. When17a17nursing17student17expresses17concerns17about17how17mental17health17nurses17―lose17all17th
eirnursi17ngsskills,‖17which17of17thesfollowingsis17thesbest17response17by17the17mental17health17nur
se?
a. ―Psychiatric17nurses17practise17in17safer17environments17than17other17specialties.17Nurse
-to-
patientsratios17must17be17better17because17of17the17nature17of17the17patien
ts‘17problems.‖ .
b. ―Psychiatric17nurses17use17complex17communicationsskills17as17well17as17criticalsthinkingsto17 solv
esmultidimensional17problems.17I17am17challenged17by17those17situations.‖
c. ―That‘s17asmisconception.17Psychiatric17nurses17frequently17use17high-
17technologymonitoring17equipment17and17manage17complex17intravenous17thera
pies.‖
d. ―Psychiatric17nurses17dosnot17have17to17deal17with17as17much17pain17and17sufferings
assmedi17cal–surgical17nurses17do.17That17appeals17to17me.‖
ANSWER:s17 B
The17practice17of17psychiatric17nursing17requires17a17different17set17ofsskills17from17medical–
surgical17nursing,17though17there17is17substantial17overlap.17Two17domains17relate17specifically17to17psy
chiatric17nursing:17behavioural,sincluding17communication,17coping,17and17education;17andssafety,17c
overingcrisis17a17nd17risk17management.17Basic17psychosocial17nursingsconcepts17are17central17tospsyc
hiatric17nursingspractic17esand17increase17your17competency17as17a17practitioner17in17all17clinical17setti
ngs.
Whatever17setting17you17choose17to17work17in,syou17will17have17the17opportunity17to17improvesthe17lives17o
fpeople17who17aresexperiencing17mental17illness17as17an17additional17challengesto17their17health.
Your17experience17in17the17mental17health17nursingsrotation17can17help17you17gain17insight17into17yours
elf17and17gre17atly17increase17your17insightsinto17the17experiences17of17others.17This17partsof17nursing17e
ducationcan17provide17g17uidelines17for17and17the17opportunity17to17learn17new17skills17forsdealingswith17a
17variety17ofchallengingsbehaviou1 7 rs.17Psychosocial17pain17and17suffering17are17as17realsas17physical17p
ain17and17suffering.
DIF: CognitivesLevel:17Apply17(Application)
TOP:1 7 Nursing17Process:17Implementation MSC:1 7 Client17Needs:17Safe17EffectivesCare17Environment
, 3. When17a17new17bill17introduced17in17Parliament17reduces17funding17for17care17of17people17with17mental17il
lness,17a17gr17oup17of17people17with17mild17mental17illness17write17letters17tostheir17elected17representati
vesinsopposition17to17th17eslegislation17for17all17people17with17mental17illness.17Which17role17does17this17
action17portray?
a. Recovery
b. Self-care
c. Advocacy
d. Social17action
ANSWER:s17 C
An17advocate17defends17or17asserts17another‘s17cause,17particularly17when17the17other17person17lacks17the
17ability17t17o17dosthatsfor17himself17or17herself.17On17a17community17scale,17advocacy17includes17politica
l17activity,17publicssp17eaking,17and17publication17in17the17interest17of17improving17the17human17conditio
n.17Since17fundingsis17necessar17y17to17deliver17quality17programming17for17people17with17mental17illn
ess,17theletter-
writingscampaign17advocates17for17the17cause17forsall17peopleswith17mental17illness.
DIF: CognitivesLevel:17Understands(Comprehension)
TOP:1 7 Nursing17Process:17Implementation MSC:1 7 Client17Needs:17Safe17EffectivesCare17Environment
4. Which17of17the17following17has17been17identified17as17a17significant17trend17that17will17affect17the17future
ofpsychia17tric17mental17health17nursing17in17Canada?
17
a. Decrease17in17the17agingspopulation
b. Increase17in17cultural17diversity
c. Role17of17the17advanced-practicesnurse
d. Shortage17of17physicians17in17rural17and17urban17areas
ANSWER:s17 B
Four17significant17trends17havTe EbeSeTn BidAe N
ntKifiSeE
d sLthLa tEwRil. l CafOfeMc t s the 17future17of17psychiatric17mental17healt
h17nursing17in17Canada;17these17includesan17agingspopulation,17an17increase17in17cultural17diversity,17exp
andingstechnology,17and17ansincreasedsawareness17of17the17impact17of17thesdeterminants17of17healthon17
me17ntal17illness.
DIF: CognitivesLevel:17Understands(Comprehension)
TOP:1 7 NursingsProcess:17Assessment MSC:1 7 Client17Needs:17Safe17EffectivesCare17Environment
5. Which17assessmentsfindingsmost17clearly17indicates17thatsa17patientsmay17be17experiencing17a17mentalillness?
a. The17patient17reports17occasional17sleeplessness17and17anxiety.
b. The17patient17reports17asconsistently17sad,17discouraged,17and17hopeless17mood.
c. The17patient17is17able17tosdescribesthe17difference17between17―as17if‖17and17―for17real.‖
d. The17patient17perceives17difficulty17making17a17decision17about17whether17to17change17jobs.
ANSWER:s17 B
The17correct17response17describes17a17mood17alteration,swhich17reflects17mental17illness.17Alterations1
7incognit17ion,17mood,17or17behaviour17thatsare17coupled17with17significantsdistress17and17impaired17fu
nctioning17characte17rizesmental17illness.17The17distracters17describe17behaviours17that17are17mentally17he
althy17or17within17the17usual17s17cope17of17humansexperience.
DIF: CognitivesLevel:17Apply17(Application)
TOP:1 7 NursingsProcess:17Assessment MSC:1 7 Client17Needs:17Psychosocial17Integrity
Varcarolis Canadian Psychiatric Mental Health Nursin
17 17 17 17 17
g 3rd Edition By Pollard All Chapter 1 - 35
17 17 17 17 17 17 17 17 17
,
,Chapter1701:17Mental17Health17and17Mental17Illness
Varcarolis’s17Canadian17Psychiatric17Mental17Health17Nursing,173rd17Edition
MULTIPLE17CHOICE
1. A17staff17nurse17completes17orientation17to17a17psychiatric17unit.17Which17of17the17following17wouldst
henurse17expect17as17an17advanced17practice17intervention?
a. Conduct17mental17health17assessments
b. Prescribe17psychotropic17medication
c. Establish17therapeutic17relationships
d. Individualizesnursing 17caresplans
ANSWER:s17 B
Prescriptivesprivileges17are17granted17to17master‘s-
prepared17nurse17practitioners17who17havestaken17special17courses17on17prescribing17medication;17thus1
7it17is17an17advanced-
practice17intervention.17The17nursesprepared17atsthe17basic17level17is17permittedsto17perform17mental17health17a
s17sessments,17establishrelationships,17andsprovide17individualized17care17planning.
DIF: CognitivesLevel:17Understands(Comprehension)
TOP:1 7 Nursing17Process:17Implementation MSC:1 7 Client17Needs:17Safe17EffectivesCare17Environment
2. When17a17nursing17student17expresses17concerns17about17how17mental17health17nurses17―lose17all17th
eirnursi17ngsskills,‖17which17of17thesfollowingsis17thesbest17response17by17the17mental17health17nur
se?
a. ―Psychiatric17nurses17practise17in17safer17environments17than17other17specialties.17Nurse
-to-
patientsratios17must17be17better17because17of17the17nature17of17the17patien
ts‘17problems.‖ .
b. ―Psychiatric17nurses17use17complex17communicationsskills17as17well17as17criticalsthinkingsto17 solv
esmultidimensional17problems.17I17am17challenged17by17those17situations.‖
c. ―That‘s17asmisconception.17Psychiatric17nurses17frequently17use17high-
17technologymonitoring17equipment17and17manage17complex17intravenous17thera
pies.‖
d. ―Psychiatric17nurses17dosnot17have17to17deal17with17as17much17pain17and17sufferings
assmedi17cal–surgical17nurses17do.17That17appeals17to17me.‖
ANSWER:s17 B
The17practice17of17psychiatric17nursing17requires17a17different17set17ofsskills17from17medical–
surgical17nursing,17though17there17is17substantial17overlap.17Two17domains17relate17specifically17to17psy
chiatric17nursing:17behavioural,sincluding17communication,17coping,17and17education;17andssafety,17c
overingcrisis17a17nd17risk17management.17Basic17psychosocial17nursingsconcepts17are17central17tospsyc
hiatric17nursingspractic17esand17increase17your17competency17as17a17practitioner17in17all17clinical17setti
ngs.
Whatever17setting17you17choose17to17work17in,syou17will17have17the17opportunity17to17improvesthe17lives17o
fpeople17who17aresexperiencing17mental17illness17as17an17additional17challengesto17their17health.
Your17experience17in17the17mental17health17nursingsrotation17can17help17you17gain17insight17into17yours
elf17and17gre17atly17increase17your17insightsinto17the17experiences17of17others.17This17partsof17nursing17e
ducationcan17provide17g17uidelines17for17and17the17opportunity17to17learn17new17skills17forsdealingswith17a
17variety17ofchallengingsbehaviou1 7 rs.17Psychosocial17pain17and17suffering17are17as17realsas17physical17p
ain17and17suffering.
DIF: CognitivesLevel:17Apply17(Application)
TOP:1 7 Nursing17Process:17Implementation MSC:1 7 Client17Needs:17Safe17EffectivesCare17Environment
, 3. When17a17new17bill17introduced17in17Parliament17reduces17funding17for17care17of17people17with17mental17il
lness,17a17gr17oup17of17people17with17mild17mental17illness17write17letters17tostheir17elected17representati
vesinsopposition17to17th17eslegislation17for17all17people17with17mental17illness.17Which17role17does17this17
action17portray?
a. Recovery
b. Self-care
c. Advocacy
d. Social17action
ANSWER:s17 C
An17advocate17defends17or17asserts17another‘s17cause,17particularly17when17the17other17person17lacks17the
17ability17t17o17dosthatsfor17himself17or17herself.17On17a17community17scale,17advocacy17includes17politica
l17activity,17publicssp17eaking,17and17publication17in17the17interest17of17improving17the17human17conditio
n.17Since17fundingsis17necessar17y17to17deliver17quality17programming17for17people17with17mental17illn
ess,17theletter-
writingscampaign17advocates17for17the17cause17forsall17peopleswith17mental17illness.
DIF: CognitivesLevel:17Understands(Comprehension)
TOP:1 7 Nursing17Process:17Implementation MSC:1 7 Client17Needs:17Safe17EffectivesCare17Environment
4. Which17of17the17following17has17been17identified17as17a17significant17trend17that17will17affect17the17future
ofpsychia17tric17mental17health17nursing17in17Canada?
17
a. Decrease17in17the17agingspopulation
b. Increase17in17cultural17diversity
c. Role17of17the17advanced-practicesnurse
d. Shortage17of17physicians17in17rural17and17urban17areas
ANSWER:s17 B
Four17significant17trends17havTe EbeSeTn BidAe N
ntKifiSeE
d sLthLa tEwRil. l CafOfeMc t s the 17future17of17psychiatric17mental17healt
h17nursing17in17Canada;17these17includesan17agingspopulation,17an17increase17in17cultural17diversity,17exp
andingstechnology,17and17ansincreasedsawareness17of17the17impact17of17thesdeterminants17of17healthon17
me17ntal17illness.
DIF: CognitivesLevel:17Understands(Comprehension)
TOP:1 7 NursingsProcess:17Assessment MSC:1 7 Client17Needs:17Safe17EffectivesCare17Environment
5. Which17assessmentsfindingsmost17clearly17indicates17thatsa17patientsmay17be17experiencing17a17mentalillness?
a. The17patient17reports17occasional17sleeplessness17and17anxiety.
b. The17patient17reports17asconsistently17sad,17discouraged,17and17hopeless17mood.
c. The17patient17is17able17tosdescribesthe17difference17between17―as17if‖17and17―for17real.‖
d. The17patient17perceives17difficulty17making17a17decision17about17whether17to17change17jobs.
ANSWER:s17 B
The17correct17response17describes17a17mood17alteration,swhich17reflects17mental17illness.17Alterations1
7incognit17ion,17mood,17or17behaviour17thatsare17coupled17with17significantsdistress17and17impaired17fu
nctioning17characte17rizesmental17illness.17The17distracters17describe17behaviours17that17are17mentally17he
althy17or17within17the17usual17s17cope17of17humansexperience.
DIF: CognitivesLevel:17Apply17(Application)
TOP:1 7 NursingsProcess:17Assessment MSC:1 7 Client17Needs:17Psychosocial17Integrity
