Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 l2- l235
,
,Chapter l201: l2Mental l2Health l2and l2Mental l2Illness
Varcarolis’s l2Canadian l2Psychiatric l2Mental l2Health l2Nursing, l23rd l2Edition
MULTIPLE l2CHOICE
1. A l2staff l2nurse l2completes l2orientation l2to l2a l2psychiatric l2unit. l2Which l2of l2the
l2following l2would l2the2
lnurse l2expect l2as l2an l2advanced l2practice l2intervention?
a. Conduct l2mental l2health l2assessments
b. Prescribe l2psychotropic l2medication
c. Establish l2therapeutic l2relationships
d. Individualize l2nursing l2care l2plans
ANSWER: l 2 B
Prescriptive l2privileges l2are l2granted l2to l2master’s-prepared l2nurse l2practitioners l2who
l2have l2taken l2special l2courses l2on l2prescribing l2medication; l2thus l2it l2is l2an l2advanced-
practice l2intervention. l2The l2nurse l2prepared l2at l2the l2basic l2level l2is l2permitted l2to
l2perform l2mental l2health l2assessments, l2establish2 lrelationships, l2and l2provide
l2individualized l2care l2planning.
DIF: Cognitive l2Level: l2Understand l2(Comprehension)
TOP: l 2 Nursing l2Process: l2Implementation MSC: l 2 Client l2Needs: l2Safe l2Effective l2Care
l2Environment
2. When l2a l2nursing l2student l2expresses l2concerns l2about l2how l2mental l2health l2nurses
l2“lose l2all l2their2
lnursing l2skills,” l2which l2of l2the l2following l2is l2the l2best l2response l2by
l2the l2mental l2health l2nurse?
a. “Psychiatric l2nurses l2practise l2in l2safer l2environments l2than l2other
l2specialties. l2Nurse-to-patient l2ratios l2must l2be l2better l2because l2of
l2the l2nature l2of l2the l2patients’
problems. .
”
b. “Psychiatric l2nurses l2use l2complex l2communication l2skills l2as l2well l2as l2critical
l2thinking2lto l2solve l2multidimensional l2problems. l2I l2am l2challenged l2by l2those
l2situations.”
c. “That’s l2a l2misconception. l2Psychiatric l2nurses l2frequently l2use l2high-
technology2lmonitoring l2equipment l2and l2manage l2complex l2intravenous
l2therapies.”
d. “Psychiatric l2nurses l2do l2not l2have l2to l2deal l2with l2as l2much l2pain l2and
l2suffering l2as2 lmedical–surgical l2nurses l2do. l2That l2appeals l2to l2me.”
ANSWER: l 2 B
The l2practice l2of l2psychiatric l2nursing l2requires l2a l2different l2set l2of l2skills l2from
l2medical–surgical l2nursing, l2though l2there l2is l2substantial l2overlap. l2Two l2domains
l2relate l2specifically l2to l2psychiatric l2nursing: l2behavioural, l2including l2communication,
l2coping, l2and l2education; l2and l2safety, l2covering2 lcrisis l2and l2risk l2management. l2Basic
l2psychosocial l2nursing l2concepts l2are l2central l2to l2psychiatric l2nursing l2practice l2and
l2increase l2your l2competency l2as l2a l2practitioner l2in l2all l2clinical l2settings.
Whatever l2setting l2you l2choose l2to l2work l2in, l2you l2will l2have l2the l2opportunity l2to
l2improve l2the l2lives l2of2 lpeople l2who l2are l2experiencing l2mental l2illness l2as l2an l2additional
l2challenge l2to l2their l2health.
, Your l2experience l2in l2the l2mental l2health l2nursing l2rotation l2can l2help l2you l2gain l2insight
l2into l2yourself l2and l2greatly l2increase l2your l2insight l2into l2the l2experiences l2of l2others.
l2This l2part l2of l2nursing l2education2 lcan l2provide l2guidelines l2for l2and l2the l2opportunity l2to
l2learn l2new l2skills l2for l2dealing l2with l2a l2variety l2of2
lchallenging l2behaviours. l2Psychosocial
l2pain l2and l2suffering l2are l2as l2real l2as l2physical l2pain l2and l2suffering.
DIF: Cognitive l2Level: l2Apply l2(Application)
TOP: l 2 Nursing l2Process: l2Implementation MSC: l 2 Client l2Needs: l2Safe l2Effective l2Care
l2Environment