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