TEST BANK
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
nurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
ANSWER: B
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
special courses on prescribing medication; thus it is an advanced-practice intervention. The
nurse prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all their
nursing skills,” which of the following is the best response by the mental health nurse?
a. “Psychiatric nurses practise in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the patients’
problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto
solve multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high-technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
medical–surgical nurses do. That appeals to me.”
ANSWER: B
The practice of psychiatric nursing requires a different set of skills from medical–surgical
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
nursing: behavioural, including communication, coping, and education; and safety, covering
crisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
nursing practice and increase your competency as a practitioner in all clinical settings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
people who are experiencing mental illness as an additional challenge to their health.
Your experience in the mental health nursing rotation can help you gain insight into yourself and
greatly increase your insight into the experiences of others. This part of nursing educationcan
provide guidelines for and the opportunity to learn new skills for dealing with a variety of
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
, 3. When da dnew dbill dintroduced din dParliament dreduces dfunding dfor dcare dof dpeople dwith
dmental dillness, da dgroup dof dpeople dwith dmild dmental dillness dwrite dletters dto dtheir delected
drepresentativesdin dopposition dto dthe dlegislation dfor dall dpeople dwith dmental dillness. dWhich
drole ddoes dthis daction dportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social daction
ANSWER: d C
An dadvocate ddefends dor dasserts danother’s dcause, dparticularly dwhen dthe dother dperson dlacks
dthe dability dto ddo dthat dfor dhimself dor dherself. dOn da dcommunity dscale, dadvocacy dincludes
dpolitical dactivity, dpublic dspeaking, dand dpublication din dthe dinterest dof dimproving dthe
dhuman dcondition. dSince dfunding dis dnecessary dto ddeliver dquality dprogramming dfor dpeople
dwith dmental dillness, dthedletter-writing dcampaign dadvocates dfor dthe dcause dfor dall dpeople
dwith dmental dillness.
DIF: Cognitive dLevel: dUnderstand d(Comprehension)
TOP: d Nursing dProcess: dImplementation MSC: d Client dNeeds: dSafe dEffective dCare dEnvironment
4. Which dof dthe dfollowing dhas dbeen didentified das da dsignificant dtrend dthat dwill daffect dthe
dfuture dofdpsychiatric dmental dhealth dnursing din dCanada?
a. Decrease din dthe daging dpopulation
b. Increase din dcultural ddiversity
c. Role dof dthe dadvanced-practice dnurse
d. Shortage dof dphysicians din drural dand durban dareas
ANSWER: d B
Four dsignificant dtrends dhavTe E
beSeT
nBidAeN
ntK
ifS
ieE
d dL
thL
atEwRi.lldC
afOfeMct dthe dfuture dof dpsychiatric
dmental dhealth dnursing din dCanada; dthese dinclude dan daging dpopulation, dan dincrease din
dcultural ddiversity,
expanding dtechnology, dand dan dincreased dawareness dof dthe dimpact dof dthe ddeterminants dof
dhealthdon dmental dillness.
DIF: Cognitive dLevel: dUnderstand d(Comprehension)
TOP: d Nursing dProcess: dAssessment MSC: d Client dNeeds: dSafe dEffective dCare dEnvironment
5. Which dassessment dfinding dmost dclearly dindicates dthat da dpatient dmay dbe dexperiencing da
dmentaldillness?
a. The dpatient dreports doccasional dsleeplessness dand danxiety.
b. The dpatient dreports da dconsistently dsad, ddiscouraged, dand dhopeless dmood.
c. The dpatient dis dable dto ddescribe dthe ddifference dbetween d“as dif” dand d“for dreal.”
d. The dpatient dperceives ddifficulty dmaking da ddecision dabout dwhether dto dchange djobs.
ANSWER: d B
The dcorrect dresponse ddescribes da dmood dalteration, dwhich dreflects dmental dillness.
dAlterations dindcognition, dmood, dor dbehaviour dthat dare dcoupled dwith dsignificant ddistress
dand dimpaired dfunctioning dcharacterize dmental dillness. dThe ddistracters ddescribe dbehaviours
dthat dare dmentally dhealthy dor dwithin dthe dusual dscope dof dhuman dexperience.
DIF: Cognitive dLevel: dApply d(Application)
TOP: d Nursing dProcess: dAssessment MSC: d Client dNeeds: dPsychosocial dIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
nurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
ANSWER: B
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
special courses on prescribing medication; thus it is an advanced-practice intervention. The
nurse prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all their
nursing skills,” which of the following is the best response by the mental health nurse?
a. “Psychiatric nurses practise in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the patients’
problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto
solve multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high-technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
medical–surgical nurses do. That appeals to me.”
ANSWER: B
The practice of psychiatric nursing requires a different set of skills from medical–surgical
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
nursing: behavioural, including communication, coping, and education; and safety, covering
crisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
nursing practice and increase your competency as a practitioner in all clinical settings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
people who are experiencing mental illness as an additional challenge to their health.
Your experience in the mental health nursing rotation can help you gain insight into yourself and
greatly increase your insight into the experiences of others. This part of nursing educationcan
provide guidelines for and the opportunity to learn new skills for dealing with a variety of
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
, 3. When da dnew dbill dintroduced din dParliament dreduces dfunding dfor dcare dof dpeople dwith
dmental dillness, da dgroup dof dpeople dwith dmild dmental dillness dwrite dletters dto dtheir delected
drepresentativesdin dopposition dto dthe dlegislation dfor dall dpeople dwith dmental dillness. dWhich
drole ddoes dthis daction dportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social daction
ANSWER: d C
An dadvocate ddefends dor dasserts danother’s dcause, dparticularly dwhen dthe dother dperson dlacks
dthe dability dto ddo dthat dfor dhimself dor dherself. dOn da dcommunity dscale, dadvocacy dincludes
dpolitical dactivity, dpublic dspeaking, dand dpublication din dthe dinterest dof dimproving dthe
dhuman dcondition. dSince dfunding dis dnecessary dto ddeliver dquality dprogramming dfor dpeople
dwith dmental dillness, dthedletter-writing dcampaign dadvocates dfor dthe dcause dfor dall dpeople
dwith dmental dillness.
DIF: Cognitive dLevel: dUnderstand d(Comprehension)
TOP: d Nursing dProcess: dImplementation MSC: d Client dNeeds: dSafe dEffective dCare dEnvironment
4. Which dof dthe dfollowing dhas dbeen didentified das da dsignificant dtrend dthat dwill daffect dthe
dfuture dofdpsychiatric dmental dhealth dnursing din dCanada?
a. Decrease din dthe daging dpopulation
b. Increase din dcultural ddiversity
c. Role dof dthe dadvanced-practice dnurse
d. Shortage dof dphysicians din drural dand durban dareas
ANSWER: d B
Four dsignificant dtrends dhavTe E
beSeT
nBidAeN
ntK
ifS
ieE
d dL
thL
atEwRi.lldC
afOfeMct dthe dfuture dof dpsychiatric
dmental dhealth dnursing din dCanada; dthese dinclude dan daging dpopulation, dan dincrease din
dcultural ddiversity,
expanding dtechnology, dand dan dincreased dawareness dof dthe dimpact dof dthe ddeterminants dof
dhealthdon dmental dillness.
DIF: Cognitive dLevel: dUnderstand d(Comprehension)
TOP: d Nursing dProcess: dAssessment MSC: d Client dNeeds: dSafe dEffective dCare dEnvironment
5. Which dassessment dfinding dmost dclearly dindicates dthat da dpatient dmay dbe dexperiencing da
dmentaldillness?
a. The dpatient dreports doccasional dsleeplessness dand danxiety.
b. The dpatient dreports da dconsistently dsad, ddiscouraged, dand dhopeless dmood.
c. The dpatient dis dable dto ddescribe dthe ddifference dbetween d“as dif” dand d“for dreal.”
d. The dpatient dperceives ddifficulty dmaking da ddecision dabout dwhether dto dchange djobs.
ANSWER: d B
The dcorrect dresponse ddescribes da dmood dalteration, dwhich dreflects dmental dillness.
dAlterations dindcognition, dmood, dor dbehaviour dthat dare dcoupled dwith dsignificant ddistress
dand dimpaired dfunctioning dcharacterize dmental dillness. dThe ddistracters ddescribe dbehaviours
dthat dare dmentally dhealthy dor dwithin dthe dusual dscope dof dhuman dexperience.
DIF: Cognitive dLevel: dApply d(Application)
TOP: d Nursing dProcess: dAssessment MSC: d Client dNeeds: dPsychosocial dIntegrity
