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 fa fnew fbill fintroduced fin fParliament freduces ffunding ffor fcare fof fpeople fwith fmental
fillness, fa fgroup fof fpeople fwith fmild fmental fillness fwrite fletters fto ftheir felected
frepresentativesfin fopposition fto fthe flegislation ffor fall fpeople fwith fmental fillness. fWhich frole
fdoes fthis faction fportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social faction
ANSWER: f C
An fadvocate fdefends for fasserts fanother’s fcause, fparticularly fwhen fthe fother fperson flacks fthe
fability fto fdo fthat ffor fhimself for fherself. fOn fa fcommunity fscale, fadvocacy fincludes fpolitical
factivity, fpublic fspeaking, fand fpublication fin fthe finterest fof fimproving fthe fhuman fcondition.
fSince ffunding fis fnecessary fto fdeliver fquality fprogramming ffor fpeople fwith fmental fillness,
fthefletter-writing fcampaign fadvocates ffor fthe fcause ffor fall fpeople fwith fmental fillness.
DIF: Cognitive fLevel: fUnderstand f(Comprehension)
TOP: f Nursing fProcess: fImplementation MSC: f Client fNeeds: fSafe fEffective fCare fEnvironment
4. Which fof fthe ffollowing fhas fbeen fidentified fas fa fsignificant ftrend fthat fwill faffect fthe ffuture
foffpsychiatric fmental fhealth fnursing fin fCanada?
a. Decrease fin fthe faging fpopulation
b. Increase fin fcultural fdiversity
c. Role fof fthe fadvanced-practice fnurse
d. Shortage fof fphysicians fin frural fand furban fareas
ANSWER: f B
Four fsignificant ftrends fhavTe E
beSeT
nBidAeN
ntK
ifS
ieE
d fL
thL
atEwRi.llfC
afOfeMct fthe ffuture fof fpsychiatric fmental
fhealth fnursing fin fCanada; fthese finclude fan faging fpopulation, fan fincrease fin fcultural
fdiversity,
expanding ftechnology, fand fan fincreased fawareness fof fthe fimpact fof fthe fdeterminants fof
fhealthfon fmental fillness.
DIF: Cognitive fLevel: fUnderstand f(Comprehension)
TOP: f Nursing fProcess: fAssessment MSC: f Client fNeeds: fSafe fEffective fCare fEnvironment
5. Which fassessment ffinding fmost fclearly findicates fthat fa fpatient fmay fbe fexperiencing fa
fmentalfillness?
a. The fpatient freports foccasional fsleeplessness fand fanxiety.
b. The fpatient freports fa fconsistently fsad, fdiscouraged, fand fhopeless fmood.
c. The fpatient fis fable fto fdescribe fthe fdifference fbetween f“as fif” fand f“for freal.”
d. The fpatient fperceives fdifficulty fmaking fa fdecision fabout fwhether fto fchange fjobs.
ANSWER: f B
The fcorrect fresponse fdescribes fa fmood falteration, fwhich freflects fmental fillness. fAlterations
finfcognition, fmood, for fbehaviour fthat fare fcoupled fwith fsignificant fdistress fand fimpaired
ffunctioning fcharacterize fmental fillness. fThe fdistracters fdescribe fbehaviours fthat fare fmentally
fhealthy for fwithin fthe fusual fscope fof fhuman fexperience.
DIF: Cognitive fLevel: fApply f(Application)
TOP: f Nursing fProcess: fAssessment MSC: f Client fNeeds: fPsychosocial fIntegrity
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 fa fnew fbill fintroduced fin fParliament freduces ffunding ffor fcare fof fpeople fwith fmental
fillness, fa fgroup fof fpeople fwith fmild fmental fillness fwrite fletters fto ftheir felected
frepresentativesfin fopposition fto fthe flegislation ffor fall fpeople fwith fmental fillness. fWhich frole
fdoes fthis faction fportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social faction
ANSWER: f C
An fadvocate fdefends for fasserts fanother’s fcause, fparticularly fwhen fthe fother fperson flacks fthe
fability fto fdo fthat ffor fhimself for fherself. fOn fa fcommunity fscale, fadvocacy fincludes fpolitical
factivity, fpublic fspeaking, fand fpublication fin fthe finterest fof fimproving fthe fhuman fcondition.
fSince ffunding fis fnecessary fto fdeliver fquality fprogramming ffor fpeople fwith fmental fillness,
fthefletter-writing fcampaign fadvocates ffor fthe fcause ffor fall fpeople fwith fmental fillness.
DIF: Cognitive fLevel: fUnderstand f(Comprehension)
TOP: f Nursing fProcess: fImplementation MSC: f Client fNeeds: fSafe fEffective fCare fEnvironment
4. Which fof fthe ffollowing fhas fbeen fidentified fas fa fsignificant ftrend fthat fwill faffect fthe ffuture
foffpsychiatric fmental fhealth fnursing fin fCanada?
a. Decrease fin fthe faging fpopulation
b. Increase fin fcultural fdiversity
c. Role fof fthe fadvanced-practice fnurse
d. Shortage fof fphysicians fin frural fand furban fareas
ANSWER: f B
Four fsignificant ftrends fhavTe E
beSeT
nBidAeN
ntK
ifS
ieE
d fL
thL
atEwRi.llfC
afOfeMct fthe ffuture fof fpsychiatric fmental
fhealth fnursing fin fCanada; fthese finclude fan faging fpopulation, fan fincrease fin fcultural
fdiversity,
expanding ftechnology, fand fan fincreased fawareness fof fthe fimpact fof fthe fdeterminants fof
fhealthfon fmental fillness.
DIF: Cognitive fLevel: fUnderstand f(Comprehension)
TOP: f Nursing fProcess: fAssessment MSC: f Client fNeeds: fSafe fEffective fCare fEnvironment
5. Which fassessment ffinding fmost fclearly findicates fthat fa fpatient fmay fbe fexperiencing fa
fmentalfillness?
a. The fpatient freports foccasional fsleeplessness fand fanxiety.
b. The fpatient freports fa fconsistently fsad, fdiscouraged, fand fhopeless fmood.
c. The fpatient fis fable fto fdescribe fthe fdifference fbetween f“as fif” fand f“for freal.”
d. The fpatient fperceives fdifficulty fmaking fa fdecision fabout fwhether fto fchange fjobs.
ANSWER: f B
The fcorrect fresponse fdescribes fa fmood falteration, fwhich freflects fmental fillness. fAlterations
finfcognition, fmood, for fbehaviour fthat fare fcoupled fwith fsignificant fdistress fand fimpaired
ffunctioning fcharacterize fmental fillness. fThe fdistracters fdescribe fbehaviours fthat fare fmentally
fhealthy for fwithin fthe fusual fscope fof fhuman fexperience.
DIF: Cognitive fLevel: fApply f(Application)
TOP: f Nursing fProcess: fAssessment MSC: f Client fNeeds: fPsychosocial fIntegrity
