TEST BANK Varcarolis Canadian Psychiatric Mental
Health Nursing 3rd Edition By Pollard All Chapter 1 - 35
,TEST BANK Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Edition By
Pollard
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
wouldsthenurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualizesnursing caresplans
ANSWER: B
Prescriptivesprivileges are granted to master’s-
prepared nurse practitioners who havestaken special courses on prescribing medication; thus it
is an advanced-
practice intervention. The nursesprepared atsthe basic level is permittedsto perform mental
health as sessments, establishrelationships, andsprovide individualized care planning.
DIF: CognitivesLevel: Understands(Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe EffectivesCare
Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all
theirnursi ngsskills,” which of thesfollowingsis thesbest response by the mental health nurse?
a. “Psychiatric nurses practise in safer environments than other specialties. Nurse
-to-patientsratios must be better because of the nature of the patients’ problems.” .
b. “Psychiatric nurses use complex communicationsskills as well as criticalsthinkingsto solv
esmultidimensional problems. I am challenged by those situations.”
c. “That’s asmisconception. Psychiatric nurses frequently use high- technologymonitoring
equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses dosnot have to deal with as much pain and sufferingsassmedi cal–
surgical nurses do. That appeals to me.”
2
,TEST BANK Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Edition By
Pollard
ANSWER: B
The practice of psychiatric nursing requires a different set ofsskills from medical–
surgical nursing, though there is substantial overlap. Two domains relate specifically to
psychiatric nursing: behavioural,sincluding communication, coping, and education; andssafety,
coveringcrisis a nd risk management. Basic psychosocial nursingsconcepts are central
tospsychiatric nursingspractic esand increase your competency as a practitioner in all clinical
settings.
Whatever setting you choose to work in,syou will have the opportunity to improvesthe lives
ofpeople who aresexperiencing mental illness as an additional challengesto their health.
Your experience in the mental health nursingsrotation can help you gain insight into yourself
and gre atly increase your insightsinto the experiences of others. This partsof nursing
educationcan provide g uidelines for and the opportunity to learn new skills forsdealingswith a
variety ofchallengingsbehaviou rs. Psychosocial pain and suffering are as realsas physical pain
and suffering.
DIF: CognitivesLevel: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe EffectivesCare
Environment
3. When a new bill introduced in Parliament reduces funding for care of people with
mental illness, a gr oup of people with mild mental illness write letters tostheir elected
representativesinsopposition to th eslegislation for all people with mental illness. Which role
does this action portray?
a. Recovery
b. Self-care
c. Advocacy
d. Social action
ANSWER: C
An advocate defends or asserts another’s cause, particularly when the other person lacks the
ability t o dosthatsfor himself or herself. On a community scale, advocacy includes political
3
, TEST BANK Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Edition By
Pollard
activity, publicssp eaking, and publication in the interest of improving the human condition.
Since fundingsis necessar y to deliver quality programming for people with mental illness,
theletter-
writingscampaign advocates for the cause forsall peopleswith mental illness.
DIF: CognitivesLevel: Understands(Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe EffectivesCare
Environment
4. Which of the following has been identified as a significant trend that will affect the
future ofpsychia tric mental health nursing in Canada?
a. Decrease in the agingspopulation
b. Increase in cultural diversity
c. Role of the advanced-practicesnurse
d. Shortage of physicians in rural and urban areas
ANSWER: B
Four significant trends havTeEbeSeTnBidAeNntKifiSeEdsLthLatEwRil.lCafOfeMctsthe future of
psychiatric mental healt
h nursing in Canada; these includesan agingspopulation, an increase in cultural diversity,
expandingstechnology, and ansincreasedsawareness of the impact of thesdeterminants of
healthon me ntal illness.
DIF: CognitivesLevel: Understands(Comprehension)
TOP: NursingsProcess: Assessment MSC: Client Needs: Safe EffectivesCare Environment
5. Which assessmentsfindingsmost clearly indicates thatsa patientsmay be experiencing a
mentalillness?
a. The patient reports occasional sleeplessness and anxiety.
b. The patient reports asconsistently sad, discouraged, and hopeless mood.
c. The patient is able tosdescribesthe difference between “as if” and “for real.”
d. The patient perceives difficulty making a decision about whether to change jobs.
ANSWER: B
4
Health Nursing 3rd Edition By Pollard All Chapter 1 - 35
,TEST BANK Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Edition By
Pollard
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
wouldsthenurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualizesnursing caresplans
ANSWER: B
Prescriptivesprivileges are granted to master’s-
prepared nurse practitioners who havestaken special courses on prescribing medication; thus it
is an advanced-
practice intervention. The nursesprepared atsthe basic level is permittedsto perform mental
health as sessments, establishrelationships, andsprovide individualized care planning.
DIF: CognitivesLevel: Understands(Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe EffectivesCare
Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all
theirnursi ngsskills,” which of thesfollowingsis thesbest response by the mental health nurse?
a. “Psychiatric nurses practise in safer environments than other specialties. Nurse
-to-patientsratios must be better because of the nature of the patients’ problems.” .
b. “Psychiatric nurses use complex communicationsskills as well as criticalsthinkingsto solv
esmultidimensional problems. I am challenged by those situations.”
c. “That’s asmisconception. Psychiatric nurses frequently use high- technologymonitoring
equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses dosnot have to deal with as much pain and sufferingsassmedi cal–
surgical nurses do. That appeals to me.”
2
,TEST BANK Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Edition By
Pollard
ANSWER: B
The practice of psychiatric nursing requires a different set ofsskills from medical–
surgical nursing, though there is substantial overlap. Two domains relate specifically to
psychiatric nursing: behavioural,sincluding communication, coping, and education; andssafety,
coveringcrisis a nd risk management. Basic psychosocial nursingsconcepts are central
tospsychiatric nursingspractic esand increase your competency as a practitioner in all clinical
settings.
Whatever setting you choose to work in,syou will have the opportunity to improvesthe lives
ofpeople who aresexperiencing mental illness as an additional challengesto their health.
Your experience in the mental health nursingsrotation can help you gain insight into yourself
and gre atly increase your insightsinto the experiences of others. This partsof nursing
educationcan provide g uidelines for and the opportunity to learn new skills forsdealingswith a
variety ofchallengingsbehaviou rs. Psychosocial pain and suffering are as realsas physical pain
and suffering.
DIF: CognitivesLevel: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe EffectivesCare
Environment
3. When a new bill introduced in Parliament reduces funding for care of people with
mental illness, a gr oup of people with mild mental illness write letters tostheir elected
representativesinsopposition to th eslegislation for all people with mental illness. Which role
does this action portray?
a. Recovery
b. Self-care
c. Advocacy
d. Social action
ANSWER: C
An advocate defends or asserts another’s cause, particularly when the other person lacks the
ability t o dosthatsfor himself or herself. On a community scale, advocacy includes political
3
, TEST BANK Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Edition By
Pollard
activity, publicssp eaking, and publication in the interest of improving the human condition.
Since fundingsis necessar y to deliver quality programming for people with mental illness,
theletter-
writingscampaign advocates for the cause forsall peopleswith mental illness.
DIF: CognitivesLevel: Understands(Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe EffectivesCare
Environment
4. Which of the following has been identified as a significant trend that will affect the
future ofpsychia tric mental health nursing in Canada?
a. Decrease in the agingspopulation
b. Increase in cultural diversity
c. Role of the advanced-practicesnurse
d. Shortage of physicians in rural and urban areas
ANSWER: B
Four significant trends havTeEbeSeTnBidAeNntKifiSeEdsLthLatEwRil.lCafOfeMctsthe future of
psychiatric mental healt
h nursing in Canada; these includesan agingspopulation, an increase in cultural diversity,
expandingstechnology, and ansincreasedsawareness of the impact of thesdeterminants of
healthon me ntal illness.
DIF: CognitivesLevel: Understands(Comprehension)
TOP: NursingsProcess: Assessment MSC: Client Needs: Safe EffectivesCare Environment
5. Which assessmentsfindingsmost clearly indicates thatsa patientsmay be experiencing a
mentalillness?
a. The patient reports occasional sleeplessness and anxiety.
b. The patient reports asconsistently sad, discouraged, and hopeless mood.
c. The patient is able tosdescribesthe difference between “as if” and “for real.”
d. The patient perceives difficulty making a decision about whether to change jobs.
ANSWER: B
4
