Test Bank for Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition by Halter, 9780323778794, Covering Chapters 1-35 | Includes Rationales

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,Chapter 01: Mental Health and Mental Illness
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Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach, 3rd
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Edition


MULTIPLE CHOICE x#




1. Which of the following is considered an Advanced Practic
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e Intervention?
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a. Conducting mental health assessments (MSA) x# x# x# x#


b. Prescribing psychotropic medication x# x#


c. Establishing therapeutic relationships x# x#


d. Individualizing nursing care plans x# x# x#




ANS: B x#


Registered nurses and registered psychiatric nurses can further their
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education at a baccalaureate levelor at the graduate level (master‟s d
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octorate) and become qualified to practise psychiatric mental health
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nursing at two levels – basic and advanced –
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developing on their education preparation. Prescriptive privileges ar
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e granted to master‟s-
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prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribing m
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edication. Appropriate use of diagnostic tests must be completed aswell as having hospital admitting
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privileges. Establishing therapeutic relationship, conducting mental health assessments (MSAs), and i
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ndividualizing nursing care plans are foundational psychiatric nursing skills. Therefore, they are cons
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idered Basic-Level Interventions.
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DIF: Cognitive Level: Understand (Comprehension) x# x# x#


TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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2. Which has been identified as a priority for national plans and strategies in psychiatric mental hea
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lth nursing in Canada?
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a. Decrease in the aging population x# x# x# x#


b. Increase in cultural diversity x# x# x#


c. Role of the advanced practice nurse
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d. Shortage of physicians in rural and urban areas x# x# x# x# x# x# x#




ANS: B x#


In early phases of strategic development, the Mental Health Commission of Canada identified cultur
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al diversity as a priority for national plans and strategies. Increasing cultural diversity within Canad
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a warrants deeper attention to culturally safe care and concern for the mental health consequences
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of colonization and racism. An aging population and shortage of physicians are important to future
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#trends. The role of the advanced practice nurse is continuing to evolve in psychiatric mental health
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#nursing in Canada. x# x#




DIF:
Cognitive Level: Understand (Comprehension) x# x# x#


TOP: Nursing Process: Outcome Evaluation
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MSC: Client Needs: Safe Effective Care Environment
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3. Which serves as the official guide for diagnosing psychiatric disorders?
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a. International Classification of Diseases (ICD-11) x# x# x# x#


b. Diagnostic and Statistical Manual of Mental Disorders (DSM) x# x# x# x# x# x# x#


2

,c. A behavioural health reference manual
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3

, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Ba
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nk




d. NurseOne online x#




ANS: B x#


The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the Ameri
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can Psychiatric Association in 1952. Its purpose was to provide clinicians, educators, and researcher
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s with a common framework to understand and communicate about mental disorders. With a comm
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on understanding about mental disorders, researchers and clinicians could work together in their atte
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mpts to improve care for people with mental illness. The current DSM-
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5 serves as the official guide for diagnosing psychiatric disorders. The International Classification of
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Diseases (ICD) sets the global health information standard for mortality and morbidity statistics. Cl
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inicians and researchers use this classification system to define diseases, study disease patterns, mo
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nitor outcomes, and subsequently allocate resources based on the prevalence of disease. The Canadi
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an Institute for Health Information developed an enhanced version of the previous version, ICD-
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10 referred to as the ICD 10-
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CA period that version extends beyond defining and classifying diseases to describe conditions and
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situations that are not diseases, including for example, risk factors to health and psychosocial circu
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mstances. A behavioral health reference manual and NurseOne online are not used as official guide
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s for diagnosis.
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DIF: Cognitive Level: Apply (Application) x# x# x#


TOP: Nursing Process: Assessment
x # MSC: Client Needs: Safe Effective Care Environment
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4. When locating the description and diagnostic criteria for anxiety disorders, which resource would ha
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ve the most complete information?
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a. Nursing Outcomes Classification (NOC) x# x# x#


b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) x# x# x# x# x# x# x#


c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
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d. International Statistical Classification of Diseases and Related Health Problem
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s (ICD-10) x#




ANS: B x#


The DSM- x#


5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for diagnos
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ing psychiatric disorders. The other references are good resources but do not define the diagnostic cr
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iteria.

DIF: Cognitive Level: Understand (Comprehension) x# x# x#


TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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5. Which individual is demonstrating the highest level of resilience?
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a. An individual repressing their stressors who is having a difficult time coping wi
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th activities of daily living (ADLs)
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b. An individual who is in a depressed state after the death of their spouse
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c. An individual who lives in a shelter for 2 years after their home is destroyed b
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y a fire x# x#


d. An individual who navigates and negotiates resources to support their well-being
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ANS: D x#




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