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

1

,Chapter 01: Mental Health and Mental Illness
@x @x @x @x @x @x


Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach, 3
@x @x @x @x @x @x @x @x @x @x


rd Edition
@x




MULTIPLE CHOICE @x




1. Which of the following is considered an Advanced Prac
@x @x @x @x @x @x @x @x


tice Intervention?
@x


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 the
@x @x @x @x @x @x @x @x


ir education at a baccalaureate levelor at the graduate level (mast
@x @x @x @x @x @x @x @x @x @x


er‟s doctorate) and become qualified to practise psychiatric menta
@x @x @x @x @x @x @x @x


l health nursing at two levels – basic and advanced –
@x @x @x @x @x @x @x @x @x @x


@xdeveloping on their education preparation. Prescriptive privileges
@x @x @x @x @x @x @x


are granted to master‟s-
@x @x @x


prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribin
@x @x @x @x @x @x @x @x @x @x @x @x


g medication. Appropriate use of diagnostic tests must be completed aswell as having hospital a
@x @x @x @x @x @x @x @x @x @x @x @x @x @x


dmitting privileges. Establishing therapeutic relationship, conducting mental health assessments (
@x @x @x @x @x @x @x @x @x


MSAs), and individualizing nursing care plans are foundational psychiatric nursing skills. Theref
@x @x @x @x @x @x @x @x @x @x @x


ore, they are considered Basic-Level Interventions.
@x @x @x @x @x




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


TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
@ x @x @x @ x @x @x @x @x @x




2. Which has been identified as a priority for national plans and strategies in psychiatric menta
@x @x @x @x @x @x @x @x @x @x @x @x @x @x


l health nursing in Canada?
@x @x @x @x


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
@x @x @x @x @x


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 c
@x @x @x @x @x @x @x @x @x @x @x @x @x


ultural diversity as a priority for national plans and strategies. Increasing cultural diversity with
@x @x @x @x @x @x @x @x @x @x @x @x @x


in Canada warrants deeper attention to culturally safe care and concern for the mental health c
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x


onsequences of colonization and racism. An aging population and shortage of physicians are i
@x @x @x @x @x @x @x @x @x @x @x @x @x


mportant to future trends. The role of the advanced practice nurse is continuing to evolve in p
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x @x


sychiatric mental health nursing in Canada.
@x @x @x @x @x




DIF:
Cognitive Level: Understand (Comprehensio @x @x @x


n) TOP: Nursing Process: Outcome Evaluation
@x @ x @x @x @x


MSC: Client Needs: Safe Effective Care Environment
@ x @x @x @x @x @x




3. Which serves as the official guide for diagnosing psychiatric disorders?
@x @x @x @x @x @x @x @x @x


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
@x @x @x @x




3

, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Te
@x @x @x @x @x @x @x @x @x @x @x @x @x

st Bank




d. NurseOne online @x




ANS: B @x


The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the
@x @x @x @x @x @x @x @x @x @x @x @x @x @x


American Psychiatric Association in 1952. Its purpose was to provide clinicians, educators, and
@x @x @x @x @x @x @x @x @x @x @x @x


researchers with a common framework to understand and communicate about mental disorders.
@x @x @x @x @x @x @x @x @x @x @x @x


With a common understanding about mental disorders, researchers and clinicians could work t
@x @x @x @x @x @x @x @x @x @x @x @x @x


ogether in their attempts to improve care for people with mental illness. The current DSM-
@x @x @x @x @x @x @x @x @x @x @x @x @x @x


5 serves as the official guide for diagnosing psychiatric disorders. The International Classificati
@x @x @x @x @x @x @x @x @x @x @x @x


on of Diseases (ICD) sets the global health information standard for mortality and morbidity st
@x @x @x @x @x @x @x @x @x @x @x @x @x @x


atistics. Clinicians and researchers use this classification system to define diseases, study diseas
@x @x @x @x @x @x @x @x @x @x @x @x


e patterns, monitor outcomes, and subsequently allocate resources based on the prevalence of di
@x @x @x @x @x @x @x @x @x @x @x @x @x


sease. The Canadian Institute for Health Information developed an enhanced version of the pre
@x @x @x @x @x @x @x @x @x @x @x @x @x


vious version, ICD-10 referred to as the ICD 10-
@x @x @x @x @x @x @x @x


CA period that version extends beyond defining and classifying diseases to describe conditions
@x @x @x @x @x @x @x @x @x @x @x @x @x


and situations that are not diseases, including for example, risk factors to health and psychosoc
@x @x @x @x @x @x @x @x @x @x @x @x @x @x


ial circumstances. A behavioral health reference manual and NurseOne online are not used as
@x @x @x @x @x @x @x @x @x @x @x @x @x @x


official guides for diagnosis.
@x @x @x




DIF: Cognitive Level: Apply (Application) @x @x @x


TOP: Nursing Process: Assessment
@ x MSC: Client Needs: Safe Effective Care Environment
@x @x @ x @x @x @x @x @x




4. When locating the description and diagnostic criteria for anxiety disorders, which resource woul
@x @x @x @x @x @x @x @x @x @x @x @x


d have the most complete information?
@x @x @x @x @x


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
@x @x @x @x @x @x @x @x @x


d. International Statistical Classification of Diseases and Related Health Probl
@x @x @x @x @x @x @x @x


ems (ICD-10) @x




ANS: B @x


The DSM- @x


5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for di
@x @x @x @x @x @x @x @x @x @x @x @x @x @x @x


agnosing psychiatric disorders. The other references are good resources but do not define the di
@x @x @x @x @x @x @x @x @x @x @x @x @x @x


agnostic criteria. @x




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


TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
@ x @x @x @ x @x @x @x @x @x




5. Which individual is demonstrating the highest level of resilience?
@x @x @x @x @x @x @x @x


a. An individual repressing their stressors who is having a difficult time copin
@x @x @x @x @x @x @x @x @x @x @x


g with activities of daily living (ADLs)
@x @x @x @x @x @x


b. An individual who is in a depressed state after the death of their spouse
@x @x @x @x @x @x @x @x @x @x @x @x @x


c. An individual who lives in a shelter for 2 years after their home is destroy
@x @x @x @x @x @x @x @x @x @x @x @x @x @x


ed by a fire @x @x @x


d. An individual who navigates and negotiates resources to support their well-being
@x @x @x @x @x @x @x @x @x @x




ANS: D @x




4