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, 3rd Edi
x x x x x x x x x x x
tion
MULTIPLE CHOICE x
1. Which of the following is considered an Advanced Practice I
x x x x x x x x x
ntervention?
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 edu
x x x x x x x x x
cation at a baccalaureate levelor at the graduate level (master‟s doctorate
x x x x x x x x x x
) and become qualified to practise psychiatric mental health nursing at t
x x x x x x x x x x x
wo levels – basic and advanced –
x x x x x x
xdeveloping on their education preparation. Prescriptive privileges are gr
x x x x x x x x
anted to master‟s- x x
prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribing medicat
x x x x x x x x x x x x x
ion. Appropriate use of diagnostic tests must be completed aswell as having hospital admitting privileges.
x x x x x x x x x x x x x x x
Establishing therapeutic relationship, conducting mental health assessments (MSAs), and individualizing
x x x x x x x x x x
nursing care plans are foundational psychiatric nursing skills. Therefore, they are considered Basic-
x x x x x x x x x x x x
Level Interventions. x
DIF: Cognitive Level: Understand (Comprehension) x x x
TOP: Nursing Process: Implementation
x MSC: Client Needs: Safe Effective Care Environment
x x x x x x x x
2. Which has been identified as a priority for national plans and strategies in psychiatric mental health nu
x x x x x x x x x x x x x x x x
rsing in Canada? 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 cultural di
x x x x x x x x x x x x x x
versity as a priority for national plans and strategies. Increasing cultural diversity within Canada warrants
x x x x x x x x x x x x x x
xdeeper attention to culturally safe care and concern for the mental health consequences of colonization a
x x x x x x x x x x x x x x x
nd racism. An aging population and shortage of physicians are important to future trends. The role of the
x x x x x x x x x x x x x x x x x x
advanced practice nurse is continuing to evolve in psychiatric mental health nursing in Canada.
x x x x x x x x x x x x x
DIF:
Cognitive Level: Understand (Comprehension) x x x x
TOP: Nursing Process: Outcome Evaluation
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
c. A behavioural health reference manual
x x x x
2
,Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
x x x x x x x x x x x x x x
d. NurseOne online x
ANS: B x
The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the American P
x x x x x x x x x x x x x x x
sychiatric Association in 1952. Its purpose was to provide clinicians, educators, and researchers with a co
x x x x x x x x x x x x x x x
mmon framework to understand and communicate about mental disorders. With a common understandin
x x x x x x x x x x x x
g about mental disorders, researchers and clinicians could work together in their attempts to improve care
x x x x x x x x x x x x x x x x
for people with mental illness. The current DSM-
x x x x x x x
5 serves as the official guide for diagnosing psychiatric disorders. The International Classification of Dise
x x x x x x x x x x x x x x
ases (ICD) sets the global health information standard for mortality and morbidity statistics. Clinicians an
x x x x x x x x x x x x x x
d researchers use this classification system to define diseases, study disease patterns, monitor outcomes, a
x x x x x x x x x x x x x x
nd subsequently allocate resources based on the prevalence of disease. The Canadian Institute for Health I
x x x x x x x x x x x x x x x
nformation developed an enhanced version of the previous version, ICD-10 referred to as the ICD 10-
x x x x x x x x x x x x x x x
CA period that version extends beyond defining and classifying diseases to describe conditions and situati
x x x x x x x x x x x x x x
ons that are not diseases, including for example, risk factors to health and psychosocial circumstances. A b
x x x x x x x x x x x x x x x x
ehavioral health reference manual and NurseOne online are not used as official guides for diagnosis.
x x x x x x x x x x x 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 would have th
x x x x x x x x x x x x x x
e most complete information?
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 Problems (I x x x x x x x x x
CD-10)
ANS: B x
The DSM- x
5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for diagnosing ps
x x x x x x x x x x x x x x x x
ychiatric disorders. The other references are good resources but do not define the diagnostic criteria.
x x x x x x x x x x x x x x
DIF: Cognitive Level: Understand (Comprehension) x x x
TOP: Nursing Process: Implementation
x MSC: Client Needs: Safe Effective Care Environment
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 coping with ac
x x x x x x x x x x x x x
tivities of daily living (ADLs) 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 destroyed by a fire
x x x x x x x x x x x x x x 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
3
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
x x x x x x x x x x x x x x
A characteristic of mental health increasingly being promoted as essential to the recovery process is resili
x x x x x x x x x x x x x x x
ence. Resilience is a process and outcome of complex, cultural systems, rather than as an individual capac
x x x x x x x x x x x x x x x x
ity to overcome adversity. In this way, when exposed to adversity, one‟s resilience depends on the navigat
x x x x x x x x x x x x x x x x
ion and negotiation of resources that can support well-
x x x x x x x x
being. Resilience is closely associated with the process of adapting and helps people facing tragedies, loss
x x x x x x x x x x x x x x x
, trauma, and severe stress. An individual who is repressing their stressors may need support for developin
x x x x x x x x x x x x x x x x
g coping strategies. It is important for the individual who is in a depressed state after the death of their spou
x x x x x x x x x x x x x x x x x x x x
se to navigate and negotiate resources that can support their well-
x x x x x x x x x x
being (e.g., grief support or counselling). An individual living in a shelter needs immediate support and as
x x x x x x x x x x x x x x x x
sistance when entering the shelter to navigate services and supports. Shelters are short-term resources.
x x x x x x x x x x x x x
DIF: Cognitive Level: Apply (Application) T
x x x x x
OP: Nursing Process: Outcome Evaluation M
x x x x x
SC: Client Needs: Psychosocial Integrity
x x x x
6. A multidisciplinary team is working with two groups of patients diagnosed with depression. One group of
x x x x x x x x x x x x x x x x
patients receives supportive interventions and psychotropic medication (e.g., antidepressants). The other
x x x x x x x x x x x
group receives only psychotropic medication. Outcomes are measured for each group. Which is being stu
x x x x x x x x x x x x x x
died?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology x
ANS: D x
Clinical epidemiology is a broad field that addresses studies of the natural history (or what happens if ther
x x x x x x x x x x x x x x x x x
e is no treatment and the problem is left to run its course) of an illness, studies of diagnostic screening test
x x x x x x x x x x x x x x x x x x x x
s, and observational and experimental studies of interventions used to treat people with the illness or sym
x x x x x x x x x x x x x x x x
ptoms. Prevalence refers to numbers of new cases. Comorbidity refers to having more than one mental di
x x x x x x x x x x x x x x x x
sorder at a time. Incidence refers to the number of new cases of mental disorders in a healthy population
x x x x x x x x x x x x x x x x x x x
within a given period. x x x
DIF:
Cognitive Level: Understand (Comprehension) x x x x
TOP: Nursing Process: Outcome Evaluation
x x x x
MSC: Client Needs: Safe Effective Care Environment
x x x x x x
7. A category 5 tornado occurred in a community of 400 people, resulting in destruction of many homes an
x x x x x x x x x x x x x x x x x
d businesses. In the 2 years after this disaster, 140 individuals were diagnosed with post-
x x x x x x x x x x x x x x
traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed individuals?
x x x x x x x x x x x x
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology x
ANS: C x
4
,Chapter 01: Mental Health and Mental Illness
x x x x x x
Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach, 3rd Edi
x x x x x x x x x x x
tion
MULTIPLE CHOICE x
1. Which of the following is considered an Advanced Practice I
x x x x x x x x x
ntervention?
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 edu
x x x x x x x x x
cation at a baccalaureate levelor at the graduate level (master‟s doctorate
x x x x x x x x x x
) and become qualified to practise psychiatric mental health nursing at t
x x x x x x x x x x x
wo levels – basic and advanced –
x x x x x x
xdeveloping on their education preparation. Prescriptive privileges are gr
x x x x x x x x
anted to master‟s- x x
prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribing medicat
x x x x x x x x x x x x x
ion. Appropriate use of diagnostic tests must be completed aswell as having hospital admitting privileges.
x x x x x x x x x x x x x x x
Establishing therapeutic relationship, conducting mental health assessments (MSAs), and individualizing
x x x x x x x x x x
nursing care plans are foundational psychiatric nursing skills. Therefore, they are considered Basic-
x x x x x x x x x x x x
Level Interventions. x
DIF: Cognitive Level: Understand (Comprehension) x x x
TOP: Nursing Process: Implementation
x MSC: Client Needs: Safe Effective Care Environment
x x x x x x x x
2. Which has been identified as a priority for national plans and strategies in psychiatric mental health nu
x x x x x x x x x x x x x x x x
rsing in Canada? 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 cultural di
x x x x x x x x x x x x x x
versity as a priority for national plans and strategies. Increasing cultural diversity within Canada warrants
x x x x x x x x x x x x x x
xdeeper attention to culturally safe care and concern for the mental health consequences of colonization a
x x x x x x x x x x x x x x x
nd racism. An aging population and shortage of physicians are important to future trends. The role of the
x x x x x x x x x x x x x x x x x x
advanced practice nurse is continuing to evolve in psychiatric mental health nursing in Canada.
x x x x x x x x x x x x x
DIF:
Cognitive Level: Understand (Comprehension) x x x x
TOP: Nursing Process: Outcome Evaluation
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
c. A behavioural health reference manual
x x x x
2
,Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
x x x x x x x x x x x x x x
d. NurseOne online x
ANS: B x
The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the American P
x x x x x x x x x x x x x x x
sychiatric Association in 1952. Its purpose was to provide clinicians, educators, and researchers with a co
x x x x x x x x x x x x x x x
mmon framework to understand and communicate about mental disorders. With a common understandin
x x x x x x x x x x x x
g about mental disorders, researchers and clinicians could work together in their attempts to improve care
x x x x x x x x x x x x x x x x
for people with mental illness. The current DSM-
x x x x x x x
5 serves as the official guide for diagnosing psychiatric disorders. The International Classification of Dise
x x x x x x x x x x x x x x
ases (ICD) sets the global health information standard for mortality and morbidity statistics. Clinicians an
x x x x x x x x x x x x x x
d researchers use this classification system to define diseases, study disease patterns, monitor outcomes, a
x x x x x x x x x x x x x x
nd subsequently allocate resources based on the prevalence of disease. The Canadian Institute for Health I
x x x x x x x x x x x x x x x
nformation developed an enhanced version of the previous version, ICD-10 referred to as the ICD 10-
x x x x x x x x x x x x x x x
CA period that version extends beyond defining and classifying diseases to describe conditions and situati
x x x x x x x x x x x x x x
ons that are not diseases, including for example, risk factors to health and psychosocial circumstances. A b
x x x x x x x x x x x x x x x x
ehavioral health reference manual and NurseOne online are not used as official guides for diagnosis.
x x x x x x x x x x x 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 would have th
x x x x x x x x x x x x x x
e most complete information?
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 Problems (I x x x x x x x x x
CD-10)
ANS: B x
The DSM- x
5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for diagnosing ps
x x x x x x x x x x x x x x x x
ychiatric disorders. The other references are good resources but do not define the diagnostic criteria.
x x x x x x x x x x x x x x
DIF: Cognitive Level: Understand (Comprehension) x x x
TOP: Nursing Process: Implementation
x MSC: Client Needs: Safe Effective Care Environment
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 coping with ac
x x x x x x x x x x x x x
tivities of daily living (ADLs) 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 destroyed by a fire
x x x x x x x x x x x x x x 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
3
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard Test Bank
x x x x x x x x x x x x x x
A characteristic of mental health increasingly being promoted as essential to the recovery process is resili
x x x x x x x x x x x x x x x
ence. Resilience is a process and outcome of complex, cultural systems, rather than as an individual capac
x x x x x x x x x x x x x x x x
ity to overcome adversity. In this way, when exposed to adversity, one‟s resilience depends on the navigat
x x x x x x x x x x x x x x x x
ion and negotiation of resources that can support well-
x x x x x x x x
being. Resilience is closely associated with the process of adapting and helps people facing tragedies, loss
x x x x x x x x x x x x x x x
, trauma, and severe stress. An individual who is repressing their stressors may need support for developin
x x x x x x x x x x x x x x x x
g coping strategies. It is important for the individual who is in a depressed state after the death of their spou
x x x x x x x x x x x x x x x x x x x x
se to navigate and negotiate resources that can support their well-
x x x x x x x x x x
being (e.g., grief support or counselling). An individual living in a shelter needs immediate support and as
x x x x x x x x x x x x x x x x
sistance when entering the shelter to navigate services and supports. Shelters are short-term resources.
x x x x x x x x x x x x x
DIF: Cognitive Level: Apply (Application) T
x x x x x
OP: Nursing Process: Outcome Evaluation M
x x x x x
SC: Client Needs: Psychosocial Integrity
x x x x
6. A multidisciplinary team is working with two groups of patients diagnosed with depression. One group of
x x x x x x x x x x x x x x x x
patients receives supportive interventions and psychotropic medication (e.g., antidepressants). The other
x x x x x x x x x x x
group receives only psychotropic medication. Outcomes are measured for each group. Which is being stu
x x x x x x x x x x x x x x
died?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology x
ANS: D x
Clinical epidemiology is a broad field that addresses studies of the natural history (or what happens if ther
x x x x x x x x x x x x x x x x x
e is no treatment and the problem is left to run its course) of an illness, studies of diagnostic screening test
x x x x x x x x x x x x x x x x x x x x
s, and observational and experimental studies of interventions used to treat people with the illness or sym
x x x x x x x x x x x x x x x x
ptoms. Prevalence refers to numbers of new cases. Comorbidity refers to having more than one mental di
x x x x x x x x x x x x x x x x
sorder at a time. Incidence refers to the number of new cases of mental disorders in a healthy population
x x x x x x x x x x x x x x x x x x x
within a given period. x x x
DIF:
Cognitive Level: Understand (Comprehension) x x x x
TOP: Nursing Process: Outcome Evaluation
x x x x
MSC: Client Needs: Safe Effective Care Environment
x x x x x x
7. A category 5 tornado occurred in a community of 400 people, resulting in destruction of many homes an
x x x x x x x x x x x x x x x x x
d businesses. In the 2 years after this disaster, 140 individuals were diagnosed with post-
x x x x x x x x x x x x x x
traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed individuals?
x x x x x x x x x x x x
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology x
ANS: C x
4
