1
,Chapter 01: Mental Health and Mental Illness
@& @& @& @& @& @&
Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach,
@& @& @& @& @& @& @& @& @&
3rd Edition
@& @&
MULTIPLE CHOICE @&
1. Which of the following is considered an Advanced Pr
@& @& @& @& @& @& @& @&
actice Intervention?
@&
a. Conducting mental health assessments (MSA) @& @& @& @&
b. Prescribing psychotropic medication @& @&
c. Establishing therapeutic relationships @& @&
d. Individualizing nursing care plans @& @& @&
ANS: B @&
Registered nurses and registered psychiatric nurses can further t
@& @& @& @& @& @& @& @&
heir education at a baccalaureate levelor at the graduate level (
@& @& @& @& @& @& @& @& @& @&
master‟s doctorate) and become qualified to practise psychiatric
@& @& @& @& @& @& @& @
&mental health nursing at two levels – basic and advanced –
@& @& @& @& @& @& @& @& @& @&
@&developing on their education preparation. Prescriptive privilege
@& @& @& @& @& @&
s are granted to master‟s-
@& @& @& @&
prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescri
@& @& @& @& @& @& @& @& @& @& @& @&
bing medication. Appropriate use of diagnostic tests must be completed aswell as having hosp
@& @& @& @& @& @& @& @& @& @& @& @& @&
ital admitting privileges. Establishing therapeutic relationship, conducting mental health assess
@& @& @& @& @& @& @& @& @&
ments (MSAs), and individualizing nursing care plans are foundational psychiatric nursing skil
@& @& @& @& @& @& @& @& @& @& @&
ls. Therefore, they are considered Basic-Level Interventions.
@& @& @& @& @& @&
DIF: Cognitive Level: Understand (Comprehension) @& @& @&
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
@ & @& @& @ & @& @& @& @& @&
2. Which has been identified as a priority for national plans and strategies in psychiatric me
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
ntal health nursing in Canada?
@& @& @& @&
a. Decrease in the aging population @& @& @& @&
b. Increase in cultural diversity @& @& @&
c. Role of the advanced practice nurse
@& @& @& @& @&
d. Shortage of physicians in rural and urban areas
@& @& @& @& @& @& @&
ANS: B @&
In early phases of strategic development, the Mental Health Commission of Canada identifie
@& @& @& @& @& @& @& @& @& @& @& @&
d cultural diversity as a priority for national plans and strategies. Increasing cultural diversit
@& @& @& @& @& @& @& @& @& @& @& @& @&
y within Canada warrants deeper attention to culturally safe care and concern for the menta
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
l health consequences of colonization and racism. An aging population and shortage of phys
@& @& @& @& @& @& @& @& @& @& @& @& @&
icians are important to future trends. The role of the advanced practice nurse is continuing
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
to evolve in psychiatric mental health nursing in Canada.
@& @& @& @& @& @& @& @&
DIF:
Cognitive Level: Understand (Comprehensio @& @& @&
n) TOP: Nursing Process: Outcome Evaluation
@& @ & @& @& @&
MSC: Client Needs: Safe Effective Care Environment
@ & @& @& @& @& @&
3. Which serves as the official guide for diagnosing psychiatric disorders?
@& @& @& @& @& @& @& @& @&
a. International Classification of Diseases (ICD-11) @& @& @& @&
b. Diagnostic and Statistical Manual of Mental Disorders (DSM)
@& @& @& @& @& @& @&
c. A behavioural health reference manual
@& @& @& @&
2
,Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard
@& @& @& @& @& @& @& @& @& @& @& @&
Test Bank
d. NurseOne online @&
ANS: B @&
The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by th
@& @& @& @& @& @& @& @& @& @& @& @& @&
e American Psychiatric Association in 1952. Its purpose was to provide clinicians, educators,
@& @& @& @& @& @& @& @& @& @& @& @&
@&and researchers with a common framework to understand and communicate about mental di
@& @& @& @& @& @& @& @& @& @& @& @&
sorders. With a common understanding about mental disorders, researchers and clinicians cou
@& @& @& @& @& @& @& @& @& @& @&
ld work together in their attempts to improve care for people with mental illness. The curre
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
nt DSM-
@&
5 serves as the official guide for diagnosing psychiatric disorders. The International Classific
@& @& @& @& @& @& @& @& @& @& @& @&
ation of Diseases (ICD) sets the global health information standard for mortality and morbidi
@& @& @& @& @& @& @& @& @& @& @& @& @&
ty statistics. Clinicians and researchers use this classification system to define diseases, study
@& @& @& @& @& @& @& @& @& @& @& @&
@&disease patterns, monitor outcomes, and subsequently allocate resources based on the preval
@& @& @& @& @& @& @& @& @& @& @&
ence of disease. The Canadian Institute for Health Information developed an enhanced versio
@& @& @& @& @& @& @& @& @& @& @& @&
n of the previous version, ICD-10 referred to as the ICD 10-
@& @& @& @& @& @& @& @& @& @& @&
CA period that version e tends beyond defining and classifying diseases to describe conditio
@& @& @& @& @& @& @& @& @& @& @& @& @&
ns and situations that are not diseases, including for e ample, risk factors to health and psy
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
chosocial circumstances. A behavioral health reference manual and NurseOne online are not
@& @& @& @& @& @& @& @& @& @& @& @&
used as official guides for diagnosis.
@& @& @& @& @&
DIF: Cognitive Level: Apply (Application) @& @& @&
TOP: Nursing Process: Assessment
@ & MSC: Client Needs: Safe Effective Care Environment
@& @& @ & @& @& @& @& @&
4. When locating the description and diagnostic criteria for an iety disorders, which resource w
@& @& @& @& @& @& @& @& @& @& @& @& @&
ould have the most complete information?
@& @& @& @& @&
a. Nursing Outcomes Classification (NOC)
@& @& @&
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
@& @& @& @& @& @& @&
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
@& @& @& @& @& @& @& @& @&
d. International Statistical Classification of Diseases and Related Health Pro
@& @& @& @& @& @& @& @&
blems (ICD-10) @&
ANS: B @&
The DSM- @&
5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @
&diagnosing psychiatric disorders. The other references are good resources but do not define t
@& @& @& @& @& @& @& @& @& @& @& @& @&
he diagnostic criteria.
@& @&
DIF: Cognitive Level: Understand (Comprehension) @& @& @&
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
@ & @& @& @ & @& @& @& @& @&
5. Which individual is demonstrating the highest level of resilience?
@& @& @& @& @& @& @& @&
a. An individual repressing their stressors who is having a difficult time cop
@& @& @& @& @& @& @& @& @& @& @&
ing with activities of daily living (ADLs)
@& @& @& @& @& @&
b. An individual who is in a depressed state after the death of their spouse
@& @& @& @& @& @& @& @& @& @& @& @& @&
c. An individual who lives in a shelter for 2 years after their home is dest
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
royed by a fire @& @& @&
d. An individual who navigates and negotiates resources to support their well-being
@& @& @& @& @& @& @& @& @& @&
ANS: D @&
3
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard
@& @& @& @& @& @& @& @& @& @& @& @&
Test Bank
A characteristic of mental health increasingly being promoted as essential to the recovery pr
@& @& @& @& @& @& @& @& @& @& @& @& @&
ocess is resilience. Resilience is a process and outcome of comple , cultural systems, rather
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @
&than as an individual capacity to overcome adversity. In this way, when e posed to adversi
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
ty, one‟s resilience depends on the navigation and negotiation of resources that can support
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
well-
being. Resilience is closely associated with the process of adapting and helps people facing
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
tragedies, loss, trauma, and severe stress. An individual who is repressing their stressors ma
@& @& @& @& @& @& @& @& @& @& @& @& @&
y need support for developing coping strategies. It is important for the individual who is in
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @
&a depressed state after the death of their spouse to navigate and negotiate resources that ca
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
n support their well-
@& @& @&
being (e.g., grief support or counselling). An individual living in a shelter needs immediate
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
support and assistance when entering the shelter to navigate services and supports. Shelters
@& @& @& @& @& @& @& @& @& @& @& @& @&
are short-term resources.
@& @&
DIF: Cognitive Level: Apply (Applicatio
@& @& @& @&
n) TOP: Nursing Process: Outcome Eval
@& @& @& @& @&
uation MSC: Client Needs: Psychosocial
@& @ & @& @&
Integrity
@&
6. A multidisciplinary team is working with two groups of patients diagnosed with depression.
@& @& @& @& @& @& @& @& @& @& @& @& @&
One group of patients receives supportive interventions and psychotropic medication (e.g., ant
@& @& @& @& @& @& @& @& @& @& @&
idepressants). The other group receives only psychotropic medication. Outcomes are measured
@& @& @& @& @& @& @& @& @& @&
@&for each group. Which is being studied?
@& @& @& @& @& @&
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology @&
ANS: D @&
Clinical epidemiology is a broad field that addresses studies of the natural history (or what
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
happens if there is no treatment and the problem is left to run its course) of an illness, st
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
udies of diagnostic screening tests, and observational and e perimental studies of interventio
@& @& @& @& @& @& @& @& @& @& @& @&
ns used to treat people with the illness or symptoms. Prevalence refers to numbers of new
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @
&cases. Comorbidity refers to having more than one mental disorder at a time. Incidence ref
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
ers to the number of new cases of mental disorders in a healthy population within a given
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
@&period.
DIF:
Cognitive Level: Understand (Comprehensio @& @& @&
n) TOP: Nursing Process: Outcome Evaluation
@& @ & @& @& @&
MSC: Client Needs: Safe Effective Care Environment
@ & @& @& @& @& @&
7. A category 5 tornado occurred in a community of 400 people, resulting in destruction of
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
many homes and businesses. In the 2 years after this disaster, 140 individuals were diagno
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
sed with post-
@& @&
traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed individ
@& @& @& @& @& @& @& @& @& @& @& @&
uals?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology @&
4
,Chapter 01: Mental Health and Mental Illness
@& @& @& @& @& @&
Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach,
@& @& @& @& @& @& @& @& @&
3rd Edition
@& @&
MULTIPLE CHOICE @&
1. Which of the following is considered an Advanced Pr
@& @& @& @& @& @& @& @&
actice Intervention?
@&
a. Conducting mental health assessments (MSA) @& @& @& @&
b. Prescribing psychotropic medication @& @&
c. Establishing therapeutic relationships @& @&
d. Individualizing nursing care plans @& @& @&
ANS: B @&
Registered nurses and registered psychiatric nurses can further t
@& @& @& @& @& @& @& @&
heir education at a baccalaureate levelor at the graduate level (
@& @& @& @& @& @& @& @& @& @&
master‟s doctorate) and become qualified to practise psychiatric
@& @& @& @& @& @& @& @
&mental health nursing at two levels – basic and advanced –
@& @& @& @& @& @& @& @& @& @&
@&developing on their education preparation. Prescriptive privilege
@& @& @& @& @& @&
s are granted to master‟s-
@& @& @& @&
prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescri
@& @& @& @& @& @& @& @& @& @& @& @&
bing medication. Appropriate use of diagnostic tests must be completed aswell as having hosp
@& @& @& @& @& @& @& @& @& @& @& @& @&
ital admitting privileges. Establishing therapeutic relationship, conducting mental health assess
@& @& @& @& @& @& @& @& @&
ments (MSAs), and individualizing nursing care plans are foundational psychiatric nursing skil
@& @& @& @& @& @& @& @& @& @& @&
ls. Therefore, they are considered Basic-Level Interventions.
@& @& @& @& @& @&
DIF: Cognitive Level: Understand (Comprehension) @& @& @&
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
@ & @& @& @ & @& @& @& @& @&
2. Which has been identified as a priority for national plans and strategies in psychiatric me
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
ntal health nursing in Canada?
@& @& @& @&
a. Decrease in the aging population @& @& @& @&
b. Increase in cultural diversity @& @& @&
c. Role of the advanced practice nurse
@& @& @& @& @&
d. Shortage of physicians in rural and urban areas
@& @& @& @& @& @& @&
ANS: B @&
In early phases of strategic development, the Mental Health Commission of Canada identifie
@& @& @& @& @& @& @& @& @& @& @& @&
d cultural diversity as a priority for national plans and strategies. Increasing cultural diversit
@& @& @& @& @& @& @& @& @& @& @& @& @&
y within Canada warrants deeper attention to culturally safe care and concern for the menta
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
l health consequences of colonization and racism. An aging population and shortage of phys
@& @& @& @& @& @& @& @& @& @& @& @& @&
icians are important to future trends. The role of the advanced practice nurse is continuing
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
to evolve in psychiatric mental health nursing in Canada.
@& @& @& @& @& @& @& @&
DIF:
Cognitive Level: Understand (Comprehensio @& @& @&
n) TOP: Nursing Process: Outcome Evaluation
@& @ & @& @& @&
MSC: Client Needs: Safe Effective Care Environment
@ & @& @& @& @& @&
3. Which serves as the official guide for diagnosing psychiatric disorders?
@& @& @& @& @& @& @& @& @&
a. International Classification of Diseases (ICD-11) @& @& @& @&
b. Diagnostic and Statistical Manual of Mental Disorders (DSM)
@& @& @& @& @& @& @&
c. A behavioural health reference manual
@& @& @& @&
2
,Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard
@& @& @& @& @& @& @& @& @& @& @& @&
Test Bank
d. NurseOne online @&
ANS: B @&
The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by th
@& @& @& @& @& @& @& @& @& @& @& @& @&
e American Psychiatric Association in 1952. Its purpose was to provide clinicians, educators,
@& @& @& @& @& @& @& @& @& @& @& @&
@&and researchers with a common framework to understand and communicate about mental di
@& @& @& @& @& @& @& @& @& @& @& @&
sorders. With a common understanding about mental disorders, researchers and clinicians cou
@& @& @& @& @& @& @& @& @& @& @&
ld work together in their attempts to improve care for people with mental illness. The curre
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
nt DSM-
@&
5 serves as the official guide for diagnosing psychiatric disorders. The International Classific
@& @& @& @& @& @& @& @& @& @& @& @&
ation of Diseases (ICD) sets the global health information standard for mortality and morbidi
@& @& @& @& @& @& @& @& @& @& @& @& @&
ty statistics. Clinicians and researchers use this classification system to define diseases, study
@& @& @& @& @& @& @& @& @& @& @& @&
@&disease patterns, monitor outcomes, and subsequently allocate resources based on the preval
@& @& @& @& @& @& @& @& @& @& @&
ence of disease. The Canadian Institute for Health Information developed an enhanced versio
@& @& @& @& @& @& @& @& @& @& @& @&
n of the previous version, ICD-10 referred to as the ICD 10-
@& @& @& @& @& @& @& @& @& @& @&
CA period that version e tends beyond defining and classifying diseases to describe conditio
@& @& @& @& @& @& @& @& @& @& @& @& @&
ns and situations that are not diseases, including for e ample, risk factors to health and psy
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
chosocial circumstances. A behavioral health reference manual and NurseOne online are not
@& @& @& @& @& @& @& @& @& @& @& @&
used as official guides for diagnosis.
@& @& @& @& @&
DIF: Cognitive Level: Apply (Application) @& @& @&
TOP: Nursing Process: Assessment
@ & MSC: Client Needs: Safe Effective Care Environment
@& @& @ & @& @& @& @& @&
4. When locating the description and diagnostic criteria for an iety disorders, which resource w
@& @& @& @& @& @& @& @& @& @& @& @& @&
ould have the most complete information?
@& @& @& @& @&
a. Nursing Outcomes Classification (NOC)
@& @& @&
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
@& @& @& @& @& @& @&
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
@& @& @& @& @& @& @& @& @&
d. International Statistical Classification of Diseases and Related Health Pro
@& @& @& @& @& @& @& @&
blems (ICD-10) @&
ANS: B @&
The DSM- @&
5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide for
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @
&diagnosing psychiatric disorders. The other references are good resources but do not define t
@& @& @& @& @& @& @& @& @& @& @& @& @&
he diagnostic criteria.
@& @&
DIF: Cognitive Level: Understand (Comprehension) @& @& @&
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
@ & @& @& @ & @& @& @& @& @&
5. Which individual is demonstrating the highest level of resilience?
@& @& @& @& @& @& @& @&
a. An individual repressing their stressors who is having a difficult time cop
@& @& @& @& @& @& @& @& @& @& @&
ing with activities of daily living (ADLs)
@& @& @& @& @& @&
b. An individual who is in a depressed state after the death of their spouse
@& @& @& @& @& @& @& @& @& @& @& @& @&
c. An individual who lives in a shelter for 2 years after their home is dest
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
royed by a fire @& @& @&
d. An individual who navigates and negotiates resources to support their well-being
@& @& @& @& @& @& @& @& @& @&
ANS: D @&
3
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition By Sonya Jakubec, Cheryl Pollard
@& @& @& @& @& @& @& @& @& @& @& @&
Test Bank
A characteristic of mental health increasingly being promoted as essential to the recovery pr
@& @& @& @& @& @& @& @& @& @& @& @& @&
ocess is resilience. Resilience is a process and outcome of comple , cultural systems, rather
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @
&than as an individual capacity to overcome adversity. In this way, when e posed to adversi
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
ty, one‟s resilience depends on the navigation and negotiation of resources that can support
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
well-
being. Resilience is closely associated with the process of adapting and helps people facing
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
tragedies, loss, trauma, and severe stress. An individual who is repressing their stressors ma
@& @& @& @& @& @& @& @& @& @& @& @& @&
y need support for developing coping strategies. It is important for the individual who is in
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @
&a depressed state after the death of their spouse to navigate and negotiate resources that ca
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
n support their well-
@& @& @&
being (e.g., grief support or counselling). An individual living in a shelter needs immediate
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
support and assistance when entering the shelter to navigate services and supports. Shelters
@& @& @& @& @& @& @& @& @& @& @& @& @&
are short-term resources.
@& @&
DIF: Cognitive Level: Apply (Applicatio
@& @& @& @&
n) TOP: Nursing Process: Outcome Eval
@& @& @& @& @&
uation MSC: Client Needs: Psychosocial
@& @ & @& @&
Integrity
@&
6. A multidisciplinary team is working with two groups of patients diagnosed with depression.
@& @& @& @& @& @& @& @& @& @& @& @& @&
One group of patients receives supportive interventions and psychotropic medication (e.g., ant
@& @& @& @& @& @& @& @& @& @& @&
idepressants). The other group receives only psychotropic medication. Outcomes are measured
@& @& @& @& @& @& @& @& @& @&
@&for each group. Which is being studied?
@& @& @& @& @& @&
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology @&
ANS: D @&
Clinical epidemiology is a broad field that addresses studies of the natural history (or what
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
happens if there is no treatment and the problem is left to run its course) of an illness, st
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
udies of diagnostic screening tests, and observational and e perimental studies of interventio
@& @& @& @& @& @& @& @& @& @& @& @&
ns used to treat people with the illness or symptoms. Prevalence refers to numbers of new
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @
&cases. Comorbidity refers to having more than one mental disorder at a time. Incidence ref
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
ers to the number of new cases of mental disorders in a healthy population within a given
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
@&period.
DIF:
Cognitive Level: Understand (Comprehensio @& @& @&
n) TOP: Nursing Process: Outcome Evaluation
@& @ & @& @& @&
MSC: Client Needs: Safe Effective Care Environment
@ & @& @& @& @& @&
7. A category 5 tornado occurred in a community of 400 people, resulting in destruction of
@& @& @& @& @& @& @& @& @& @& @& @& @& @& @&
many homes and businesses. In the 2 years after this disaster, 140 individuals were diagno
@& @& @& @& @& @& @& @& @& @& @& @& @& @&
sed with post-
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traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed individ
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uals?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology @&
4
