Varcarolis's79Canadian79Psychiatric79Mental79Health79Nursing793rd79Edition79By79Sonya79Jakubec,79Cheryl79Pollar
d79Test79Bank
Chapter7901:79Mental79Health79and79Mental79Illness
Pollard:79Varcarolis’s79Canadian79Psychiatric79Mental79Health79Nursing:79A79Clinical79Approach,
793rd79Edition
MULTIPLE79CHOICE
1. Which79of79the79following79is79considered79an79Advanced79Pr
actice79Intervention?
a. Conducting79mental79health79assessments79(MSA)
b. Prescribing79psychotropic79medication
c. Establishing79therapeutic79relationships
d. Individualizing79nursing79care79plans
ANS:7 9 B
Registered79nurses79and79registered79psychiatric79nurses79can79further79t
heir79education79at79a79baccalaureate79levelor79at79the79graduate79level79(
master‟s79doctorate)79and79become79qualified79to79practise79psychiatric7
9mental79health79nursing79at79two79levels79–79basic79and79advanced79–
79developing79on79their79education79preparation.79Prescriptive79privilege
s79are79granted79to79master‟s-
prepared79Nurse79Practitioners79(NPs)79as79they79have79taken79additional79advanced79courses79on79prescri
bing79medication.79Appropriate79use79of79diagnostic79tests79must79be79completed79aswell79as79having79hos
pital79admitting79privileges.79Establishing79therapeutic79relationship,79conducting79mental79health79assess
ments79(MSAs),79and79individualizing79nursing79care79plans79are79foundational79psychiatric79nursing79ski
lls.79Therefore,79they79are79considered79Basic-Level79Interventions.
DIF: Cognitive79Level:79Understand79(Comprehension)
TOP:7 9 Nursing79Process:79Implementation MSC:7 9 Client79Needs:79Safe79Effective79Care79Environment
2. Which79has79been79identified79as79a79priority79for79national79plans79and79strategies79in79psychiatric79m
ental79health79nursing79in79Canada?
a. Decrease79in79the79aging79population
b. Increase79in79cultural79diversity
c. Role79of79the79advanced79practice79nurse
d. Shortage79of79physicians79in79rural79and79urban79areas
ANS:7 9 B
In79early79phases79of79strategic79development,79the79Mental79Health79Commission79of79Canada79identifie
d79cultural79diversity79as79a79priority79for79national79plans79and79strategies.79Increasing79cultural79diversi
ty79within79Canada79warrants79deeper79attention79to79culturally79safe79care79and79concern79for79the79ment
al79health79consequences79of79colonization79and79racism.79An79aging79population79and79shortage79of79ph
ysicians79are79important79to79future79trends.79The79role79of79the79advanced79practice79nurse79is79continui
ng79to79evolve79in79psychiatric79mental79health79nursing79in79Canada.
DIF:
Cognitive79Level:79Understand79(Comprehensio
n)79TOP:7 9 Nursing79Process:79Outcome79Evaluation
MSC:7 9 Client79Needs:79Safe79Effective79Care79Environment
3. Which79serves79as79the79official79guide79for79diagnosing79psychiatric79disorders?
a. International79Classification79of79Diseases79(ICD-11)
b. Diagnostic79and79Statistical79Manual79of79Mental79Disorders79(DSM)
1
,Varcarolis's79Canadian79Psychiatric79Mental79Health79Nursing793rd79Edition79By79Sonya79Jakubec,79Cheryl79Pollar
d79Test79Bank
c. A79behavioural79health79reference79manual
2
,Varcarolis's79Canadian79Psychiatric79Mental79Health79Nursing793rd79Edition79By79Sonya79Jakubec,79Cheryl79Pollar
d79Test79Bank
d. NurseOne79online
ANS:7 9 B
The79first79Diagnostic79and79Statistical79Manual79of79Mental79Disorders79(DSM)79was79published79by79t
he79American79Psychiatric79Association79in791952.79Its79purpose79was79to79provide79clinicians,79educator
s,79and79researchers79with79a79common79framework79to79understand79and79communicate79about79mental79
disorders.79With79a79common79understanding79about79mental79disorders,79researchers79and79clinicians79c
ould79work79together79in79their79attempts79to79improve79care79for79people79with79mental79illness.79The79cu
rrent79DSM-
579serves79as79the79official79guide79for79diagnosing79psychiatric79disorders.79The79International79Classific
ation79of79Diseases79(ICD)79sets79the79global79health79information79standard79for79mortality79and79morbid
ity79statistics.79Clinicians79and79researchers79use79this79classification79system79to79define79diseases,79stud
y79disease79patterns,79monitor79outcomes,79and79subsequently79allocate79resources79based79on79the79prev
alence79of79disease.79The79Canadian79Institute79for79Health79Information79developed79an79enhanced79vers
ion79of79the79previous79version,79ICD-1079referred79to79as79the79ICD7910-
CA79period79that79version79extends79beyond79defining79and79classifying79diseases79to79describe79conditio
ns79and79situations79that79are79not79diseases,79including79for79example,79risk79factors79to79health79and79ps
ychosocial79circumstances.79A79behavioral79health79reference79manual79and79NurseOne79online79are79no
t79used79as79official79guides79for79diagnosis.
DIF: Cognitive79Level:79Apply79(Application)
TOP:7 9 Nursing79Process:79Assessment MSC:7 9 Client79Needs:79Safe79Effective79Care79Environment
4. When79locating79the79description79and79diagnostic79criteria79for79anxiety79disorders,79which79resource79w
ould79have79the79most79complete79information?
a. Nursing79Outcomes79Classification79(NOC)
b. Diagnostic79and79Statistical79Manual79of79Mental79Disorders79(DSM-5)
c. The79ANA’s79Psychiatric-Mental79Health79Nursing79Scope79and79Standards79of79Practice
d. International79Statistical79Classification79of79Diseases79and79Related79Health79Pro
blems79(ICD-10)
ANS:7 9 B
The79DSM-
579details79the79diagnostic79criteria79for79psychiatric79clinical79conditions79and79is79the79official79guide79for
79diagnosing79psychiatric79disorders.79The79other79references79are79good79resources79but79do79not79define7
9the79diagnostic79criteria.
DIF: Cognitive79Level:79Understand79(Comprehension)
TOP:7 9 Nursing79Process:79Implementation MSC:7 9 Client79Needs:79Safe79Effective79Care79Environment
5. Which79individual79is79demonstrating79the79highest79level79of79resilience?
a. An79individual79repressing79their79stressors79who79is79having79a79difficult79time79cop
ing79with79activities79of79daily79living79(ADLs)
b. An79individual79who79is79in79a79depressed79state79after79the79death79of79their79spouse
c. An79individual79who79lives79in79a79shelter79for79279years79after79their79home79is79des
troyed79by79a79fire
d. An79individual79who79navigates79and79negotiates79resources79to79support79their79well-being
ANS:7 9 D
3
, Varcarolis's79Canadian79Psychiatric79Mental79Health79Nursing793rd79Edition79By79Sonya79Jakubec,79Cheryl79Pollar
d79Test79Bank
A79characteristic79of79mental79health79increasingly79being79promoted79as79essential79to79the79recovery79pr
ocess79is79resilience.79Resilience79is79a79process79and79outcome79of79complex,79cultural79systems,79rather7
9than79as79an79individual79capacity79to79overcome79adversity.79In79this79way,79when79exposed79to79advers
ity,79one‟s79resilience79depends79on79the79navigation79and79negotiation79of79resources79that79can79support
79well-
being.79Resilience79is79closely79associated79with79the79process79of79adapting79and79helps79people79facing7
9tragedies,79loss,79trauma,79and79severe79stress.79An79individual79who79is79repressing79their79stressors79m
ay79need79support79for79developing79coping79strategies.79It79is79important79for79the79individual79who79is79i
n79a79depressed79state79after79the79death79of79their79spouse79to79navigate79and79negotiate79resources79that79
can79support79their79well-
being79(e.g.,79grief79support79or79counselling).79An79individual79living79in79a79shelter79needs79immediate7
9support79and79assistance79when79entering79the79shelter79to79navigate79services79and79supports.79Shelters7
9are79short-term79resources.
DIF:79Cognitive79Level:79Apply79(Applicatio
n)79TOP:79Nursing79Process:79Outcome79Eval
uation79MSC:7 9 Client79Needs:79Psychosocial
79Integrity
6. A79multidisciplinary79team79is79working79with79two79groups79of79patients79diagnosed79with79depression.79
One79group79of79patients79receives79supportive79interventions79and79psychotropic79medication79(e.g.,79an
tidepressants).79The79other79group79receives79only79psychotropic79medication.79Outcomes79are79measure
d79for79each79group.79Which79is79being79studied?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical79epidemiology
ANS:7 9 D
Clinical79epidemiology79is79a79broad79field79that79addresses79studies79of79the79natural79history79(or79what7
9happens79if79there79is79no79treatment79and79the79problem79is79left79to79run79its79course)79of79an79illness,79
studies79of79diagnostic79screening79tests,79and79observational79and79experimental79studies79of79interventi
ons79used79to79treat79people79with79the79illness79or79symptoms.79Prevalence79refers79to79numbers79of79ne
w79cases.79Comorbidity79refers79to79having79more79than79one79mental79disorder79at79a79time.79Incidence79
refers79to79the79number79of79new79cases79of79mental79disorders79in79a79healthy79population79within79a79gi
ven79period.
DIF:
Cognitive79Level:79Understand79(Comprehensio
n)79TOP:7 9 Nursing79Process:79Outcome79Evaluation
MSC:7 9 Client79Needs:79Safe79Effective79Care79Environment
7. A79category79579tornado79occurred79in79a79community79of7940079people,79resulting79in79destruction79of79
many79homes79and79businesses.79In79the79279years79after79this79disaster,7914079individuals79were79diagn
osed79with79post-
traumatic79stress79disorder79(PTSD).79Which79term79best79applies79to79these79newly79diagnosed79indivi
duals?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical79epidemiology
4
d79Test79Bank
Chapter7901:79Mental79Health79and79Mental79Illness
Pollard:79Varcarolis’s79Canadian79Psychiatric79Mental79Health79Nursing:79A79Clinical79Approach,
793rd79Edition
MULTIPLE79CHOICE
1. Which79of79the79following79is79considered79an79Advanced79Pr
actice79Intervention?
a. Conducting79mental79health79assessments79(MSA)
b. Prescribing79psychotropic79medication
c. Establishing79therapeutic79relationships
d. Individualizing79nursing79care79plans
ANS:7 9 B
Registered79nurses79and79registered79psychiatric79nurses79can79further79t
heir79education79at79a79baccalaureate79levelor79at79the79graduate79level79(
master‟s79doctorate)79and79become79qualified79to79practise79psychiatric7
9mental79health79nursing79at79two79levels79–79basic79and79advanced79–
79developing79on79their79education79preparation.79Prescriptive79privilege
s79are79granted79to79master‟s-
prepared79Nurse79Practitioners79(NPs)79as79they79have79taken79additional79advanced79courses79on79prescri
bing79medication.79Appropriate79use79of79diagnostic79tests79must79be79completed79aswell79as79having79hos
pital79admitting79privileges.79Establishing79therapeutic79relationship,79conducting79mental79health79assess
ments79(MSAs),79and79individualizing79nursing79care79plans79are79foundational79psychiatric79nursing79ski
lls.79Therefore,79they79are79considered79Basic-Level79Interventions.
DIF: Cognitive79Level:79Understand79(Comprehension)
TOP:7 9 Nursing79Process:79Implementation MSC:7 9 Client79Needs:79Safe79Effective79Care79Environment
2. Which79has79been79identified79as79a79priority79for79national79plans79and79strategies79in79psychiatric79m
ental79health79nursing79in79Canada?
a. Decrease79in79the79aging79population
b. Increase79in79cultural79diversity
c. Role79of79the79advanced79practice79nurse
d. Shortage79of79physicians79in79rural79and79urban79areas
ANS:7 9 B
In79early79phases79of79strategic79development,79the79Mental79Health79Commission79of79Canada79identifie
d79cultural79diversity79as79a79priority79for79national79plans79and79strategies.79Increasing79cultural79diversi
ty79within79Canada79warrants79deeper79attention79to79culturally79safe79care79and79concern79for79the79ment
al79health79consequences79of79colonization79and79racism.79An79aging79population79and79shortage79of79ph
ysicians79are79important79to79future79trends.79The79role79of79the79advanced79practice79nurse79is79continui
ng79to79evolve79in79psychiatric79mental79health79nursing79in79Canada.
DIF:
Cognitive79Level:79Understand79(Comprehensio
n)79TOP:7 9 Nursing79Process:79Outcome79Evaluation
MSC:7 9 Client79Needs:79Safe79Effective79Care79Environment
3. Which79serves79as79the79official79guide79for79diagnosing79psychiatric79disorders?
a. International79Classification79of79Diseases79(ICD-11)
b. Diagnostic79and79Statistical79Manual79of79Mental79Disorders79(DSM)
1
,Varcarolis's79Canadian79Psychiatric79Mental79Health79Nursing793rd79Edition79By79Sonya79Jakubec,79Cheryl79Pollar
d79Test79Bank
c. A79behavioural79health79reference79manual
2
,Varcarolis's79Canadian79Psychiatric79Mental79Health79Nursing793rd79Edition79By79Sonya79Jakubec,79Cheryl79Pollar
d79Test79Bank
d. NurseOne79online
ANS:7 9 B
The79first79Diagnostic79and79Statistical79Manual79of79Mental79Disorders79(DSM)79was79published79by79t
he79American79Psychiatric79Association79in791952.79Its79purpose79was79to79provide79clinicians,79educator
s,79and79researchers79with79a79common79framework79to79understand79and79communicate79about79mental79
disorders.79With79a79common79understanding79about79mental79disorders,79researchers79and79clinicians79c
ould79work79together79in79their79attempts79to79improve79care79for79people79with79mental79illness.79The79cu
rrent79DSM-
579serves79as79the79official79guide79for79diagnosing79psychiatric79disorders.79The79International79Classific
ation79of79Diseases79(ICD)79sets79the79global79health79information79standard79for79mortality79and79morbid
ity79statistics.79Clinicians79and79researchers79use79this79classification79system79to79define79diseases,79stud
y79disease79patterns,79monitor79outcomes,79and79subsequently79allocate79resources79based79on79the79prev
alence79of79disease.79The79Canadian79Institute79for79Health79Information79developed79an79enhanced79vers
ion79of79the79previous79version,79ICD-1079referred79to79as79the79ICD7910-
CA79period79that79version79extends79beyond79defining79and79classifying79diseases79to79describe79conditio
ns79and79situations79that79are79not79diseases,79including79for79example,79risk79factors79to79health79and79ps
ychosocial79circumstances.79A79behavioral79health79reference79manual79and79NurseOne79online79are79no
t79used79as79official79guides79for79diagnosis.
DIF: Cognitive79Level:79Apply79(Application)
TOP:7 9 Nursing79Process:79Assessment MSC:7 9 Client79Needs:79Safe79Effective79Care79Environment
4. When79locating79the79description79and79diagnostic79criteria79for79anxiety79disorders,79which79resource79w
ould79have79the79most79complete79information?
a. Nursing79Outcomes79Classification79(NOC)
b. Diagnostic79and79Statistical79Manual79of79Mental79Disorders79(DSM-5)
c. The79ANA’s79Psychiatric-Mental79Health79Nursing79Scope79and79Standards79of79Practice
d. International79Statistical79Classification79of79Diseases79and79Related79Health79Pro
blems79(ICD-10)
ANS:7 9 B
The79DSM-
579details79the79diagnostic79criteria79for79psychiatric79clinical79conditions79and79is79the79official79guide79for
79diagnosing79psychiatric79disorders.79The79other79references79are79good79resources79but79do79not79define7
9the79diagnostic79criteria.
DIF: Cognitive79Level:79Understand79(Comprehension)
TOP:7 9 Nursing79Process:79Implementation MSC:7 9 Client79Needs:79Safe79Effective79Care79Environment
5. Which79individual79is79demonstrating79the79highest79level79of79resilience?
a. An79individual79repressing79their79stressors79who79is79having79a79difficult79time79cop
ing79with79activities79of79daily79living79(ADLs)
b. An79individual79who79is79in79a79depressed79state79after79the79death79of79their79spouse
c. An79individual79who79lives79in79a79shelter79for79279years79after79their79home79is79des
troyed79by79a79fire
d. An79individual79who79navigates79and79negotiates79resources79to79support79their79well-being
ANS:7 9 D
3
, Varcarolis's79Canadian79Psychiatric79Mental79Health79Nursing793rd79Edition79By79Sonya79Jakubec,79Cheryl79Pollar
d79Test79Bank
A79characteristic79of79mental79health79increasingly79being79promoted79as79essential79to79the79recovery79pr
ocess79is79resilience.79Resilience79is79a79process79and79outcome79of79complex,79cultural79systems,79rather7
9than79as79an79individual79capacity79to79overcome79adversity.79In79this79way,79when79exposed79to79advers
ity,79one‟s79resilience79depends79on79the79navigation79and79negotiation79of79resources79that79can79support
79well-
being.79Resilience79is79closely79associated79with79the79process79of79adapting79and79helps79people79facing7
9tragedies,79loss,79trauma,79and79severe79stress.79An79individual79who79is79repressing79their79stressors79m
ay79need79support79for79developing79coping79strategies.79It79is79important79for79the79individual79who79is79i
n79a79depressed79state79after79the79death79of79their79spouse79to79navigate79and79negotiate79resources79that79
can79support79their79well-
being79(e.g.,79grief79support79or79counselling).79An79individual79living79in79a79shelter79needs79immediate7
9support79and79assistance79when79entering79the79shelter79to79navigate79services79and79supports.79Shelters7
9are79short-term79resources.
DIF:79Cognitive79Level:79Apply79(Applicatio
n)79TOP:79Nursing79Process:79Outcome79Eval
uation79MSC:7 9 Client79Needs:79Psychosocial
79Integrity
6. A79multidisciplinary79team79is79working79with79two79groups79of79patients79diagnosed79with79depression.79
One79group79of79patients79receives79supportive79interventions79and79psychotropic79medication79(e.g.,79an
tidepressants).79The79other79group79receives79only79psychotropic79medication.79Outcomes79are79measure
d79for79each79group.79Which79is79being79studied?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical79epidemiology
ANS:7 9 D
Clinical79epidemiology79is79a79broad79field79that79addresses79studies79of79the79natural79history79(or79what7
9happens79if79there79is79no79treatment79and79the79problem79is79left79to79run79its79course)79of79an79illness,79
studies79of79diagnostic79screening79tests,79and79observational79and79experimental79studies79of79interventi
ons79used79to79treat79people79with79the79illness79or79symptoms.79Prevalence79refers79to79numbers79of79ne
w79cases.79Comorbidity79refers79to79having79more79than79one79mental79disorder79at79a79time.79Incidence79
refers79to79the79number79of79new79cases79of79mental79disorders79in79a79healthy79population79within79a79gi
ven79period.
DIF:
Cognitive79Level:79Understand79(Comprehensio
n)79TOP:7 9 Nursing79Process:79Outcome79Evaluation
MSC:7 9 Client79Needs:79Safe79Effective79Care79Environment
7. A79category79579tornado79occurred79in79a79community79of7940079people,79resulting79in79destruction79of79
many79homes79and79businesses.79In79the79279years79after79this79disaster,7914079individuals79were79diagn
osed79with79post-
traumatic79stress79disorder79(PTSD).79Which79term79best79applies79to79these79newly79diagnosed79indivi
duals?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical79epidemiology
4
