TEST BANK
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapterm01:mMentalmHealthmandmMentalmIllness
Varcarolis’smCanadianmPsychiatricmMentalmHealthmNursing,m3rdmEdition
MULTIPLEmCHOICE
1. Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mWhichmofmthemfollowingmwouldmthe
m nursemexpectmasmanmadvancedmpracticemintervention?
a. Conductmmentalmhealthmassessments
b. Prescribempsychotropicmmedication
c. Establishmtherapeuticmrelationships
d. Individualizemnursingmcaremplans
ANSWER:m B
Prescriptivemprivilegesmaremgrantedmtommaster’s-
preparedmnursempractitionersmwhomhavemtakenm specialmcoursesmonmprescribingmmedication;mthus
mitmismanmadvanced-
practicemintervention.mThem nursempreparedmatmthembasicmlevelmismpermittedmtomperformmmentalmh
ealthmassessments,mestablishm relationships,mandmprovidemindividualizedmcaremplanning.
DIF: CognitivemLevel:mUnderstandm(Comprehension)
TOP:mm NursingmProcess:mImplementation MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment
2. Whenmamnursingmstudentmexpressesmconcernsmaboutmhowmmentalmhealthmnursesm“losemallmthei
rm nursingmskills,”mwhichmofmthemfollowingmismthembestmresponsembymthemmentalmhealthmnurse?
a. “Psychiatricmnursesmpractiseminmsafermenvironmentsmthanmothermspecialties.
Nurse-to-
patientmratiosmmustmbembettermbecausemofmthemnaturemofmthempatients’m probl
ems.” .
b. “Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingto
solvemmultidimensionalmproblems.mImammchallengedmbymthosemsituations.”
c. “That’smammisconception.mPsychiatricmnursesmfrequentlymusemhigh-
technologym monitoringmequipmentmandmmanagemcomplexmintravenousmther
apies.”
d. “Psychiatricmnursesmdomnotmhavemtomdealmwithmasmmuchmpainmandmsufferingma
sm medical–surgicalmnursesmdo.mThatmappealsmtomme.”
ANSWER:m B
Thempracticemofmpsychiatricmnursingmrequiresmamdifferentmsetmofmskillsmfrommmedical–
surgicalm nursing,mthoughmtheremismsubstantialmoverlap.mTwomdomainsmrelatemspecificallymtomps
ychiatricm nursing:mbehavioural,mincludingmcommunication,mcoping,mandmeducation;mandmsafet
y,mcoveringm crisismandmriskmmanagement.mBasicmpsychosocialmnursingmconceptsmaremcentralmt
ompsychiatricm nursingmpracticemandmincreasemyourmcompetencymasmampractitionerminmallmclinic
almsettings.
Whatevermsettingmyoumchoosemtomworkmin,myoumwillmhavemthemopportunitymtomimprovemthemlivesmof
m peoplemwhomaremexperiencingmmentalmillnessmasmanmadditionalmchallengemtomtheirmhealth.
Yourmexperienceminmthemmentalmhealthmnursingmrotationmcanmhelpmyoumgainminsightmintomyourselfmand
m greatlymincreasemyourminsightmintomthemexperiencesmofmothers.mThismpartmofmnursingmeducationcanm
providemguidelinesmformandmthemopportunitymtomlearnmnewmskillsmformdealingmwithmamvarietymofm chall
engingmbehaviours.mPsychosocialmpainmandmsufferingmaremasmrealmasmphysicalmpainmandmsuffering.
DIF: CognitivemLevel:mApplym(Application)
TOP:mm NursingmProcess:mImplementation MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment
, 3. WhenmamnewmbillmintroducedminmParliamentmreducesmfundingmformcaremofmpeoplemwithmmentalmillne
ss,m amgroupmofmpeoplemwithmmildmmentalmillnessmwritemlettersmtomtheirmelectedmrepresentativesinm op
positionmtomthemlegislationmformallmpeoplemwithmmentalmillness.mWhichmrolemdoesmthismactionm portray
?
a. Recovery
b. Self-care
c. Advocacy
d. Socialmaction
ANSWER:m C
Anmadvocatemdefendsmormassertsmanother’smcause,mparticularlymwhenmthemothermpersonmlacksmt
hem abilitymtomdomthatmformhimselfmormherself.mOnmamcommunitymscale,madvocacymincludesmpoliti
calm activity,mpublicmspeaking,mandmpublicationminmtheminterestmofmimprovingmthemhumanmconditi
on.m Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpeoplemwithmmentalmillne
ss,mthem letter-writingmcampaignmadvocatesmformthemcausemformallmpeoplemwithmmentalmillness.
DIF: CognitivemLevel:mUnderstandm(Comprehension)
TOP:mm NursingmProcess:mImplementation MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment
4. Whichmofmthemfollowingmhasmbeenmidentifiedmasmamsignificantmtrendmthatmwillmaffectmthemfuturem
ofm psychiatricmmentalmhealthmnursingminmCanada?
a. Decreaseminmthemagingmpopulation
b. Increaseminmculturalmdiversity
c. Rolemofmthemadvanced-practicemnurse
d. Shortagemofmphysiciansminmruralmandmurbanmareas
ANSWER:m B
FourmsignificantmtrendsmhavTe EbSeeTnBidAeN
ntK
ifSieEdmLthLatEw
Ri.ll C
afOfeMctmthemfuturemofmpsychiatricmmental
healthmnursingminmCanada;mthesemincludemanmagingmpopulation,manmincreaseminmculturalmdiversity,m
expandingmtechnology,mandmanmincreasedmawarenessmofmthemimpactmofmthemdeterminantsmofmhealt
honm mentalmillness.
DIF: CognitivemLevel:mUnderstandm(Comprehension)
TOP:mm NursingmProcess:mAssessment MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment
5. Whichmassessmentmfindingmmostmclearlymindicatesmthatmampatientmmaymbemexperiencingmammen
talm illness?
a. Thempatientmreportsmoccasionalmsleeplessnessmandmanxiety.
b. Thempatientmreportsmamconsistentlymsad,mdiscouraged,mandmhopelessmmood.
c. Thempatientmismablemtomdescribemthemdifferencembetweenm“asmif”mandm“formreal.”
d. Thempatientmperceivesmdifficultymmakingmamdecisionmaboutmwhethermtomchangemjobs.
ANSWER:m B
Themcorrectmresponsemdescribesmammoodmalteration,mwhichmreflectsmmentalmillness.mAlterationsminm
cognition,mmood,mormbehaviourmthatmaremcoupledmwithmsignificantmdistressmandmimpairedm functio
ningmcharacterizemmentalmillness.mThemdistractersmdescribembehavioursmthatmaremmentallym healthy
mormwithinmthemusualmscopemofmhumanmexperience.
DIF: CognitivemLevel:mApplym(Application)
TOP:mm NursingmProcess:mAssessment MSC:m ClientmNeeds:mPsychosocialmIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapterm01:mMentalmHealthmandmMentalmIllness
Varcarolis’smCanadianmPsychiatricmMentalmHealthmNursing,m3rdmEdition
MULTIPLEmCHOICE
1. Amstaffmnursemcompletesmorientationmtomampsychiatricmunit.mWhichmofmthemfollowingmwouldmthe
m nursemexpectmasmanmadvancedmpracticemintervention?
a. Conductmmentalmhealthmassessments
b. Prescribempsychotropicmmedication
c. Establishmtherapeuticmrelationships
d. Individualizemnursingmcaremplans
ANSWER:m B
Prescriptivemprivilegesmaremgrantedmtommaster’s-
preparedmnursempractitionersmwhomhavemtakenm specialmcoursesmonmprescribingmmedication;mthus
mitmismanmadvanced-
practicemintervention.mThem nursempreparedmatmthembasicmlevelmismpermittedmtomperformmmentalmh
ealthmassessments,mestablishm relationships,mandmprovidemindividualizedmcaremplanning.
DIF: CognitivemLevel:mUnderstandm(Comprehension)
TOP:mm NursingmProcess:mImplementation MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment
2. Whenmamnursingmstudentmexpressesmconcernsmaboutmhowmmentalmhealthmnursesm“losemallmthei
rm nursingmskills,”mwhichmofmthemfollowingmismthembestmresponsembymthemmentalmhealthmnurse?
a. “Psychiatricmnursesmpractiseminmsafermenvironmentsmthanmothermspecialties.
Nurse-to-
patientmratiosmmustmbembettermbecausemofmthemnaturemofmthempatients’m probl
ems.” .
b. “Psychiatricmnursesmusemcomplexmcommunicationmskillsmasmwellmasmcriticalmthinkingto
solvemmultidimensionalmproblems.mImammchallengedmbymthosemsituations.”
c. “That’smammisconception.mPsychiatricmnursesmfrequentlymusemhigh-
technologym monitoringmequipmentmandmmanagemcomplexmintravenousmther
apies.”
d. “Psychiatricmnursesmdomnotmhavemtomdealmwithmasmmuchmpainmandmsufferingma
sm medical–surgicalmnursesmdo.mThatmappealsmtomme.”
ANSWER:m B
Thempracticemofmpsychiatricmnursingmrequiresmamdifferentmsetmofmskillsmfrommmedical–
surgicalm nursing,mthoughmtheremismsubstantialmoverlap.mTwomdomainsmrelatemspecificallymtomps
ychiatricm nursing:mbehavioural,mincludingmcommunication,mcoping,mandmeducation;mandmsafet
y,mcoveringm crisismandmriskmmanagement.mBasicmpsychosocialmnursingmconceptsmaremcentralmt
ompsychiatricm nursingmpracticemandmincreasemyourmcompetencymasmampractitionerminmallmclinic
almsettings.
Whatevermsettingmyoumchoosemtomworkmin,myoumwillmhavemthemopportunitymtomimprovemthemlivesmof
m peoplemwhomaremexperiencingmmentalmillnessmasmanmadditionalmchallengemtomtheirmhealth.
Yourmexperienceminmthemmentalmhealthmnursingmrotationmcanmhelpmyoumgainminsightmintomyourselfmand
m greatlymincreasemyourminsightmintomthemexperiencesmofmothers.mThismpartmofmnursingmeducationcanm
providemguidelinesmformandmthemopportunitymtomlearnmnewmskillsmformdealingmwithmamvarietymofm chall
engingmbehaviours.mPsychosocialmpainmandmsufferingmaremasmrealmasmphysicalmpainmandmsuffering.
DIF: CognitivemLevel:mApplym(Application)
TOP:mm NursingmProcess:mImplementation MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment
, 3. WhenmamnewmbillmintroducedminmParliamentmreducesmfundingmformcaremofmpeoplemwithmmentalmillne
ss,m amgroupmofmpeoplemwithmmildmmentalmillnessmwritemlettersmtomtheirmelectedmrepresentativesinm op
positionmtomthemlegislationmformallmpeoplemwithmmentalmillness.mWhichmrolemdoesmthismactionm portray
?
a. Recovery
b. Self-care
c. Advocacy
d. Socialmaction
ANSWER:m C
Anmadvocatemdefendsmormassertsmanother’smcause,mparticularlymwhenmthemothermpersonmlacksmt
hem abilitymtomdomthatmformhimselfmormherself.mOnmamcommunitymscale,madvocacymincludesmpoliti
calm activity,mpublicmspeaking,mandmpublicationminmtheminterestmofmimprovingmthemhumanmconditi
on.m Sincemfundingmismnecessarymtomdelivermqualitymprogrammingmformpeoplemwithmmentalmillne
ss,mthem letter-writingmcampaignmadvocatesmformthemcausemformallmpeoplemwithmmentalmillness.
DIF: CognitivemLevel:mUnderstandm(Comprehension)
TOP:mm NursingmProcess:mImplementation MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment
4. Whichmofmthemfollowingmhasmbeenmidentifiedmasmamsignificantmtrendmthatmwillmaffectmthemfuturem
ofm psychiatricmmentalmhealthmnursingminmCanada?
a. Decreaseminmthemagingmpopulation
b. Increaseminmculturalmdiversity
c. Rolemofmthemadvanced-practicemnurse
d. Shortagemofmphysiciansminmruralmandmurbanmareas
ANSWER:m B
FourmsignificantmtrendsmhavTe EbSeeTnBidAeN
ntK
ifSieEdmLthLatEw
Ri.ll C
afOfeMctmthemfuturemofmpsychiatricmmental
healthmnursingminmCanada;mthesemincludemanmagingmpopulation,manmincreaseminmculturalmdiversity,m
expandingmtechnology,mandmanmincreasedmawarenessmofmthemimpactmofmthemdeterminantsmofmhealt
honm mentalmillness.
DIF: CognitivemLevel:mUnderstandm(Comprehension)
TOP:mm NursingmProcess:mAssessment MSC:m ClientmNeeds:mSafemEffectivemCaremEnvironment
5. Whichmassessmentmfindingmmostmclearlymindicatesmthatmampatientmmaymbemexperiencingmammen
talm illness?
a. Thempatientmreportsmoccasionalmsleeplessnessmandmanxiety.
b. Thempatientmreportsmamconsistentlymsad,mdiscouraged,mandmhopelessmmood.
c. Thempatientmismablemtomdescribemthemdifferencembetweenm“asmif”mandm“formreal.”
d. Thempatientmperceivesmdifficultymmakingmamdecisionmaboutmwhethermtomchangemjobs.
ANSWER:m B
Themcorrectmresponsemdescribesmammoodmalteration,mwhichmreflectsmmentalmillness.mAlterationsminm
cognition,mmood,mormbehaviourmthatmaremcoupledmwithmsignificantmdistressmandmimpairedm functio
ningmcharacterizemmentalmillness.mThemdistractersmdescribembehavioursmthatmaremmentallym healthy
mormwithinmthemusualmscopemofmhumanmexperience.
DIF: CognitivemLevel:mApplym(Application)
TOP:mm NursingmProcess:mAssessment MSC:m ClientmNeeds:mPsychosocialmIntegrity
