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Varcarolis Canadian Psychiatric MentalHealth Nursing
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3rd EditionByPollard AllChapter1 -35
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,Chapter01:Mental Health andMental Illness
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Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
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MULTIPLE CHOICE z
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
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nurseexpect as an advanced practice intervention?
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a. Conduct mental health assessments z z z
b. Prescribepsychotropicmedication z z
c. Establish therapeutic relationships z z
d. Individualize nursing careplans z z z
ANSWER: B z
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken z z z z z z z z z z
special courses on prescribing medication; thus it is an advanced-practice intervention. The
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nurse prepared at the basiclevel is permitted to perform mental health assessments, establish
z z z z z z z z z z z z z z
relationships, and provide individualized care planning.
z z z z z z
DIF: CognitiveLevel: Understand(Comprehension) z z z
TOP: NursingProcess: Implementation
z MSC: Client Needs: Safe Effective Care Environment z z z z z z z z
2. When a nursing student expresses concerns about how mental health nurses “lose all their
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nursing skills,” which of the following is the best response by the mental health nurse?
z z z z z z z z z z z z z z z
a. “Psychiatric nurses practise in safer environments than other specialties. z z z z z z z z
Nurse-to-patient ratios must be better because of the natureof thepatients’
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problems. .
”
b. “Psychiatric nursesuse complex communication skills as well as critical thinkingto z z z z z z z z z z z
solve multidimensional problems. Iam challenged by those situations.”
z z z z z z z z z
c. “That’s a misconception. Psychiatric nurses frequently use high-technology z z z z z z z
monitoring equipment and manage complex intravenous therapies.”
z z z z z z z
d. “Psychiatric nurses do not have to deal with as much pain and suffering as z z z z z z z z z z z z z
medical–surgical nurses do. That appeals to me.”
z z z z z z z
ANSWER: B z
The practice of psychiatric nursing requires a different set of skills from medical–surgical
z z z z z z z z z z z z
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
z z z z z z z z z z z z
nursing: behavioural, including communication, coping, and education; and safety, covering
z z z z z z z z z z
crisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
z z z z z z z z z z z z
nursing practice and increase your competency as a practitioner in all clinical settings.
z z z z z z z z z z z z z
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
z z z z z z z z z z z z z z z z
people who are experiencing mental illness as an additional challenge to their health.
z z z z z z z z z z z z z
Your experience in the mental health nursing rotation can help you gain insight into yourself and
z z z z z z z z z z z z z z z
greatly increase your insight into the experiences of others. This part of nursing educationcan
z z z z z z z z z z z z z z z
provide guidelines for and the opportunity to learn new skills for dealing with a variety of
z z z z z z z z z z z z z z z z
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
z z z z z z z z z z z z z z
DIF: Cognitive Level: Apply(Application) z z z
TOP: NursingProcess: Implementation
z z z MSC: Client Needs: Safe Effective Care Environment z z z z z z
, 3. When a new bill introduced in Parliament reduces funding for care of people with mental illness, a
z z z z z z z z z z z z z z z z
group of people with mild mental illnesswrite letters to their elected representativesin
z z z z z z z z z z z z z z
opposition to the legislation for all people with mental illness. Which role does this action
z z z z z z z z z z z z z z z
portray?
z
a. Recovery
b. Self-care
c. Advocacy
d. Social action z
ANSWER: C z
An advocate defends or asserts another’s cause, particularly when the other person lacks the
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ability to do that for himself or herself. On a community scale, advocacy includes political activity,
z z z z z z z z z z z z z z z z
public speaking, and publication in the interest of improving the human condition. Since funding
z z z z z z z z z z z z z z
is necessary to deliver quality programming for people with mental illness, theletter-writing
z z z z z z z z z z z z z
campaign advocates for the cause for all people with mental illness.
z z z z z z z z z z z
DIF: CognitiveLevel: Understand(Comprehension) z z z
TOP: NursingProcess: Implementation
z MSC: Client Needs: Safe Effective Care Environment z z z z z z z z
4. Which ofthe following has been identified as a significant trend that will affect the future of
z z z z z z z z z z z z z z z z
psychiatric mental health nursing in Canada?
z z z z z z
a. Decrease in the aging population z z z z
b. Increase in cultural diversity z z z
c. Role of the advanced-practice nurse z z z z
d. Shortage of physicians in rural and urban areas z z z z z z z
ANSWER: B z
Four significant trends havT
z eEbeSeT
nBidAeN
ntK
ifS
ieE
dLthLatEwRi.llC
afOfeMct the future of psychiatric mental health z z z z z z z z z z
nursing in Canada; these include an aging population, an increase in cultural diversity,
z z z z z z z z z z z z z
expanding technology, and an increased awareness of the impact of the determinants of healthon
z z z z z z z z z z z z z z
mental illness.
z z
DIF: CognitiveLevel: Understand(Comprehension) z z z
TOP: Nursing Process: Assessment
z MSC: Client Needs:Safe Effective Care Environment z z z z z z z z
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
z z z z z z z z z z z z z
illness?
z
a. Thepatient reports occasional sleeplessness and anxiety.
z z z z z z
b. Thepatient reports a consistently sad, discouraged, and hopeless mood.
z z z z z z z z z
c. Thepatient is able to describe the difference between “as if” and “for real.”
z z z z z z z z z z z z z
d. Thepatient perceives difficulty making a decision about whether to change jobs.
z z z z z z z z z z z
ANSWER: B z
Thecorrect response describes a mood alteration, which reflects mental illness. Alterations in
z z z z z z z z z z z z
cognition, mood, or behaviour that are coupled with significant distress and impaired functioning
z z z z z z z z z z z z z
characterize mental illness. The distracters describe behaviours that are mentally healthy or
z z z z z z z z z z z z
within the usual scope of human experience.
z z z z z z z
DIF: Cognitive Level: Apply(Application) z z z
TOP: Nursing Process: Assessment
z z z MSC: Client Needs: Psychosocial Integrity z z z z
Varcarolis Canadian Psychiatric MentalHealth Nursing
z z z z z
3rd EditionByPollard AllChapter1 -35
z z z z z z z z
,
,Chapter01:Mental Health andMental Illness
z z z z z z
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
z z z z z z z
MULTIPLE CHOICE z
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
z z z z z z z z z z z z z z
nurseexpect as an advanced practice intervention?
z z z z z z z
a. Conduct mental health assessments z z z
b. Prescribepsychotropicmedication z z
c. Establish therapeutic relationships z z
d. Individualize nursing careplans z z z
ANSWER: B z
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken z z z z z z z z z z
special courses on prescribing medication; thus it is an advanced-practice intervention. The
z z z z z z z z z z z z
nurse prepared at the basiclevel is permitted to perform mental health assessments, establish
z z z z z z z z z z z z z z
relationships, and provide individualized care planning.
z z z z z z
DIF: CognitiveLevel: Understand(Comprehension) z z z
TOP: NursingProcess: Implementation
z MSC: Client Needs: Safe Effective Care Environment z z z z z z z z
2. When a nursing student expresses concerns about how mental health nurses “lose all their
z z z z z z z z z z z z z
nursing skills,” which of the following is the best response by the mental health nurse?
z z z z z z z z z z z z z z z
a. “Psychiatric nurses practise in safer environments than other specialties. z z z z z z z z
Nurse-to-patient ratios must be better because of the natureof thepatients’
z z z z z z z z z z z z
problems. .
”
b. “Psychiatric nursesuse complex communication skills as well as critical thinkingto z z z z z z z z z z z
solve multidimensional problems. Iam challenged by those situations.”
z z z z z z z z z
c. “That’s a misconception. Psychiatric nurses frequently use high-technology z z z z z z z
monitoring equipment and manage complex intravenous therapies.”
z z z z z z z
d. “Psychiatric nurses do not have to deal with as much pain and suffering as z z z z z z z z z z z z z
medical–surgical nurses do. That appeals to me.”
z z z z z z z
ANSWER: B z
The practice of psychiatric nursing requires a different set of skills from medical–surgical
z z z z z z z z z z z z
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
z z z z z z z z z z z z
nursing: behavioural, including communication, coping, and education; and safety, covering
z z z z z z z z z z
crisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
z z z z z z z z z z z z
nursing practice and increase your competency as a practitioner in all clinical settings.
z z z z z z z z z z z z z
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
z z z z z z z z z z z z z z z z
people who are experiencing mental illness as an additional challenge to their health.
z z z z z z z z z z z z z
Your experience in the mental health nursing rotation can help you gain insight into yourself and
z z z z z z z z z z z z z z z
greatly increase your insight into the experiences of others. This part of nursing educationcan
z z z z z z z z z z z z z z z
provide guidelines for and the opportunity to learn new skills for dealing with a variety of
z z z z z z z z z z z z z z z z
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
z z z z z z z z z z z z z z
DIF: Cognitive Level: Apply(Application) z z z
TOP: NursingProcess: Implementation
z z z MSC: Client Needs: Safe Effective Care Environment z z z z z z
, 3. When a new bill introduced in Parliament reduces funding for care of people with mental illness, a
z z z z z z z z z z z z z z z z
group of people with mild mental illnesswrite letters to their elected representativesin
z z z z z z z z z z z z z z
opposition to the legislation for all people with mental illness. Which role does this action
z z z z z z z z z z z z z z z
portray?
z
a. Recovery
b. Self-care
c. Advocacy
d. Social action z
ANSWER: C z
An advocate defends or asserts another’s cause, particularly when the other person lacks the
z z z z z z z z z z z z z
ability to do that for himself or herself. On a community scale, advocacy includes political activity,
z z z z z z z z z z z z z z z z
public speaking, and publication in the interest of improving the human condition. Since funding
z z z z z z z z z z z z z z
is necessary to deliver quality programming for people with mental illness, theletter-writing
z z z z z z z z z z z z z
campaign advocates for the cause for all people with mental illness.
z z z z z z z z z z z
DIF: CognitiveLevel: Understand(Comprehension) z z z
TOP: NursingProcess: Implementation
z MSC: Client Needs: Safe Effective Care Environment z z z z z z z z
4. Which ofthe following has been identified as a significant trend that will affect the future of
z z z z z z z z z z z z z z z z
psychiatric mental health nursing in Canada?
z z z z z z
a. Decrease in the aging population z z z z
b. Increase in cultural diversity z z z
c. Role of the advanced-practice nurse z z z z
d. Shortage of physicians in rural and urban areas z z z z z z z
ANSWER: B z
Four significant trends havT
z eEbeSeT
nBidAeN
ntK
ifS
ieE
dLthLatEwRi.llC
afOfeMct the future of psychiatric mental health z z z z z z z z z z
nursing in Canada; these include an aging population, an increase in cultural diversity,
z z z z z z z z z z z z z
expanding technology, and an increased awareness of the impact of the determinants of healthon
z z z z z z z z z z z z z z
mental illness.
z z
DIF: CognitiveLevel: Understand(Comprehension) z z z
TOP: Nursing Process: Assessment
z MSC: Client Needs:Safe Effective Care Environment z z z z z z z z
5. Which assessment finding most clearly indicates that a patient may be experiencing a mental
z z z z z z z z z z z z z
illness?
z
a. Thepatient reports occasional sleeplessness and anxiety.
z z z z z z
b. Thepatient reports a consistently sad, discouraged, and hopeless mood.
z z z z z z z z z
c. Thepatient is able to describe the difference between “as if” and “for real.”
z z z z z z z z z z z z z
d. Thepatient perceives difficulty making a decision about whether to change jobs.
z z z z z z z z z z z
ANSWER: B z
Thecorrect response describes a mood alteration, which reflects mental illness. Alterations in
z z z z z z z z z z z z
cognition, mood, or behaviour that are coupled with significant distress and impaired functioning
z z z z z z z z z z z z z
characterize mental illness. The distracters describe behaviours that are mentally healthy or
z z z z z z z z z z z z
within the usual scope of human experience.
z z z z z z z
DIF: Cognitive Level: Apply(Application) z z z
TOP: Nursing Process: Assessment
z z z MSC: Client Needs: Psychosocial Integrity z z z z
