Test Bank Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Edition (Pollard, 2023) Chapter 1-35 | All Chapters

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Varcarolis Canadian Psychiatric Mental Health Nursing
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3rd Edition By Pollard All Chapter 1 -
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35
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,
,Chapter 01: Mental Health and Mental Illness
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Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
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MULTIPLE CHOICE bn




1. A staff nurse completes orientation to a psychiatric unit. Which of the following would
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bn the nurse expect as an advanced practice intervention?
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a. Conduct mental health assessments bn bn bn


b. Prescribe psychotropic medication bn bn


c. Establish therapeutic relationships bn bn


d. Individualize nursing care plans bn bn bn




ANSWER: B bn


Prescriptive privileges are granted to master’s-prepared nurse practitioners who have
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taken
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intervention. The nurse prepared at the basic level is permitted to perform mental
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health assessments, establish relationships, and provide individualized care planning.
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DIF: Cognitive Level: Understand (Comprehension) bn bn bn


TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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2. When a nursing student expresses concerns about how mental health nurses “lose all
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their nursing skills,” which of the following is the best response by the mental
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health nurse?
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a. “Psychiatric nurses practise in safer environments than other specialties.
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Nurse-to-patient ratios must be better because of the nature of the bn bn bn bn bn bn bn bn bn bn


patients’ problems.” .
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b. “Psychiatric nurses use complex communication skills as well as critical thinkingto
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solve multidimensional problems. I am challenged by those situations.”
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c. “That’s a misconception. Psychiatric nurses frequently use high-
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technology monitoring equipment and manage complex intravenous b n bn bn bn bn bn


therapies.”
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d. “Psychiatric nurses do not have to deal with as much pain and bn bn bn bn bn bn bn bn bn bn bn


suffering as medical–surgical nurses do. That appeals to me.”
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ANSWER: B bn


The practice of psychiatric nursing requires a different set of skills from medical–
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surgical nursing, though there is substantial overlap. Two domains relate specifically
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to psychiatric nursing: behavioural, including communication, coping, and education;
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and safety, covering crisis and risk management. Basic psychosocial nursing
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concepts are central to psychiatric nursing practice and increase your competency
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as a practitioner in all clinical settings.
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Whatever setting you choose to work in, you will have the opportunity to improve the
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lives of people who are experiencing mental illness as an additional challenge to their
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health.
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Your experience in the mental health nursing rotation can help you gain insight into yourself
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and greatly increase your insight into the experiences of others. This part of nursing
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educationcan provide guidelines for and the opportunity to learn new skills for dealing
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with a variety of challenging behaviours. Psychosocial pain and suffering are as real as
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physical pain and suffering.
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DIF: Cognitive Level: Apply (Application) bn bn bn


TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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, 3. When a new bill introduced in Parliament reduces funding for care of people with mental
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illness, a group of people with mild mental illness write letters to their elected
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representativesin opposition to the legislation for all people with mental illness. Which
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role does this action portray?
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a. Recovery
b. Self-care
c. Advocacy
d. Social action bn




ANSWER: C bn


An advocate defends or asserts another’s cause, particularly when the other person
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lacks the ability to do that for himself or herself. On a community scale, advocacy
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includes political activity, public speaking, and publication in the interest of
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improving the human condition. Since funding is necessary to deliver quality
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programming for people with mental illness, the letter-writing campaign advocates
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for the cause for all people with mental illness.
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DIF: Cognitive Level: Understand (Comprehension) bn bn bn


TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care
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Environment
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4. Which of the following has been identified as a significant trend that will affect the
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future of psychiatric mental health nursing in Canada?
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a. Decrease in the aging population bn bn bn bn


b. Increase in cultural diversity bn bn bn


c. Role of the advanced-practice nurse
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d. Shortage of physicians in rural and urban areas bn bn bn bn bn bn bn




ANSWER: B bn


Four significant trends havTe EbS
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ntK
ifSieEd LthLatEwRi.ll C
afOfeMct the future of psychiatric mental
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health nursing in Canada; these include an aging population, an increase in cultural
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diversity, expanding technology, and an increased awareness of the impact of the
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determinants of healthon mental illness.
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DIF: Cognitive Level: Understand (Comprehension) bn bn bn


TOP: Nursing Process: Assessment
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Environment
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5. Which assessment finding most clearly indicates that a patient may be experiencing a
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mental illness?
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a. The patient reports occasional sleeplessness and anxiety.
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b. The patient reports a consistently sad, discouraged, and hopeless mood.
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c. The patient is able to describe the difference between “as if” and “for real.”
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d. The patient perceives difficulty making a decision about whether to change jobs.
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ANSWER: B bn


The correct response describes a mood alteration, which reflects mental illness. Alterations
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in cognition, mood, or behaviour that are coupled with significant distress and impaired
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b nfunctioning characterize mental illness. The distracters describe behaviours that are
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mentally healthy or within the usual scope of human experience.
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DIF: Cognitive Level: Apply (Application) bn bn bn


TOP: Nursing Process: Assessment
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