7
Varcarolis Canadian Psychiatric Mental Health Nursing
7 7 7 7 7
3rd Edition By Pollard All Chapter 1 - 35
7 7 7 7 7 7 7 7
,
,Chapter701:7Mental7Health7and7Mental7Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE7CHOICE
1. A7staff7nurse7completes7orientation7to7a7psychiatric7unit.7Which7of7the7following7would7the7
nurse7expect7as7an7advanced7practice7intervention?
a. Conduct7mental7health7assessments
b. Prescribe7psychotropic7medication
c. Establish7therapeutic7relationships
d. Individualize7nursing7care7plans
ANSWER:7 B
Prescriptive7privileges7are7granted7to7master’s-
prepared7nurse7practitioners7who7have7taken7 special7courses7on7prescribing7medication;7thus7i
t7is7an7advanced-
practice7intervention.7The7 nurse7prepared7at7the7basic7level7is7permitted7to7perform7mental7he
alth7assessments,7establish7 relationships,7and7provide7individualized7care7planning.
DIF: Cognitive7Level:7Understand7(Comprehension)
TOP:77 Nursing7Process:7Implementation MSC:7 Client7Needs:7Safe7Effective7Care7Environment
2. When7a7nursing7student7expresses7concerns7about7how7mental7health7nurses7―lose7all7their7
nursing7skills,‖7which7of7the7following7is7the7best7response7by7the7mental7health7nurse?
a. ―Psychiatric7nurses7practise7in7safer7environments7than7other7specialties.
Nurse-to-
patient7ratios7must7be7better7because7of7the7nature7of7the7patients’7 proble
ms.‖ .
b. ―Psychiatric7nurses7use7complex7communication7skills7as7well7as7critical7thinkingto
solve7multidimensional7problems.7I7am7challenged7by7those7situations.‖
c. ―That’s7a7misconception.7Psychiatric7nurses7frequently7use7high-
technology7 monitoring7equipment7and7manage7complex7intravenous7ther
apies.‖
d. ―Psychiatric7nurses7do7not7have7to7deal7with7as7much7pain7and7suffering7as
7 medical–surgical7nurses7do.7That7appeals7to7me.‖
ANSWER:7 B
The7practice7of7psychiatric7nursing7requires7a7different7set7of7skills7from7medical–
surgical7 nursing,7though7there7is7substantial7overlap.7Two7domains7relate7specifically7to7psy
chiatric7 nursing:7behavioural,7including7communication,7coping,7and7education;7and7safety,7
covering7 crisis7and7risk7management.7Basic7psychosocial7nursing7concepts7are7central7to7ps
ychiatric7 nursing7practice7and7increase7your7competency7as7a7practitioner7in7all7clinical7sett
ings.
Whatever7setting7you7choose7to7work7in,7you7will7have7the7opportunity7to7improve7the7lives7of7
people7who7are7experiencing7mental7illness7as7an7additional7challenge7to7their7health.
Your7experience7in7the7mental7health7nursing7rotation7can7help7you7gain7insight7into7yourself7and7
greatly7increase7your7insight7into7the7experiences7of7others.7This7part7of7nursing7educationcan7 pro
vide7guidelines7for7and7the7opportunity7to7learn7new7skills7for7dealing7with7a7variety7of7 challengin
g7behaviours.7Psychosocial7pain7and7suffering7are7as7real7as7physical7pain7and7suffering.
DIF: Cognitive7Level:7Apply7(Application)
TOP:77 Nursing7Process:7Implementation MSC:7 Client7Needs:7Safe7Effective7Care7Environment
, 3. When7a7new7bill7introduced7in7Parliament7reduces7funding7for7care7of7people7with7mental7illness,
7 a7group7of7people7with7mild7mental7illness7write7letters7to7their7elected7representativesin7 opposi
tion7to7the7legislation7for7all7people7with7mental7illness.7Which7role7does7this7action7 portray?
a. Recovery
b. Self-care
c. Advocacy
d. Social7action
ANSWER:7 C
An7advocate7defends7or7asserts7another’s7cause,7particularly7when7the7other7person7lacks7th
e7 ability7to7do7that7for7himself7or7herself.7On7a7community7scale,7advocacy7includes7political
7 activity,7public7speaking,7and7publication7in7the7interest7of7improving7the7human7condition.7
Since7funding7is7necessary7to7deliver7quality7programming7for7people7with7mental7illness,7the
7 letter-writing7campaign7advocates7for7the7cause7for7all7people7with7mental7illness.
DIF: Cognitive7Level:7Understand7(Comprehension)
TOP:77 Nursing7Process:7Implementation MSC:7 Client7Needs:7Safe7Effective7Care7Environment
4. Which7of7the7following7has7been7identified7as7a7significant7trend7that7will7affect7the7future7of
7 psychiatric7mental7health7nursing7in7Canada?
a. Decrease7in7the7aging7population
b. Increase7in7cultural7diversity
c. Role7of7the7advanced-practice7nurse
d. Shortage7of7physicians7in7rural7and7urban7areas
ANSWER:7 B
Four7significant7trends7havTe EbSeeTnBidAeN
ntK
ifSieEd7LthLatEw
Ri.ll C
afOfeMct7the7future7of7psychiatric7mental
health7nursing7in7Canada;7these7include7an7aging7population,7an7increase7in7cultural7diversity,7 ex
panding7technology,7and7an7increased7awareness7of7the7impact7of7the7determinants7of7healthon
7 mental7illness.
DIF: Cognitive7Level:7Understand7(Comprehension)
TOP:77 Nursing7Process:7Assessment MSC:7 Client7Needs:7Safe7Effective7Care7Environment
5. Which7assessment7finding7most7clearly7indicates7that7a7patient7may7be7experiencing7a7ment
al7 illness?
a. The7patient7reports7occasional7sleeplessness7and7anxiety.
b. The7patient7reports7a7consistently7sad,7discouraged,7and7hopeless7mood.
c. The7patient7is7able7to7describe7the7difference7between7―as7if‖7and7―for7real.‖
d. The7patient7perceives7difficulty7making7a7decision7about7whether7to7change7jobs.
ANSWER:7 B
The7correct7response7describes7a7mood7alteration,7which7reflects7mental7illness.7Alterations7in7 co
gnition,7mood,7or7behaviour7that7are7coupled7with7significant7distress7and7impaired7 functioning7
characterize7mental7illness.7The7distracters7describe7behaviours7that7are7mentally7 healthy7or7wi
thin7the7usual7scope7of7human7experience.
DIF: Cognitive7Level:7Apply7(Application)
TOP:77 Nursing7Process:7Assessment MSC:7 Client7Needs:7Psychosocial7Integrity