TEST BANK e
Varcarolis Canadian Psychiatric Mental Health Nursing
e e e e e
3rd Edition By Pollard All Chapter 1 - 35
e e e e e e e e
,
,Chapter e01: eMental eHealth eand eMental eIllness
Varcarolis’s eCanadian ePsychiatric eMental eHealth eNursing, e3rd eEdition
MULTIPLE eCHOICE
1. A estaff enurse ecompletes eorientation eto ea epsychiatric eunit. eWhich eof ethe efollowing
e would ethe e nurse eexpect eas ean eadvanced epractice eintervention?
a. Conduct emental ehealth eassessments
b. Prescribe epsychotropic emedication
c. Establish etherapeutic erelationships
d. Individualize enursing ecare eplans
ANSWER: e B
Prescriptive eprivileges eare egranted eto emaster’s-prepared enurse epractitioners ewho ehave
etaken e special ecourses eon eprescribing emedication; ethus eit eis ean eadvanced-practice
eintervention. eThe e nurse eprepared eat ethe ebasic elevel eis epermitted eto eperform emental
ehealth eassessments, eestablish e relationships, eand eprovide eindividualized ecare eplanning.
DIF: Cognitive eLevel: eUnderstand e(Comprehension)
TOP: e e Nursing eProcess: eImplementation MSC: e Client eNeeds: eSafe eEffective eCare eEnvironment
2. When ea enursing estudent eexpresses econcerns eabout ehow emental ehealth enurses e“lose eall
etheir e nursing eskills,” ewhich eof ethe efollowing eis ethe ebest eresponse eby ethe emental
ehealth enurse?
a. “Psychiatric enurses epractise ein esafer eenvironments ethan eother especialties.
Nurse-to-patient eratios emust ebe ebetter ebecause eof ethe enature eof ethe
epatients’ e problems.” .
b. “Psychiatric enurses euse ecomplex ecommunication eskills eas ewell eas ecritical ethinkingto
solve emultidimensional eproblems. eI eam echallenged eby ethose esituations.”
c. “That’s ea emisconception. ePsychiatric enurses efrequently euse ehigh-
technology e monitoring eequipment eand emanage ecomplex eintravenous
etherapies.”
d. “Psychiatric enurses edo enot ehave eto edeal ewith eas emuch epain eand
esuffering eas e medical–surgical enurses edo. eThat eappeals eto eme.”
ANSWER: e B
The epractice eof epsychiatric enursing erequires ea edifferent eset eof eskills efrom emedical–
surgical e nursing, ethough ethere eis esubstantial eoverlap. eTwo edomains erelate especifically
eto epsychiatric e nursing: ebehavioural, eincluding ecommunication, ecoping, eand eeducation;
eand esafety, ecovering e crisis eand erisk emanagement. eBasic epsychosocial enursing
econcepts eare ecentral eto epsychiatric e nursing epractice eand eincrease eyour ecompetency
eas ea epractitioner ein eall eclinical esettings.
Whatever esetting eyou echoose eto ework ein, eyou ewill ehave ethe eopportunity eto eimprove ethe
elives eof e people ewho eare eexperiencing emental eillness eas ean eadditional echallenge eto etheir
ehealth.
Your eexperience ein ethe emental ehealth enursing erotation ecan ehelp eyou egain einsight einto eyourself
eand e greatly eincrease eyour einsight einto ethe eexperiences eof eothers. eThis epart eof enursing
eeducationcan e provide eguidelines efor eand ethe eopportunity eto elearn enew eskills efor edealing
ewith ea evariety eof e challenging ebehaviours. ePsychosocial epain eand esuffering eare eas ereal eas
ephysical epain eand esuffering.
DIF: Cognitive eLevel: eApply e(Application)
TOP: e e Nursing eProcess: eImplementation MSC: e Client eNeeds: eSafe eEffective eCare eEnvironment
, 3. When ea enew ebill eintroduced ein eParliament ereduces efunding efor ecare eof epeople ewith emental
eillness, e a egroup eof epeople ewith emild emental eillness ewrite eletters eto etheir eelected
erepresentativesin e opposition eto ethe elegislation efor eall epeople ewith emental eillness. eWhich
erole edoes ethis eaction e portray?
a. Recovery
b. Self-care
c. Advocacy
d. Social eaction
ANSWER: e C
An eadvocate edefends eor easserts eanother’s ecause, eparticularly ewhen ethe eother eperson
elacks ethe e ability eto edo ethat efor ehimself eor eherself. eOn ea ecommunity escale, eadvocacy
eincludes epolitical e activity, epublic espeaking, eand epublication ein ethe einterest eof
eimproving ethe ehuman econdition. e Since efunding eis enecessary eto edeliver equality
eprogramming efor epeople ewith emental eillness, ethe e letter-writing ecampaign eadvocates
efor ethe ecause efor eall epeople ewith emental eillness.
DIF: Cognitive eLevel: eUnderstand e(Comprehension)
TOP: e e Nursing eProcess: eImplementation MSC: e Client eNeeds: eSafe eEffective eCare
eEnvironment
4. Which eof ethe efollowing ehas ebeen eidentified eas ea esignificant etrend ethat ewill eaffect ethe
efuture eof e psychiatric emental ehealth enursing ein eCanada?
a. Decrease ein ethe eaging epopulation
b. Increase ein ecultural ediversity
c. Role eof ethe eadvanced-practice enurse
d. Shortage eof ephysicians ein erural eand eurban eareas
ANSWER: e B
Four esignificant etrends ehavTe EbSeeTnBidAeN
ntK
ifSieEdeLthLatEw
Ri.ll C
afOfeMct ethe efuture eof epsychiatric emental
health enursing ein eCanada; ethese einclude ean eaging epopulation, ean eincrease ein ecultural
ediversity, e expanding etechnology, eand ean eincreased eawareness eof ethe eimpact eof ethe
edeterminants eof ehealthon e mental eillness.
DIF: Cognitive eLevel: eUnderstand e(Comprehension)
TOP: e e Nursing eProcess: eAssessment MSC: e Client eNeeds: eSafe eEffective eCare
eEnvironment
5. Which eassessment efinding emost eclearly eindicates ethat ea epatient emay ebe eexperiencing ea
mental e illness?
e
a.The epatient ereports eoccasional esleeplessness eand eanxiety.
b.The epatient ereports ea econsistently esad, ediscouraged, eand ehopeless emood.
c.The epatient eis eable eto edescribe ethe edifference ebetween e“as eif” eand e“for ereal.”
d.The epatient eperceives edifficulty emaking ea edecision eabout ewhether eto echange ejobs.
ANSWER: e B
The ecorrect eresponse edescribes ea emood ealteration, ewhich ereflects emental eillness. eAlterations
ein e cognition, emood, eor ebehaviour ethat eare ecoupled ewith esignificant edistress eand eimpaired
e functioning echaracterize emental eillness. eThe edistracters edescribe ebehaviours ethat eare
ementally e healthy eor ewithin ethe eusual escope eof ehuman eexperience.
DIF: Cognitive eLevel: eApply e(Application)
TOP: e e Nursing eProcess: eAssessment MSC: e Client eNeeds: ePsychosocial eIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
e e e e e
3rd Edition By Pollard All Chapter 1 - 35
e e e e e e e e
,
,Chapter e01: eMental eHealth eand eMental eIllness
Varcarolis’s eCanadian ePsychiatric eMental eHealth eNursing, e3rd eEdition
MULTIPLE eCHOICE
1. A estaff enurse ecompletes eorientation eto ea epsychiatric eunit. eWhich eof ethe efollowing
e would ethe e nurse eexpect eas ean eadvanced epractice eintervention?
a. Conduct emental ehealth eassessments
b. Prescribe epsychotropic emedication
c. Establish etherapeutic erelationships
d. Individualize enursing ecare eplans
ANSWER: e B
Prescriptive eprivileges eare egranted eto emaster’s-prepared enurse epractitioners ewho ehave
etaken e special ecourses eon eprescribing emedication; ethus eit eis ean eadvanced-practice
eintervention. eThe e nurse eprepared eat ethe ebasic elevel eis epermitted eto eperform emental
ehealth eassessments, eestablish e relationships, eand eprovide eindividualized ecare eplanning.
DIF: Cognitive eLevel: eUnderstand e(Comprehension)
TOP: e e Nursing eProcess: eImplementation MSC: e Client eNeeds: eSafe eEffective eCare eEnvironment
2. When ea enursing estudent eexpresses econcerns eabout ehow emental ehealth enurses e“lose eall
etheir e nursing eskills,” ewhich eof ethe efollowing eis ethe ebest eresponse eby ethe emental
ehealth enurse?
a. “Psychiatric enurses epractise ein esafer eenvironments ethan eother especialties.
Nurse-to-patient eratios emust ebe ebetter ebecause eof ethe enature eof ethe
epatients’ e problems.” .
b. “Psychiatric enurses euse ecomplex ecommunication eskills eas ewell eas ecritical ethinkingto
solve emultidimensional eproblems. eI eam echallenged eby ethose esituations.”
c. “That’s ea emisconception. ePsychiatric enurses efrequently euse ehigh-
technology e monitoring eequipment eand emanage ecomplex eintravenous
etherapies.”
d. “Psychiatric enurses edo enot ehave eto edeal ewith eas emuch epain eand
esuffering eas e medical–surgical enurses edo. eThat eappeals eto eme.”
ANSWER: e B
The epractice eof epsychiatric enursing erequires ea edifferent eset eof eskills efrom emedical–
surgical e nursing, ethough ethere eis esubstantial eoverlap. eTwo edomains erelate especifically
eto epsychiatric e nursing: ebehavioural, eincluding ecommunication, ecoping, eand eeducation;
eand esafety, ecovering e crisis eand erisk emanagement. eBasic epsychosocial enursing
econcepts eare ecentral eto epsychiatric e nursing epractice eand eincrease eyour ecompetency
eas ea epractitioner ein eall eclinical esettings.
Whatever esetting eyou echoose eto ework ein, eyou ewill ehave ethe eopportunity eto eimprove ethe
elives eof e people ewho eare eexperiencing emental eillness eas ean eadditional echallenge eto etheir
ehealth.
Your eexperience ein ethe emental ehealth enursing erotation ecan ehelp eyou egain einsight einto eyourself
eand e greatly eincrease eyour einsight einto ethe eexperiences eof eothers. eThis epart eof enursing
eeducationcan e provide eguidelines efor eand ethe eopportunity eto elearn enew eskills efor edealing
ewith ea evariety eof e challenging ebehaviours. ePsychosocial epain eand esuffering eare eas ereal eas
ephysical epain eand esuffering.
DIF: Cognitive eLevel: eApply e(Application)
TOP: e e Nursing eProcess: eImplementation MSC: e Client eNeeds: eSafe eEffective eCare eEnvironment
, 3. When ea enew ebill eintroduced ein eParliament ereduces efunding efor ecare eof epeople ewith emental
eillness, e a egroup eof epeople ewith emild emental eillness ewrite eletters eto etheir eelected
erepresentativesin e opposition eto ethe elegislation efor eall epeople ewith emental eillness. eWhich
erole edoes ethis eaction e portray?
a. Recovery
b. Self-care
c. Advocacy
d. Social eaction
ANSWER: e C
An eadvocate edefends eor easserts eanother’s ecause, eparticularly ewhen ethe eother eperson
elacks ethe e ability eto edo ethat efor ehimself eor eherself. eOn ea ecommunity escale, eadvocacy
eincludes epolitical e activity, epublic espeaking, eand epublication ein ethe einterest eof
eimproving ethe ehuman econdition. e Since efunding eis enecessary eto edeliver equality
eprogramming efor epeople ewith emental eillness, ethe e letter-writing ecampaign eadvocates
efor ethe ecause efor eall epeople ewith emental eillness.
DIF: Cognitive eLevel: eUnderstand e(Comprehension)
TOP: e e Nursing eProcess: eImplementation MSC: e Client eNeeds: eSafe eEffective eCare
eEnvironment
4. Which eof ethe efollowing ehas ebeen eidentified eas ea esignificant etrend ethat ewill eaffect ethe
efuture eof e psychiatric emental ehealth enursing ein eCanada?
a. Decrease ein ethe eaging epopulation
b. Increase ein ecultural ediversity
c. Role eof ethe eadvanced-practice enurse
d. Shortage eof ephysicians ein erural eand eurban eareas
ANSWER: e B
Four esignificant etrends ehavTe EbSeeTnBidAeN
ntK
ifSieEdeLthLatEw
Ri.ll C
afOfeMct ethe efuture eof epsychiatric emental
health enursing ein eCanada; ethese einclude ean eaging epopulation, ean eincrease ein ecultural
ediversity, e expanding etechnology, eand ean eincreased eawareness eof ethe eimpact eof ethe
edeterminants eof ehealthon e mental eillness.
DIF: Cognitive eLevel: eUnderstand e(Comprehension)
TOP: e e Nursing eProcess: eAssessment MSC: e Client eNeeds: eSafe eEffective eCare
eEnvironment
5. Which eassessment efinding emost eclearly eindicates ethat ea epatient emay ebe eexperiencing ea
mental e illness?
e
a.The epatient ereports eoccasional esleeplessness eand eanxiety.
b.The epatient ereports ea econsistently esad, ediscouraged, eand ehopeless emood.
c.The epatient eis eable eto edescribe ethe edifference ebetween e“as eif” eand e“for ereal.”
d.The epatient eperceives edifficulty emaking ea edecision eabout ewhether eto echange ejobs.
ANSWER: e B
The ecorrect eresponse edescribes ea emood ealteration, ewhich ereflects emental eillness. eAlterations
ein e cognition, emood, eor ebehaviour ethat eare ecoupled ewith esignificant edistress eand eimpaired
e functioning echaracterize emental eillness. eThe edistracters edescribe ebehaviours ethat eare
ementally e healthy eor ewithin ethe eusual escope eof ehuman eexperience.
DIF: Cognitive eLevel: eApply e(Application)
TOP: e e Nursing eProcess: eAssessment MSC: e Client eNeeds: ePsychosocial eIntegrity
