TEST BANK
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
nurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
ANSWER: B
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
special courses on prescribing medication; thus it is an advanced-practice intervention. The
nurse prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all their
nursing skills,” which of the following is the best response by the mental health nurse?
a. “Psychiatric nurses practise in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the patients’
problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto
solve multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high-technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
medical–surgical nurses do. That appeals to me.”
ANSWER: B
The practice of psychiatric nursing requires a different set of skills from medical–surgical
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
nursing: behavioural, including communication, coping, and education; and safety, covering
crisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
nursing practice and increase your competency as a practitioner in all clinical settings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
people who are experiencing mental illness as an additional challenge to their health.
Your experience in the mental health nursing rotation can help you gain insight into yourself and
greatly increase your insight into the experiences of others. This part of nursing educationcan
provide guidelines for and the opportunity to learn new skills for dealing with a variety of
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
, 3. When sa snew sbill sintroduced sin sParliament sreduces sfunding sfor scare sof speople swith smental
sillness, sa sgroup sof speople swith smild smental sillness swrite sletters sto stheir selected
srepresentativessin sopposition sto sthe slegislation sfor sall speople swith smental sillness. sWhich srole
sdoes sthis saction sportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social saction
ANSWER: s C
An sadvocate sdefends sor sasserts sanother’s scause, sparticularly swhen sthe sother sperson slacks
sthe sability sto sdo sthat sfor shimself sor sherself. sOn sa scommunity sscale, sadvocacy sincludes
spolitical sactivity, spublic sspeaking, sand spublication sin sthe sinterest sof simproving sthe shuman
scondition. sSince sfunding sis snecessary sto sdeliver squality sprogramming sfor speople swith
smental sillness, sthesletter-writing scampaign sadvocates sfor sthe scause sfor sall speople swith
smental sillness.
DIF: Cognitive sLevel: sUnderstand s(Comprehension)
TOP: s Nursing sProcess: sImplementation MSC: s Client sNeeds: sSafe sEffective sCare sEnvironment
4. Which sof sthe sfollowing shas sbeen sidentified sas sa ssignificant strend sthat swill saffect sthe sfuture
sofspsychiatric smental shealth snursing sin sCanada?
a. Decrease sin sthe saging spopulation
b. Increase sin scultural sdiversity
c. Role sof sthe sadvanced-practice snurse
d. Shortage sof sphysicians sin srural sand surban sareas
ANSWER: s B
Four ssignificant strends shavTe E
beSeT
nBidAeN
ntK
ifS
ieE
d sL
thL
atEwRi.llsC
afOfeMct sthe sfuture sof spsychiatric smental
shealth snursing sin sCanada; sthese sinclude san saging spopulation, san sincrease sin scultural
sdiversity,
expanding stechnology, sand san sincreased sawareness sof sthe simpact sof sthe sdeterminants sof
shealthson smental sillness.
DIF: Cognitive sLevel: sUnderstand s(Comprehension)
TOP: s Nursing sProcess: sAssessment MSC: s Client sNeeds: sSafe sEffective sCare sEnvironment
5. Which sassessment sfinding smost sclearly sindicates sthat sa spatient smay sbe sexperiencing sa
smentalsillness?
a. The spatient sreports soccasional ssleeplessness sand sanxiety.
b. The spatient sreports sa sconsistently ssad, sdiscouraged, sand shopeless smood.
c. The spatient sis sable sto sdescribe sthe sdifference sbetween s“as sif” sand s“for sreal.”
d. The spatient sperceives sdifficulty smaking sa sdecision sabout swhether sto schange sjobs.
ANSWER: s B
The scorrect sresponse sdescribes sa smood salteration, swhich sreflects smental sillness. sAlterations
sinscognition, smood, sor sbehaviour sthat sare scoupled swith ssignificant sdistress sand simpaired
sfunctioning scharacterize smental sillness. sThe sdistracters sdescribe sbehaviours sthat sare smentally
shealthy sor swithin sthe susual sscope sof shuman sexperience.
DIF: Cognitive sLevel: sApply s(Application)
TOP: s Nursing sProcess: sAssessment MSC: s Client sNeeds: sPsychosocial sIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
nurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
ANSWER: B
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
special courses on prescribing medication; thus it is an advanced-practice intervention. The
nurse prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all their
nursing skills,” which of the following is the best response by the mental health nurse?
a. “Psychiatric nurses practise in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the patients’
problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto
solve multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high-technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
medical–surgical nurses do. That appeals to me.”
ANSWER: B
The practice of psychiatric nursing requires a different set of skills from medical–surgical
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
nursing: behavioural, including communication, coping, and education; and safety, covering
crisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
nursing practice and increase your competency as a practitioner in all clinical settings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
people who are experiencing mental illness as an additional challenge to their health.
Your experience in the mental health nursing rotation can help you gain insight into yourself and
greatly increase your insight into the experiences of others. This part of nursing educationcan
provide guidelines for and the opportunity to learn new skills for dealing with a variety of
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
, 3. When sa snew sbill sintroduced sin sParliament sreduces sfunding sfor scare sof speople swith smental
sillness, sa sgroup sof speople swith smild smental sillness swrite sletters sto stheir selected
srepresentativessin sopposition sto sthe slegislation sfor sall speople swith smental sillness. sWhich srole
sdoes sthis saction sportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social saction
ANSWER: s C
An sadvocate sdefends sor sasserts sanother’s scause, sparticularly swhen sthe sother sperson slacks
sthe sability sto sdo sthat sfor shimself sor sherself. sOn sa scommunity sscale, sadvocacy sincludes
spolitical sactivity, spublic sspeaking, sand spublication sin sthe sinterest sof simproving sthe shuman
scondition. sSince sfunding sis snecessary sto sdeliver squality sprogramming sfor speople swith
smental sillness, sthesletter-writing scampaign sadvocates sfor sthe scause sfor sall speople swith
smental sillness.
DIF: Cognitive sLevel: sUnderstand s(Comprehension)
TOP: s Nursing sProcess: sImplementation MSC: s Client sNeeds: sSafe sEffective sCare sEnvironment
4. Which sof sthe sfollowing shas sbeen sidentified sas sa ssignificant strend sthat swill saffect sthe sfuture
sofspsychiatric smental shealth snursing sin sCanada?
a. Decrease sin sthe saging spopulation
b. Increase sin scultural sdiversity
c. Role sof sthe sadvanced-practice snurse
d. Shortage sof sphysicians sin srural sand surban sareas
ANSWER: s B
Four ssignificant strends shavTe E
beSeT
nBidAeN
ntK
ifS
ieE
d sL
thL
atEwRi.llsC
afOfeMct sthe sfuture sof spsychiatric smental
shealth snursing sin sCanada; sthese sinclude san saging spopulation, san sincrease sin scultural
sdiversity,
expanding stechnology, sand san sincreased sawareness sof sthe simpact sof sthe sdeterminants sof
shealthson smental sillness.
DIF: Cognitive sLevel: sUnderstand s(Comprehension)
TOP: s Nursing sProcess: sAssessment MSC: s Client sNeeds: sSafe sEffective sCare sEnvironment
5. Which sassessment sfinding smost sclearly sindicates sthat sa spatient smay sbe sexperiencing sa
smentalsillness?
a. The spatient sreports soccasional ssleeplessness sand sanxiety.
b. The spatient sreports sa sconsistently ssad, sdiscouraged, sand shopeless smood.
c. The spatient sis sable sto sdescribe sthe sdifference sbetween s“as sif” sand s“for sreal.”
d. The spatient sperceives sdifficulty smaking sa sdecision sabout swhether sto schange sjobs.
ANSWER: s B
The scorrect sresponse sdescribes sa smood salteration, swhich sreflects smental sillness. sAlterations
sinscognition, smood, sor sbehaviour sthat sare scoupled swith ssignificant sdistress sand simpaired
sfunctioning scharacterize smental sillness. sThe sdistracters sdescribe sbehaviours sthat sare smentally
shealthy sor swithin sthe susual sscope sof shuman sexperience.
DIF: Cognitive sLevel: sApply s(Application)
TOP: s Nursing sProcess: sAssessment MSC: s Client sNeeds: sPsychosocial sIntegrity
