Varcarolis Canadian Psychiatric Mental Health Nursing, 3rd Edition – Pollard – Complete Test Bank (Chapters 1–35)

TEST BANK
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35

,
,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 gi




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




b. Prescribe psychotropic medication gi gi




c. Establish therapeutic relationships gi gi




d. Individualize nursing care plans gi gi gi




ANSWER: B g i




Prescriptive privileges are granted to master’s- gi gi gi gi gi




prepared nurse practitioners who have taken special courses on prescribing medication; thus i
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t is an advanced-
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practice intervention. The nurse prepared at the basic level is permitted to perform mental hea
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lth assessments, establishrelationships, and provide individualized care planning.
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DIF: Cognitive Level: Understand (Comprehension) gi gi gi




TOP: Nursing Process: Implementation
g 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 theirn
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ursing skills,” which of the following is the best response by the mental health nurse?
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a. “Psychiatric nurses practise in safer environments than other specialties. N gi gi gi gi gi gi gi gi gi




urse-to-patient ratios must be better because of the nature of the patients’ gi gi gi gi gi gi gi gi gi gi gi




problems. .
”
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto s gi gi gi gi gi gi gi gi gi gi ig gi




olve multidimensional problems. I am challenged by those situations.”
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c. “That’s a misconception. Psychiatric nurses frequently use high- gi gi gi gi gi gi gi




technologymonitoring equipment and manage complex intravenous therapi ig gi gi gi gi gi gi




es.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering asm gi gi gi gi gi gi gi gi gi gi gi gi gi ig




edical–surgical nurses do. That appeals to me.” gi gi gi gi gi gi




ANSWER: B g i




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 to psychi
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atric nursing: behavioural, including communication, coping, and education; and safety, cover
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ingcrisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
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nursing practice and increase your competency 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 lives ofpe
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ople who are experiencing mental illness as an additional challenge to their health.
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Your experience in the mental health nursing rotation can help you gain insight into yourself and
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greatly increase your insight into the experiences of others. This part of nursing educationcan pr
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ovide guidelines for and the opportunity to learn new skills for dealing with a variety ofchallengi
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ng behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
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DIF: Cognitive Level: Apply (Application) gi gi gi




TOP: Nursing Process: Implementation
g 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 illness
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, a group of people with mild mental illness write letters to their elected representativesin oppo
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sition to the legislation for all people with mental illness. Which role does this action portray?
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a. Recovery
b. Self-care
c. Advocacy
d. Social action gi




ANSWER: C g i




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




TOP: Nursing Process: Implementation
g iMSC: Client Needs: Safe Effective Care Environment gi gi g i gi gi gi gi gi




4. Which of the following has been identified as a significant trend that will affect the future ofpsy
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chiatric mental health nursing in Canada? gi gi gi gi gi




a. Decrease in the aging population gi gi gi gi




b. Increase in cultural diversity gi gi gi




c. Role of the advanced-practice nurse gi gi gi gi




d. Shortage of physicians in rural and urban areas gi gi gi gi gi gi gi




ANSWER: B g i




Four significant trends havTe E
beSeT
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ntK
ifS
ieE
dLthLatEwRi.llC
afOfeMct the future of psychiatric mental healt gi gi ig ig gi gi gi gi gi gi




h nursing in Canada; these include an aging population, an increase in cultural diversity,
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expanding technology, and an increased awareness of the impact of the determinants of health gi gi gi gi gi gi gi gi gi gi gi gi gi ig




on mental illness.gi gi




DIF: Cognitive Level: Understand (Comprehension) gi gi gi




TOP: Nursing Process: Assessment
g iMSC: Client Needs: Safe Effective Care Environment gi gi g i gi gi gi gi gi




5. Which assessment finding most clearly indicates that a patient may be experiencing a mentalill
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ness?
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 g i




The correct response describes a mood alteration, which reflects mental illness. Alterations inc
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ognition, mood, or behaviour that are coupled with significant distress and impaired functionin
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g characterize mental illness. The distracters describe behaviours that are mentally healthy or
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within the usual scope of human experience. gi gi gi gi gi gi




DIF: Cognitive Level: Apply (Application) gi gi gi




TOP: Nursing Process: Assessment
g i MSC: Client Needs: Psychosocial Integrity gi gi g i gi gi gi