Test Bank For Varcarolis Canadian Psychiatric Mental Health Nursing 3rd Edition By Cheryl L. Pollard, Sonya L. Jakubec| 9780323778800| All Chapters| LATEST

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,Chapter 01: Mental Health and Mental Illness
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Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical Approach, 3rd
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Edition
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MULTIPLE CHOICE m




1. Which of the following is considered an Advanced
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Practice Intervention?
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a. Conducting mental health assessments (MSA) m m m m


b. Prescribing psychotropic medication m m


c. Establishing therapeutic relationships m m


d. Individualizing nursing care plans m m m




ANS: B m


Registered nurses and registered psychiatric nurses can further their
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meducation at a baccalaureate levelor at the graduate level (master’s
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mdoctorate) and become qualified to practise psychiatric mental
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mhealth nursing at two levels – basic and advanced – developing on
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mtheir education preparation. Prescriptive privileges are granted to
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master’s-
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prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribing
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mmedication. Appropriate use of diagnostic tests must be completed aswell as having hospital
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madmitting privileges. Establishing therapeutic relationship, conducting mental health assessments
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m(MSAs), and individualizing nursing care plans are foundational psychiatric nursing skills.
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mTherefore, they are considered Basic-Level Interventions.
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DIF: Cognitive Level: Understand (Comprehension) m m m


TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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2. Which has been identified as a priority for national plans and strategies in psychiatric mental
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mhealth nursing in Canada?
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a. Decrease in the aging population m m m m


b. Increase in cultural diversity m m m


c. Role of the advanced practice nurse
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d. Shortage of physicians in rural and urban areas
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ANS: B m


In early phases of strategic development, the Mental Health Commission of Canada identified
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mcultural diversity as a priority for national plans and strategies. Increasing cultural diversity within
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mCanada warrants deeper attention to culturally safe care and concern for the mental health
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mconsequences of colonization and racism. An aging population and shortage of physicians are
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mimportant to future trends. The role of the advanced practice nurse is continuing to evolve in
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mpsychiatric mental health nursing in Canada.
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DIF: Cognitive Level: Understand m m


(Comprehension) TOP: Nursing Process: Outcome
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Evaluation
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MSC: Client Needs: Safe Effective Care Environment
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3. Which serves as the official guide for diagnosing psychiatric disorders?
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a. International Classification of Diseases (ICD-11) m m m m


b. Diagnostic and Statistical Manual of Mental Disorders (DSM)
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c. A behavioural health reference manual
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, d. NurseOne online m




ANS: B m


The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the
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American Psychiatric Association in 1952. Its purpose was to provide clinicians, educators, and
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researchers with a common framework to understand and communicate about mental disorders.
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With a common understanding about mental disorders, researchers and clinicians could work
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together in their attempts to improve care for people with mental illness. The current DSM-5 serves
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as the official guide for diagnosing psychiatric disorders. The International Classification of
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Diseases (ICD) sets the global health information standard for mortality and morbidity statistics.
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Clinicians and researchers use this classification system to define diseases, study disease patterns,
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monitor outcomes, and subsequently allocate resources based on the prevalence of disease. The
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Canadian Institute for Health Information developed an enhanced version of the previous version,
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ICD-10 referred to as the ICD 10-CA period that version extends beyond defining and classifying
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diseases to describe conditions and situations that are not diseases, including for example, risk
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factors to health and psychosocial circumstances. A behavioral health reference manual and
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NurseOne online are not used as official guides for diagnosis.
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DIF: Cognitive Level: Apply (Application) m m m


TOP: Nursing Process: Assessment
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4. When locating the description and diagnostic criteria for anxiety disorders, which resource would
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have the most complete information?
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a. Nursing Outcomes Classification (NOC) m m m


b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
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c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
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d. International Statistical Classification of Diseases and Related Health
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Problems (ICD-10)
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ANS: B m


The DSM-5 details the diagnostic criteria for psychiatric clinical conditions and is the official guide
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for diagnosing psychiatric disorders. The other references are good resources but do not define the
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diagnostic criteria.
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DIF: Cognitive Level: Understand (Comprehension) m m m


TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
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5. Which individual is demonstrating the highest level of resilience?
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a. An individual repressing their stressors who is having a difficult time coping
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m with activities of daily living (ADLs)
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b. An individual who is in a depressed state after the death of their spouse
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c. An individual who lives in a shelter for 2 years after their home is destroyed
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by a fire
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d. An individual who navigates and negotiates resources to support their well-being
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ANS: D m




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, A characteristic of mental health increasingly being promoted as essential to the recovery process is
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resilience. Resilience is a process and outcome of complex, cultural systems, rather than as an
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individual capacity to overcome adversity. In this way, when exposed to adversity, one’s resilience
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depends on the navigation and negotiation of resources that can support well-being. Resilience is
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closely associated with the process of adapting and helps people facing tragedies, loss, trauma, and
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severe stress. An individual who is repressing their stressors may need support for developing
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coping strategies. It is important for the individual who is in a depressed state after the death of
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their spouse to navigate and negotiate resources that can support their well-being (e.g., grief
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support or counselling). An individual living in a shelter needs immediate support and assistance
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when entering the shelter to navigate services and supports. Shelters are short-term resources.
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DIF: Cognitive Level: Apply (Application)
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TOP:
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Evaluation
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Psychosocial Integrity
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6. A multidisciplinary team is working with two groups of patients diagnosed with depression. One
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group of patients receives supportive interventions and psychotropic medication (e.g.,
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mantidepressants). The other group receives only psychotropic medication. Outcomes are measured
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mfor each group. Which is being studied?
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a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology m




ANS: D m


Clinical epidemiology is a broad field that addresses studies of the natural history (or what happens
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if there is no treatment and the problem is left to run its course) of an illness, studies of
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diagnostic screening tests, and observational and experimental studies of interventions used to
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treat people with the illness or symptoms. Prevalence refers to numbers of new cases.
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Comorbidity refers to having more than one mental disorder at a time. Incidence refers to the
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number of new cases of mental disorders in a healthy population within a given period.
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DIF: Cognitive Level: Understand m m


(Comprehension) TOP: Nursing Process: Outcome
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Evaluation
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MSC: Client Needs: Safe Effective Care Environment
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7. A category 5 tornado occurred in a community of 400 people, resulting in destruction of many
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homes and businesses. In the 2 years after this disaster, 140 individuals were diagnosed with
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mpost-traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed
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mindividuals?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology m




ANS: C m




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