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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xEdition


MULTIPLE CHOICE x




1. Which of the following is considered an Advanced
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x Practice Intervention? x


a. Conducting mental health assessments (MSA) x x x x


b. Prescribing psychotropic medication x x


c. Establishing therapeutic relationships x x


d. Individualizing nursing care plans x x x




ANS: B x


Registered nurses and registered psychiatric nurses can further their
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education at a baccalaureate levelor at the graduate level (master’s
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doctorate) and become qualified to practise psychiatric mental
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x health nursing at two levels – basic and advanced – developing on
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xtheir education preparation. Prescriptive privileges are granted to
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master’s-
x


prepared Nurse Practitioners (NPs) as they have taken additional advanced courses on prescribing
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xmedication. Appropriate use of diagnostic tests must be completed aswell as having hospital
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admitting privileges. Establishing therapeutic relationship, conducting mental health assessments
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(MSAs), and individualizing nursing care plans are foundational psychiatric nursing skills.
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Therefore, they are considered Basic-Level Interventions.
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DIF: Cognitive Level: Understand (Comprehension) x x x


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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health nursing in Canada?
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a. Decrease in the aging population x x x x


b. Increase in cultural diversity x x x


c. Role of the advanced practice nurse
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d. Shortage of physicians in rural and urban areas x x x x x x x




ANS: B x


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


(Comprehension) TOP: Nursing Process:
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Outcome 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) x x x x


b. Diagnostic and Statistical Manual of Mental Disorders (DSM) x x x x x x x


c. A behavioural health reference manual
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, d. NurseOne online x




ANS: B x


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
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disorders. With a common understanding about mental disorders, researchers and clinicians could
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work together in their attempts to improve care for people with mental illness. The current DSM-
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5 serves as the official guide for diagnosing psychiatric disorders. The International Classification
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of Diseases (ICD) sets the global health information standard for mortality and morbidity
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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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xdiseases 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) x x x


TOP: Nursing Process: Assessment MSC: x x x Client Needs: Safe Effective Care Environment
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4. When locating the description and diagnostic criteria for anxiety disorders, which resource would
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x have the most complete information?
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a. Nursing Outcomes Classification (NOC) x x x


b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5) x x x x x x x


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 x x x x x x x


Problems (ICD-10)
x x




ANS: B x


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.
x x




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


TOP: x xNursing 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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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 firex x x


d. An individual who navigates and negotiates resources to support their well-being
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ANS: D x




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, A characteristic of mental health increasingly being promoted as essential to the recovery process is
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xresilience. Resilience is a process and outcome of complex, cultural systems, rather than as an
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xindividual capacity to overcome adversity. In this way, when exposed to adversity, one’s resilience
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xdepends on the navigation and negotiation of resources that can support well-being. Resilience is
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xclosely associated with the process of adapting and helps people facing tragedies, loss, trauma,
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and severe stress. An individual who is repressing their stressors may need support for
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developing coping strategies. It is important for the individual who is in a depressed state
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after the death of their spouse to navigate and negotiate resources that can support their
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well-being (e.g., grief support or counselling). An individual living in a shelter needs immediate
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support and assistance when entering the shelter to navigate services and supports. Shelters
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are short-term resources.
x x x




DIF: Cognitive Level: Apply (Application)
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TOP:
x Nursing Process: Outcomex x x


Evaluation
x MSC: Client x x x x x x x x


xNeeds:
Psychosocial Integrity x




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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antidepressants). The other group receives only psychotropic medication. Outcomes are measured
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for each group. Which is being studied?
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a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology x




ANS: D x


Clinical epidemiology is a broad field that addresses studies of the natural history (or what happens
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xif there is no treatment and the problem is left to run its course) of an illness, studies
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of diagnostic screening tests, and observational and experimental studies of interventions
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used to treat people with the illness or symptoms. Prevalence refers to numbers of new
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cases.
x


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 x x


(Comprehension) TOP: Nursing Process:
x x x x


Outcome Evaluation
x x


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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xhomes and businesses. In the 2 years after this disaster, 140 individuals were diagnosed with
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x post-traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed
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xindividuals?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinical epidemiology x




ANS: C x




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