stfhBank
Chapterfh01:fhMentalfhHealthfhandfhMentalfhIllness
Pollard:fhVarcarolis’sfhCanadianfhPsychiatricfhMentalfhHealthfhNursing:fhAfhClinicalfhApproach,fh
3rdfhEdition
MULTIPLEfhCHOICE
1. WhichfhoffhthefhfollowingfhisfhconsideredfhanfhAdvancedfhPra
cticefhIntervention?
a. Conductingfhmentalfhhealthfhassessmentsfh(MSA)
b. Prescribingfhpsychotropicfhmedication
c. Establishingfhtherapeuticfhrelationships
d. Individualizingfhnursingfhcarefhplans
ANS:f h B
Registeredfhnursesfhandfhregisteredfhpsychiatricfhnursesfhcanfhfurtherfhth
eirfheducationfhatfhafhbaccalaureatefhlevelorfhatfhthefhgraduatefhlevelfh(ma
ster‟sfhdoctorate)fhandfhbecomefhqualifiedfhtofhpractisefhpsychiatricfhmen
talfhhealthfhnursingfhatfhtwofhlevelsfh–fhbasicfhandfhadvancedfh–
fhdevelopingfhonfhtheirfheducationfhpreparation.fhPrescriptivefhprivilegesf
harefhgrantedfhtofhmaster‟s-
preparedfhNursefhPractitionersfh(NPs)fhasfhtheyfhhavefhtakenfhadditionalfhadvancedfhcoursesfhonfhprescribin
gfhmedication.fhAppropriatefhusefhoffhdiagnosticfhtestsfhmustfhbefhcompletedfhaswellfhasfhhavingfhhospitalfha
dmittingfhprivileges.fhEstablishingfhtherapeuticfhrelationship,fhconductingfhmentalfhhealthfhassessmentsfh(
MSAs),fhandfhindividualizingfhnursingfhcarefhplansfharefhfoundationalfhpsychiatricfhnursingfhskills.fhTheref
ore,fhtheyfharefhconsideredfhBasic-LevelfhInterventions.
DIF: CognitivefhLevel:fhUnderstandfh(Comprehension)
TOP:f h NursingfhProcess:fhImplementation MSC:f h ClientfhNeeds:fhSafefhEffectivefhCarefhEnvironment
2. Whichfhhasfhbeenfhidentifiedfhasfhafhpriorityfhforfhnationalfhplansfhandfhstrategiesfhinfhpsychiatricfhmenta
lfhhealthfhnursingfhinfhCanada?
a. Decreasefhinfhthefhagingfhpopulation
b. Increasefhinfhculturalfhdiversity
c. Rolefhoffhthefhadvancedfhpracticefhnurse
d. Shortagefhoffhphysiciansfhinfhruralfhandfhurbanfhareas
ANS:f h B
Infhearlyfhphasesfhoffhstrategicfhdevelopment,fhthefhMentalfhHealthfhCommissionfhoffhCanadafhidentifiedfhc
ulturalfhdiversityfhasfhafhpriorityfhforfhnationalfhplansfhandfhstrategies.fhIncreasingfhculturalfhdiversityfhwit
hinfhCanadafhwarrantsfhdeeperfhattentionfhtofhculturallyfhsafefhcarefhandfhconcernfhforfhthefhmentalfhhealthf
hconsequencesfhoffhcolonizationfhandfhracism.fhAnfhagingfhpopulationfhandfhshortagefhoffhphysiciansfharef
himportantfhtofhfuturefhtrends.fhThefhrolefhoffhthefhadvancedfhpracticefhnursefhisfhcontinuingfhtofhevolvefhinf
hpsychiatricfhmentalfhhealthfhnursingfhinfhCanada.
DIF:
CognitivefhLevel:fhUnderstandfh(Comprehensio
n)fhTOP:f h NursingfhProcess:fhOutcomefhEvaluation
MSC:f h ClientfhNeeds:fhSafefhEffectivefhCarefhEnvironment
3. Whichfhservesfhasfhthefhofficialfhguidefhforfhdiagnosingfhpsychiatricfhdisorders?
a. InternationalfhClassificationfhoffhDiseasesfh(ICD-11)
b. DiagnosticfhandfhStatisticalfhManualfhoffhMentalfhDisordersfh(DSM)
1
,Varcarolis'sfhCanadianfhPsychiatricfhMentalfhHealthfhNursingfh3rdfhEditionfhByfhSonyafhJakubec,fhCherylfhPollardfhTe
stfhBank c. Afhbehaviouralfhhealthfhreferencefhmanual
2
,Varcarolis'sfhCanadianfhPsychiatricfhMentalfhHealthfhNursingfh3rdfhEditionfhByfhSonyafhJakubec,fhCherylfhPollardfhTe
stfhBank
d. NurseOnefhonline
ANS:f h B
ThefhfirstfhDiagnosticfhandfhStatisticalfhManualfhoffhMentalfhDisordersfh(DSM)fhwasfhpublishedfhbyfhthefh
AmericanfhPsychiatricfhAssociationfhinfh1952.fhItsfhpurposefhwasfhtofhprovidefhclinicians,fheducators,fhand
fhresearchersfhwithfhafhcommonfhframeworkfhtofhunderstandfhandfhcommunicatefhaboutfhmentalfhdisorders.
fhWithfhafhcommonfhunderstandingfhaboutfhmentalfhdisorders,fhresearchersfhandfhcliniciansfhcouldfhworkfht
ogetherfhinfhtheirfhattemptsfhtofhimprovefhcarefhforfhpeoplefhwithfhmentalfhillness.fhThefhcurrentfhDSM-
5fhservesfhasfhthefhofficialfhguidefhforfhdiagnosingfhpsychiatricfhdisorders.fhThefhInternationalfhClassificati
onfhoffhDiseasesfh(ICD)fhsetsfhthefhglobalfhhealthfhinformationfhstandardfhforfhmortalityfhandfhmorbidityfhst
atistics.fhCliniciansfhandfhresearchersfhusefhthisfhclassificationfhsystemfhtofhdefinefhdiseases,fhstudyfhdiseas
efhpatterns,fhmonitorfhoutcomes,fhandfhsubsequentlyfhallocatefhresourcesfhbasedfhonfhthefhprevalencefhoffhd
isease.fhThefhCanadianfhInstitutefhforfhHealthfhInformationfhdevelopedfhanfhenhancedfhversionfhoffhthefhpr
eviousfhversion,fhICD-10fhreferredfhtofhasfhthefhICDfh10-
CAfhperiodfhthatfhversionfhextendsfhbeyondfhdefiningfhandfhclassifyingfhdiseasesfhtofhdescribefhconditionsfh
andfhsituationsfhthatfharefhnotfhdiseases,fhincludingfhforfhexample,fhriskfhfactorsfhtofhhealthfhandfhpsychosoc
ialfhcircumstances.fhAfhbehavioralfhhealthfhreferencefhmanualfhandfhNurseOnefhonlinefharefhnotfhusedfhasfh
officialfhguidesfhforfhdiagnosis.
DIF: CognitivefhLevel:fhApplyfh(Application)
TOP:f h NursingfhProcess:fhAssessment MSC:f h ClientfhNeeds:fhSafefhEffectivefhCarefhEnvironment
4. Whenfhlocatingfhthefhdescriptionfhandfhdiagnosticfhcriteriafhforfhanxietyfhdisorders,fhwhichfhresourcefhwoul
dfhhavefhthefhmostfhcompletefhinformation?
a. NursingfhOutcomesfhClassificationfh(NOC)
b. DiagnosticfhandfhStatisticalfhManualfhoffhMentalfhDisordersfh(DSM-5)
c. ThefhANA’sfhPsychiatric-MentalfhHealthfhNursingfhScopefhandfhStandardsfhoffhPractice
d. InternationalfhStatisticalfhClassificationfhoffhDiseasesfhandfhRelatedfhHealthfhProbl
emsfh(ICD-10)
ANS:f h B
ThefhDSM-
5fhdetailsfhthefhdiagnosticfhcriteriafhforfhpsychiatricfhclinicalfhconditionsfhandfhisfhthefhofficialfhguidefhforfhdi
agnosingfhpsychiatricfhdisorders.fhThefhotherfhreferencesfharefhgoodfhresourcesfhbutfhdofhnotfhdefinefhthefhdi
agnosticfhcriteria.
DIF: CognitivefhLevel:fhUnderstandfh(Comprehension)
TOP:f h NursingfhProcess:fhImplementation MSC:f h ClientfhNeeds:fhSafefhEffectivefhCarefhEnvironment
5. Whichfhindividualfhisfhdemonstratingfhthefhhighestfhlevelfhoffhresilience?
a. Anfhindividualfhrepressingfhtheirfhstressorsfhwhofhisfhhavingfhafhdifficultfhtimefhcopin
gfhwithfhactivitiesfhoffhdailyfhlivingfh(ADLs)
b. Anfhindividualfhwhofhisfhinfhafhdepressedfhstatefhafterfhthefhdeathfhoffhtheirfhspouse
c. Anfhindividualfhwhofhlivesfhinfhafhshelterfhforfh2fhyearsfhafterfhtheirfhhomefhisfhdestro
yedfhbyfhafhfire
d. Anfhindividualfhwhofhnavigatesfhandfhnegotiatesfhresourcesfhtofhsupportfhtheirfhwell-being
ANS:f h D
3
, Varcarolis'sfhCanadianfhPsychiatricfhMentalfhHealthfhNursingfh3rdfhEditionfhByfhSonyafhJakubec,fhCherylfhPollardfhTe
stfhBank
Afhcharacteristicfhoffhmentalfhhealthfhincreasinglyfhbeingfhpromotedfhasfhessentialfhtofhthefhrecoveryfhproc
essfhisfhresilience.fhResiliencefhisfhafhprocessfhandfhoutcomefhoffhcomplex,fhculturalfhsystems,fhratherfhthanf
hasfhanfhindividualfhcapacityfhtofhovercomefhadversity.fhInfhthisfhway,fhwhenfhexposedfhtofhadversity,fhone‟
sfhresiliencefhdependsfhonfhthefhnavigationfhandfhnegotiationfhoffhresourcesfhthatfhcanfhsupportfhwell-
being.fhResiliencefhisfhcloselyfhassociatedfhwithfhthefhprocessfhoffhadaptingfhandfhhelpsfhpeoplefhfacingfhtra
gedies,fhloss,fhtrauma,fhandfhseverefhstress.fhAnfhindividualfhwhofhisfhrepressingfhtheirfhstressorsfhmayfhnee
dfhsupportfhforfhdevelopingfhcopingfhstrategies.fhItfhisfhimportantfhforfhthefhindividualfhwhofhisfhinfhafhdepres
sedfhstatefhafterfhthefhdeathfhoffhtheirfhspousefhtofhnavigatefhandfhnegotiatefhresourcesfhthatfhcanfhsupportfhth
eirfhwell-
beingfh(e.g.,fhgrieffhsupportfhorfhcounselling).fhAnfhindividualfhlivingfhinfhafhshelterfhneedsfhimmediatefhsu
pportfhandfhassistancefhwhenfhenteringfhthefhshelterfhtofhnavigatefhservicesfhandfhsupports.fhSheltersfharefhs
hort-termfhresources.
DIF:fhCognitivefhLevel:fhApplyfh(Application
)fhTOP:fhNursingfhProcess:fhOutcomefhEvalua
tionfhMSC:f h ClientfhNeeds:fhPsychosocialfhIn
tegrity
6. Afhmultidisciplinaryfhteamfhisfhworkingfhwithfhtwofhgroupsfhoffhpatientsfhdiagnosedfhwithfhdepression.fhOn
efhgroupfhoffhpatientsfhreceivesfhsupportivefhinterventionsfhandfhpsychotropicfhmedicationfh(e.g.,fhantidepr
essants).fhThefhotherfhgroupfhreceivesfhonlyfhpsychotropicfhmedication.fhOutcomesfharefhmeasuredfhforfhea
chfhgroup.fhWhichfhisfhbeingfhstudied?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinicalfhepidemiology
ANS:f h D
Clinicalfhepidemiologyfhisfhafhbroadfhfieldfhthatfhaddressesfhstudiesfhoffhthefhnaturalfhhistoryfh(orfhwhatfhhap
pensfhiffhtherefhisfhnofhtreatmentfhandfhthefhproblemfhisfhleftfhtofhrunfhitsfhcourse)fhoffhanfhillness,fhstudiesfho
ffhdiagnosticfhscreeningfhtests,fhandfhobservationalfhandfhexperimentalfhstudiesfhoffhinterventionsfhusedfht
ofhtreatfhpeoplefhwithfhthefhillnessfhorfhsymptoms.fhPrevalencefhrefersfhtofhnumbersfhoffhnewfhcases.fhCom
orbidityfhrefersfhtofhhavingfhmorefhthanfhonefhmentalfhdisorderfhatfhafhtime.fhIncidencefhrefersfhtofhthefhnum
berfhoffhnewfhcasesfhoffhmentalfhdisordersfhinfhafhhealthyfhpopulationfhwithinfhafhgivenfhperiod.
DIF:
CognitivefhLevel:fhUnderstandfh(Comprehensio
n)fhTOP:f h NursingfhProcess:fhOutcomefhEvaluation
MSC:f h ClientfhNeeds:fhSafefhEffectivefhCarefhEnvironment
7. Afhcategoryfh5fhtornadofhoccurredfhinfhafhcommunityfhoffh400fhpeople,fhresultingfhinfhdestructionfhoffhman
yfhhomesfhandfhbusinesses.fhInfhthefh2fhyearsfhafterfhthisfhdisaster,fh140fhindividualsfhwerefhdiagnosedfhwi
thfhpost-
traumaticfhstressfhdisorderfh(PTSD).fhWhichfhtermfhbestfhappliesfhtofhthesefhnewlyfhdiagnosedfhindividua
ls?
a. Prevalence
b. Comorbidity
c. Incidence
d. Clinicalfhepidemiology
ANS:f h C
4