Chapter 01: Mental Health and Mental Illness
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Halter: Varcarolis’s Canadian Psychiatric Mental Health Nursing, 2nd Edition
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MULTIPLEfCHOICE
1. Afstafffnursefcompletesforientationftofafpsychiatricfunit.fWhichfofftheffollowingfwouldfthefnur
sefexpectfasfanfadvancedfpracticefintervention?
a. Conductfmentalfhealthfassessments
b. Prescribefpsychotropicfmedication
c. Establishftherapeuticfrelationships
d. Individualizefnursingfcarefplans
ANS:f B
Prescriptivefprivilegesfarefgrantedftofmaster’s-
preparedfnursefpractitionersfwhofhaveftakenfspecialfcoursesfonfprescribingfmedication;fthusfitfisfanf
advanced-
practicefintervention.fThefnursefpreparedfatfthefbasicflevelfisfpermittedftofperformfmentalfhealthfass
essments,festablishfrelationships,fandfprovidefindividualizedfcarefplanning.
DIF: CognitivefLevel:fUnderstandf(Comprehension)
TOP:f NursingfProcess:fImplementation MSC:f ClientfNeeds:fSafefEffectivefCarefEnvironment
2. Whenfafnursingfstudentfexpressesfconcernsfaboutfhowfmentalfhealthfnursesf“losefallftheirfnur
singfskills,”fwhichfofftheffollowingfisfthefbestfresponsefbyfthefmentalfhealthfnurse?
a. “Psychiatricfnursesfpractisefinfsaferfenvironmentsfthanfotherfspecialties.fNur
se-to-patientfratiosfmustfbefbetterfbecausefoffthefnaturefoffthefpatients’
problems.” TESTBANKSELLER.COM
b. “Psychiatricfnursesfusefcomplexfcommunicationfskillsfasfwellfasfcriticalfthinkingftof
solvefmultidimensionalfproblems.fIfamfchallengedfbyfthosefsituations.”
c. “That’sfafmisconception.fPsychiatricfnursesffrequentlyfusefhigh-
technologyfmonitoringfequipmentfandfmanagefcomplexfintravenousftherapie
s.”
d. “Psychiatricfnursesfdofnotfhaveftofdealfwithfasfmuchfpainfandfsufferingfasfme
dical–surgicalfnursesfdo.fThatfappealsftofme.”
ANS:f B
Thefpracticefoffpsychiatricfnursingfrequiresfafdifferentfsetfoffskillsffromfmedical–
surgicalfnursing,fthoughftherefisfsubstantialfoverlap.fTwofdomainsfrelatefspecificallyftofpsychiatr
icfnursing:fbehavioural,fincludingfcommunication,fcoping,fandfeducation;fandfsafety,fcoveringfcr
isisfandfriskfmanagement.fBasicfpsychosocialfnursingfconceptsfarefcentralftofpsychiatricfnursingf
practicefandfincreasefyourfcompetencyfasfafpractitionerfinfallfclinicalfsettings.
Whateverfsettingfyoufchooseftofworkfin,fyoufwillfhavefthefopportunityftofimproveftheflivesfoffpeople
fwhofarefexperiencingfmentalfillnessfasfanfadditionalfchallengeftoftheirfhealth.
Yourfexperiencefinfthefmentalfhealthfnursingfrotationfcanfhelpfyoufgainfinsightfintofyourselffandf
greatlyfincreasefyourfinsightfintofthefexperiencesfoffothers.fThisfpartfoffnursingfeducationfcanfpro
videfguidelinesfforfandfthefopportunityftoflearnfnewfskillsfforfdealingfwithfafvarietyfoffchallenging
fbehaviours.fPsychosocial fpainfandfsufferingfarefasfrealfasfphysical fpainfandfsuffering.
DIF: CognitivefLevel:fApplyf(Application)
TOP:f NursingfProcess:fImplementation MSC:f ClientfNeeds:fSafefEffectivefCarefEnvironment
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3. WhenfafnewfbillfintroducedfinfParliamentfreducesffundingfforfcarefoffpeoplefwithfmentalfillness,f
afgroupfoffpeoplefwithfmildfmentalfillnessfwriteflettersftoftheirfelectedfrepresentativesfinfoppositi
onftoftheflegislationfforfallfpeoplefwithfmentalfillness.fWhichfrolefdoesfthisfactionfportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialfaction
ANS:f C
Anfadvocatefdefendsforfassertsfanother’sfcause,fparticularlyfwhenfthefotherfpersonflacksfthefabil
ityftofdofthatfforfhimselfforfherself.fOnfafcommunityfscale,fadvocacyfincludesfpoliticalfactivity,fp
ublicfspeaking,fandfpublicationfinfthefinterestfoffimprovingfthefhumanfcondition.fSinceffundingfi
sfnecessaryftofdeliverfqualityfprogrammingfforfpeoplefwithfmentalfillness,fthefletter-
writingfcampaignfadvocatesfforfthefcausefforfallfpeoplefwithfmentalfillness.
DIF: CognitivefLevel:fUnderstandf(Comprehension)
TOP:f NursingfProcess:fImplementation MSC:f ClientfNeeds:fSafefEffectivefCarefEnvironment
4. Whichfofftheffollowingfhasfbeenfidentifiedfasfafsignificantftrendfthatfwillfaffectftheffuturefoffpsyc
hiatricfmentalfhealthfnursingfinfCanada?
a. Decreasefinfthefagingfpopulation
b. Increasefinfculturalfdiversity
c. Rolefoffthefadvanced-practicefnurse
d. Shortagefoffphysiciansfinfruralfandfurbanfareas
ANS:f B
FourfsignificantftrendsfhavT
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afOfeMctftheffuturefoffpsychiatricfmentalfhealthfn
ursingfinfCanada;fthesefincludefanfagingfpopulation,fanfincreasefinfculturalfdiversity,
expandingftechnology,fandfanfincreasedfawarenessfoffthefimpactfoffthefdeterminantsfoffhealthfonf
mentalfillness.
DIF: CognitivefLevel:fUnderstandf(Comprehension)
TOP:f NursingfProcess:fAssessment MSC:f ClientfNeeds:fSafefEffectivefCarefEnvironment
5. Whichfassessmentffindingfmostfclearlyfindicatesfthatfafpatientfmayfbefexperiencingfafmentalfilln
ess?
a. Thefpatientfreportsfoccasionalfsleeplessnessfandfanxiety.
b. Thefpatientfreportsfafconsistentlyfsad,fdiscouraged,fandfhopelessfmood.
c. Thefpatientfisfableftofdescribefthefdifferencefbetweenf“asfif”fandf“forfreal.”
d. Thefpatientfperceivesfdifficultyfmakingfafdecisionfaboutfwhetherftofchangefjobs.
ANS:f B
Thefcorrectfresponsefdescribesfafmoodfalteration,fwhichfreflectsfmentalfillness.fAlterationsfinfcogni
tion,fmood,forfbehaviourfthatfarefcoupledfwithfsignificantfdistressfandfimpairedffunctioningfcharact
erizefmentalfillness.fThefdistractersfdescribefbehavioursfthatfarefmentallyfhealthyforfwithinfthefusua
lfscopefoffhumanfexperience.
DIF: CognitivefLevel:fApplyf(Application)
TOP:f NursingfProcess:fAssessment MSC:f ClientfNeeds:fPsychosocialfIntegrity
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6. Whichffindingfbestfindicatesfthatfthefgoalf“Demonstratesfmentallyfhealthyfbehaviour”fwasfach
ieved?
a. Afpatientfseesfselffasfcapablefoffachievingfidealsfandfmeetingfdemands.
b. Afpatientfbehavesfwithoutfconsideringfthefconsequencesfoffpersonalfactions.
c. Afpatientfaggressivelyfmeetsfownfneedsfwithoutfconsideringfthefrightsfoffothers.
d. Afpatientfseeksfhelpffromfothersfwhenfassumingfresponsibilityfforfmajorfareasfoffow
nflife.
ANS:f A
Thefcorrectfresponsefdescribesfanfadaptive,fhealthyfbehaviour.fThefWHOfdefinesfmentalfhealthfa
sf“afstatefoffwell-
beingfinfwhichfeachfindividualfisfableftofrealizefhisforfherfownfpotential,fcopefwithfthefnormalfstre
ssesfofflife,fworkfproductivelyfandffruitfully,fandfmakefafcontributionftofthefcommunity”f(Worldf
HealthfOrganization,f2010).fThefdistractersfdescribefmaladaptivefbehaviours.
DIF: CognitivefLevel:fApplyf(Application)
TOP:f NursingfProcess:fEvaluationfMSC:f ClientfNeeds:fPsychosocialfIntegrity
7. Afnursefencountersfanfunfamiliarfpsychiatricfdisorderfonfafnewfpatient’sfadmissionfform.fWhichf
resourcefshouldfthefnursefconsultftofdeterminefcriteriafusedftofestablishfthisfdiagnosis?
a. InternationalfStatisticalfClassificationfoffDiseasesfandfRelatedfHealthfProblemsf(I
CD-10)
b. DiagnosticfandfStatisticalfManualfoffMentalfDisordersf(DSM-5)
c. Afbehaviouralfhealthfreferencefmanual
d. NurseOnefonline
ANS:f B
ThefDSM-
5fgivesfthefcriteTriaEuSsT
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ch.m
CeOnMtalfdisorder.fThefdistractersfmayfnotfcontainfdiagnost
icfcriteriafforfafpsychiatricfillness.
DIF: CognitivefLevel:fApplyf(Application)
TOP:f NursingfProcess:fAssessment MSC:f ClientfNeeds:fSafefEffectivefCarefEnvironment
8. Afnursefwantsftoffindfafdescriptionfoffdiagnosticfcriteriafforfanxietyfdisorders.fWhichfresourcefwo
uldfhavefthefmostfcompletefinformation?
a. NursingfOutcomesfClassificationf(NOC)
b. DiagnosticfandfStatisticalfManualfoffMentalfDisordersf(DSM-5)
c. ThefANA’sfPsychiatric–MentalfHealthfNursingfScopefandfStandardsfoffPractice
d. InternationalfStatisticalfClassificationfoffDiseasesfandfRelatedfHealthfProblemsf(I
CD-10)
ANS:f B
ThefDSM-
5fdetailsfthefdiagnosticfcriteriafforfpsychiatricfclinicalfconditionsfandfisfthefofficialfguidefforfdiag
nosingfpsychiatricfdisorders.fThefotherfreferencesfarefgoodfresourcesfbutfdofnotfdefinefthefdiagno
sticfcriteria.
DIF:f f CognitivefLevel:fUnderstandf(Comprehension)
TOP:f NursingfProcess:fImplementationf f MSC:f ClientfNeeds:fSafefEffectivefCarefEnvironment
9. Whichfindividualfisfdemonstratingfthefhighestflevelfoffresilience?
a. Onefwhofisfableftofrepressfstressors.
b. Onefwhofbecomesfdepressedfafterfthefdeathfoffafspouse.
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c. Onefwhoflivesfinfafshelterfforf2fyearsfafterfhisforfherfhomefisfdestroyedfbyffire.
d. Onefwhofisfableftofconnectfwithftheirfsupportfsystemsfandfsecurefthefresourcesfthe
yfneedftofbefwell.
ANS:f D
Resiliencefisfcloselyfassociatedfwithfthefprocessfoffadaptingfandfhelpsfpeopleffacingftragedies,fl
oss,ftrauma,fandfseverefstress.fItfisfafprocessfandfoutcomefoffcomplexfculturalfsystemsfratherfthan
fsimplyfanfindividual’sfabilityftofovercomefadversity.fRepressionfand
depressionfarefunhealthy.fLivingfinfafshelterfforf2fyearsfshowsfaffailureftofmovefforwardfafterfaftra
gedy.fSeefrelatedfaudiencefresponsefquestion.
DIF: CognitivefLevel:fApplyf(Application)
TOP:f NursingfProcess:fAssessment MSC:f ClientfNeeds:fPsychosocialfIntegrity
10. Completefthisfanalogy.fNANDA:fclinicalfjudgement;fNIC:f
a. Patientfoutcomes
b. Nursingfactions
c. Diagnoses
d. Symptoms
ANS:f B
Analogiesfshowfparallelfrelationships.fNANDA,fthefNorthfAmericanfNursingfDiagnosisfAssocia
tion,fidentifiesfdiagnosticfstatementsfregardingfhumanfresponsesftofactualforfpotentialfhealthfprob
lems.fThesefstatementsfrepresentfclinicalfjudgements.fNICf(NursingfInterventionsfClassification
)fidentifiesfactionsfprovidedfbyfnursesfthatfenhancefpatientfoutcomes.fNursingfcarefactivitiesfmay
fbefdirect forfindirect.
DIF: TOP:f NursingfProcess:fEvaluation
CognitivefLevel:fAnaT
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MSC:f ClientfNeeds:fSafefEffectivefCarefEnvironment
11. Afcollegefstudentfsaid,f“MostfofftheftimefI’mfhappyfandffeelfgoodfaboutfmyself.fIfhave
learnedfthatfwhatfIfgetfoutfoffsomethingfisfproportionalftofthefeffortfIfputfintofit.”fAccordingftofthef
Eppfclassification,fwhichfquadrantfoutcomefshouldfthefnursefselect?
a. Optimalfmentalfhealthfwithfmentalfillness
b. Poorfmentalfhealthfwithfmentalfillness
c. Optimalfmentalfhealthfwithoutfmentalfillness
d. Poorfmentalfhealthfwithoutfmentalfillness
ANS:f C
Thefstudentfisfhappyfandfhasfanfadequatefself-concept.fThefstudentfisfreality-
oriented,fworksfeffectively,fandfhasfcontrolfoverfhisforfherfownfbehaviour.fMentalfhealthfdoesfnotf
meanfthatfafpersonfisfalwaysfhappy.
DIF: CognitivefLevel:fApplyf(Application)
TOP:f NursingfProcess:fAssessment MSC:f ClientfNeeds:fPsychosocialfIntegrity
12. Whichfdisorderfisfafculture-boundfsyndrome?
a. Epilepsy
b. Schizophrenia
c. Runningfamok
d. Majorfdepression
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