Varcarolis Canadian Psychiatric Mental Health Nursing 3
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rd Edition By Pollard All Chapter 1 - 35
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,
,Chapter 01: Mental Health and Mental Illness
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Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
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MULTIPLEpCHOICE
1. Apstaffpnursepcompletesporientationptopappsychiatricpunit.pWhichpofpthepfollowingpwouldsthenursepe
xpectpaspanpadvancedppracticepintervention?
a. Conductpmentalphealthpassessments
b. Prescribeppsychotropicpmedication
c. Establishptherapeuticprelationships
d. Individualizesnursing pcaresplans
ANSWER:sp B
Prescriptivesprivilegesparepgrantedptopmaster’s-
preparedpnurseppractitionerspwhophavestakenpspecialpcoursesponpprescribingpmedication;pthuspitpispanpa
dvanced-
practicepintervention.pThepnursespreparedpatsthepbasicplevelpisppermittedstopperformpmentalphealthpaspsessme
nts,pestablishrelationships,pandsprovidepindividualizedpcarepplanning.
DIF: CognitivesLevel:pUnderstands(Comprehension)
TOP:p NursingpProcess:pImplementation MSC:p ClientpNeeds:pSafepEffectivesCarepEnvironment
2. Whenpapnursingpstudentpexpressespconcernspaboutphowpmentalphealthpnursesp“losepallptheirnursipn
gsskills,”pwhichpofpthesfollowingsispthesbestpresponsepbypthepmentalphealthpnurse?
a. “Psychiatricpnursesppractisepinpsaferpenvironmentspthanpotherpspecialties.pNurse
-to-
patientsratiospmustpbepbetterpbecausepofpthepnaturepofptheppatients’ppro
blems.” .
b. “Psychiatricpnursespusepcomplexpcommunicationsskillsp aspwellpaspcriticalsthinkingstopsolv
esmultidimensionalpproblems.pIpampchallengedpbypthosepsituations.”
c. “That’spasmisconception.pPsychiatricpnursespfrequentlypusephigh-
ptechnologymonitoringpequipmentpandpmanagepcomplexpintravenousptherapies.”
d. “Psychiatricpnursespdosnotphaveptopdealpwithpaspmuchppainpandpsufferingsassmedipc
al–surgicalpnursespdo.pThatpappealsptopme.”
ANSWER:sp B
Theppracticepofppsychiatricpnursingprequirespapdifferentpsetpofsskillspfrompmedical–
surgicalpnursing,pthoughptherepispsubstantialpoverlap.pTwopdomainsprelatepspecificallyptoppsychiatricp
nursing:pbehavioural,sincludingpcommunication,pcoping,pandpeducation;pandssafety,pcoveringcrisispap
ndpriskpmanagement.pBasicppsychosocialpnursingsconceptsparepcentralptospsychiatricpnursingspracticp
esandpincreasepyourpcompetencypaspappractitionerpinpallpclinicalpsettings.
Whateverpsettingpyoupchooseptopworkpin,syoupwillphavepthepopportunityptopimprovestheplivespofpeoplepw
hoparesexperiencingpmentalpillnesspaspanpadditionalpchallengestoptheirphealth.
Yourpexperiencepinpthepmentalphealthpnursingsrotationpcanphelppyoupgainpinsightpintopyourselfpandpgrepa
tlypincreasepyourpinsightsintopthepexperiencespofpothers.pThisppartsofpnursingpeducationcanpprovidepgpui
delinespforpandpthepopportunityptoplearnpnewpskillspforsdealingswithpapvarietypofchallengingsbehavioup rs.pP
sychosocialppainpandpsufferingparepasprealsaspphysicalppainpandpsuffering.
DIF: CognitivesLevel:pApplyp(Application)
TOP:p NursingpProcess:pImplementation MSC:p ClientpNeeds:pSafepEffectivesCarepEnvironment
, 3. WhenpapnewpbillpintroducedpinpParliamentpreducespfundingpforpcarepofppeoplepwithpmentalpillness,papgrpoup
pofppeoplepwithpmildpmentalpillnesspwriteplettersptostheirpelectedprepresentativesinsoppositionptopthpesleg
islationpforpallppeoplepwithpmentalpillness.pWhichprolepdoespthispactionpportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialpaction
ANSWER:sp C
Anpadvocatepdefendsporpassertspanother’spcause,pparticularlypwhenpthepotherppersonplackspthepabilityptpo
pdosthatsforphimselfporpherself.pOnpapcommunitypscale,padvocacypincludesppoliticalpactivity,ppublicssppea
king,pandppublicationpinpthepinterestpofpimprovingpthephumanpcondition.pSincepfundingsispnecessarpypto
pdeliverpqualitypprogrammingpforppeoplepwithpmentalpillness,ptheletter-
writingscampaignpadvocatespforpthepcausepforsallppeopleswithpmentalpillness.
DIF: CognitivesLevel:pUnderstands(Comprehension)
TOP:p NursingpProcess:pImplementation MSC:p ClientpNeeds:pSafepEffectivesCarepEnvironment
4. Whichpofpthepfollowingphaspbeenpidentifiedpaspapsignificantptrendpthatpwillpaffectpthepfuturepofpsychiaptr
icpmentalphealthpnursingpinpCanada?
a. Decreasepinpthepagingspopulation
b. Increasepinpculturalpdiversity
c. Rolepofpthepadvanced-practicesnurse
d. Shortagepofpphysicianspinpruralpandpurbanpareas
ANSWER:sp B
Fourpsignificantptrendspha vTe EbeSeTn BidAe N
ntKifiSe E
d sLthLatEwRi.l l CafOfeMc t s the pfuturepofppsychiatricpmentalphealt
hpnursingpinpCanada;pthesepincludesanpagingspopulation,panpincreasepinpculturalpdiversity,pexpandingste
chnology,pandpansincreasedsawarenesspofpthepimpactpofpthesdeterminantspofphealthonpmepntalpillness.
DIF: CognitivesLevel:pUnderstands(Comprehension)
TOP:p NursingsProcess:pAssessment MSC:p ClientpNeeds:pSafepEffectivesCarepEnvironment
5. Whichpassessmentsfindingsmostpclearlypindicatespthatsappatientsmaypbepexperiencingpapmentalillness?
a. Theppatientpreportspoccasionalpsleeplessnesspandpanxiety.
b. Theppatientpreportspasconsistentlypsad,pdiscouraged,pandphopelesspmood.
c. Theppatientpispableptosdescribesthepdifferencepbetweenp“aspif”pandp“forpreal.”
d. Theppatientpperceivespdifficultypmakingpapdecisionpaboutpwhetherptopchangepjobs.
ANSWER:sp B
Thepcorrectpresponsepdescribespapmoodpalteration,swhichpreflectspmentalpillness.pAlterationspincognitpi
on,pmood,porpbehaviourpthatsarepcoupledpwithpsignificantsdistresspandpimpairedpfunctioningpcharactepri
zesmentalpillness.pThepdistracterspdescribepbehaviourspthatparepmentallyphealthyporpwithinpthepusualpspcopep
ofphumansexperience.
DIF: CognitivesLevel:pApplyp(Application)
TOP:p NursingsProcess:pAssessment MSC:p ClientpNeeds:pPsychosocialpIntegrity