s
Varcarolis Canadian Psychiatric Mental Health Nursing
s s s s s
3rd Edition By Pollard All Chapter 1 - 35
s s s s s s s s
,
,Chapters01:sMentalsHealthsandsMentalsIllness
Varcarolis’ssCanadiansPsychiatricsMentalsHealthsNursing,s3rdsEdition
MULTIPLEsCHOICE
1. Asstaffsnursescompletessorientationstosaspsychiatricsunit.sWhichsofsthesfollowingswouldsthes nurs
esexpectsassansadvancedspracticesintervention?
a. Conductsmentalshealthsassessments
b. Prescribespsychotropicsmedication
c. Establishstherapeuticsrelationships
d. Individualizesnursingscaresplans
ANSWER:s B
Prescriptivesprivilegessaresgrantedstosmaster’s-
preparedsnursespractitionersswhoshavestakens specialscoursessonsprescribingsmedication;sthussitsiss
ansadvanced-
practicesintervention.sThes nursespreparedsatsthesbasicslevelsisspermittedstosperformsmentalshealths
assessments,sestablishs relationships,sandsprovidesindividualizedscaresplanning.
DIF: CognitivesLevel:sUnderstands(Comprehension)
TOP:ss NursingsProcess:sImplementation MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
2. Whensasnursingsstudentsexpressessconcernssaboutshowsmentalshealthsnursess“losesallstheirs nur
singsskills,”swhichsofsthesfollowingsissthesbestsresponsesbysthesmentalshealthsnurse?
a. “Psychiatricsnursesspractisesinssafersenvironmentssthansothersspecialties.
Nurse-to-
patientsratiossmustsbesbettersbecausesofsthesnaturesofsthespatients’s problems.”
.
b. “Psychiatricsnursessusescomplexscommunicationsskillssasswellsasscriticalsthinkingto
solvesmultidimensionalsproblems.sIsamschallengedsbysthosessituations.”
c. “That’ssasmisconception.sPsychiatricsnursessfrequentlysuseshigh-
technologys monitoringsequipmentsandsmanagescomplexsintravenousstherap
ies.”
d. “Psychiatricsnursessdosnotshavestosdealswithsassmuchspainsandssufferingsass me
dical–surgicalsnursessdo.sThatsappealsstosme.”
ANSWER:s B
Thespracticesofspsychiatricsnursingsrequiressasdifferentssetsofsskillssfromsmedical–
surgicals nursing,sthoughstheresisssubstantialsoverlap.sTwosdomainssrelatesspecificallystospsychi
atrics nursing:sbehavioural,sincludingscommunication,scoping,sandseducation;sandssafety,scove
rings crisissandsrisksmanagement.sBasicspsychosocialsnursingsconceptssarescentralstospsychiatri
cs nursingspracticesandsincreasesyourscompetencysassaspractitionersinsallsclinicalssettings.
Whateverssettingsyouschoosestosworksin,syouswillshavesthesopportunitystosimprovestheslivessofs peo
pleswhosaresexperiencingsmentalsillnesssassansadditionalschallengestostheirshealth.
Yoursexperiencesinsthesmentalshealthsnursingsrotationscanshelpsyousgainsinsightsintosyourselfsands grea
tlysincreasesyoursinsightsintosthesexperiencessofsothers.sThisspartsofsnursingseducationcans providesgui
delinessforsandsthesopportunitystoslearnsnewsskillssforsdealingswithsasvarietysofs challengingsbehaviour
s.sPsychosocialspainsandssufferingsaresassrealsassphysicalspainsandssuffering.
DIF: CognitivesLevel:sApplys(Application)
TOP:ss NursingsProcess:sImplementation MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
, 3. WhensasnewsbillsintroducedsinsParliamentsreducessfundingsforscaresofspeopleswithsmentalsillness,s as
groupsofspeopleswithsmildsmentalsillnessswriteslettersstostheirselectedsrepresentativesins oppositionsto
stheslegislationsforsallspeopleswithsmentalsillness.sWhichsrolesdoessthissactions portray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialsaction
ANSWER:s C
Ansadvocatesdefendssorsassertssanother’sscause,sparticularlyswhensthesotherspersonslackssthes a
bilitystosdosthatsforshimselfsorsherself.sOnsascommunitysscale,sadvocacysincludesspoliticals activit
y,spublicsspeaking,sandspublicationsinsthesinterestsofsimprovingstheshumanscondition.s Sincesfundi
ngsissnecessarystosdeliversqualitysprogrammingsforspeopleswithsmentalsillness,sthes letter-
writingscampaignsadvocatessforsthescausesforsallspeopleswithsmentalsillness.
DIF: CognitivesLevel:sUnderstands(Comprehension)
TOP:ss NursingsProcess:sImplementation MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
4. Whichsofsthesfollowingshassbeensidentifiedsassassignificantstrendsthatswillsaffectsthesfuturesofs ps
ychiatricsmentalshealthsnursingsinsCanada?
a. Decreasesinsthesagingspopulation
b. Increasesinsculturalsdiversity
c. Rolesofsthesadvanced-practicesnurse
d. Shortagesofsphysicianssinsruralsandsurbansareas
ANSWER:s B
FourssignificantstrendsshavTe EbSeeTnBidAeN
ntK
ifSieEdsLthLatEw
Ri.ll C
afOfeMctsthesfuturesofspsychiatricsmental
healthsnursingsinsCanada;sthesesincludesansagingspopulation,sansincreasesinsculturalsdiversity,s expa
ndingstechnology,sandsansincreasedsawarenesssofsthesimpactsofsthesdeterminantssofshealthons ment
alsillness.
DIF: CognitivesLevel:sUnderstands(Comprehension)
TOP:ss NursingsProcess:sAssessment MSC:s ClientsNeeds:sSafesEffectivesCaresEnvironment
5. Whichsassessmentsfindingsmostsclearlysindicatessthatsaspatientsmaysbesexperiencingsasmentals i
llness?
a. Thespatientsreportssoccasionalssleeplessnesssandsanxiety.
b. Thespatientsreportssasconsistentlyssad,sdiscouraged,sandshopelesssmood.
c. Thespatientsissablestosdescribesthesdifferencesbetweens“assif”sands“forsreal.”
d. Thespatientsperceivessdifficultysmakingsasdecisionsaboutswhetherstoschangesjobs.
ANSWER:s B
Thescorrectsresponsesdescribessasmoodsalteration,swhichsreflectssmentalsillness.sAlterationssins cogni
tion,smood,sorsbehavioursthatsarescoupledswithssignificantsdistresssandsimpaireds functioningschara
cterizesmentalsillness.sThesdistracterssdescribesbehaviourssthatsaresmentallys healthysorswithinsthesu
sualsscopesofshumansexperience.
DIF: CognitivesLevel:sApplys(Application)
TOP:ss NursingsProcess:sAssessment MSC:s ClientsNeeds:sPsychosocialsIntegrity