TESTBANK
VarcarolisCanadianPsychiatricMentalHealthNursing3r
dEditionByPollardAllChapter1-35
,
,Chapter01:MentalHealthandMentalIllness
Varcarolis’sCanadianPsychiatricMentalHealthNursing,3rdEdition
MULTIPLECHOICE
1. Astaffnursecompletesorientationtoapsychiatricunit.Whichofthefollowingwouldsthenursegexp
ectasanadvancedpracticeintervention?
a. Conductmentalhealthassessments
b. Prescribepsychotropicmedication
c. Establishtherapeuticrelationships
d. Individualize snursingcaresplans
ANSWER:sB
Prescriptivesprivilegesaregrantedtomaster’s-
preparednursepractitionerswhohavestakenspecialcoursesonprescribingmedication;thusitisangadv
anced-
practiceintervention.Thenursespreparedatsthebasiclevelispermittedstoperformmentalhealthasgsessments,
gestablishrelationships,andsprovidegindividualizedgcareplanning.
DIF: CognitivesLevel:Understands(Comprehension)
TOP:NursingProcess:Implementation MSC:ClientNeeds:SafeEffectivesCareEnvironment
2. Whenanursingstudentexpressesconcernsabouthowmentalhealthnurses“losealltheirnursigngss
kills,”whichofthesfollowingsisthesbestresponsebythementalhealthnurse?
a. “Psychiatricnursespractiseinsaferenvironmentsthanotherspecialties.Nurse
-to-
patientsratiosmustbebetterbecauseofthenatureofthepatients’gproble
ms.” .
b. “Psychiatricnursesusecomplexcommunicationsskillsaswellascriticalsthinkingstosolv
esmultidimensionalproblems.Iamchallengedbythosesituations.”
c. “That’sasmisconception.Psychiatricnursesfrequentlyusehigh-
gtechnologymonitoringequipmentandmanagecomplexintravenoustherapies.”
d. “Psychiatricnursesdosnothavetodealwithasmuchpainandsufferingsassmedigcal–
surgicalnursesdo.Thatappealstome.”
ANSWER:sB
Thepracticeofpsychiatricnursingrequiresadifferentsetofsskillsfrommedical–
surgicalnursing,thoughthereissubstantialoverlap.Twodomainsrelatespecificallytopsychiatricgnurs
ing:behavioural,sincludingcommunication,coping,andeducation;andssafety,coveringcrisisagndrisk
management.Basicpsychosocialnursingsconceptsarecentraltospsychiatricnursingspracticgesandincr
easeyourcompetencyasapractitionerinallclinicalsettings.
Whateversettingyouchoosetoworkin,syouwillhavetheopportunitytoimprovesthelivesofpeoplegwhoa
resexperiencingmentalillnessasanadditionalchallengestotheirhealth.
Yourexperienceinthementalhealthnursingsrotationcanhelpyougaininsightintoyourselfandgregatlyginc
reaseyourginsightsintotheexperiencesgofothers.gThisgpartsofnursinggeducationcangprovidegguidelinesgf
organdgthegopportunitygtoglearngnewgskillsgforsdealingswithgagvarietygofchallengingsbehaviours.Psychoso
cialpainandsufferingareasrealsasphysicalpainandsuffering.
DIF: CognitivesLevel:Apply(Application)
TOP:NursingProcess:Implementation MSC:ClientNeeds:SafeEffectivesCareEnvironment
, 3. WhengagnewgbillgintroducedgingParliamentgreducesgfundinggforgcaregofgpeoplegwithgmentalgillness,gaggrg
oupofpeoplewithmildmentalillnesswriteletterstostheirelectedrepresentativesinsoppositiontothgeslegisl
ationforallpeoplewithmentalillness.Whichroledoesthisactionportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialaction
ANSWER:sC
Anadvocatedefendsorassertsanother’scause,particularlywhentheotherpersonlackstheabilitytgodost
hatsforhimselforherself.Onacommunityscale,advocacyincludespoliticalactivity,publicsspgeaking,an
dpublicationintheinterestofimprovingthehumancondition.Sincefundingsisnecessargytodeliverquali
typrogrammingforpeoplewithmentalillness,theletter-
writingscampaignadvocatesforthecauseforsallpeopleswithmentalillness.
DIF: CognitivesLevel:Understands(Comprehension)
TOP:NursingProcess:Implementation MSC:ClientNeeds:SafeEffectivesCareEnvironment
4. Whichofthefollowinghasbeenidentifiedasasignificanttrendthatwillaffectthefutureofpsychiagtricme
ntalhealthnursinginCanada?
a. Decreaseintheagingspopulation
b. Increaseinculturaldiversity
c. Roleoftheadvanced-practicesnurse
d. Shortageofphysiciansinruralandurbanareas
ANSWER:sB
FoursignificanttrendshavTe EbeSeTn BidAe N
ntKifiSeE
d sLthLatEwRil. l CafOfeMct s thefutureofpsychiatricmentalhealt
hnursinginCanada;theseincludesanagingspopulation,anincreaseinculturaldiversity,gexpandingstechn
ology,andansincreasedsawarenessoftheimpactofthesdeterminantsofhealthonmegntalillness.
DIF: CognitivesLevel:Understands(Comprehension)
TOP:NursingsProcess:Assessment MSC:ClientNeeds:SafeEffectivesCareEnvironment
5. Whichassessmentsfindingsmostclearlyindicatesthatsapatientsmaybeexperiencingamentalillness?
a. Thepatientreportsoccasionalsleeplessnessandanxiety.
b. Thepatientreportsasconsistentlysad,discouraged,andhopelessmood.
c. Thepatientisabletosdescribesthedifferencebetween“asif”and“forreal.”
d. Thepatientperceivesdifficultymakingadecisionaboutwhethertochangejobs.
ANSWER:sB
Thecorrectresponsedescribesamoodalteration,swhichgreflectsmentalillness.gAlterationsgincognitgion,
mood,orbehaviourgthatsarecoupledgwithsignificantsdistressandimpairedgfunctioningcharactegrizesme
ntalgillness.gThegdistractersgdescribegbehavioursgthatgaregmentallyghealthygorgwithingthegusualgsgcopeof
humansexperience.
DIF: CognitivesLevel:Apply(Application)
TOP:NursingsProcess:Assessment MSC:ClientNeeds:PsychosocialIntegrity
VarcarolisCanadianPsychiatricMentalHealthNursing3r
dEditionByPollardAllChapter1-35
,
,Chapter01:MentalHealthandMentalIllness
Varcarolis’sCanadianPsychiatricMentalHealthNursing,3rdEdition
MULTIPLECHOICE
1. Astaffnursecompletesorientationtoapsychiatricunit.Whichofthefollowingwouldsthenursegexp
ectasanadvancedpracticeintervention?
a. Conductmentalhealthassessments
b. Prescribepsychotropicmedication
c. Establishtherapeuticrelationships
d. Individualize snursingcaresplans
ANSWER:sB
Prescriptivesprivilegesaregrantedtomaster’s-
preparednursepractitionerswhohavestakenspecialcoursesonprescribingmedication;thusitisangadv
anced-
practiceintervention.Thenursespreparedatsthebasiclevelispermittedstoperformmentalhealthasgsessments,
gestablishrelationships,andsprovidegindividualizedgcareplanning.
DIF: CognitivesLevel:Understands(Comprehension)
TOP:NursingProcess:Implementation MSC:ClientNeeds:SafeEffectivesCareEnvironment
2. Whenanursingstudentexpressesconcernsabouthowmentalhealthnurses“losealltheirnursigngss
kills,”whichofthesfollowingsisthesbestresponsebythementalhealthnurse?
a. “Psychiatricnursespractiseinsaferenvironmentsthanotherspecialties.Nurse
-to-
patientsratiosmustbebetterbecauseofthenatureofthepatients’gproble
ms.” .
b. “Psychiatricnursesusecomplexcommunicationsskillsaswellascriticalsthinkingstosolv
esmultidimensionalproblems.Iamchallengedbythosesituations.”
c. “That’sasmisconception.Psychiatricnursesfrequentlyusehigh-
gtechnologymonitoringequipmentandmanagecomplexintravenoustherapies.”
d. “Psychiatricnursesdosnothavetodealwithasmuchpainandsufferingsassmedigcal–
surgicalnursesdo.Thatappealstome.”
ANSWER:sB
Thepracticeofpsychiatricnursingrequiresadifferentsetofsskillsfrommedical–
surgicalnursing,thoughthereissubstantialoverlap.Twodomainsrelatespecificallytopsychiatricgnurs
ing:behavioural,sincludingcommunication,coping,andeducation;andssafety,coveringcrisisagndrisk
management.Basicpsychosocialnursingsconceptsarecentraltospsychiatricnursingspracticgesandincr
easeyourcompetencyasapractitionerinallclinicalsettings.
Whateversettingyouchoosetoworkin,syouwillhavetheopportunitytoimprovesthelivesofpeoplegwhoa
resexperiencingmentalillnessasanadditionalchallengestotheirhealth.
Yourexperienceinthementalhealthnursingsrotationcanhelpyougaininsightintoyourselfandgregatlyginc
reaseyourginsightsintotheexperiencesgofothers.gThisgpartsofnursinggeducationcangprovidegguidelinesgf
organdgthegopportunitygtoglearngnewgskillsgforsdealingswithgagvarietygofchallengingsbehaviours.Psychoso
cialpainandsufferingareasrealsasphysicalpainandsuffering.
DIF: CognitivesLevel:Apply(Application)
TOP:NursingProcess:Implementation MSC:ClientNeeds:SafeEffectivesCareEnvironment
, 3. WhengagnewgbillgintroducedgingParliamentgreducesgfundinggforgcaregofgpeoplegwithgmentalgillness,gaggrg
oupofpeoplewithmildmentalillnesswriteletterstostheirelectedrepresentativesinsoppositiontothgeslegisl
ationforallpeoplewithmentalillness.Whichroledoesthisactionportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialaction
ANSWER:sC
Anadvocatedefendsorassertsanother’scause,particularlywhentheotherpersonlackstheabilitytgodost
hatsforhimselforherself.Onacommunityscale,advocacyincludespoliticalactivity,publicsspgeaking,an
dpublicationintheinterestofimprovingthehumancondition.Sincefundingsisnecessargytodeliverquali
typrogrammingforpeoplewithmentalillness,theletter-
writingscampaignadvocatesforthecauseforsallpeopleswithmentalillness.
DIF: CognitivesLevel:Understands(Comprehension)
TOP:NursingProcess:Implementation MSC:ClientNeeds:SafeEffectivesCareEnvironment
4. Whichofthefollowinghasbeenidentifiedasasignificanttrendthatwillaffectthefutureofpsychiagtricme
ntalhealthnursinginCanada?
a. Decreaseintheagingspopulation
b. Increaseinculturaldiversity
c. Roleoftheadvanced-practicesnurse
d. Shortageofphysiciansinruralandurbanareas
ANSWER:sB
FoursignificanttrendshavTe EbeSeTn BidAe N
ntKifiSeE
d sLthLatEwRil. l CafOfeMct s thefutureofpsychiatricmentalhealt
hnursinginCanada;theseincludesanagingspopulation,anincreaseinculturaldiversity,gexpandingstechn
ology,andansincreasedsawarenessoftheimpactofthesdeterminantsofhealthonmegntalillness.
DIF: CognitivesLevel:Understands(Comprehension)
TOP:NursingsProcess:Assessment MSC:ClientNeeds:SafeEffectivesCareEnvironment
5. Whichassessmentsfindingsmostclearlyindicatesthatsapatientsmaybeexperiencingamentalillness?
a. Thepatientreportsoccasionalsleeplessnessandanxiety.
b. Thepatientreportsasconsistentlysad,discouraged,andhopelessmood.
c. Thepatientisabletosdescribesthedifferencebetween“asif”and“forreal.”
d. Thepatientperceivesdifficultymakingadecisionaboutwhethertochangejobs.
ANSWER:sB
Thecorrectresponsedescribesamoodalteration,swhichgreflectsmentalillness.gAlterationsgincognitgion,
mood,orbehaviourgthatsarecoupledgwithsignificantsdistressandimpairedgfunctioningcharactegrizesme
ntalgillness.gThegdistractersgdescribegbehavioursgthatgaregmentallyghealthygorgwithingthegusualgsgcopeof
humansexperience.
DIF: CognitivesLevel:Apply(Application)
TOP:NursingsProcess:Assessment MSC:ClientNeeds:PsychosocialIntegrity
