TEST BANK g
Varcarolis Canadian Psychiatric Mental Health Nursing
g g g g g g
3rd Edition By Pollard All Chapter 1 - 35
g g g g g g g g
,
,Chapterg01:gMentalgHealthgandgMentalgIllness
Varcarolis’sgCanadiangPsychiatricgMentalgHealthgNursing,g3rdgEdition
MULTIPLEgCHOICE
1. Agstaffgnursegcompletesgorientationgtogagpsychiatricgunit.gWhichgofgthegfollowinggwouldsthenurs
egexpectgasgangadvancedgpracticegintervention?
a. Conductgmentalghealthgassessments
b. Prescribegpsychotropicgmedication
c. Establishgtherapeuticgrelationships
d. Individualizesnursing gcaresplans
ANSWER:sg B
Prescriptivesprivilegesgareggrantedgtogmaster’s-
preparedgnursegpractitionersgwhoghavestakengspecialgcoursesgongprescribinggmedication;gthusgitgisga
ngadvanced-
practicegintervention.gThegnursespreparedgatsthegbasicglevelgisgpermittedstogperformgmentalghealthgasgsess
ments,gestablishrelationships,gandsprovidegindividualizedgcaregplanning.
DIF: CognitivesLevel:gUnderstands(Comprehension)
TOP:g NursinggProcess:gImplementation MSC:g ClientgNeeds:gSafegEffectivesCaregEnvironment
2. Whengagnursinggstudentgexpressesgconcernsgaboutghowgmentalghealthgnursesg“losegallgtheirnur
signgsskills,”gwhichgofgthesfollowingsisgthesbestgresponsegbygthegmentalghealthgnurse?
a. “Psychiatricgnursesgpractisegingsafergenvironmentsgthangothergspecialties.gNurse
-to-
patientsratiosgmustgbegbettergbecausegofgthegnaturegofgthegpatients’gpr
oblems.” .
b. “Psychiatricgnursesgusegcomplexgcommunicationsskillsgasgwellgasgcriticalsthinkingstogsolv
esmultidimensionalgproblems.gIgamgchallengedgbygthosegsituations.”
c. “That’sgasmisconception.gPsychiatricgnursesgfrequentlyguseghigh-
gtechnologymonitoringgequipmentgandgmanagegcomplexgintravenousgtherapies.
”
d. “Psychiatricgnursesgdosnotghavegtogdealgwithgasgmuchgpaingandgsufferingsassme
digcal–surgicalgnursesgdo.gThatgappealsgtogme.”
ANSWER:sg B
Thegpracticegofgpsychiatricgnursinggrequiresgagdifferentgsetgofsskillsgfromgmedical–
surgicalgnursing,gthoughgtheregisgsubstantialgoverlap.gTwogdomainsgrelategspecificallygtogpsychiatri
cgnursing:gbehavioural,sincludinggcommunication,gcoping,gandgeducation;gandssafety,gcoveringcrisi
sgagndgriskgmanagement.gBasicgpsychosocialgnursingsconceptsgaregcentralgtospsychiatricgnursingspr
acticgesandgincreasegyourgcompetencygasgagpractitionergingallgclinicalgsettings.
Whatevergsettinggyougchoosegtogworkgin,syougwillghavegthegopportunitygtogimprovestheglivesgofpeopl
egwhogaresexperiencinggmentalgillnessgasgangadditionalgchallengestogtheirghealth.
Yourgexperiencegingthegmentalghealthgnursingsrotationgcanghelpgyouggainginsightgintogyourselfgandgg
regatlygincreasegyourginsightsintogthegexperiencesgofgothers.gThisgpartsofgnursinggeducationcangprovi
deggguidelinesgforgandgthegopportunitygtoglearngnewgskillsgforsdealingswithgagvarietygofchallengingsbehav
ioug rs.gPsychosocialgpaingandgsufferinggaregasgrealsasgphysicalgpaingandgsuffering.
DIF: CognitivesLevel:gApplyg(Application)
TOP:g NursinggProcess:gImplementation MSC:g ClientgNeeds:gSafegEffectivesCaregEnvironment
, 3. WhengagnewgbillgintroducedgingParliamentgreducesgfundinggforgcaregofgpeoplegwithgmentalgillness,gaggrg
oupgofgpeoplegwithgmildgmentalgillnessgwriteglettersgtostheirgelectedgrepresentativesinsoppositiongtogt
hgeslegislationgforgallgpeoplegwithgmentalgillness.gWhichgrolegdoesgthisgactiongportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialgaction
ANSWER:sg C
Angadvocategdefendsgorgassertsganother’sgcause,gparticularlygwhengthegothergpersonglacksgthegabilit
ygtgogdosthatsforghimselfgorgherself.gOngagcommunitygscale,gadvocacygincludesgpoliticalgactivity,gpubl
icsspgeaking,gandgpublicationgingtheginterestgofgimprovinggtheghumangcondition.gSincegfundingsisgne
cessargygtogdelivergqualitygprogramminggforgpeoplegwithgmentalgillness,gtheletter-
writingscampaigngadvocatesgforgthegcausegforsallgpeopleswithgmentalgillness.
DIF: CognitivesLevel:gUnderstands(Comprehension)
TOP:g NursinggProcess:gImplementation MSC:g ClientgNeeds:gSafegEffectivesCaregEnvironment
4. Whichgofgthegfollowingghasgbeengidentifiedgasgagsignificantgtrendgthatgwillgaffectgthegfuturegofpsych
iagtricgmentalghealthgnursinggingCanada?
a. Decreasegingthegagingspopulation
b. Increasegingculturalgdiversity
c. Rolegofgthegadvanced-practicesnurse
d. Shortagegofgphysiciansgingruralgandgurbangareas
ANSWER:sg B
Fourgsignificantgtrendsgha vTe EbeSeTn BidAe N
ntKifiSe E
d sLthLatEwRil. l CafOfeMct s the gfuturegofgpsychiatricgmentalghealt
hgnursinggingCanada;gthesegincludesangagingspopulation,gangincreasegingculturalgdiversity,gexpandings
technology,gandgansincreasedsawarenessgofgthegimpactgofgthesdeterminantsgofghealthongmegntalgillnes
s.
DIF: CognitivesLevel:gUnderstands(Comprehension)
TOP:g NursingsProcess:gAssessment MSC:g ClientgNeeds:gSafegEffectivesCaregEnvironment
5. Whichgassessmentsfindingsmostgclearlygindicatesgthatsagpatientsmaygbegexperiencinggagmentalillness?
a. Thegpatientgreportsgoccasionalgsleeplessnessgandganxiety.
b. Thegpatientgreportsgasconsistentlygsad,gdiscouraged,gandghopelessgmood.
c. Thegpatientgisgablegtosdescribesthegdifferencegbetweeng“asgif”gandg“forgreal.”
d. Thegpatientgperceivesgdifficultygmakinggagdecisiongaboutgwhethergtogchangegjobs.
ANSWER:sg B
Thegcorrectgresponsegdescribesgagmoodgalteration,swhichgreflectsgmentalgillness.gAlterationsgincogn
itgion,gmood,gorgbehaviourgthatsaregcoupledgwithgsignificantsdistressgandgimpairedgfunctioninggchara
ctegrizesmentalgillness.gThegdistractersgdescribegbehavioursgthatgaregmentallyghealthygorgwithingthegusua
lgsgcopegofghumansexperience.
DIF: CognitivesLevel:gApplyg(Application)
TOP:g NursingsProcess:gAssessment MSC:g ClientgNeeds:gPsychosocialgIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
g g g g g g
3rd Edition By Pollard All Chapter 1 - 35
g g g g g g g g
,
,Chapterg01:gMentalgHealthgandgMentalgIllness
Varcarolis’sgCanadiangPsychiatricgMentalgHealthgNursing,g3rdgEdition
MULTIPLEgCHOICE
1. Agstaffgnursegcompletesgorientationgtogagpsychiatricgunit.gWhichgofgthegfollowinggwouldsthenurs
egexpectgasgangadvancedgpracticegintervention?
a. Conductgmentalghealthgassessments
b. Prescribegpsychotropicgmedication
c. Establishgtherapeuticgrelationships
d. Individualizesnursing gcaresplans
ANSWER:sg B
Prescriptivesprivilegesgareggrantedgtogmaster’s-
preparedgnursegpractitionersgwhoghavestakengspecialgcoursesgongprescribinggmedication;gthusgitgisga
ngadvanced-
practicegintervention.gThegnursespreparedgatsthegbasicglevelgisgpermittedstogperformgmentalghealthgasgsess
ments,gestablishrelationships,gandsprovidegindividualizedgcaregplanning.
DIF: CognitivesLevel:gUnderstands(Comprehension)
TOP:g NursinggProcess:gImplementation MSC:g ClientgNeeds:gSafegEffectivesCaregEnvironment
2. Whengagnursinggstudentgexpressesgconcernsgaboutghowgmentalghealthgnursesg“losegallgtheirnur
signgsskills,”gwhichgofgthesfollowingsisgthesbestgresponsegbygthegmentalghealthgnurse?
a. “Psychiatricgnursesgpractisegingsafergenvironmentsgthangothergspecialties.gNurse
-to-
patientsratiosgmustgbegbettergbecausegofgthegnaturegofgthegpatients’gpr
oblems.” .
b. “Psychiatricgnursesgusegcomplexgcommunicationsskillsgasgwellgasgcriticalsthinkingstogsolv
esmultidimensionalgproblems.gIgamgchallengedgbygthosegsituations.”
c. “That’sgasmisconception.gPsychiatricgnursesgfrequentlyguseghigh-
gtechnologymonitoringgequipmentgandgmanagegcomplexgintravenousgtherapies.
”
d. “Psychiatricgnursesgdosnotghavegtogdealgwithgasgmuchgpaingandgsufferingsassme
digcal–surgicalgnursesgdo.gThatgappealsgtogme.”
ANSWER:sg B
Thegpracticegofgpsychiatricgnursinggrequiresgagdifferentgsetgofsskillsgfromgmedical–
surgicalgnursing,gthoughgtheregisgsubstantialgoverlap.gTwogdomainsgrelategspecificallygtogpsychiatri
cgnursing:gbehavioural,sincludinggcommunication,gcoping,gandgeducation;gandssafety,gcoveringcrisi
sgagndgriskgmanagement.gBasicgpsychosocialgnursingsconceptsgaregcentralgtospsychiatricgnursingspr
acticgesandgincreasegyourgcompetencygasgagpractitionergingallgclinicalgsettings.
Whatevergsettinggyougchoosegtogworkgin,syougwillghavegthegopportunitygtogimprovestheglivesgofpeopl
egwhogaresexperiencinggmentalgillnessgasgangadditionalgchallengestogtheirghealth.
Yourgexperiencegingthegmentalghealthgnursingsrotationgcanghelpgyouggainginsightgintogyourselfgandgg
regatlygincreasegyourginsightsintogthegexperiencesgofgothers.gThisgpartsofgnursinggeducationcangprovi
deggguidelinesgforgandgthegopportunitygtoglearngnewgskillsgforsdealingswithgagvarietygofchallengingsbehav
ioug rs.gPsychosocialgpaingandgsufferinggaregasgrealsasgphysicalgpaingandgsuffering.
DIF: CognitivesLevel:gApplyg(Application)
TOP:g NursinggProcess:gImplementation MSC:g ClientgNeeds:gSafegEffectivesCaregEnvironment
, 3. WhengagnewgbillgintroducedgingParliamentgreducesgfundinggforgcaregofgpeoplegwithgmentalgillness,gaggrg
oupgofgpeoplegwithgmildgmentalgillnessgwriteglettersgtostheirgelectedgrepresentativesinsoppositiongtogt
hgeslegislationgforgallgpeoplegwithgmentalgillness.gWhichgrolegdoesgthisgactiongportray?
a. Recovery
b. Self-care
c. Advocacy
d. Socialgaction
ANSWER:sg C
Angadvocategdefendsgorgassertsganother’sgcause,gparticularlygwhengthegothergpersonglacksgthegabilit
ygtgogdosthatsforghimselfgorgherself.gOngagcommunitygscale,gadvocacygincludesgpoliticalgactivity,gpubl
icsspgeaking,gandgpublicationgingtheginterestgofgimprovinggtheghumangcondition.gSincegfundingsisgne
cessargygtogdelivergqualitygprogramminggforgpeoplegwithgmentalgillness,gtheletter-
writingscampaigngadvocatesgforgthegcausegforsallgpeopleswithgmentalgillness.
DIF: CognitivesLevel:gUnderstands(Comprehension)
TOP:g NursinggProcess:gImplementation MSC:g ClientgNeeds:gSafegEffectivesCaregEnvironment
4. Whichgofgthegfollowingghasgbeengidentifiedgasgagsignificantgtrendgthatgwillgaffectgthegfuturegofpsych
iagtricgmentalghealthgnursinggingCanada?
a. Decreasegingthegagingspopulation
b. Increasegingculturalgdiversity
c. Rolegofgthegadvanced-practicesnurse
d. Shortagegofgphysiciansgingruralgandgurbangareas
ANSWER:sg B
Fourgsignificantgtrendsgha vTe EbeSeTn BidAe N
ntKifiSe E
d sLthLatEwRil. l CafOfeMct s the gfuturegofgpsychiatricgmentalghealt
hgnursinggingCanada;gthesegincludesangagingspopulation,gangincreasegingculturalgdiversity,gexpandings
technology,gandgansincreasedsawarenessgofgthegimpactgofgthesdeterminantsgofghealthongmegntalgillnes
s.
DIF: CognitivesLevel:gUnderstands(Comprehension)
TOP:g NursingsProcess:gAssessment MSC:g ClientgNeeds:gSafegEffectivesCaregEnvironment
5. Whichgassessmentsfindingsmostgclearlygindicatesgthatsagpatientsmaygbegexperiencinggagmentalillness?
a. Thegpatientgreportsgoccasionalgsleeplessnessgandganxiety.
b. Thegpatientgreportsgasconsistentlygsad,gdiscouraged,gandghopelessgmood.
c. Thegpatientgisgablegtosdescribesthegdifferencegbetweeng“asgif”gandg“forgreal.”
d. Thegpatientgperceivesgdifficultygmakinggagdecisiongaboutgwhethergtogchangegjobs.
ANSWER:sg B
Thegcorrectgresponsegdescribesgagmoodgalteration,swhichgreflectsgmentalgillness.gAlterationsgincogn
itgion,gmood,gorgbehaviourgthatsaregcoupledgwithgsignificantsdistressgandgimpairedgfunctioninggchara
ctegrizesmentalgillness.gThegdistractersgdescribegbehavioursgthatgaregmentallyghealthygorgwithingthegusua
lgsgcopegofghumansexperience.
DIF: CognitivesLevel:gApplyg(Application)
TOP:g NursingsProcess:gAssessment MSC:g ClientgNeeds:gPsychosocialgIntegrity
