TEST BANK
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
nurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
ANSWER: B
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
special courses on prescribing medication; thus it is an advanced-practice intervention. The
nurse prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all their
nursing skills,” which of the following is the best response by the mental health nurse?
a. “Psychiatric nurses practise in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the patients’
problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto
solve multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high-technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
medical–surgical nurses do. That appeals to me.”
ANSWER: B
The practice of psychiatric nursing requires a different set of skills from medical–surgical
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
nursing: behavioural, including communication, coping, and education; and safety, covering
crisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
nursing practice and increase your competency as a practitioner in all clinical settings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
people who are experiencing mental illness as an additional challenge to their health.
Your experience in the mental health nursing rotation can help you gain insight into yourself and
greatly increase your insight into the experiences of others. This part of nursing educationcan
provide guidelines for and the opportunity to learn new skills for dealing with a variety of
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
, 3. When aa anew abill aintroduced ain aParliament areduces afunding afor acare aof apeople awith amental
aillness, aa agroup aof apeople awith amild amental aillness awrite aletters ato atheir aelected
arepresentativesain aopposition ato athe alegislation afor aall apeople awith amental aillness. aWhich
arole adoes athis aaction aportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social aaction
ANSWER: a C
An aadvocate adefends aor aasserts aanother’s acause, aparticularly awhen athe aother aperson alacks
athe aability ato ado athat afor ahimself aor aherself. aOn aa acommunity ascale, aadvocacy aincludes
apolitical aactivity, apublic aspeaking, aand apublication ain athe ainterest aof aimproving athe ahuman
acondition. aSince afunding ais anecessary ato adeliver aquality aprogramming afor apeople awith
amental aillness, athealetter-writing acampaign aadvocates afor athe acause afor aall apeople awith
amental aillness.
DIF: Cognitive aLevel: aUnderstand a(Comprehension)
TOP: a Nursing aProcess: aImplementation MSC: a Client aNeeds: aSafe aEffective aCare aEnvironment
4. Which aof athe afollowing ahas abeen aidentified aas aa asignificant atrend athat awill aaffect athe
afuture aofapsychiatric amental ahealth anursing ain aCanada?
a. Decrease ain athe aaging apopulation
b. Increase ain acultural adiversity
c. Role aof athe aadvanced-practice anurse
d. Shortage aof aphysicians ain arural aand aurban aareas
ANSWER: a B
Four asignificant atrends ahavTe E
beSeT
nBidAeN
ntK
ifS
ieE
d aL
thL
atEwRi.llaC
afOfeMct athe afuture aof apsychiatric
amental ahealth anursing ain aCanada; athese ainclude aan aaging apopulation, aan aincrease ain
acultural adiversity,
expanding atechnology, aand aan aincreased aawareness aof athe aimpact aof athe adeterminants aof
ahealthaon amental aillness.
DIF: Cognitive aLevel: aUnderstand a(Comprehension)
TOP: a Nursing aProcess: aAssessment MSC: a Client aNeeds: aSafe aEffective aCare aEnvironment
5. Which aassessment afinding amost aclearly aindicates athat aa apatient amay abe aexperiencing aa
amentalaillness?
a. The apatient areports aoccasional asleeplessness aand aanxiety.
b. The apatient areports aa aconsistently asad, adiscouraged, aand ahopeless amood.
c. The apatient ais aable ato adescribe athe adifference abetween a“as aif” aand a“for areal.”
d. The apatient aperceives adifficulty amaking aa adecision aabout awhether ato achange ajobs.
ANSWER: a B
The acorrect aresponse adescribes aa amood aalteration, awhich areflects amental aillness. aAlterations
ainacognition, amood, aor abehaviour athat aare acoupled awith asignificant adistress aand aimpaired
afunctioning acharacterize amental aillness. aThe adistracters adescribe abehaviours athat aare
amentally ahealthy aor awithin athe ausual ascope aof ahuman aexperience.
DIF: Cognitive aLevel: aApply a(Application)
TOP: a Nursing aProcess: aAssessment MSC: a Client aNeeds: aPsychosocial aIntegrity
Varcarolis Canadian Psychiatric Mental Health Nursing
3rd Edition By Pollard All Chapter 1 - 35
,
,Chapter 01: Mental Health and Mental Illness
Varcarolis’s Canadian Psychiatric Mental Health Nursing, 3rd Edition
MULTIPLE CHOICE
1. A staff nurse completes orientation to a psychiatric unit. Which of the following would the
nurse expect as an advanced practice intervention?
a. Conduct mental health assessments
b. Prescribe psychotropic medication
c. Establish therapeutic relationships
d. Individualize nursing care plans
ANSWER: B
Prescriptive privileges are granted to master’s-prepared nurse practitioners who have taken
special courses on prescribing medication; thus it is an advanced-practice intervention. The
nurse prepared at the basic level is permitted to perform mental health assessments, establish
relationships, and provide individualized care planning.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
2. When a nursing student expresses concerns about how mental health nurses “lose all their
nursing skills,” which of the following is the best response by the mental health nurse?
a. “Psychiatric nurses practise in safer environments than other specialties.
Nurse-to-patient ratios must be better because of the nature of the patients’
problems.” .
b. “Psychiatric nurses use complex communication skills as well as critical thinkingto
solve multidimensional problems. I am challenged by those situations.”
c. “That’s a misconception. Psychiatric nurses frequently use high-technology
monitoring equipment and manage complex intravenous therapies.”
d. “Psychiatric nurses do not have to deal with as much pain and suffering as
medical–surgical nurses do. That appeals to me.”
ANSWER: B
The practice of psychiatric nursing requires a different set of skills from medical–surgical
nursing, though there is substantial overlap. Two domains relate specifically to psychiatric
nursing: behavioural, including communication, coping, and education; and safety, covering
crisis and risk management. Basic psychosocial nursing concepts are central to psychiatric
nursing practice and increase your competency as a practitioner in all clinical settings.
Whatever setting you choose to work in, you will have the opportunity to improve the lives of
people who are experiencing mental illness as an additional challenge to their health.
Your experience in the mental health nursing rotation can help you gain insight into yourself and
greatly increase your insight into the experiences of others. This part of nursing educationcan
provide guidelines for and the opportunity to learn new skills for dealing with a variety of
challenging behaviours. Psychosocial pain and suffering are as real as physical pain and suffering.
DIF: Cognitive Level: Apply (Application)
TOP: Nursing Process: Implementation MSC: Client Needs: Safe Effective Care Environment
, 3. When aa anew abill aintroduced ain aParliament areduces afunding afor acare aof apeople awith amental
aillness, aa agroup aof apeople awith amild amental aillness awrite aletters ato atheir aelected
arepresentativesain aopposition ato athe alegislation afor aall apeople awith amental aillness. aWhich
arole adoes athis aaction aportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social aaction
ANSWER: a C
An aadvocate adefends aor aasserts aanother’s acause, aparticularly awhen athe aother aperson alacks
athe aability ato ado athat afor ahimself aor aherself. aOn aa acommunity ascale, aadvocacy aincludes
apolitical aactivity, apublic aspeaking, aand apublication ain athe ainterest aof aimproving athe ahuman
acondition. aSince afunding ais anecessary ato adeliver aquality aprogramming afor apeople awith
amental aillness, athealetter-writing acampaign aadvocates afor athe acause afor aall apeople awith
amental aillness.
DIF: Cognitive aLevel: aUnderstand a(Comprehension)
TOP: a Nursing aProcess: aImplementation MSC: a Client aNeeds: aSafe aEffective aCare aEnvironment
4. Which aof athe afollowing ahas abeen aidentified aas aa asignificant atrend athat awill aaffect athe
afuture aofapsychiatric amental ahealth anursing ain aCanada?
a. Decrease ain athe aaging apopulation
b. Increase ain acultural adiversity
c. Role aof athe aadvanced-practice anurse
d. Shortage aof aphysicians ain arural aand aurban aareas
ANSWER: a B
Four asignificant atrends ahavTe E
beSeT
nBidAeN
ntK
ifS
ieE
d aL
thL
atEwRi.llaC
afOfeMct athe afuture aof apsychiatric
amental ahealth anursing ain aCanada; athese ainclude aan aaging apopulation, aan aincrease ain
acultural adiversity,
expanding atechnology, aand aan aincreased aawareness aof athe aimpact aof athe adeterminants aof
ahealthaon amental aillness.
DIF: Cognitive aLevel: aUnderstand a(Comprehension)
TOP: a Nursing aProcess: aAssessment MSC: a Client aNeeds: aSafe aEffective aCare aEnvironment
5. Which aassessment afinding amost aclearly aindicates athat aa apatient amay abe aexperiencing aa
amentalaillness?
a. The apatient areports aoccasional asleeplessness aand aanxiety.
b. The apatient areports aa aconsistently asad, adiscouraged, aand ahopeless amood.
c. The apatient ais aable ato adescribe athe adifference abetween a“as aif” aand a“for areal.”
d. The apatient aperceives adifficulty amaking aa adecision aabout awhether ato achange ajobs.
ANSWER: a B
The acorrect aresponse adescribes aa amood aalteration, awhich areflects amental aillness. aAlterations
ainacognition, amood, aor abehaviour athat aare acoupled awith asignificant adistress aand aimpaired
afunctioning acharacterize amental aillness. aThe adistracters adescribe abehaviours athat aare
amentally ahealthy aor awithin athe ausual ascope aof ahuman aexperience.
DIF: Cognitive aLevel: aApply a(Application)
TOP: a Nursing aProcess: aAssessment MSC: a Client aNeeds: aPsychosocial aIntegrity
