Varcarolis\\\'s Canadian Psychiatric Mental Health
Varcarolis\\\'s Canadian Psychiatric Mental Health
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Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition Test Bank by Cheryl L. Pollard , Sonya L. Jakubec
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Varcarolis\\\'s Canadian Psychiatric Mental Health
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Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition Test Bank
Chapter 01: Mental Health and Mental Illness
Pollard: Varcarolis’s Canadian Psychiatric Mental Health Nursing: A Clinical
Approach, 3rd Edition
MULTIPLE CHOICE
1. Which of the following is considered an Advanced Practice
Intervention?
a. Conducting mental health assessments (MSA)
b. Prescribing psychotropic medication
c. Establishing therapeutic relationships
d. Individualizing nursing care plans
ANS: B
Registered nurses and registered psychiatric nurses can further their education at a
baccalaureate level or at the graduate level (master’s doctorate) and become qualified to
practise psychiatric mental health nursing at two levels – basic and advanced – developing on
their education preparation. Prescriptive privileges are granted to master’s-prepared Nurse
Practitioners (NPs) as they have taken additional advanced courses on prescribing medication.
Appropriate use of diagnostic tests must be completed as well as having hospital admitting
privileges. Establishing therapeutic relationship, conducting mental health assessments
(MSAs), and individualizing nursing care plans are foundational psychiatric nursing skills.
Therefore, they are considered Basic-Level Interventions.
2. Which has been identified as a priority for national plans and strategies in psychiatric mental
health nursing in Canada?
a. Decrease in the aging population
b. Increase in cultural diversity
c. Role of the advanced practice nurse
d. Shortage of physicians in rural and urban areas
ANS: B
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition Test Bank
In early phases of strategic development, the Mental Health Commission of Canada identified
cultural diversity as a priority for national plans and strategies. Increasing cultural diversity
within Canada warrants deeper attention to culturally safe care and concern for the mental
health consequences of colonization and racism. An aging population and shortage of
physicians are important to future trends. The role of the advanced practice nurse is
continuing to evolve in psychiatric mental health nursing in Canada.
3. Which serves as the official guide for diagnosing psychiatric disorders?
a. International Classification of Diseases (ICD-11)
b. Diagnostic and Statistical Manual of Mental Disorders (DSM)
c. A behavioural health reference manual
d. NurseOne online
ANS: B
The first Diagnostic and Statistical Manual of Mental Disorders (DSM) was published by the
American Psychiatric Association in 1952. Its purpose was to provide clinicians, educators,
and researchers with a common framework to understand and communicate about mental
disorders. With a common understanding about mental disorders, researchers and clinicians
could work together in their attempts to improve care for people with mental illness. The
current DSM-5 serves as the official guide for diagnosing psychiatric disorders. The
International Classification of Diseases (ICD) sets the global health information standard for
mortality and morbidity statistics. Clinicians and researchers use this classification system to
define diseases, study disease patterns, monitor outcomes, and subsequently allocate resources
based on the prevalence of disease. The Canadian Institute for Health Information developed
an enhanced version of the previous version, ICD-10 referred to as the ICD 10-CA period that
version extends beyond defining and classifying diseases to describe conditions and situations
that are not diseases, including for example, risk factors to health and psychosocial
circumstances. A behavioral health reference manual and NurseOne online are not used as
official guides for diagnosis.
4. When locating the description and diagnostic criteria for anxiety disorders, which resource
would have the most complete information?
a. Nursing Outcomes Classification (NOC)
b. Diagnostic and Statistical Manual of Mental Disorders (DSM-5)
c. The ANA’s Psychiatric-Mental Health Nursing Scope and Standards of Practice
d. International Statistical Classification of Diseases and Related Health Problems
(ICD-10)
ANS: B
The DSM-5 details the diagnostic criteria for psychiatric clinical conditions and is the official
guide for diagnosing psychiatric disorders. The other references are good resources but do not
define the diagnostic criteria.
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition Test Bank
5. Which individual is demonstrating the highest level of resilience?
a. An individual repressing their stressors who is having a difficult time coping with
activities of daily living (ADLs)
b. An individual who is in a depressed state after the death of their spouse
c. An individual who lives in a shelter for 2 years after their home is destroyed by a
fire
d. An individual who navigates and negotiates resources to support their well-being
ANS: D
A characteristic of mental health increasingly being promoted as essential to the recovery
process is resilience. Resilience is a process and outcome of complex, cultural systems, rather
than as an individual capacity to overcome adversity. In this way, when exposed to adversity,
one’s resilience depends on the navigation and negotiation of resources that can support well-
being. Resilience is closely associated with the process of adapting and helps people facing
tragedies, loss, trauma, and severe stress. An individual who is repressing their stressors may
need support for developing coping strategies. It is important for the individual who is in a
depressed state after the death of their spouse to navigate and negotiate resources that can
support their well-being (e.g., grief support or counselling). An individual living in a shelter
needs immediate support and assistance when entering the shelter to navigate services and
supports. Shelters are short-term resources.
6. A multidisciplinary team is working with two groups of patients diagnosed with depression.
One group of patients receives supportive interventions and psychotropic medication (e.g.,
antidepressants). The other group receives only psychotropic medication. Outcomes are
measured for each group. Which is being studied?
a. Incidence
b. Prevalence
c. Comorbidity
d. Clinical epidemiology
ANS: D
Clinical epidemiology is a broad field that addresses studies of the natural history (or what
happens if there is no treatment and the problem is left to run its course) of an illness, studies
of diagnostic screening tests, and observational and experimental studies of interventions used
to treat people with the illness or symptoms. Prevalence refers to numbers of new cases.
Comorbidity refers to having more than one mental disorder at a time. Incidence refers to the
number of new cases of mental disorders in a healthy population within a given period.
7. A category 5 tornado occurred in a community of 400 people, resulting in destruction of many
homes and businesses. In the 2 years after this disaster, 140 individuals were diagnosed with
post-traumatic stress disorder (PTSD). Which term best applies to these newly diagnosed
individuals?
a. Prevalence
, Varcarolis's Canadian Psychiatric Mental Health Nursing 3rd Edition Test Bank
b. Comorbidity
c. Incidence
d. Clinical epidemiology
ANS: C
Incidence refers to the number of new cases of mental disorders in a healthy population within
a given period of time. Prevalence describes the total number of cases, new and existing, in a
given population during a specific period of time, regardless of when they became ill. Clinical
epidemiology is a broad field that addresses what happens after people with illnesses are seen
by clinical care providers. Comorbidity refers to having more than one mental disorder at a
time.
8. Which individual is considered to have positive attributes of mental health?
a. An individual who can laugh and play
b. An individual who is unable to experience joy
c. An individual who has a difficult time managing interpersonal conflict
d. An individual who has limited insight and judgement
ANS: A
Mental health is described as more than merely the absence of mental disorders or disabilities.
Laughing and play are considered positive attributes of mental health. Individuals who are
unable to experience joy, who have a difficult time managing interpersonal conflict, and who
have limited insight and judgement may require further support, enhanced coping strategies
and promotion of positive mental health from mental health clinicians.
9. Which report highlighted the importance of issues related to mental health and mental illness
in Canada?
a. The ERB Report
b. The ERG Report
c. The EDD Report
d. The EPP Report
ANS: D
Published in 1988, Mental Health for Canadians: Striking a Balance, commonly called the
Epp Report, highlighted the importance of issues related to mental health and mental illness in
Canada. It proposed seven guiding principles for the development of public policies to
support mental health.
DIF: Cognitive Level: Understand (Comprehension)
TOP: Nursing Process: Planning| Nursing Process: Outcome Identification
MSC: Client Needs: Health Promotion and Maintenance
10. Which of the following indicates reflection and discovery of resilience?
a. Why do I not have the inner strength I once did?
b. How have I gotten through difficult times?
c. Why doesn’t anything ever go right for me?
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