1. A ilstaff ilnurse ilcompletes ilorientation ilto ila ilpsychiatric ilunit. ilWhich ilof ilthe ilfollowing
ilwould ilthe ilnurse ilexpect ilas ilan iladvanced ilpractice ilintervention?
a. Conduct ilmental ilhealth ilassessments
b. Prescribe ilpsychotropic ilmedication
c. Establish iltherapeutic ilrelationships
d. Individualize ilnursing ilcare ilplans
ANS: i l B
Prescriptive ilprivileges ilare ilgranted ilto ilmaster‘s-prepared ilnurse ilpractitioners ilwho ilhave
iltaken ilspecial ilcourses ilon ilprescribing ilmedication; ilthus ilit ilis ilan iladvanced-practice
ilintervention. ilThe ilnurse ilprepared ilat ilthe ilbasic illevel ilis ilpermitted ilto ilperform ilmental
ilhealth ilassessments, ilestablish ilrelationships, iland ilprovide ilindividualized ilcare ilplanning.
DIF: Cognitive ilLevel: ilUnderstand il(Comprehension)
TOP: i l Nursing ilProcess: ilImplementation MSC: i l Client ilNeeds: ilSafe ilEffective ilCare
ilEnvironment
DIF: Cognitive ilLevel: ilApply il(Application)
TOP: i l Nursing ilProcess: ilImplementation MSC: i l Client ilNeeds: ilSafe ilEffective ilCare
ilEnvironment
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3. When ila ilnew ilbill ilintroduced ilin ilParliament ilreduces ilfunding ilfor ilcare ilof ilpeople ilwith
ilmental ilillness, ila ilgroup ilof ilpeople ilwith ilmild ilmental ilillness ilwrite illetters ilto iltheir
ilelected ilrepresentatives ilin ilopposition ilto ilthe illegislation ilfor ilall ilpeople ilwith ilmental
ilillness. ilWhich ilrole ildoes ilthis ilaction ilportray?
a. Recovery
b. Self-care
c. Advocacy
d. Social ilaction
ANS: i l C
An iladvocate ildefends ilor ilasserts ilanother‘s ilcause, ilparticularly ilwhen ilthe ilother ilperson
illacks ilthe ilability ilto ildo ilthat ilfor ilhimself ilor ilherself. ilOn ila ilcommunity ilscale, iladvocacy
ilincludes ilpolitical ilactivity, ilpublic ilspeaking, iland ilpublication ilin ilthe ilinterest ilof
ilimproving ilthe ilhuman ilcondition. ilSince ilfunding ilis ilnecessary ilto ildeliver ilquality
ilprogramming ilfor ilpeople ilwith ilmental ilillness, ilthe illetter-writing ilcampaign iladvocates
ilfor ilthe ilcause ilfor ilall ilpeople ilwith ilmental ilillness.
DIF: Cognitive ilLevel: ilUnderstand il(Comprehension)
TOP: i l Nursing ilProcess: ilImplementation MSC: i l Client ilNeeds: ilSafe ilEffective ilCare
ilEnvironment
4. Which ilof ilthe ilfollowing ilhas ilbeen ilidentified ilas ila ilsignificant iltrend ilthat ilwill ilaffect ilthe
ilfuture ilof ilpsychiatric ilmental ilhealth ilnursing ilin ilCanada?
a. Decrease ilin ilthe ilaging ilpopulation
b. Increase ilin ilcultural ildiversity
c. Role ilof ilthe iladvanced-practice ilnurse
d. Shortage ilof ilphysicians ilin ilrural iland ilurban ilareas
ANS: i l B
Four ilsignificant iltrends ilhavT eE beSeT
nBidAeN
ntK
ifS
ieE
d ilL
thL
atEwRi.
llilC
afOfeMct ilthe ilfuture ilof ilpsychiatric
ilmental ilhealth ilnursing ilin ilCanada; ilthese ilinclude ilan ilaging ilpopulation, ilan ilincrease ilin
ilcultural ildiversity,
expanding iltechnology, iland ilan ilincreased ilawareness ilof ilthe ilimpact ilof ilthe ildeterminants
ilof ilhealth ilon ilmental ilillness.
DIF: Cognitive ilLevel: ilUnderstand il(Comprehension)
TOP: i l Nursing ilProcess: ilAssessment MSC: i l Client ilNeeds: ilSafe ilEffective ilCare ilEnvironment
5. Which ilassessment ilfinding ilmost ilclearly ilindicates ilthat ila ilpatient ilmay ilbe ilexperiencing ila
ilmental ilillness?
a. The ilpatient ilreports iloccasional ilsleeplessness iland ilanxiety.
b. The ilpatient ilreports ila ilconsistently ilsad, ildiscouraged, iland ilhopeless ilmood.
c. The ilpatient ilis ilable ilto ildescribe ilthe ildifference ilbetween il―as ilif‖ iland il―for ilreal.‖
d. The ilpatient ilperceives ildifficulty ilmaking ila ildecision ilabout ilwhether ilto ilchange iljobs.
ANS: i l B
The ilcorrect ilresponse ildescribes ila ilmood ilalteration, ilwhich ilreflects ilmental ilillness.
ilAlterations ilin ilcognition, ilmood, ilor ilbehaviour ilthat ilare ilcoupled ilwith ilsignificant ildistress
iland ilimpaired ilfunctioning ilcharacterize ilmental ilillness. ilThe ildistracters ildescribe
ilbehaviours ilthat ilare ilmentally ilhealthy ilor ilwithin ilthe ilusual ilscope ilof ilhuman ilexperience.
DIF: Cognitive ilLevel: ilApply il(Application)
TOP: i l Nursing ilProcess: ilAssessment MSC: i l Client ilNeeds: ilPsychosocial ilIntegrity
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6. Which ilfinding ilbest ilindicates ilthat ilthe ilgoal il“Demonstrates ilmentally ilhealthy
ilbehaviour” ilwas ilachieved?
a. A ilpatient ilsees ilself ilas ilcapable ilof ilachieving ilideals iland ilmeeting ildemands.
b. A ilpatient ilbehaves ilwithout ilconsidering ilthe ilconsequences ilof ilpersonal ilactions.
c. A ilpatient ilaggressively ilmeets ilown ilneeds ilwithout ilconsidering ilthe ilrights ilof ilothers.
d. A ilpatient ilseeks ilhelp ilfrom ilothers ilwhen ilassuming ilresponsibility ilfor ilmajor
ilareas ilof ilown illife.
ANS: i l A
The ilcorrect ilresponse ildescribes ilan iladaptive, ilhealthy ilbehaviour. ilThe ilWHO ildefines
ilmental ilhealth ilas il―a ilstate ilof ilwell-being ilin ilwhich ileach ilindividual ilis ilable ilto ilrealize
ilhis ilor ilher ilown ilpotential, ilcope ilwith ilthe ilnormal ilstresses ilof illife, ilwork ilproductively
iland ilfruitfully, iland ilmake ila ilcontribution ilto ilthe ilcommunity‖ il(World ilHealth
ilOrganization, il2010). ilThe ildistracters ildescribe ilmaladaptive ilbehaviours.
DIF: Cognitive ilLevel: ilApply il(Application) TOP: i l Nursing ilProcess:
ilEvaluation ilMSC: i l Client ilNeeds: ilPsychosocial ilIntegrity
7. A ilnurse ilencounters ilan ilunfamiliar ilpsychiatric ildisorder ilon ila ilnew ilpatient‘s iladmission
ilform. ilWhich ilresource ilshould ilthe ilnurse ilconsult ilto ildetermine ilcriteria ilused ilto ilestablish
ilthis ildiagnosis?
a. International ilStatistical ilClassification ilof ilDiseases iland ilRelated ilHealth
ilProblems il(ICD-10)
b. Diagnostic iland ilStatistical ilManual ilof ilMental ilDisorders il(DSM-5)
c. A ilbehavioural ilhealth ilreference ilmanual
d. NurseOne ilonline
ANS: i l B
The ilDSM-5 ilgives ilthe ilcriteT riaEuSsT
edBtAoNdK iaS
gnEoL
seLeEaR
ch.mCeOnMtal ildisorder. ilThe ildistracters ilmay
ilnot ilcontain ildiagnostic ilcriteria ilfor ila ilpsychiatric ilillness.
DIF: Cognitive ilLevel: ilApply il(Application)
TOP: i l Nursing ilProcess: ilAssessment MSC: i l Client ilNeeds: ilSafe ilEffective ilCare ilEnvironment
8. A ilnurse ilwants ilto ilfind ila ildescription ilof ildiagnostic ilcriteria ilfor ilanxiety ildisorders. ilWhich
ilresource ilwould ilhave ilthe ilmost ilcomplete ilinformation?
a. Nursing ilOutcomes ilClassification il(NOC)
b. Diagnostic iland ilStatistical ilManual ilof ilMental ilDisorders il(DSM-5)
c. The ilANA‘s ilPsychiatric–Mental ilHealth ilNursing ilScope iland ilStandards ilof ilPractice
d. International ilStatistical ilClassification ilof ilDiseases iland ilRelated ilHealth
ilProblems il(ICD-10)
ANS: i l B
The ilDSM-5 ildetails ilthe ildiagnostic ilcriteria ilfor ilpsychiatric ilclinical ilconditions iland ilis
ilthe ilofficial ilguide ilfor ildiagnosing ilpsychiatric ildisorders. ilThe ilother ilreferences ilare ilgood
ilresources ilbut ildo ilnot ildefine ilthe ildiagnostic ilcriteria.
DIF: i l i l Cognitive ilLevel: ilUnderstand il(Comprehension)
TOP: i l Nursing ilProcess: ilImplementation i l i l MSC: i l Client ilNeeds: ilSafe ilEffective ilCare
ilEnvironment
9. Which ilindividual ilis ildemonstrating ilthe ilhighest illevel ilof ilresilience?
a. One ilwho ilis ilable ilto ilrepress ilstressors.
b. One ilwho ilbecomes ildepressed ilafter ilthe ildeath ilof ila ilspouse.
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