Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 2nd Edition

Name: Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 2nd Edition
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Author: Charlotte Young

Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 2nd Edition helps you understand exam patterns, improve retention, and develop problem-solving skills.

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Name Chapter 1: Psychiatric and Mental Health Nursing: Past to Present
Description Diploma exported pool
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Question During the 1800s, Pinel believed that the cure for mental illness was
Answer A. arrest and confinement.
B. placement outside of the community.
C. moral treatment.
D. use of chains.
Correct
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During the 1800s, the cure for mental illness was believed to be moral treatment, defined as kindness, compassion, and a pleasant
environment. Philippe Pinel was one of the first physicians who began using moral treatment in France.
Incorrect
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During the 1800s, the cure for mental illness was believed to be moral treatment, defined as kindness, compassion, and a pleasant
environment. Philippe Pinel was one of the first physicians who began using moral treatment in France.
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Question One of the primary reforms accomplished by Dorothea Lynde Dix was the
Answer A. establishment of “commitment” laws in state legislatures.
B. establishment or enlargement of state hospitals.
C. use of music to treat mentally ill clients.
D. use of exercise therapy to treat mentally ill clients.
Correct
Feedback
One of the primary reforms accomplished by Dorothea Lynde Dix was the establishment or enlargement of state hospitals to treat
the mentally ill. She also was instrumental in the establishment of mental hospitals in England, Canada, and Europe in the 19th
century.
Incorrect
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One of the primary reforms accomplished by Dorothea Lynde Dix was the establishment or enlargement of state hospitals to treat
the mentally ill. She also was instrumental in the establishment of mental hospitals in England, Canada, and Europe in the 19th
century.
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Question The psychiatrist who suggested the term “mental hygiene” was
Answer A. Clarence Hincks.
B. Sigmund Freud.
C. Philippe Pinel.
D. Adolf Meyer.
Correct
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The psychiatrist who suggested the term “mental hygiene” was Adolf Meyer. He chose the term because it was consistent with his
view of mental health as the expression of physiologic and emotional “cleanliness.”
Incorrect
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The psychiatrist who suggested the term “mental hygiene” was Adolf Meyer. He chose the term because it was consistent with his
view of mental health as the expression of physiologic and emotional “cleanliness.”
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Question In 1909, the National Mental Health Committee for Mental Hygiene was responsible for the development of
Answer A. mental health nurse training.
B. stress management clinics.
C. prison clinics.
D. hydrotherapy centers.
Correct
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In 1909, the National Mental Health Committee formed by Clifford Beers was responsible for the development of child guidance
clinics, prison clinics, and industrial mental health approaches.
Incorrect
Feedback
In 1909, the National Mental Health Committee formed by Clifford Beers was responsible for the development of child guidance
clinics, prison clinics, and industrial mental health approaches.
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Question One of the first physicians who reformed models of care to improve treatment approaches in Ontario was
Answer A. Adolf Meyer
B. Clifford Beers
C. Charles K. Clarke
D. Charles A. Baroger
Correct Feedback Charles K. Clarke is one of the first physicians who reformed models of care to improve treatment approaches in Ontario.
Incorrect Feedback Charles K. Clarke is one of the first physicians who reformed models of care to improve treatment approaches in Ontario.
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Question Psychiatric nursing education in eastern Canada commenced in the general hospital training in:
Answer A. 1920's
B. 1930's
C. 1940's
D. 1950's
Correct Feedback Psychiatric nursing education in eastern Canada commenced in the general hospital training in 1930's.
Incorrect Feedback Psychiatric nursing education in eastern Canada commenced in the general hospital training in 1930's.
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Question In the early 1900s, the psychosocial theory proposed that mental disorders resulted from
Answer A. biologic disorders.
B. dysfunctional family systems.
C. environmental and social deprivation.
D. unconscious motivators for behavior.
Correct
Feedback
In the early 1900s, the psychosocial theory proposed that mental disorders resulted from environmental and social deprivation.
Moral management in an asylum was the treatment of choice. Opposition to this theory came from groups who believed in biologic
origins.
Incorrect
Feedback
In the early 1900s, the psychosocial theory proposed that mental disorders resulted from environmental and social deprivation.
Moral management in an asylum was the treatment of choice. Opposition to this theory came from groups who believed in biologic
origins.
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Question The term “psychiatric pluralism,” introduced by Adolf Meyer, means
Answer A. integration of the human biologic functions with the environment.
B. psychoanalysis integrated with daily activities of living.
C. biologic science integrated with blood-letting treatments.
D. determining the drives behind the person's behaviors.
Correct Feedback In the early 1900s, Adolf Meyer's psychiatric pluralism was an integration of the human biologic functions with the environment.
Incorrect Feedback In the early 1900s, Adolf Meyer's psychiatric pluralism was an integration of the human biologic functions with the environment.
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Question According to the theory proposed by Sigmund Freud, a psychosis or neurosis would develop in an individual if
Answer A. there was a chemical imbalance in the brain.
B. social deprivation occurred late in adolescence.
C. there was an interference in normal development.
D. the child developed an oedipal relationship.
Correct
Feedback
According to the theory proposed by Sigmund Freud, a psychosis or neurosis would develop in an individual if there were
interference in normal development, particularly early in childhood.
Incorrect
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According to the theory proposed by Sigmund Freud, a psychosis or neurosis would develop in an individual if there were
interference in normal development, particularly early in childhood.
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Question In 2002 a report was published by the Canadian Alliance on Mental Illness and mental health which revealed general hospital admissions
in Canada is at
Answer A. 36%
B. 56%
C. 76%
D. 86%
Correct
Feedback
In 2002 a report was published by the Canadian Alliance on Mental Illness and mental health which revealed general hospital
admissions in Canada is at 86%.
Incorrect
Feedback
In 2002 a report was published by the Canadian Alliance on Mental Illness and mental health which revealed general hospital
admissions in Canada is at 86%.
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Question Seriously mentally ill patients with severely disturbing behaviour before the 19 th century were usually cared for by
Answer A. Family members at home
B. Spiritual healers in asylums
C. Laypersons in hospitals
D. Staff in prisons and poorhouses
Correct
Feedback Until the 19
th century, mentally ill people were kept mostly at home, cared for by their families. Only the most seriously afflicted
people whose behaviour was severely disturbing or dangerous to themselves, their families, or other citizens were locked up, often in
prisons or a separate wing of a local poorhouse.
Incorrect
Feedback Until the 19
th century, mentally ill people were kept mostly at home, cared for by their families. Only the most seriously afflicted
people whose behaviour was severely disturbing or dangerous to themselves, their families, or other citizens were locked up, often in
prisons or a separate wing of a local poorhouse.
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Question Early forms of institutional ways of caring for the mentally ill people depended on communities'
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Answer A. available housing and professional care
B. perceived notions and fears
C. political climate
D. public policy
Correct
Feedback
The various ways of caring for mentally ill people typically depended on a community's perceived notions and fears of those with
mental disorders as well as communities' resources.
Incorrect
Feedback
The various ways of caring for mentally ill people typically depended on a community's perceived notions and fears of those with
mental disorders as well as communities' resources.
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Question Historically increased intolerance and ill treatment of people with mental disorders was related to
Answer A. social change and instability
B. family intolerances
C. religious beliefs
D. number of asylums treating mentally ill
Correct
Feedback
History reflects that, generally, in periods of relative social stability, there are fewer fears and more tolerances for deviant behaviour,
and it is easier for individuals with mental disorders to live safely within their communities. During periods of rapid social change and
instability, there are more general anxieties and fears and, subsequently, more intolerance and ill treatment of people with mental
disorders.
Incorrect
Feedback
History reflects that, generally, in periods of relative social stability, there are fewer fears and more tolerances for deviant behaviour,
and it is easier for individuals with mental disorders to live safely within their communities. During periods of rapid social change and
instability, there are more general anxieties and fears and, subsequently, more intolerance and ill treatment of people with mental
disorders.
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Question In the 1800s, humane and supportive rehabilitative attitudes toward caring for the mentally ill in the United States were influenced by the
Answer A. Quakers
B. Roman Catholic priests
C. Political influences
D. State legislature
Correct
Feedback
The humane and supportive rehabilitative attitude of the Quakers was seen as an extremely important influence in changing
techniques of caring for those with mental disorders.
Incorrect
Feedback
The humane and supportive rehabilitative attitude of the Quakers was seen as an extremely important influence in changing
techniques of caring for those with mental disorders.
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Question Which province in Canada was first to open a mental institution in 1835?
Answer A. Ontario
B. Nova Scotia
C. Quebec
D. New Brunswick
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Question Involuntary confinement and institutional care of mentally ill people was the foremost treatment modality up until the
Answer A. latter half of the 19th century
B. end of the 20th century
C. beginning of the 19th century
D. mid-20th century
Correct
Feedback
During the latter half of the 19th century and beginning of the 20th century, each Canadian province established an asylum. Up until
the mid-20th century, involuntary confinement and institutional care became the most dominant treatment modality for mentally ill
people, replacing older forms of familial care and Poor Law-based approaches.
Incorrect
Feedback
During the latter half of the 19th century and beginning of the 20th century, each Canadian province established an asylum. Up until
the mid-20th century, involuntary confinement and institutional care became the most dominant treatment modality for mentally ill
people, replacing older forms of familial care and Poor Law-based approaches.
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Question Which level of legislation supports confinement of mentally ill patients in Canada in the late 19
th century?
Answer A. Provincial
B. National
C. Municipal
D. State
Correct
Feedback
In the late 19th century, all provinces passed legislation, most often called an Insanity Act, to provide a legal basis to publicly
supported confinement of the mentally ill.
Incorrect
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In the late 19th century, all provinces passed legislation, most often called an Insanity Act, to provide a legal basis to publicly
supported confinement of the mentally ill.
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Question Life within early psychiatric institutions reflected a
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Answer A. Treatment focus
B. Pleasant alternative to living in the community
C. Rehabilitation focus
D. Deplorable living conditions
Correct
Feedback
Despite the good intentions of early reformers, the approach inside the institution was one of custodial care and practical
management, and treatment rarely occurred. Although a medical superintendent usually directed an institution, overcrowded wards
and few resources created rowdy, dangerous, and unbearable situations.
Incorrect
Feedback
Despite the good intentions of early reformers, the approach inside the institution was one of custodial care and practical
management, and treatment rarely occurred. Although a medical superintendent usually directed an institution, overcrowded wards
and few resources created rowdy, dangerous, and unbearable situations.
Add Question Here
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Question University-based scientific research to influence change and find better treatment and support for mentally ill patients was promoted by
Answer A. Charles K. Clarke
B. Clifford Beers
C. Adolf Meyer
D. Clarence Hincks
Correct
Feedback
Ontario psychiatrist Charles K. Clarke (1857–1924) had an influential role in bringing about new models of care that would influence
change of this situation. To find better treatments and approaches, he sought to start an urban center for the treatment of acute
mental illness under the best possible conditions and supported by university-based scientific research.
Incorrect
Feedback
Ontario psychiatrist Charles K. Clarke (1857–1924) had an influential role in bringing about new models of care that would influence
change of this situation. To find better treatments and approaches, he sought to start an urban center for the treatment of acute
mental illness under the best possible conditions and supported by university-based scientific research.
Add Question Here
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Question The psychiatrist who had a strong belief in the ability of female compassion and established a new diploma in Alberta for mental health
nurses was:
Answer A. Adolf Meyer
B. Charles K. Clarke
C. Clarence Hincks
D. Charles A. Barager
Correct
Feedback
Barager introduced a nurse training school as superintendent at the Brandon Asylum. He had a strong belief in the ability of female
compassion: “The nursing of mental patients requires women of finer personality, of wider sympathies, greater self-control and higher
intelligence than even the nursing of those who are physically ill.”
Incorrect
Feedback
Barager introduced a nurse training school as superintendent at the Brandon Asylum. He had a strong belief in the ability of female
compassion: “The nursing of mental patients requires women of finer personality, of wider sympathies, greater self-control and higher
intelligence than even the nursing of those who are physically ill.”
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Question In the 1930s and 1940s, skilled nursing was essential for new therapies such as:
Answer A. Group therapy
B. Coma therapy
C. Medication therapy
D. Recreational therapy
Correct Feedback Skilled nursing was essential for new therapies, such as electroshock and insulin coma therapy introduced in the 1930s and
1940s.
Incorrect
Feedback
Skilled nursing was essential for new therapies, such as electroshock and insulin coma therapy introduced in the 1930s and
1940s.
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Question During the mid-20th century, the understanding of mental illness and the focus on treating the brain facilitated discharges from institutions
was a result of introducing:
Answer A. Psychopharmacology
B. Insulin shock therapy
C. Psychosurgery
D. Hydrotherapy
Correct
Feedback
Support for the biologic approaches received an important boost as successful symptom management with psychopharmacologic
agents became a more widespread possibility in the early 1950s. Psychopharmacology revolutionized the treatment of mental illness
and led to an increased number of patients discharged into the community, and the eventual focus on the brain became a key to
understanding psychiatric disorders.
Incorrect
Feedback
Support for the biologic approaches received an important boost as successful symptom management with psychopharmacologic
agents became a more widespread possibility in the early 1950s. Psychopharmacology revolutionized the treatment of mental illness
and led to an increased number of patients discharged into the community, and the eventual focus on the brain became a key to
understanding psychiatric disorders.
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Question The Canadian Mental Health Association in the 1960s supported the paradigm shift and public policy changes to promote:
Answer A. Deinstitutionalization
B. Increased psychiatric admissions to provincial psychiatric hospitals
C. Psychiatric nursing education
D. Psychiatric pluralism
Correct
Feedback
The Canadian Mental Health Association (CMHA), renamed from the earlier CNCMH, had an instrumental role in policy development
for integrated services in general hospitals and the community. A shift in mental health policy resulted in deinstitutionalization, the
downsizing of the large provincial psychiatric hospitals, and a new orientation on community-based services.
4 of 6

Incorrect
Feedback
The Canadian Mental Health Association (CMHA), renamed from the earlier CNCMH, had an instrumental role in policy development
for integrated services in general hospitals and the community. A shift in mental health policy resulted in deinstitutionalization, the
downsizing of the large provincial psychiatric hospitals, and a new orientation on community-based services.
Add Question Here
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Question As a result of the shift of federal funding in the early 1970s, provinces developed different models and strategies to provide treatment for:
Answer A. Criminal code changes for the not criminally responsible patients
B. Specialized care for children and geriatric population
C. Diagnosis-specific care
D. Day treatment programs
Correct
Feedback
In the late 1970s, the federal government shifted to a new funding structure for health care, reducing its share in the cost. Provinces
developed different models and strategies to fund specialized services, for example, alcohol and substance abuse treatment
programs, a pressing post–World War II mental health care need. To address the needs of different population groups, subspecialties
such as child psychiatry, forensic, and geriatric services also emerged.
Incorrect
Feedback
In the late 1970s, the federal government shifted to a new funding structure for health care, reducing its share in the cost. Provinces
developed different models and strategies to fund specialized services, for example, alcohol and substance abuse treatment
programs, a pressing post–World War II mental health care need. To address the needs of different population groups, subspecialties
such as child psychiatry, forensic, and geriatric services also emerged.
Add Question Here
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Question Education preparation for psychiatric mental health nurses in Canada during the 20 th century was influenced by
Answer A. Colleges and universities
B. Federal government
C. Regional models
D. Hospital-based training
Correct
Feedback
As of the 1950s, Canada entertained two models of education for PMH nursing, resulting in the preparation of two different
professional nursing groups for nursing care in mental health services. Regional influences played a large role in the generation of
the two models.
Incorrect
Feedback
As of the 1950s, Canada entertained two models of education for PMH nursing, resulting in the preparation of two different
professional nursing groups for nursing care in mental health services. Regional influences played a large role in the generation of
the two models.
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Question Psychiatric mental health nursing theory to promote holistic patient care identifying the therapeutic relationship is grounded in the work of:
Answer A. Benner
B. Peplau
C. Freud
D. Dix
Correct
Feedback
In 1952, Peplau published the landmark work, Interpersonal Relations in Nursing. It introduced psychiatric and mental health nursing
practice to the concepts of interpersonal relations and the importance of the therapeutic relationship. The nurse–patient relationship
supported a holistic perspective on patient care.
Incorrect
Feedback
In 1952, Peplau published the landmark work, Interpersonal Relations in Nursing. It introduced psychiatric and mental health nursing
practice to the concepts of interpersonal relations and the importance of the therapeutic relationship. The nurse–patient relationship
supported a holistic perspective on patient care.
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Question The Canadian Federation of Mental Health Nurses published Canadian Standards of Nursing Practice reflected in nursing practice today
is based on the theoretical work of:
Answer A. Patricia Benner
B. Hildegard Peplau
C. Sigmund Freud
D. Dorothy Dix
Correct
Feedback
In 1995, the Canadian Federation of Mental Health Nurses (CFMHN) published the Canadian Standards of Psychiatric and Mental
Health Nursing Practice. Based on the influential work of Patricia Benner (1984), the standards were written within a “domains of
practice” framework. In 2006, the CFMHN revised and updated the standards, incorporating the most recent perspectives on
psychiatric care.
Incorrect
Feedback
In 1995, the Canadian Federation of Mental Health Nurses (CFMHN) published the Canadian Standards of Psychiatric and Mental
Health Nursing Practice. Based on the influential work of Patricia Benner (1984), the standards were written within a “domains of
practice” framework. In 2006, the CFMHN revised and updated the standards, incorporating the most recent perspectives on
psychiatric care.
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True/False 1 points Modify Remove
Question The specific mental health needs of women are adequately addressed today in the mental health system.
Answer True
False
Correct Feedback
Incorrect Feedback
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True/False 1 points Modify Remove
Question In the present day, psychiatric admissions in a hospital can be either a voluntary status or a certified basis.
Answer True
False
Correct Feedback
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TEST BANK > CONTROL PANEL > POOL MANAGER > POOL CANVAS
Pool Canvas
Add, modify, and remove questions. Select a question type from the Add Question drop-down list and click Go to add questions. Use Creation Settings to establish
which default options, such as feedback and images, are available for question creation.
Add Creation Settings
Name Chapter 2: Mental Health and Mental Illness
Description Diploma exported pool
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Multiple Choice 1 points Modify Remove
Question In epidemiological studies, the point prevalence refers to the
Answer A. number of new cases within a defined period of time.
B. number of individuals in a population who have risk factors for mental illness.
C. proportion of individuals who have the disorder at a specified point in time.
D. proportion of cases in a population compared to the total population.
Correct Feedback The point prevalence refers to the proportion of individuals who have the disorder at a specified point in time.
Incorrect Feedback The point prevalence refers to the proportion of individuals who have the disorder at a specified point in time.
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Question In epidemiologic terms the proportion of the cases in the population when compared with the total population refers to the
Answer A. rate
B. prevalence
C. incidence
D. point prevalence
Correct Feedback In epidemiologic terms the proportion of the cases in the population when compared with the total population refers to the rate.
Incorrect Feedback In epidemiologic terms the proportion of the cases in the population when compared with the total population refers to the rate.
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Question A universal condition that shapes the way we think, feel and communicate refers to
Answer A. mental illness
B. mental wellness
C. mental health .
D. mental stability
Correct Feedback A universal condition that shapes the way we think, feel and communicate refers to mental health.
Incorrect Feedback A universal condition that shapes the way we think, feel and communicate refers to mental health.
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Question The primary purpose of the DSM-IV is to
Answer A. provide a commonly understood diagnostic category for clinical practice.
B. describe treatment modalities for psychiatric disorders and mental illnesses.
C. identify various etiologies for mental disorders based on family histories.
D. provide optimal outcomes for treatment for individuals with mental illnesses.
Correct Feedback The primary purpose of the DSM-IV-TR is to provide a commonly understood diagnostic category for clinical practice.
Incorrect Feedback The primary purpose of the DSM-IV-TR is to provide a commonly understood diagnostic category for clinical practice.
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Question Although the first three axes of the DSM-IV-TR appear to contain all the diagnostic information about a client, a truly accurate picture of
the client is incomplete without considering other factors such as an estimate of current functioning and
Answer A. life stressors.
B. cultural background.
C. marital status.
D. genetic history.
Correct
Feedback
Although the first three axes of the DSM-IV appear to contain all the diagnostic information about a client, a truly accurate picture of
the client is incomplete without considering other factors such as life stressors and an estimate of current functioning.
Incorrect
Feedback
Although the first three axes of the DSM-IV appear to contain all the diagnostic information about a client, a truly accurate picture of
the client is incomplete without considering other factors such as life stressors and an estimate of current functioning.
Add Question Here
True/False 1 points Modify Remove
Question Most people experience a mental health problem at one time or another. True or false?
Answer True
False
Correct Feedback
Incorrect Feedback
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True/False 1 points Modify Remove
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Question Someone who is genetically at high risk for a mental health disorder can modify lifestyle and environment to decrease the impact of these
factors. True or false?
Answer True
False
Correct Feedback
Incorrect Feedback
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True/False 1 points Modify Remove
Question Evidence-based care (EBC) involves defining clinical questions and finding evidence that serves as a basis of practice. True or false?
Answer True
False
Correct Feedback
Incorrect Feedback
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True/False 1 points Modify Remove
Question The purpose of evidence-based care (EBC) is to develop treatment guidelines. True or false?
Answer True
False
Correct Feedback
Incorrect Feedback
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True/False 1 points Modify Remove
Question The existence of risk factors always means the person will get the mental disorder. True or False?
Answer True
False
Correct Feedback
Incorrect Feedback
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Question Epp's report in 1986 identifies three challenges in maintaining the health of Canadians, which were identified as reducing inequalities,
increasing the prevention effort, and
Answer A. Enhancing people's ability to cope
B. Promoting enhanced primary care
C. Support anti-stigma campaigns
D. Decreasing the prevalence of homelessness
Correct
Feedback
The Epp (1986) report identified three challenges in maintaining the health of Canadians: reducing inequalities, increasing the
prevention effort, and enhancing people's capacity to cope.
Incorrect
Feedback
The Epp (1986) report identified three challenges in maintaining the health of Canadians: reducing inequalities, increasing the
prevention effort, and enhancing people's capacity to cope.
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Question Understanding health is derived from Epp's 1986 report “Achieving Health for All: A Framework for Health Promotion.” This report
highlights
Answer A. Health promotion to improve their health
B. Equal weight assisting people with mental illnesses and assisting people to maintain their mental health
C. The state of being happy, healthy, and free from want
D. Mental health is achieved through complex interactions of active treatment and supportive interactions.
Correct
Feedback
The strong link between mental health and mental disorder that this report highlights gives equal weight to assisting people with
mental illnesses and assisting people in maintaining their mental health.
Incorrect
Feedback
The strong link between mental health and mental disorder that this report highlights gives equal weight to assisting people with
mental illnesses and assisting people in maintaining their mental health.
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Question In 2006, Kirby and Keon recommended to transform the Canadian approach to mental illness so that mental disorder is considered to be
Answer A. Treated separately within specialized facilities
B. As significant as other health concerns
C. Diseases that require extensive multiple treatment modalities
D. Minimized within the transformation of health care
Correct
Feedback
The Kirby and Keon report reviewed then-current initiatives and provided recommendations to transform the Canadian approach to
mental illness such that mental disorder is considered to be as significant as other health concerns.
Incorrect
Feedback
The Kirby and Keon report reviewed then-current initiatives and provided recommendations to transform the Canadian approach to
mental illness such that mental disorder is considered to be as significant as other health concerns.
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Question To achieve mental health in primary health care it is imperative to address
Answer A. Health education
B. Behavioural adaptive behaviours
C. Childhood traumas
D. Gender difference
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Correct
Feedback
Health education is one of the key primary health care activities that, when applied to mental health, becomes a catalyst for each
person to work toward experiencing optimal mental health. The global nature of mental illness is another key aspect of primary
health care.
Incorrect
Feedback
Health education is one of the key primary health care activities that, when applied to mental health, becomes a catalyst for each
person to work toward experiencing optimal mental health. The global nature of mental illness is another key aspect of primary
health care.
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Question An individual can be challenged by a variety of factors such as medical illnesses, psychological pressures, social tension, and spiritual
distress. Strategies to eliminate or reduce these factors refer to
Answer A. Evidence-based care
B. Mental disorders
C. Psychiatric diagnosis
D. Mental health promotion
Correct
Feedback
A person's mental health can be challenged by a variety of factors such as biologic changes or illnesses, psychological pressures,
social tension, and spiritual distress. Healthy life span development includes formulating strategies to eliminate or reduce the impact
of these destructive factors throughout one's life.
Incorrect
Feedback
A person's mental health can be challenged by a variety of factors such as biologic changes or illnesses, psychological pressures,
social tension, and spiritual distress. Healthy life span development includes formulating strategies to eliminate or reduce the impact
of these destructive factors throughout one's life.
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Question Risk factors that increase the likelihood of developing a mental illness are
Answer A. Factors that influence the likelihood symptoms will appear
B. Factors that cause the disease
C. Factors that are symptoms of the illness
D. Factors that determine the severity of the illness
Correct
Feedback
Specific risk factors, or characteristics that increase the likelihood of developing a mental illness, can contribute to minimal mental
health and influence the development and severity of a mental disorder. Risk factors do not cause the disorder and are not symptoms
of the illness but, rather, are factors that influence the likelihood that the symptoms will appear.
Incorrect
Feedback
Specific risk factors, or characteristics that increase the likelihood of developing a mental illness, can contribute to minimal mental
health and influence the development and severity of a mental disorder. Risk factors do not cause the disorder and are not symptoms
of the illness but, rather, are factors that influence the likelihood that the symptoms will appear.
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Question When caring for individuals with mental disorders, the Canadian Mental Health Association in 2008 highlights the significance of
consideration to
Answer A. Person's age
B. Cultural factors
C. Education level
D. Marital status
Correct
Feedback
Canadians represent a blend of people from a vast array of cultures. The Canadian Mental Health Association's (2008) policy
statement highlights the importance of cultural sensitivity and appropriateness when serving the public.
Incorrect
Feedback
Canadians represent a blend of people from a vast array of cultures. The Canadian Mental Health Association's (2008) policy
statement highlights the importance of cultural sensitivity and appropriateness when serving the public.
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Question What is the significance of epidemiological studies of mental illness?
Answer A. To study the patterns and distribution of time and space
B. To study clinical trials in methodologies of treating diseases
C. To study the impact of nursing care and outcomes
D. To study individual responses to specific treatment of a diagnosis
Correct
Feedback
Epidemiology is the study of patterns of disease distribution in time and space. It focuses on the health status of population groups,
or aggregates, rather than of individuals, and it involves quantitative analysis of the occurrence of illnesses in population groups.
Incorrect
Feedback
Epidemiology is the study of patterns of disease distribution in time and space. It focuses on the health status of population groups,
or aggregates, rather than of individuals, and it involves quantitative analysis of the occurrence of illnesses in population groups.
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Question In the DSM-IV-TR, the multiaxial diagnostic system Axis III refers to
Answer A. Clinical disorder
B. General medical condition
C. Personality disorder
D. Psychosocial and environmental problems
Correct
Feedback
Axis III includes general medical conditions that must be considered in the diagnosis and treatment of primary psychiatric disorders.
Each of the first three axes is essential to understanding and treating an individual with psychiatric concerns.
Incorrect
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Axis III includes general medical conditions that must be considered in the diagnosis and treatment of primary psychiatric disorders.
Each of the first three axes is essential to understanding and treating an individual with psychiatric concerns.
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Question Based on the multiaxial diagnostic symptom, the Axis IV refers to
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Answer A. Personality disorders and mental retardation
B. Clinical disorders and relational disorders
C. Medical illnesses and physical ailments
D. Psychosocial and environmental problems
Correct
Feedback
Axis IV relates to any psychosocial and environmental problems that may produce additional stress and confound the diagnosis
and that are important aspects of treating the primary psychiatric disorder.
Incorrect
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Axis IV relates to any psychosocial and environmental problems that may produce additional stress and confound the diagnosis
and that are important aspects of treating the primary psychiatric disorder.
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Question The currently funded Health Canada project has explored the different sources of stigmatization, which has revealed stigmatization from
Answer A. Health professionals
B. Psychiatric hospitals
C. Media
D. Politicians
Correct
Feedback
The focus of a currently funded Health Canada project is the exploration of the mental health literacy (MHL) of Canadians.
Focus-group participants point to a variety of sources of stigmatization, including that by health professionals.
Incorrect
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The focus of a currently funded Health Canada project is the exploration of the mental health literacy (MHL) of Canadians.
Focus-group participants point to a variety of sources of stigmatization, including that by health professionals.
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Question The Canadian Federation of Mental Health Nurses' (2006) standards for nursing practice provide direction in achieving excellence in
psychiatric nursing and mental health nursing through
Answer A. Individualized nursing care
B. Algorithms for symptom relief
C. Nursing care only focusing on family support
D. Decision trees of medication in relation to diagnosis
Correct
Feedback
The Canadian Federation of Mental Health Nurses' (2006) standards for nursing practice support the individualization of nursing
care and provide direction for achieving excellence in psychiatric and mental health (PMH) nursing practice.
Incorrect
Feedback
The Canadian Federation of Mental Health Nurses' (2006) standards for nursing practice support the individualization of nursing
care and provide direction for achieving excellence in psychiatric and mental health (PMH) nursing practice.
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Question Incidence is defined as the
Answer A. Distribution of mental illness with a given population
B. Rate of new cases within a specified time
C. Proportion of the population that has the disorder
D. Rate of occurrence of all cases at a specified time
Correct Feedback The incidence is the rate of new cases within a specified time.
Incorrect Feedback The incidence is the rate of new cases within a specified time.
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Question The prevalence of a disease is defined as the
Answer A. Rate of occurrence of all cases at a specified time
B. Rate of new cases within a specified time
C. Proportion of the population that has the disorder
D. Distribution of mental illness with a given population
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Question The diagnosis of diabetes is reflected on which DSM-IV-TR Axis of the diagnosis?
Answer A. Axis I
B. Axis II
C. Axis III
D. Axis IV
Correct Feedback Axis III includes general medical conditions that must be considered in the diagnosis and treatment of primary psychiatric
disorders.
Incorrect
Feedback
Axis III includes general medical conditions that must be considered in the diagnosis and treatment of primary psychiatric
disorders.
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Question The diagnosis of major depression is reflected on which DSM-IV-TR Axis of the diagnosis?
Answer A. Axis I
B. Axis II
C. Axis III
D. Axis IV
Correct
Feedback
Axis I includes most clinical disorders and other conditions that may be a focus of clinical attention such as relational problems or
those related to abuse or neglect.
Incorrect
Feedback
Axis I includes most clinical disorders and other conditions that may be a focus of clinical attention such as relational problems or
those related to abuse or neglect.
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True/False 1 points Modify Remove
Question Homelessness and cultural factors contribute to the incidence of mental illness.
Answer True
False
Correct Feedback
Incorrect Feedback
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True/False 1 points Modify Remove
Question The Global Assessment of Functioning (GAF)GAF estimates an individual's overall functioning that is determined on admission and
considered a fixed or constant score for the patient and does not change.
Answer True
False
Correct Feedback
Incorrect Feedback
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True/False 1 points Modify Remove
Question Nurses play a key role in raising social awareness of Canadians to recognize that mental illness and physical illness are equally
acceptable in addressing stigma for mental health patients.
Answer True
False
Correct Feedback
Incorrect Feedback
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Question The use of a mental health diagnosis is a label that can be problematic because of the negative association of the label mental illness.
Answer True
False
Correct Feedback
Incorrect Feedback
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TEST BANK > CONTROL PANEL > POOL MANAGER > POOL CANVAS
Pool Canvas
Add, modify, and remove questions. Select a question type from the Add Question drop-down list and click Go to add questions. Use Creation Settings to establish
which default options, such as feedback and images, are available for question creation.
Add Creation Settings
Name Chapter 3: The Context of Mental Health Care: Cultural, Socioeconomic, and Legal
Description Diploma exported pool
Instructions Modify
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Question Values and learned ideas of one's culture which are seen as correct and proper for everyone reflects:
Answer A. stigma
B. ethnocentrisms
C. stereotyping
D. discrimination
Correct Feedback Values and learned ideas of one's culture which are seen as correct and proper for everyone reflects ethnocentrism.
Incorrect Feedback Values and learned ideas of one's culture which are seen as correct and proper for everyone reflects ethnocentrism.
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Question In order to understand the mental health problems or disorders of a person from the Aboriginal culture it is important to understand their:
Answer A. religious rituals
B. historical, socioeconomic and political circumstances
C. mental, physical, emotional and spiritual components
D. boundaries and circumstances of their lives
Correct
Feedback
In order to understand the mental health problems or disorders of a person from the Aboriginal culture it is important to understand
their historical, socioeconomic and political circumstances.
Incorrect
Feedback
In order to understand the mental health problems or disorders of a person from the Aboriginal culture it is important to understand
their historical, socioeconomic and political circumstances.
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Question Colonialism according to the Public Health Agency of Canada (2004) is described as:
Answer A. the beginning of recognizing the culture as unique within society.
B. a hostile attitude towards other simply because they have objectionable characteristics.
C. family traditions that develop over a generation or two.
D. the institutionalized political domination of one nation over another.
Correct
Feedback
Colonialism according to the Public Health Agency of Canada (2004) is described as the institutionalized political domination of
one nation over another.
Incorrect
Feedback
Colonialism according to the Public Health Agency of Canada (2004) is described as the institutionalized political domination of
one nation over another.
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Question Expecting individuals to act in a characteristic manner that conforms to a usually negative perception of their group describes:
Answer A. prejudice
B. stigma
C. stereotyping
D. discrimination
Correct Feedback Expecting individuals to act in a characteristic manner that conforms to a usually negative perception of their group describes
stereotyping.
Incorrect
Feedback
Expecting individuals to act in a characteristic manner that conforms to a usually negative perception of their group describes
stereotyping.
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Question An important first step in developing cultural competency is best described as:
Answer A. recognizing the influence of one's own culture on one's belief system and practice.
B. having extensive knowledge of all cultures
C. willing to learn and understand other people's cultures
D. incorporating one's own knowledge into nursing practice.
Correct
Feedback
An important first step in developing cultural competency is best described as recognizing the influence of one's own culture on
one's belief system and practice.
Incorrect
Feedback
An important first step in developing cultural competency is best described as recognizing the influence of one's own culture on
one's belief system and practice.
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Question The Aboriginal people of mixed first nation and European ancestry have a unique culture that draws on their diverse ancestral origins such
as Scottish, French, Ojibawy and Cree refers to
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Answer A. Metis
B. Inuit
C. Eskimo
D. Inuktitut
Correct
Feedback
The Aboriginal people of mixed first nation and European ancestry have a unique culture that draws on their diverse ancestral
origins such as Scottish, French, Ojibawy and Cree refers to Metis.
Incorrect
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The Aboriginal people of mixed first nation and European ancestry have a unique culture that draws on their diverse ancestral
origins such as Scottish, French, Ojibawy and Cree refers to Metis.
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Question The high drop out rate of First Nations individuals in mental health services is most likely attributed to the services
Answer A. ignoring the unique cultural needs of the population
B. providing inpatient services rather than outpatient services to the population
C. lacking in knowledge of the economic needs of the population
D. attending to their physical needs rather than their spiritual needs
Correct
Feedback
The high drop out rate of First Nations individuals in mental health services is most likely attributed to the services ignoring the
unique cultural needs of the population.
Incorrect
Feedback
The high drop out rate of First Nations individuals in mental health services is most likely attributed to the services ignoring the
unique cultural needs of the population.
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Question The differential treatment of others because they are members of a particular group is termed
Answer A. discrimination.
B. prejudice.
C. segregation.
D. stigmatization.
Correct
Feedback
The differential treatment of others because they are members of a particular group is termed discrimination and may include
name calling, denial of services, and threats.
Incorrect
Feedback
The differential treatment of others because they are members of a particular group is termed discrimination and may include
name calling, denial of services, and threats.
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Question In Canada, Aboriginal ancestry is represented by approximately
Answer A. 4 % of population
B. 6% of population
C. 8% of population
D. 10% of population
Correct Feedback In Canada, Aboriginal ancestry is represented by 4.% of population.
Incorrect Feedback In Canada, Aboriginal ancestry is represented by 4.% of population.
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Question Nurses providing culturally competent care allows for a safe cultural environment and
Answer A. one that respectfully acknowledges a person's cultural identity
B. having extensive knowledge of all cultures
C. imposing one's cultural beliefs on others
D. identifying with patient's cultural norms and beliefs
Correct Feedback Nurses providing cultural competent care to their patients are responsible for
acquiring, maintaining and continually enhancing cultural competencies in relation to their patients.
Incorrect Feedback Nurses providing cultural competent care to their patients are responsible for
acquiring, maintaining and continually enhancing cultural competencies in relation to their patients.
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Question In order to promote the mental health of Aboriginal people, specific attention is required to their
Answer A. Political issues
B. Cultural issues
C. Heritage issues
D. Social issues
Correct
Feedback
Abuse of alcohol and drugs, family violence, youth crime, poverty, suicide, and sexual abuse are all social/health issues that
require attention if the mental health of Aboriginal peoples is to be promoted.
Incorrect
Feedback
Abuse of alcohol and drugs, family violence, youth crime, poverty, suicide, and sexual abuse are all social/health issues that
require attention if the mental health of Aboriginal peoples is to be promoted.
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Question In the Aboriginal culture, their medical practices are closely related to other aspects of the culture, especially
Answer A. Religion
B. Family cohesiveness
C. Education
D. Spirituality
Correct
Feedback
Spirituality is an important aspect to the Aboriginal culture. Their medical practices are closely related to other aspects of the
culture, especially their spirituality.
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Incorrect
Feedback
Spirituality is an important aspect to the Aboriginal culture. Their medical practices are closely related to other aspects of the
culture, especially their spirituality.
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Question The Kirby report in 2002 identified that a key factor in holding down a well-paid job with mental illness is
Answer A. Availability of a well-integrated health system
B. Strong support network of family and friends
C. Collaborative practice in primary care settings
D. Destigmatization of mental illness
Correct
Feedback
Three percent of Canadians suffer from severe and chronic mental disorders that can cause serious functional limitations and social
and economic impairment (Kirby Report, 2002). Still, many people with mental illness hold down well-paid jobs. A key factor for many
of these people is a strong support network of family and friends.
Incorrect
Feedback
Three percent of Canadians suffer from severe and chronic mental disorders that can cause serious functional limitations and social
and economic impairment (Kirby Report, 2002). Still, many people with mental illness hold down well-paid jobs. A key factor for many
of these people is a strong support network of family and friends.
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Question The single greatest cause of injury-related deaths for Aboriginal people is
Answer A. Cardiovascular disease
B. Motor vehicle accidents
C. Suicide
D. Homicides
Correct Feedback Suicide is the single greatest cause of injury-related deaths for Aboriginal people.
Incorrect Feedback Suicide is the single greatest cause of injury-related deaths for Aboriginal people.
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Question The initial framework of Toward Recovery and Well-Being 2009 proposes eight goals for the mental health system; this framework
addresses
Answer A. Stigma is not tolerated
B. Advancements in treatment for mental illness
C. Increased community access needs to all as a result of deinstitutionalization
D. Ensuring that people with mental illness have rights that are established for them in the community
Correct
Feedback
An initial framework, Toward Recovery and Well-Being (January 2009) proposes eight goals for a mental health system including
discrimination against people living with mental health problems and illnesses are eliminated, and stigma is not tolerated.
Incorrect
Feedback
An initial framework, Toward Recovery and Well-Being (January 2009) proposes eight goals for a mental health system including
discrimination against people living with mental health problems and illnesses are eliminated, and stigma is not tolerated.
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Question Psychiatric Mental Health (PMH) nurses are responsible for understanding the Mental Health Act of their province and territory and to
Answer A. Advocate on behalf of the health profession the importance of the act
B. Consider issues that affect individuals with medical problems
C. Explain the act's basic provisions to people with mental illness and their families
D. Support the provisions of the Mental Health Act and implement changes to the legislation
Correct
Feedback
It is the responsibility of PMH nurses to understand the Mental Health Act of their province or territory. Nurses need to be able to
explain the act's basic provisions to people with mental illness and their families.
Incorrect
Feedback
It is the responsibility of PMH nurses to understand the Mental Health Act of their province or territory. Nurses need to be able to
explain the act's basic provisions to people with mental illness and their families.
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Question Provisions within the Mental Health Act include
Answer A. Evaluation of competency of individual and action if patient is deemed not competent
B. The array of mental health diagnoses
C. Medication treatment provisions for mental health patients
D. The indefinite time frame of treatment provisions
Correct
Feedback
There are specific provisions within mental health acts regarding the evaluation of competency and what action may be taken if a
person is deemed not competent.
Incorrect
Feedback
There are specific provisions within mental health acts regarding the evaluation of competency and what action may be taken if a
person is deemed not competent.
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Question Substitute decision-maker provisions consent to treatment of a patient who is identified as
Answer A. An intraprofessional team
B. The most responsible physician
C. A state-appointed guardian or relative
D. The patient's spouse
Correct
Feedback
Depending on the jurisdiction, these substitute decision makers can be state-appointed, appointed by the person when
competent, or be a guardian or relative.
Incorrect
Feedback
Depending on the jurisdiction, these substitute decision makers can be state-appointed, appointed by the person when
competent, or be a guardian or relative.
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Question The criteria set out to guide substitute decision making that the benefits of treatment outweigh any risks refers to
Answer A. Capable wishes
B. Best interests
C. Modified best interests
D. Identified best interests
Correct
Feedback
There are different criteria to guide substitute decision making: best interests is defined as the treatment that will make the person
less ill, the person will get more ill without treatment, and the benefits outweigh any risks.
Incorrect
Feedback
There are different criteria to guide substitute decision making: best interests is defined as the treatment that will make the person
less ill, the person will get more ill without treatment, and the benefits outweigh any risks.
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Question Legal provisions requiring people with a mental illness to comply with a treatment plan while living in the community refers to
Answer A. Mandatory conditional leave
B. Mandatory diversion treatment
C. Mandatory outpatient treatment
D. Community living right
Correct
Feedback
Mandatory outpatient treatment involves legal provisions requiring people with a mental illness to comply with a treatment plan
while living in the community.
Incorrect
Feedback
Mandatory outpatient treatment involves legal provisions requiring people with a mental illness to comply with a treatment plan
while living in the community.
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Question Community treatment orders exist in Saskatchewan, Ontario, and Newfoundland for patients who do not meet involuntary criteria and
Answer A. Are deemed not competent to consent for treatment
B. Are initiated by the patient
C. Are influenced by the families' subjective views of patients' mental competence
D. Are required to comply with stipulated treatment
Correct
Feedback
Community treatment orders (CTO's) are a type of Mandatory outpatient treatment MOT, existing in such provinces as Saskatchewan,
Ontario, and Newfoundland that are usually initiated by a physician. People who do not meet involuntary admission criteria and who
are not necessarily in a hospital at the time of the CTO can be required to comply with the stipulated treatment.
Incorrect
Feedback
Community treatment orders (CTO's) are a type of Mandatory outpatient treatment MOT, existing in such provinces as Saskatchewan,
Ontario, and Newfoundland that are usually initiated by a physician. People who do not meet involuntary admission criteria and who
are not necessarily in a hospital at the time of the CTO can be required to comply with the stipulated treatment.
Add Question Here
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Question Many aspects of care, including assessment and the meaning of signs and symptoms to patients and families, are impacted by the
nurse's
Answer A. Professional experience
B. Cultural competence
C. Level of education
D. Cultural background
Correct
Feedback
Cultural competence of the nurse impacts many aspects of care, including assessment and the meaning of signs and symptoms
to patients and families.
Incorrect
Feedback
Cultural competence of the nurse impacts many aspects of care, including assessment and the meaning of signs and symptoms
to patients and families.
Add Question Here
True/False 1 points Modify Remove
Question Statistics in Canada identify that the majority of First Nations' bands and reserves reside in reserves.
Answer True
False
Correct Feedback
Incorrect Feedback
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True/False 1 points Modify Remove
Question A study in Ontario found that CTOs were helpful in assisting individuals who historically refused services to remain engaged with
treatment support services.
Answer True
False
Correct Feedback
Incorrect Feedback
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True/False 1 points Modify Remove
Question A person who is willing and capable of consenting to a voluntary admission can be admitted with an involuntary status anywhere in
Canada.
Answer True
False
Correct Feedback
Incorrect Feedback
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Test Bank For Psychiatric and Mental Health Nursing for Canadian Practice, 2nd Edition

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