THE PSYCHIATRIC INTERVIEW
5TH EDITION DANIEL J. CARLAT/ULTIMATE GUIDE
2024-2025
,The Psychiatric Interview 5th Edition Carlat Test Bank
(Chapter 1-Chapter 3)
Chapter 1: The Initial Interview: A Preview
Chapter 2: Logistic Preparations: What toDo Before the Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a client
living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the client will:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on time.
CORRECT ANSWER:- B
Explanation :->>> Recovery emphasizes managing symptoms, reducing psychosocial disability,
and improving roleperformance. The goal of recovery is to empower the individual with mental
illness to achieve a sense of meaning and satisfaction in life and to function at the highest
possible level of wellness. The incorrect options focus on the classic medical model rather than
recovery.
2. A client is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Choose the professional nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
d. How did you get so depressed that hospitalization was necessary?
CORRECT ANSWER:- A
Explanation :->>> The professional nurses communication should evidence caring and a
commitment to work with the client. This commitment lets the client know the professional nurse
will help. Probing and advice are not helpful ortherapeutic interventions.
3. In the shift-change report, an off-going professional nurse criticizes a client who wears
heavy makeup.Which comment by the professional nurse who receives the report best
demonstrates advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this client by wearing lots of makeup too.
,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our clients need our help to learn behaviors that will help them get along in society.
CORRECT ANSWER:- D
Explanation :->>> Accepting clients needs for self-expression and seeking to teach skills that
will contribute to their well-being demonstrate respect and are important parts of advocacy. The
on-coming professional nurseneeds to take action to ensure that others are not prejudiced against
the client. Humor can be appropriate within the privacy of a shift report but not at the expense of
respect for clients.
Judging the off-going professional nurse in a critical way will create conflict. Professional nurses
must show compassionfor each other.
4. A professional nurse assesses a newly admitted client diagnosed with major depressive
disorder. Whichstatement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with me.
CORRECT ANSWER:- D
Explanation :->>> Attending is a technique that demonstrates the professional nurses
commitment to the relationship and reduces feelings of isolation. This technique shows respect
for the client and demonstratescaring. Generalizations, probing, and false reassurances are non-
therapeutic.
5. A client shows the professional nurse an article from the Internet about a health problem.
Which characteristic of the web sites address most alerts the professional nurse that the site
may have biased andprejudiced information?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in .net.
CORRECT
ANSWER:- B
Explanation :->>> Financial influences on a site are a clue that the information may be biased.
.com at the end of the address indicates that the site is a commercial one. .gov indicates that the
site is maintainedby a government entity. .org indicates that the site is nonproprietary; the site
may or may not have reliable information, but it does not profit from its activities. .net can have
multiple
, meanings.
6. A professional nurse says, When I was in school, I learned to call upset clients by name to get
their attention; however, I read a descriptive research study that says that this approach does not
work. I plan to stop calling clients by name. Which statement is the best appraisal of this
professional nurses comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff professional nurses apply new research findings only with the help from clinical professional
nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using them in
practice.
d. The professional nurse misinterpreted the results of the study. Classic tenets of practice
do not change.
CORRECT ANSWER:- A
Explanation :->>> Descriptive research findings provide evidence for practice but must be
viewed in relation to other studies before practice changes. One study is not enough. Descriptive
studies are low on the hierarchy of evidence. Clinical algorithms use flow charts to manage
problems and do not specify one response to a clinical problem. Classic tenets of practice
should change as researchfindings provide evidence for change.
7. Two nursing students discuss career plans after graduation. One student wants to enter
psychiatric nursing. The other student asks, Why would you want to be a psychiatric
professional nurse? Allthey do is talk. You will lose your skills. Choose the best response by
the student interested in psychiatric nursing.
a. Psychiatric professional nurses practice in safer environments than other specialties.
Professional nurse-to-client ratios must be better because of the nature of clients problems.
b. Psychiatric professional nurses use complex communication skills, as well as critical
thinking, to solvemultidimensional problems. Im challenged by those situations.
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so I
do not want to continue them after I graduate.
d. Psychiatric professional nurses do not have to deal with as much pain and suffering as
medical surgicalprofessional nurses. That appeals to me.
CORRECT ANSWER:- B
Explanation :->>> The practice of psychiatric nursing requires a different set of skills than
medical surgical nursing,although substantial overlap does exist. Psychiatric professional nurses
must be able to help clients with medical and mental health problems, reflecting the holistic
perspective these professional nurses must have.
5TH EDITION DANIEL J. CARLAT/ULTIMATE GUIDE
2024-2025
,The Psychiatric Interview 5th Edition Carlat Test Bank
(Chapter 1-Chapter 3)
Chapter 1: The Initial Interview: A Preview
Chapter 2: Logistic Preparations: What toDo Before the Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a client
living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the client will:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on time.
CORRECT ANSWER:- B
Explanation :->>> Recovery emphasizes managing symptoms, reducing psychosocial disability,
and improving roleperformance. The goal of recovery is to empower the individual with mental
illness to achieve a sense of meaning and satisfaction in life and to function at the highest
possible level of wellness. The incorrect options focus on the classic medical model rather than
recovery.
2. A client is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Choose the professional nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
d. How did you get so depressed that hospitalization was necessary?
CORRECT ANSWER:- A
Explanation :->>> The professional nurses communication should evidence caring and a
commitment to work with the client. This commitment lets the client know the professional nurse
will help. Probing and advice are not helpful ortherapeutic interventions.
3. In the shift-change report, an off-going professional nurse criticizes a client who wears
heavy makeup.Which comment by the professional nurse who receives the report best
demonstrates advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this client by wearing lots of makeup too.
,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our clients need our help to learn behaviors that will help them get along in society.
CORRECT ANSWER:- D
Explanation :->>> Accepting clients needs for self-expression and seeking to teach skills that
will contribute to their well-being demonstrate respect and are important parts of advocacy. The
on-coming professional nurseneeds to take action to ensure that others are not prejudiced against
the client. Humor can be appropriate within the privacy of a shift report but not at the expense of
respect for clients.
Judging the off-going professional nurse in a critical way will create conflict. Professional nurses
must show compassionfor each other.
4. A professional nurse assesses a newly admitted client diagnosed with major depressive
disorder. Whichstatement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with me.
CORRECT ANSWER:- D
Explanation :->>> Attending is a technique that demonstrates the professional nurses
commitment to the relationship and reduces feelings of isolation. This technique shows respect
for the client and demonstratescaring. Generalizations, probing, and false reassurances are non-
therapeutic.
5. A client shows the professional nurse an article from the Internet about a health problem.
Which characteristic of the web sites address most alerts the professional nurse that the site
may have biased andprejudiced information?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in .net.
CORRECT
ANSWER:- B
Explanation :->>> Financial influences on a site are a clue that the information may be biased.
.com at the end of the address indicates that the site is a commercial one. .gov indicates that the
site is maintainedby a government entity. .org indicates that the site is nonproprietary; the site
may or may not have reliable information, but it does not profit from its activities. .net can have
multiple
, meanings.
6. A professional nurse says, When I was in school, I learned to call upset clients by name to get
their attention; however, I read a descriptive research study that says that this approach does not
work. I plan to stop calling clients by name. Which statement is the best appraisal of this
professional nurses comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff professional nurses apply new research findings only with the help from clinical professional
nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using them in
practice.
d. The professional nurse misinterpreted the results of the study. Classic tenets of practice
do not change.
CORRECT ANSWER:- A
Explanation :->>> Descriptive research findings provide evidence for practice but must be
viewed in relation to other studies before practice changes. One study is not enough. Descriptive
studies are low on the hierarchy of evidence. Clinical algorithms use flow charts to manage
problems and do not specify one response to a clinical problem. Classic tenets of practice
should change as researchfindings provide evidence for change.
7. Two nursing students discuss career plans after graduation. One student wants to enter
psychiatric nursing. The other student asks, Why would you want to be a psychiatric
professional nurse? Allthey do is talk. You will lose your skills. Choose the best response by
the student interested in psychiatric nursing.
a. Psychiatric professional nurses practice in safer environments than other specialties.
Professional nurse-to-client ratios must be better because of the nature of clients problems.
b. Psychiatric professional nurses use complex communication skills, as well as critical
thinking, to solvemultidimensional problems. Im challenged by those situations.
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so I
do not want to continue them after I graduate.
d. Psychiatric professional nurses do not have to deal with as much pain and suffering as
medical surgicalprofessional nurses. That appeals to me.
CORRECT ANSWER:- B
Explanation :->>> The practice of psychiatric nursing requires a different set of skills than
medical surgical nursing,although substantial overlap does exist. Psychiatric professional nurses
must be able to help clients with medical and mental health problems, reflecting the holistic
perspective these professional nurses must have.
