NR548 week 3-4 test 2
Questions and Complete
Solutions Graded A+
The primary tasks associated with the psychiatric interview - Answer: 1) building a therapeutic alliance
between the PMHNP and the client
2) obtaining a database of psychiatric information about the client
3) establishing a diagnosis,
4) negotiating a treatment plan
Establishing a therapeutic alliance with the client begins - Answer: during the initial or opening phase of
the interview as the PMHNP and client are getting acquainted. Trust is essential for a therapeutic
alliance.
Components of a therapeutic alliance include - Answer: An appropriate encounter environment
Professionalism
Therapeutic communication.
Building a trusting relationship based on - Answer: respect, kindness, and acceptance will break down
barriers and allow for client needs to be the center of the plan of care.
Being present and openly engaged will enhance the communication experience.
the most notable difference between the psychiatric interview and medical interview: - Answer: is that
the psychiatric interview serves as the primary diagnostic tool used to identify psychiatric conditions.
The Interview Environment for Psychiatric care - Answer: a comfortable, clean space to put the provider
and client at ease
a visible clock to monitor time
, access to alarms or other safety measures
provider access to the door for safe exiting
removal of sharp objects such as scissors or letter openers
a noise-canceling device for privacy
Time considerations help facilitate the psychiatric interview - Answer: 1) Be on time. Don't be late!
Remember, the most important goal is to establish that therapeutic alliance. Schedule appointments
thoughtfully to ensure promptness.
2) Stay on time. This builds trust and communicates that respect for the client.
3) Discuss follow-up visits in the closure phase of the interview. The timing of subsequent visits is
informed by the client's unique circumstances, diagnosis and treatment, and medication regimens.
Therapeutic Communication - Answer: Active Listening - listening attentively to insure understanding
Broad Openings - allow clients to take initiative
Accepting - indicate you heard the client without judgment
Clarifying - make vague topics clear
Exploring - examine topics deeper
Focusing - putting attention into a single topic
Reflecting - direct the client's thoughts and feelings back to the client
Restating - repeat the client's words in a different way to make more clear
Positive nonverbal communication techniques include - Answer: relaxed movements, the use of open
arm gestures, smiles, respect for personal space, and eye contact.
Including nods when clients talk can communicate agreement or understanding.
Negative nonverbal communication techniques include - Answer: negative body language including
finger-pointing, crossed arms, and looking at a watch and should be avoided by the PMHNP
How long does the psychiatric interview last? - Answer: The psychiatric interview typically lasts about 50
minutes and is structured into three phases.
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