TEST BANK THE PSYCHIATRIC INTERVIEW
4TH EDITION DANIEL J. CARLAT;
ISBN:13: 978-1496327710 LATEST
UPDATES
,TheqPsychiatricqInterviewq4thqEditionqCarlatqTestqBankq
(Chapterq 1-Chapterq 3)
Chapterq1:qTheq Initialq Interview:q Aq Preview
Chapterq 2:q Logisticq Preparations:q Whatq toDoqBeforeqtheqInterview
Chapterq 3:q Theq Therapeuticq Alliance:q Whatq Itq Is,q Whyq It'sq Important,qandq Howqtoq Establishq It
MULTIPLEqCHOICE
1. Whichqoutcome,qfocusedqonqrecovery,qwouldqbeqexpectedqinqtheqplanqofqcareqforqaqpatientqli
vingqinqtheqcommunityqandqdiagnosedqwithqseriousqandqpersistentqmentalqillness?qWithinq3qmo
nths,qtheqpatientqwill:
a. denyq suicidalq ideation.
b. reportqaq senseq ofqwell-being.
c. takeq medicationsq asq prescribed.
d. attendq clinicq appointmentsq onq time.q
ANS:qB
Recoveryq emphasizesq managingq symptoms,q reducingq psychosocialq disability,q andq improvingq roleqp
erformance.q Theq goalq ofq recoveryq isq toq empowerq theq individualq withq mentalq illnessq toqachieveq aqsen
seq ofqmeaningq andq satisfactionq inqlifeq andq toq functionq atq theq highestq possibleq levelq ofq wellness.qTheqi
ncorrectqoptionsqfocusqonqtheqclassicqmedicalq modelqratherqthanqrecovery.
2. Aq patientq isq hospitalizedq forq depressionq andq suicidalq ideationq afterqtheirq spouseq asksq forq aqd
ivorce.qSelectqtheqnursesqmostqcaringqcomment.
a. Letsq discussq someq meansqofqcopingq otherq thanq suicideq whenq youq haveq theseq feelings.
b. Iqunderstandq whyq youreq soq depressed.q Whenq Iq gotq divorced,q Iq wasq devastatedq too.
c. Youq shouldq forgetq aboutq yourq marriageq andq moveq onq withq yourq life.
d. Howq didq youq getq soq depressedq thatq hospitalizationq wasq necessary?q
ANS:qA
Theq nursesq communicationq shouldq evidenceq caringqandq aq commitmentq toq workq withq theq patient.qTh
isq commitmentq letsqtheq patientq knowqtheq nurseq willq help.q Probingq andqadviceq areq notq helpfulq orqthera
peuticqinterventions.
3. Inq theq shift-changeq report,q anq off-
goingq nurseq criticizesq aq patientq whoq wearsq heavyq makeup.qWhichqcommentqbyqtheq nurseq whoqre
ceivesqtheqreportq bestq demonstratesq advocacy?
a. Thisq isqaq psychiatricq hospital.q Crazinessq isq whatq weq areq allq about.
b. Letsq allq showq acceptanceqofq thisq patientq byqwearingq lotsq ofq makeupqtoo.
,c. Yourq commentsq areq inconsiderateq andq inappropriate.q Keepq theq reportq objective.
d. Ourq patientsq needq ourq helpq toq learnq behaviorsq thatq willq helpq themq getq alongq inq society.q
ANS:qD
Acceptingqpatientsq needsq forq self-
expressionq andq seekingq toqteachq skillsq thatq willq contributeq toqtheirq well-
beingq demonstrateq respectq andq areq importantq partsq ofq advocacy.q Theq on-
comingq nurseqneedsq toqtakeq actionq toq ensureq thatq othersq areq notq prejudicedq againstq theq patient.q Hum
orq canqbeqappropriateq withinq theqprivacyqofqaq shiftq reportq butqnotq atqtheq expenseq ofqrespectq forq patie
nts.
Judgingqtheq off-
goingq nurseq inq aqcriticalq wayq willq createq conflict.q Nursesq mustq showq compassionqforqeachqother.
4. Aq nurseq assessesq aq newlyq admittedq patientq diagnosedq withq majorq depressiveq disorder.q Whichqs
tatementqisqanqexampleqofqattending?
a. Weq allq haveq stressq inq life.q Beingqinqaq psychiatricq hospitalq isntqtheqendqofq theq world.
b. Tellq meq whyq youq feltq youq hadq toq beq hospitalizedq toq receiveq treatmentq forq yourq depression.
c. Youq willq feelq betterq afterqweq getq someqantidepressantq medicationq startedq forq you.
d. Idqlikeq toq sitq withq youq aq whileq soq youq mayq feelq moreqcomfortableqtalkingq withqme.q
ANS:qD
Attendingq isq aq techniqueq thatq demonstratesq theq nursesq commitmentq toq theq relationshipq andqreduces
q feelingsq ofq isolation.q Thisq techniqueq showsq respectq forq theq patientq andq demonstratesqcaring.qGener
alizations,qprobing,qandqfalseqreassurancesqareqnon-therapeutic.
5. Aqpatientq showsqtheq nurseqanqarticleq fromq theq Internetq aboutq aq healthq problem.qWhichqcharac
teristicq ofq theq webq sitesq addressq mostq alertsq theq nurseq thatqtheq siteq mayq haveq biasedq andqprejudic
edqinformation?
a. Addressqendsq inq .org.
b. Addressqendsq inq .com.
c. Addressqendsq inq .gov.
d. Addressq endsq inq .net.q
ANS:qB
Financialq influencesqonqaq siteqareq aqclueqthatq theqinformationqmayqbeq biased.q .comq atq theq endq ofqtheq
addressq indicatesqthatqtheq siteq isq aq commercialq one.q .govq indicatesq thatq theq siteq isq maintainedqbyqaq g
overnmentqentity.q .orgq indicatesq thatq theq siteq isq nonproprietary;q theq siteq mayqorq mayqnotqhaveq relia
bleqinformation,qbutq itq doesqnotq profitq fromqitsqactivities.q .netqcanq haveq multiple
, meanings.
6. Aqnurseq says,q Whenq Iqwasq inqschool,q Iqlearnedqtoqcallqupsetqpatientsq byqnameqtoqgetq theirqattention
;q however,q Iq readq aq descriptiveq researchq studyq thatq saysq thatq thisqapproachq doesq notq work.qIqplanq toqs
topqcallingqpatientsq byqname.qWhichq statementqisq theq bestqappraisalqofqthisq nursesqcomment?
a. Oneq descriptiveq researchq studyq rarelyq providesq enoughq evidenceq toq changeq practice.
b. Staffq nursesq applyqnewq researchq findingsq onlyqwithq theq helpq fromq clinicalq nurseq specialists.
c. Newq researchq findingsq shouldq beq incorporatedq intoqclinicalq algorithmsq beforeq usingq themq inqp
ractice.
d. Theq nurseq misinterpretedq theq resultsq ofq theq study.q Classicq tenetsq ofq practiceq doq notq change.q
ANS:qA
Descriptiveq researchq findingsq provideq evidenceq forqpracticeq butq mustq beq viewedq inqrelationq toqothe
rq studiesq beforeq practiceq changes.q Oneq studyqisq notq enough.q Descriptiveq studiesq areqlowq onqtheq hier
archyqofq evidence.q Clinicalq algorithmsq useq flowq chartsq toq manageq problemsq andq doq notqspecifyq on
eq responseq toqaq clinicalq problem.q Classicq tenetsq ofq practiceq shouldq changeq asq researchqfindingsqpro
videqevidenceqforqchange.
7. Twoq nursingqstudentsqdiscussq careerq plansqafterq graduation.qOneq studentq wantsqtoqenterqpsychia
tricq nursing.q Theq otherq studentq asks,q Whyq wouldq youq wantq toq beq aq psychiatricq nurse?q Allqtheyqdoq i
sqtalk.q Youq willq loseq yourq skills.q Selectq theqbestq responseqbyqtheq studentq interestedq inqpsychiatricqn
ursing.
a. Psychiatricq nursesq practiceq inq saferq environmentsq thanq otherq specialties.q Nurse-to-
patientq ratiosqmustqbeqbetterqbecauseqofqtheqnatureqofqpatientsqproblems.
b. Psychiatricq nursesq useq complexqcommunicationq skills,q asq wellq asq criticalq thinking,q toq solveq
multidimensionalqproblems.qImqchallengedqbyqthoseqsituations.
c. Iqthinkq Iqwillq beq goodq inq theq mentalqhealthq field.q Iqdoqnotq likeqclinicalqrotationsq inq school,q soq Iqd
oqnotqwantqtoqcontinueqthemqafterqIqgraduate.
d. Psychiatricq nursesq doq notqhaveq toq dealq withq asq muchqpainq andq sufferingq asq medicalq surgicalqn
urses.qThatqappealsqtoqme.
ANS:q B
Theq practiceq ofq psychiatricq nursingq requiresq aq differentq setq ofq skillsq thanq medicalq surgicalq nursing,qa
lthoughqsubstantialq overlapq doesqexist.q Psychiatricq nursesq mustq beqableq toqhelpqpatientsq withqmedica
lq andq mentalq healthq problems,q reflectingq theq holisticq perspectiveq theseq nursesq mustq have.
4TH EDITION DANIEL J. CARLAT;
ISBN:13: 978-1496327710 LATEST
UPDATES
,TheqPsychiatricqInterviewq4thqEditionqCarlatqTestqBankq
(Chapterq 1-Chapterq 3)
Chapterq1:qTheq Initialq Interview:q Aq Preview
Chapterq 2:q Logisticq Preparations:q Whatq toDoqBeforeqtheqInterview
Chapterq 3:q Theq Therapeuticq Alliance:q Whatq Itq Is,q Whyq It'sq Important,qandq Howqtoq Establishq It
MULTIPLEqCHOICE
1. Whichqoutcome,qfocusedqonqrecovery,qwouldqbeqexpectedqinqtheqplanqofqcareqforqaqpatientqli
vingqinqtheqcommunityqandqdiagnosedqwithqseriousqandqpersistentqmentalqillness?qWithinq3qmo
nths,qtheqpatientqwill:
a. denyq suicidalq ideation.
b. reportqaq senseq ofqwell-being.
c. takeq medicationsq asq prescribed.
d. attendq clinicq appointmentsq onq time.q
ANS:qB
Recoveryq emphasizesq managingq symptoms,q reducingq psychosocialq disability,q andq improvingq roleqp
erformance.q Theq goalq ofq recoveryq isq toq empowerq theq individualq withq mentalq illnessq toqachieveq aqsen
seq ofqmeaningq andq satisfactionq inqlifeq andq toq functionq atq theq highestq possibleq levelq ofq wellness.qTheqi
ncorrectqoptionsqfocusqonqtheqclassicqmedicalq modelqratherqthanqrecovery.
2. Aq patientq isq hospitalizedq forq depressionq andq suicidalq ideationq afterqtheirq spouseq asksq forq aqd
ivorce.qSelectqtheqnursesqmostqcaringqcomment.
a. Letsq discussq someq meansqofqcopingq otherq thanq suicideq whenq youq haveq theseq feelings.
b. Iqunderstandq whyq youreq soq depressed.q Whenq Iq gotq divorced,q Iq wasq devastatedq too.
c. Youq shouldq forgetq aboutq yourq marriageq andq moveq onq withq yourq life.
d. Howq didq youq getq soq depressedq thatq hospitalizationq wasq necessary?q
ANS:qA
Theq nursesq communicationq shouldq evidenceq caringqandq aq commitmentq toq workq withq theq patient.qTh
isq commitmentq letsqtheq patientq knowqtheq nurseq willq help.q Probingq andqadviceq areq notq helpfulq orqthera
peuticqinterventions.
3. Inq theq shift-changeq report,q anq off-
goingq nurseq criticizesq aq patientq whoq wearsq heavyq makeup.qWhichqcommentqbyqtheq nurseq whoqre
ceivesqtheqreportq bestq demonstratesq advocacy?
a. Thisq isqaq psychiatricq hospital.q Crazinessq isq whatq weq areq allq about.
b. Letsq allq showq acceptanceqofq thisq patientq byqwearingq lotsq ofq makeupqtoo.
,c. Yourq commentsq areq inconsiderateq andq inappropriate.q Keepq theq reportq objective.
d. Ourq patientsq needq ourq helpq toq learnq behaviorsq thatq willq helpq themq getq alongq inq society.q
ANS:qD
Acceptingqpatientsq needsq forq self-
expressionq andq seekingq toqteachq skillsq thatq willq contributeq toqtheirq well-
beingq demonstrateq respectq andq areq importantq partsq ofq advocacy.q Theq on-
comingq nurseqneedsq toqtakeq actionq toq ensureq thatq othersq areq notq prejudicedq againstq theq patient.q Hum
orq canqbeqappropriateq withinq theqprivacyqofqaq shiftq reportq butqnotq atqtheq expenseq ofqrespectq forq patie
nts.
Judgingqtheq off-
goingq nurseq inq aqcriticalq wayq willq createq conflict.q Nursesq mustq showq compassionqforqeachqother.
4. Aq nurseq assessesq aq newlyq admittedq patientq diagnosedq withq majorq depressiveq disorder.q Whichqs
tatementqisqanqexampleqofqattending?
a. Weq allq haveq stressq inq life.q Beingqinqaq psychiatricq hospitalq isntqtheqendqofq theq world.
b. Tellq meq whyq youq feltq youq hadq toq beq hospitalizedq toq receiveq treatmentq forq yourq depression.
c. Youq willq feelq betterq afterqweq getq someqantidepressantq medicationq startedq forq you.
d. Idqlikeq toq sitq withq youq aq whileq soq youq mayq feelq moreqcomfortableqtalkingq withqme.q
ANS:qD
Attendingq isq aq techniqueq thatq demonstratesq theq nursesq commitmentq toq theq relationshipq andqreduces
q feelingsq ofq isolation.q Thisq techniqueq showsq respectq forq theq patientq andq demonstratesqcaring.qGener
alizations,qprobing,qandqfalseqreassurancesqareqnon-therapeutic.
5. Aqpatientq showsqtheq nurseqanqarticleq fromq theq Internetq aboutq aq healthq problem.qWhichqcharac
teristicq ofq theq webq sitesq addressq mostq alertsq theq nurseq thatqtheq siteq mayq haveq biasedq andqprejudic
edqinformation?
a. Addressqendsq inq .org.
b. Addressqendsq inq .com.
c. Addressqendsq inq .gov.
d. Addressq endsq inq .net.q
ANS:qB
Financialq influencesqonqaq siteqareq aqclueqthatq theqinformationqmayqbeq biased.q .comq atq theq endq ofqtheq
addressq indicatesqthatqtheq siteq isq aq commercialq one.q .govq indicatesq thatq theq siteq isq maintainedqbyqaq g
overnmentqentity.q .orgq indicatesq thatq theq siteq isq nonproprietary;q theq siteq mayqorq mayqnotqhaveq relia
bleqinformation,qbutq itq doesqnotq profitq fromqitsqactivities.q .netqcanq haveq multiple
, meanings.
6. Aqnurseq says,q Whenq Iqwasq inqschool,q Iqlearnedqtoqcallqupsetqpatientsq byqnameqtoqgetq theirqattention
;q however,q Iq readq aq descriptiveq researchq studyq thatq saysq thatq thisqapproachq doesq notq work.qIqplanq toqs
topqcallingqpatientsq byqname.qWhichq statementqisq theq bestqappraisalqofqthisq nursesqcomment?
a. Oneq descriptiveq researchq studyq rarelyq providesq enoughq evidenceq toq changeq practice.
b. Staffq nursesq applyqnewq researchq findingsq onlyqwithq theq helpq fromq clinicalq nurseq specialists.
c. Newq researchq findingsq shouldq beq incorporatedq intoqclinicalq algorithmsq beforeq usingq themq inqp
ractice.
d. Theq nurseq misinterpretedq theq resultsq ofq theq study.q Classicq tenetsq ofq practiceq doq notq change.q
ANS:qA
Descriptiveq researchq findingsq provideq evidenceq forqpracticeq butq mustq beq viewedq inqrelationq toqothe
rq studiesq beforeq practiceq changes.q Oneq studyqisq notq enough.q Descriptiveq studiesq areqlowq onqtheq hier
archyqofq evidence.q Clinicalq algorithmsq useq flowq chartsq toq manageq problemsq andq doq notqspecifyq on
eq responseq toqaq clinicalq problem.q Classicq tenetsq ofq practiceq shouldq changeq asq researchqfindingsqpro
videqevidenceqforqchange.
7. Twoq nursingqstudentsqdiscussq careerq plansqafterq graduation.qOneq studentq wantsqtoqenterqpsychia
tricq nursing.q Theq otherq studentq asks,q Whyq wouldq youq wantq toq beq aq psychiatricq nurse?q Allqtheyqdoq i
sqtalk.q Youq willq loseq yourq skills.q Selectq theqbestq responseqbyqtheq studentq interestedq inqpsychiatricqn
ursing.
a. Psychiatricq nursesq practiceq inq saferq environmentsq thanq otherq specialties.q Nurse-to-
patientq ratiosqmustqbeqbetterqbecauseqofqtheqnatureqofqpatientsqproblems.
b. Psychiatricq nursesq useq complexqcommunicationq skills,q asq wellq asq criticalq thinking,q toq solveq
multidimensionalqproblems.qImqchallengedqbyqthoseqsituations.
c. Iqthinkq Iqwillq beq goodq inq theq mentalqhealthq field.q Iqdoqnotq likeqclinicalqrotationsq inq school,q soq Iqd
oqnotqwantqtoqcontinueqthemqafterqIqgraduate.
d. Psychiatricq nursesq doq notqhaveq toq dealq withq asq muchqpainq andq sufferingq asq medicalq surgicalqn
urses.qThatqappealsqtoqme.
ANS:q B
Theq practiceq ofq psychiatricq nursingq requiresq aq differentq setq ofq skillsq thanq medicalq surgicalq nursing,qa
lthoughqsubstantialq overlapq doesqexist.q Psychiatricq nursesq mustq beqableq toqhelpqpatientsq withqmedica
lq andq mentalq healthq problems,q reflectingq theq holisticq perspectiveq theseq nursesq mustq have.
