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TEST BANK THE PSYCHIATRIC INTERVIEW 4thEdition Daniel J. Carlat
TEST BANK THE PSYCHIATRIC INTERVIEW 4thEdition Daniel J. Carlat
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TESTBANK LTHE PSYCHIATRIC I
L L
NTERVIEW
4th Edition Daniel J. Carlat
L L L L
TESTBANK L
,TheLPsychiatricLInterviewL4thLEditionLCarlatLTestLBankL(Chapt
erL1-ChapterL3)
ChapterL1:LTheL InitialL Interview:L AL Preview
ChapterL 2:L LogisticL Preparations:L WhatL toDoLBeforeLtheLInterview
ChapterL3:L TheLTherapeuticL Alliance:L WhatL ItLIs,L WhyLIt'sL Important,LandL HowLtoL EstablishL It
MULTIPLELCHOICE
1. WhichLoutcome,LfocusedLonLrecovery,LwouldLbeLexpectedLinLtheLplanLofLcareLforLaLpatientLl
ivingLinLtheLcommunityLandLdiagnosedLwithLseriousLandLpersistentLmentalLillness?LWithinL3L
months,LtheLpatientLwill:
a. denyL suicidalL ideation.
b. reportLaLsenseLofLwell-being.
c. takeL medicationsL asL prescribed.
d. attendLclinicLappointmentsLonLtime.
ANS:LB
L
RecoveryLemphasizesLmanagingLsymptoms,LreducingLpsychosocialLdisability,LandLimprovingLrole
performance.LTheLgoalLofLrecoveryLisLtoLempowerLtheLindividualLwithLmentalLillnessLtoLachieveLa
L
senseLofLmeaningLandLsatisfactionLinLlifeLandLtoLfunctionLatLtheLhighestLpossibleLlevelLofLwellness
L
.LTheLincorrectLoptionsLfocusLonLtheLclassicLmedicalLmodelLratherLthanLrecovery.
2. ALpatientLisLhospitalizedLforLdepressionLandLsuicidalLideationLafterLtheirLspouseLasksLforLaL
divorce.LSelectLtheLnursesLmostLcaringLcomment.
a. LetsLdiscussL someL meansLofLcopingLotherLthanLsuicideL whenL youL haveL theseL feelings.
b. ILunderstandL whyL youreL soL depressed.L WhenL ILgotL divorced,L ILwasL devastatedLtoo.
c. YouLshouldLforgetLaboutL yourLmarriageL andLmoveLonLwithL yourLlife.
d. HowLdidLyouLgetLsoLdepressedLthatLhospitalizationLwasLnecessary?L
ANS:LA
TheLnursesLcommunicationLshouldLevidenceLcaringLandLaLcommitmentLtoLworkLwithLtheLpatient.L
ThisLcommitmentLletsLtheLpatientLknowLtheLnurseLwillLhelp.LProbingLandLadviceLareLnotLhelpfulLor
therapeuticLinterventions.
L
3. InLtheLshift-changeLreport,LanLoff-
goingLnurseLcriticizesLaLpatientLwhoLwearsLheavyLmakeup.LWhichLcommentLbyLtheLnurseLwhoLr
eceivesLtheLreportLbestLdemonstratesLadvocacy?
a. ThisLisLaLpsychiatricL hospital.LCrazinessLisLwhatLweLareLallLabout.
b. LetsLallL showLacceptanceLofLthisLpatientL byLwearingL lotsLofLmakeupLtoo.
,c. YourL commentsL areL inconsiderateL andL inappropriate.L KeepL theL reportL objective.
d. OurLpatientsLneedLourLhelpLtoLlearnLbehaviorsLthatLwillLhelpLthemLgetLalongLinLsociety.L
ANS:LD
AcceptingLpatientsLneedsLforLself-
expressionLandLseekingLtoLteachLskillsLthatLwillLcontributeLtoLtheirLwell-
beingLdemonstrateLrespectLandLareLimportantLpartsLofLadvocacy.LTheLon-
comingLnurseLneedsLtoLtakeLactionLtoLensureLthatLothersLareLnotLprejudicedLagainstLtheLpatient.LH
umorLcanLbeLappropriateLwithinLtheLprivacyLofLaLshiftLreportLbutLnotLatLtheLexpenseLofLrespectLfor
patients.
L
JudgingLtheLoff-
goingLnurseLinLaLcriticalLwayLwillLcreateLconflict.LNursesLmustLshowLcompassionLforLeachLother.
4. ALnurseLassessesLaLnewlyLadmittedLpatientLdiagnosedLwithLmajorLdepressiveLdisorder.LWhichL
statementLisLanLexampleLofLattending?
a. WeLallLhaveLstressLinLlife.L BeingLinLaLpsychiatricL hospitalL isntLtheLendLofLtheL world.
b. TellLmeLwhyLyouL feltL youLhadL toLbeL hospitalizedLtoLreceiveL treatmentLforL yourL depression.
c. YouLwillL feelL betterLafterLweL getL someLantidepressantLmedicationL startedLforL you.
d. IdLlikeLtoLsitLwithLyouLaLwhileLsoLyouLmayLfeelLmoreLcomfortableLtalkingLwithLme.L
ANS:LD
AttendingLisLaLtechniqueLthatLdemonstratesLtheLnursesLcommitmentLtoLtheLrelationshipLandLreduc
esLfeelingsLofLisolation.LThisLtechniqueLshowsLrespectLforLtheLpatientLandLdemonstratesLcaring.LG
eneralizations,Lprobing,LandLfalseLreassurancesLareLnon-therapeutic.
5. ALpatientLshowsLtheLnurseLanLarticleLfromLtheLInternetLaboutLaLhealthLproblem.LWhichLchara
cteristicLofLtheLwebLsitesLaddressLmostLalertsLtheLnurseLthatLtheLsiteLmayLhaveLbiasedLandLpreju
dicedLinformation?
a. AddressLendsLinL.org.
b. AddressLendsLinL .com.
c. AddressLendsLinL .gov.
d. AddressLendsLinL.net.
ANS:LB
L
FinancialLinfluencesLonLaLsiteLareLaLclueLthatLtheLinformationLmayLbeLbiased.L.comLatLtheLendLofLt
heLaddressLindicatesLthatLtheLsiteLisLaLcommercialLone.L.govLindicatesLthatLtheLsiteLisLmaintainedLb
yLaLgovernmentLentity.L.orgLindicatesLthatLtheLsiteLisLnonproprietary;LtheLsiteLmayLorLmayLnotLhav
eLreliableLinformation,LbutLitLdoesLnotLprofitLfromLitsLactivities.L.netLcanLhaveLmultiple
, meanings.
6. ALnurseLsays,LWhenLILwasLinLschool,LILlearnedLtoLcallLupsetLpatientsLbyLnameLtoLgetLtheirLattentio
n;Lhowever,LILreadLaL descriptiveL researchLstudyLthatL saysLthatL thisLapproachLdoesLnotLwork.L ILplanL
toLstopLcallingLpatientsLbyLname.LWhichLstatementLisLtheLbestLappraisalLofLthisLnursesLcomment?
a. OneL descriptiveL researchLstudyLrarelyLprovidesL enoughL evidenceL toL changeL practice.
b. StaffLnursesLapplyLnewLresearchL findingsLonlyLwithL theL helpLfromL clinicalLnurseL specialists.
c. NewLresearchLfindingsLshouldLbeLincorporatedLintoLclinicalLalgorithmsLbeforeLusingLthemLinL
practice.
d. TheLnurseLmisinterpretedLtheLresultsLofLtheLstudy.LClassicLtenetsLofLpracticeLdoLnotLchange.L
ANS:LA
DescriptiveLresearchLfindingsLprovideLevidenceLforLpracticeLbutLmustLbeLviewedLinLrelationLtoLot
herLstudiesLbeforeLpracticeLchanges.LOneLstudyLisLnotLenough.LDescriptiveLstudiesLareLlowLonLthe
hierarchyLofLevidence.LClinicalLalgorithmsLuseLflowLchartsLtoLmanageLproblemsLandLdoLnotLspec
L
ifyLoneLresponseLtoLaLclinicalLproblem.LClassicLtenetsLofLpracticeLshouldLchangeLasLresearchLfindi
ngsLprovideLevidenceLforLchange.
7. TwoLnursingLstudentsLdiscussLcareerLplansLafterLgraduation.LOneLstudentLwantsLtoLenterLpsychi
atricLnursing.LTheLotherLstudentLasks,LWhyLwouldLyouLwantLtoLbeLaLpsychiatricLnurse?LAllLtheyLd
oLisLtalk.LYouLwillLloseLyourLskills.LSelectLtheLbestLresponseLbyLtheLstudentLinterestedLinLpsychiatr
icLnursing.
a. PsychiatricLnursesLpracticeLinLsaferLenvironmentsLthanLotherLspecialties.LNurse-to-
patientLratiosLmustLbeLbetterLbecauseLofLtheLnatureLofLpatientsLproblems.
b. PsychiatricLnursesLuseLcomplexLcommunicationLskills,LasLwellLasLcriticalLthinking,LtoLsolveL
multidimensionalLproblems.LImLchallengedLbyLthoseLsituations.
c. ILthinkLILwillLbeLgoodLinLtheLmentalLhealthLfield.LILdoLnotLlikeLclinicalLrotationsLinLschool,LsoLIL
doLnotLwantLtoLcontinueLthemLafterLILgraduate.
d. PsychiatricLnursesLdoLnotLhaveLtoLdealLwithLasLmuchLpainLandLsufferingLasLmedicalLsurgicalL
nurses.LThatLappealsLtoLme.
ANS:LB
TheLpracticeLofLpsychiatricLnursingLrequiresLaLdifferentLsetLofLskillsLthanLmedicalLsurgicalLnursing
,LalthoughLsubstantialLoverlapLdoesLexist.LPsychiatricLnursesLmustLbeLableLtoLhelpLpatientsLwithLm
edicalLandLmentalLhealthLproblems,LreflectingLtheLholisticLperspectiveLtheseLnursesLmustLhave.
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