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The Psychiatric Interview 4th Edition Carlat Test Bank LATEST UPDATE 2025

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The Psychiatric Interview 4th Edition Carlat

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The Psychiatric Interview

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4th edition carlat test
the psychiatric interview 4th edition carlat test
the psychiatric interview 4th edition carlat
the psychiatric interview 4th edition

Institution The Psychiatric Interview 4th Edition Carlat
Course The Psychiatric Interview 4th Edition Carlat

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The Psychiatric Interview 4th Edition Carlat Test Bank c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our patients need our help to learn behaviors that will help them get along in society.
(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations: What to ANS: D
Do Before the Interview
Accepting patients needs for self-expression and seeking to teach skills that will contribute to
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It their well-being demonstrate respect and are important parts of advocacy. The on-coming nurse
needs to take action to ensure that others are not prejudiced against the patient. Humor can be
MULTIPLE CHOICE
appropriate within the privacy of a shift report but not at the expense of respect for patients.
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient Judging the off-going nurse in a critical way will create conflict. Nurses must show compassion
living in the community and diagnosed with serious and persistent mental illness? Within 3 for each other.
months, the patient will:

m

m
a. deny suicidal ideation.

co

co
b. report a sense of well-being. 4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
c. take medications as prescribed. statement is an example of attending?
k.

k.
d. attend clinic appointments on time. a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
n

n
ANS: B b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
ta

ta
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role c. You will feel better after we get some antidepressant medication started for you.
performance. The goal of recovery is to empower the individual with mental illness to achieve a d. Id like to sit with you a while so you may feel more comfortable talking with me.
nk

nk
sense of meaning and satisfaction in life and to function at the highest possible level of wellness. ANS: D
The incorrect options focus on the classic medical model rather than recovery. Attending is a technique that demonstrates the nurses commitment to the relationship and
ba

ba
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
caring. Generalizations, probing, and false reassurances are non-therapeutic.
st

st
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
.te

.te
divorce. Select the nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings. 5. A patient shows the nurse an article from the Internet about a health problem. Which
w

w
b. I understand why youre so depressed. When I got divorced, I was devastated too. characteristic of the web sites address most alerts the nurse that the site may have biased and
w

w
c. You should forget about your marriage and move on with your life. prejudiced information?
d. How did you get so depressed that hospitalization was necessary? a. Address ends in .org.
w

w
ANS: A b. Address ends in .com.
The nurses communication should evidence caring and a commitment to work with the patient. c. Address ends in .gov.
This commitment lets the patient know the nurse will help. Probing and advice are not helpful or d. Address ends in .net.
therapeutic interventions. ANS: B
Financial influences on a site are a clue that the information may be biased. .com at the end of
3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup.
the address indicates that the site is a commercial one. .gov indicates that the site is maintained
Which comment by the nurse who receives the report best demonstrates advocacy?
by a government entity. .org indicates that the site is nonproprietary; the site may or may not
a. This is a psychiatric hospital. Craziness is what we are all about.
have reliable information, but it does not profit from its activities. .net can have multiple
b. Lets all show acceptance of this patient by wearing lots of makeup too.

,meanings. Nurse-patient ratios and workloads in psychiatric settings have increased, similar to other
specialties. Psychiatric nursing involves clinical practice, not simply documentation.
Psychosocial pain is real and can cause as much suffering as physical pain.
6. A nurse says, When I was in school, I learned to call upset patients 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 patients by name. Which statement is the best appraisal of this nurses 8. Which research evidence would most influence a group of nurses to change their practice?
comment? a. Expert committee report of recommendations for practice
a. One descriptive research study rarely provides enough evidence to change practice. b. Systematic review of randomized controlled trials
b. Staff nurses apply new research findings only with the help from clinical nurse specialists. c. Nonexperimental descriptive study
c. New research findings should be incorporated into clinical algorithms before using them in

m
d. Critical pathway

m
practice. ANS: B

co

co
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change. Research findings are graded using a hierarchy of evidence. A systematic review of randomized
ANS: A controlled trials is Level A and provides the strongest evidence for changing practice. Expert
k.

k.
Descriptive research findings provide evidence for practice but must be viewed in relation to committee recommendations and descriptive studies lend less powerful and influential evidence.
n

n
other studies before practice changes. One study is not enough. Descriptive studies are low on A critical pathway is not evidence; it incorporates research findings after they have been
ta

ta
the hierarchy of evidence. Clinical algorithms use flow charts to manage problems and do not analyzed.
specify one response to a clinical problem. Classic tenets of practice should change as research
nk

nk
findings provide evidence for change.
9. A bill introduced in Congress would reduce funding for the care of people diagnosed with
ba

ba
mental illnesses. A group of nurses write letters to their elected representatives in opposition to
7. Two nursing students discuss career plans after graduation. One student wants to enter the legislation. Which role have the nurses fulfilled?
st

st
psychiatric nursing. The other student asks, Why would you want to be a psychiatric nurse? All a. Advocacy
.te

.te
they do is talk. You will lose your skills. Select the best response by the student interested in b. Attending
psychiatric nursing. c. Recovery
w

w
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios d. Evidence-based practice
w

w
must be better because of the nature of patients problems. ANS: A
b. Psychiatric nurses use complex communication skills, as well as critical thinking, to solve An advocate defends or asserts anothers cause, particularly when the other person lacks the
w

w
multidimensional problems. Im challenged by those situations. ability to do that for himself or herself. Examples of individual advocacy include helping patients
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so I understand their rights or make decisions. On a community scale, advocacy includes political
do not want to continue them after I graduate. activity, public speaking, and publication in the interest of improving the individuals with mental
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical surgical illness; the letter-writing campaign advocates for that cause on behalf of patients who are unable
nurses. That appeals to me. to articulate their own needs.
ANS: B
The practice of psychiatric nursing requires a different set of skills than medical surgical nursing,
although substantial overlap does exist. Psychiatric nurses must be able to help patients with 10. An informal group of patients discuss their perceptions of nursing care. Which comment best
medical and mental health problems, reflecting the holistic perspective these nurses must have.

,indicates a patients perception that his or her nurse is caring? d. Harriet Bailey
a. My nurse always asks me which type of juice I want to help me swallow my medication. ANS: B
b. My nurse explained my treatment plan to me and asked for my ideas about how to make it Although all these leaders included science as an important component of practice, Hildegard
better. Peplau most influenced its development in psychiatric nursing. Maslow was not a nurse, but his
c. My nurse told me that if I take all the medicines the doctor prescribes I will get discharged theories influence how nurses prioritize problems and care. Bailey wrote a textbook in the 1930s
soon. on psychiatric nursing interventions. Kris Martinsen emphasized the importance of caring in
d. My nurse spends time listening to me talk about my problems. That helps me feel like Im not nursing practice.
alone.
ANS: D
Caring evidences empathic understanding, as well as competency. It helps change pain and

m
13. A nurse consistently strives to demonstrate caring behaviors during interactions with patients.

m
suffering into a shared experience, creating a human connection that alleviates feelings of Which reaction by a patient indicates this nurse is effective? A patient reports feeling:

co

co
isolation. The incorrect options give examples of statements that demonstrate advocacy or giving a. distrustful of others.
advice. b. connected with others.
k.

k.
c. uneasy about the future.
n

n
d. discouraged with efforts to improve.
ta

ta
11. A patient who immigrated to the United States from Honduras was diagnosed with ANS: B
schizophrenia. The patient took an antipsychotic medication for 3 weeks but showed no A patient is likely to respond to caring with a sense of connectedness with others. The absence of
nk

nk
improvement. Which resource should the treatment team consult for information on more caring can make patients feel distrustful, disconnected, uneasy, and discouraged.
effective medications for this patient?
ba

ba
a. Clinical algorithm
b. Clinical pathway MULTIPLE RESPONSE
st

st
c. Clinical practice guideline
.te

.te
d. International Statistical Classification of Diseases and Related Health Problems (ICD) 1. An experienced nurse says to a new graduate, When youve practiced as long as I have, you
ANS: A will instantly know how to take care of psychotic patients. What is the new graduates best
w

w
A clinical algorithm is a guideline that describes diagnostic and/or treatment approaches drawn analysis of this comment? Select all that apply.
from large databases of information. These guidelines help the treatment team make decisions a. The experienced nurse may have lost sight of patients individuality, which may compromise
w

w
cognizant of an individual patients needs, such as ethnic origin, age, or gender. A clinical the integrity of practice.
w

w
pathway is a map of interventions and treatments related to a specific disorder. Clinical practice b. New research findings must be continually integrated into a nurses practice to provide the
guidelines summarize best practices about specific health problems. The ICD classifies diseases. most effective care.
c. Experience provides mental health nurses with the tools and skills needed for effective
professional practice.
d. Experienced psychiatric nurses have learned the best ways to care for psychotic patients
12. Which historical nursing leader helped focus practice to recognize the importance of science
through trial and error.
in psychiatric nursing?
e. Effective psychiatric nurses should be continually guided by an intuitive sense of patients
a. Abraham Maslow
needs.
b. Hildegard Peplau
ANS: A, B
c. Kris Martinsen

, Evidence-based practice involves using research findings to provide the most effective nursing continue with the plan in the face of the patients distress related to her mothers illness. The
care. Evidence is continually emerging; therefore, nurses cannot rely solely on experience. The remaining options reflect other types of factors that influence communication such as attitudes,
knowledge, and relationships.
effective nurse also maintains respect for each patient as an individual. Overgeneralization
compromises that perspective. Intuition and trial and error are unsystematic approaches to care.

2. The nurse suspects that the patients communication is being negatively influenced by personal
attitude when he is heard stating:
2. Which patient statements identify qualities of nursing practice with high therapeutic value?
(Select all that apply.) My nurse:
a. talks in language I can understand. a They think Im mentally ill but Im not; I just get a little depressed at times.
.
b. helps me keep track of my medications.

m

m
c. is willing to go to social activities with me. b I cant concentrate on anything besides getting out of here and back to my kids.

co

co
.
d. lets me do whatever I choose without interfering.
e. looks at me as a whole person with different needs. c Obviously my therapist cant understand where Im coming from because our
k.

k.
ANS: A, B, E . lives are so different.
n

n
Each correct answer demonstrates caring is an example of appropriate nursing foci: d There isnt anyone here in this hospital I can trust enough to talk to about why I
ta

ta
communicating at a level understandable to the patient, using holistic principles to guide care, . abuse alcohol and drugs.
and providing medication supervision. The incorrect options suggest a laissez-faire attitude on
ANS: C
nk

nk
the part of the nurse, when the nurse should instead provide thoughtful feedback and help
patients test alternative solutions or violate boundaries. Attitude determines how one person responds to another. It includes ones biases, past
ba

ba
experiences, and openness. People of different socioeconomic backgrounds may have difficulty
surmounting this barrier. The remaining options reflect factors that can negatively influence
communication but they are environmental, knowledge, and relationship oriented.
st

st
1. An example of an environmental factor that would cause a nurse to modify a planned critical
interaction occurs when the:
.te

.te
3. The nature of the communication characterized in this exchange between a nurse and a
w

w
a Patient expresses a personal dislike for the nurse chronically depressed patient is:
w

w
.
Nurse: Is it true that you enjoy knitting?
w

w
b Patient is in total denial about her condition
Patient: Yes, Ive done it for years and am pretty good at it.
.
c Nurse lacks the degree of knowledge required for the interaction Nurse: Im just a beginner. Do you think you could give me some tips?
.
Patient: I guess so. What would you like to know?
d Nurse learns that the patients mother has been hospitalized with a stroke
.
ANS: D a Therapeutic
.
Environmental factors include timing. Timing of critical interventions is important. It should
occur when the individual can give full attention to the topic. It would be inappropriate to b Collegial
.
c Social
.
d Intrapersonal
.

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