TEST BANK
THE PSYCHIATRIC
INTERVIEW
5th Edition Daniel J. Carlat
,TEST BANK
u
,The Psychiatric Interview 4th Edition Carlat Test
u u u u u u
Bank(Chapter 1-Chapter 3)
u u u u
Chapter 1: The Initial Interview: A Preview
u u u u u u
Chapter 2: Logistic Preparations: What toDo Before the Interview
u u u u u u u u
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
u u u u u u u u u u u u u u u
MULTIPLE CHOICE u
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
u u u u u u u u u u u u u u u
u living in the community and diagnosed with serious and persistent mental illness? Within 3
u u u u u u u u u u u u u
u months, the patient will: u u u
a. deny suicidal ideation. u u
b. report a sense of well-being. u u u u
c. take medications as prescribed.
u u u
d. attend clinic appointments on u u u
u time.ANS: B u u
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
u u u u u u u u
u roleperformance. The goal of recovery is to empower the individual with mental illness to
u u u u u u u u u u u u u u
u achieve a sense of meaning and satisfaction in life and to function at the highest possible level
u u u u u u u u u u u u u u u u
u of wellness. The incorrect options focus on the classic medical model rather than recovery.
u u u u u u u u u u u u u
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
u u u u u u u u u u u u u
u adivorce. Select the nurses most caring comment.
u u u u u u u
a. Lets discuss some means of coping other than suicide when you have these feelings.
u u u u u u u u u u u u u
b. I understand why youre so depressed. When I got divorced, I was devastated too.
u u u u u u u u u u u u u
c. You should forget about your marriage and move on with your life.
u u u u u u u u u u u
d. How did you get so depressed that hospitalization was
u u u u u u u u
u necessary?ANS: A u u
The nurses communication should evidence caring and a commitment to work with the patient.
u u u u u u u u u u u u u
u This commitment lets the patient know the nurse will help. Probing and advice are not helpful
u u u u u u u u u u u u u u u
u ortherapeutic interventions.
u u
3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
u u u u u u u u u u u u
u makeup.Which comment by the nurse who receives the report best demonstrates advocacy?
u u u u u u u u u u u u
a. This is a psychiatric hospital. Craziness is what we are all about.
u u u u u u u u u u u
b. Lets all show acceptance of this patient by wearing lots of makeup too.
u u u u u u u u u u u u
, c. Your comments are inconsiderate and inappropriate. Keep the report objective.
u u u u u u u u u
d. Our patients need our help to learn behaviors that will help them get along in
u u u u u u u u u u u u u u
u society.ANS: D u u
Accepting patients needs for self-expression and seeking to teach skills that will contribute to
u u u u u u u u u u u u u
u their well-being demonstrate respect and are important parts of advocacy. The on-coming
u u u u u u u u u u u
u nurseneeds to take action to ensure that others are not prejudiced against the patient. Humor
u u u u u u u u u u u u u u u
u can be appropriate within the privacy of a shift report but not at the expense of respect for
u u u u u u u u u u u u u u u u u
u patients.
Judging the off-going nurse in a critical way will create conflict. Nurses must show compassion
u u u u u u u u u u u u u u
for each other.
u u u
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
u u u u u u u u u u u
u Whichstatement is an example of attending?
u u u u u u
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
u u u u u u u u u u u u u u u u
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
u u u u u u u u u u u u u u u
c. You will feel better after we get some antidepressant medication started for you.
u u u u u u u u u u u u
d. Id like to sit with you a while so you may feel more comfortable talking with
u u u u u u u u u u u u u u u
me.ANS: D
u u u
Attending is a technique that demonstrates the nurses commitment to the relationship and
u u u u u u u u u u u u
u reduces feelings of isolation. This technique shows respect for the patient and demonstrates
u u u u u u u u u u u u
caring. Generalizations, probing, and false reassurances are non-therapeutic.
u u u u u u u u
5. A patient shows the nurse an article from the Internet about a health problem. Which
u u u u u u u u u u u u u u
u characteristic of the web sites address most alerts the nurse that the site may have biased
u u u u u u u u u u u u u u u
u andprejudiced information?
u u
a. Address ends in .org. u u u
b. Address ends in .com. u u u
c. Address ends in .gov. u u u
d. Address ends in u u
.net.ANS: B
u u u
Financial influences on a site are a clue that the information may be biased. .com at the end of
u u u u u u u u u u u u u u u u u u
u the address indicates that the site is a commercial one. .gov indicates that the site is
u u u u u u u u u u u u u u u
u maintainedby a government entity. .org indicates that the site is nonproprietary; the site may
u u u u u u u u u u u u u u
u or may not have reliable information, but it does not profit from its activities. .net can have
u u u u u u u u u u u u u u u u
u multiple
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