Test Bank - for The Psychiatric Interview Fifth Edition(
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,Author: DANIEL J. CARLAT, 2024) Latest Edition|| z z z z z z
AllChapters z z
(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic
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z Preparations:What toDo Before the Interview z z z z z
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How
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z toEstablish ItMULTIPLE CHOICE
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1. Which outcome, focused on recovery, would be expected in the plan of care for a
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zpatient living in the community and diagnosed with serious and persistent mental
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zillness? Within 3 months, the patient will: z z z z z z
a. deny suicidal ideation. z z
b. report a sense of well-being. z z z z
c. take medications as prescribed.
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d. attend clinic appointments on z z z
z time.ANS: B z
Recovery emphasizes managing symptoms, reducing apsychosocial disability, and
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z improvingroleperformance. The goal of recovery is to empower the individual
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z with mental illness to achieve a sense of meaning and satisfaction ain life and to
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z function at the highest possible level of wellness. The incorrect aoptions focus on the
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z classic medical model rather than recovery.
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2. A patient is hospitalized afor adepression and suicidal ideation after their
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z spouseasks for adivorce. Select athe nurses most caring comment.
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a. Lets discuss some ameans of coping other than suicide when you have these
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feelings.
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b. I understand awhy ayoure so depressed. When I got divorced, I was devastated too.
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c. You should aforget about your marriage and move on with your life.
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d. How did you get so depressed that hospitalization
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z wasnecessary?ANS: A
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The nurses communication should evidence caring and a commitment to work with
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z thepatient. This commitment lets the patient know the nurse will help. Probing
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z and adviceare not helpful ortherapeutic interventions.
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3. In the shift-change report, an off-going nurse criticizes a patient who wears
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z heavymakeup.Which comment by the nurse who receives the report best demonstrates
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z advocacy?
,a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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, c. Your comments are inconsiderate and inappropriate. Keep the report objective.
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d. Our patients need our help to learn behaviors that will help them get
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z alongin society.ANS: D z z z z
Accepting patients needs for self-expression and seeking to teach skills that will
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z contribute to their well-being demonstrate respect and are important parts of
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z advocacy.The on-coming nurseneeds to take action to ensure that others are
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z not prejudiced against the patient. Humor can be appropriate within the privacy
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z of a shift report but not at the expense of respect for patients.
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Judging the off-going nurse in a critical way will create conflict. Nurses must
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z showcompassionfor each other.
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4. A nurse assesses a newly admitted patient diagnosed with major
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z adepressivezdisorder. z Whichstatement is an example of attending? z z z z z
a. We all have stress in life. Being in a psychiatric hospital aisnt athe end of the
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world.
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b. Tell me why you felt you had to be hospitalized to areceive treatment for
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yourdepression.
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c. You will feel better after we get some antidepressant amedication started for you.
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d. Id like to sit with you a while so you may afeel amore comfortable
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z talkingwith me.ANS: D z z z
Attending is a technique that demonstrates athe anurses commitment to the
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zrelationship and reduces feelings of aisolation. This technique shows respect for
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z thepatient and demonstratescaring. Generalizations, probing, and false reassurances are
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znon-therapeutic.
5. A patient shows the anurse an article from the Internet about a health problem.
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z Which characteristic of the web sites address most alerts the nurse that the
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z site may have abiased andprejudiced information?
z z z z z
a. Address ends in .org. z z z
b. Address ends in .com. z z z
c. Address ends in .gov. z z z
d. Address ends in z z
.net.ANS: B z
Financial influences on a site are a clue that the information may be biased.
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z .com at the end of the address indicates that the site is a commercial one. .gov
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z indicates thatthe site is maintainedby a government entity. .org indicates that the
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z site is nonproprietary; the site may or may not have reliable information, but
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z it does not profit from its activities. .net can have multiple
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