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