Chapter 1: The Initial Interview: A Preview 3i 3i 3i 3i 3i 3i
Chapter 2: Logistic 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 Establish It
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MULTIPLE CHOICE 3i
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
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3i living2 in the community and diagnosed with serious and persistent mental illness? Withi
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n 3 months, the patient will:
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a. deny suicidal ideation. 3i 3i
b. report a sense of well-being. 3i 3i 3i 3i
c. take medications as prescribed. 3i 3i 3i
d. attend clinic appointments on time. 3i 3i 3i 3i
ANS: B 3i
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
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performance. The goal of recovery is to empower the individual with mental illness to achieve a
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sense of meaning and satisfaction in life and to function at the highest possible level of wellness.
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3i The incorrect options focus on the classic medical model rather than recovery.
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2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
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i 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 was necessary?
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ANS: A 3i
The nurses communication should evidence caring and a commitment to work with the patient.
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3i This commitment lets the patient know the nurse will help. Probing and advice are not helpful
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ortherapeutic interventions.
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3. In the shift-change report, an off-
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going nurse criticizes a patient who wears heavy makeup.Which comment by the nurse who
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3i receives the report best demonstrates advocacy?
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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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