Exam 2
Questions
with CORRECT
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,Psychiatric interview - {✔✔ANSWER✔✔}-the process by which psychiatric
assessment is conducted
-primary tasks
• building a therapeutic alliance between the PMHNP & client
• obtaining a database of psychiatric info about the client
• establishing a dx
• negotiating a tx plan
Therapeutic Alliance - {✔✔ANSWER✔✔}-a feeling that you should create over
the course of the diagnostic interview, a sense of rapport, trust, and warmth
-most important goal of the interview process
-the cooperative working relationship between the therapist and client
• begins during the initial or opening phase of the interview
-fundamental component of successful therapy
• Without trust, adherence to treatment recommendations may be
compromised
• interview may not elicit the information needed to formulate an appropriate
dx & plan of care without rapport & trust
Creating rapport: tips - {✔✔ANSWER✔✔}--Be Yourself
, -Be Warm, Courteous, and Emotionally Sensitive
-Actively Defuse the Strangeness of the Clinical Situation
-Give Your Patient the Opening Word
-Gain Your Patient's Trust by Projecting Competence
How to approach threatening topics (sensitive/embarrassing material) -
{✔✔ANSWER✔✔}--Normalization
-Symptom Expectation
-Symptom Exaggeration
-Reduction of Guilt
-Use Familiar Language When Asking about Behaviors
Normalization - {✔✔ANSWER✔✔}-Introducing Q with some type of
normalizing statement
-two principal ways to do this:
1. start the question by implying that the behavior is a normal or
understandable response to a mood or situation
• ex: Sometimes when people are very depressed, they think of hurting
themselves. Has this been true for you?
2. Begin by describing another patient (or patients) who has engaged in the
behavior, showing your patient that she is not alone
• ex: I've talked to several patients who've said that their depression causes
them to have strange experiences, like hearing voices or thinking that
strangers are laughing at them. Has that been happening to you?
Symptom Expectation - {✔✔ANSWER✔✔}-communicate that a behavior is in
some way normal or expected