TEST
BANK
THE PSYCHIATRIC
INTERVIEW
4th Edition Daniel J.
Carlat
,TEST BANK
The Psychiatric Interview 4th Edition Carlat Test Bank
(Chapter 1 - Chapter 3)
Chapter 1: The Initial Interview: A Preview
Chapter 2: Logistic Preparations: What toDo Before the Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a
patient living in the community and diagnosed with serious and persistent mental
illness? Within 3 months, the patient will:
,a. deny suicidal ideation.
b. report a sense of well - being.
c. take medications as prescribed.
d. attend clinic appointments on time.
ANS : B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and
improving role performance. The goal of recovery is to empower the individual with
mental illness to achieve a sense of meaning and satisfaction in life and to function at the
highest possible level of wellne ss. The incorrect options focus on the classic medical
model rather than recovery.
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
a divorce. Select the nurses most caring comment.
a. Lets discuss some me ANS of coping other than suicide when you have these feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
d. How did you get so depressed that hospitalization was necessary?
ANS : A
The nurses communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice
are not helpful or therapeutic interventions.
3. In the shift - change report, an off - going nurse criticizes a patient who wears heavy
makeup.
Which comment by the nurse who receives the report best demonstrates
advocacy? a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this patient by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our patients need our help to learn behaviors that will help them get along in society.
ANS : D
Accepting patients needs for self - expression and seeking to teach skills that will
contribute to their well - being demonstrate respect and are important parts of advocacy.
The on - coming nurse needs to take action to ensure that others are not prejudiced
aga inst the patient. Humor can be appropriate within the privacy of a shift report but not
at the expense of respect for patients. Judging the off - going nurse in a critical way will
create conflict. Nurses must show compassion for each other.
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
Which statement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
c. You will feel better after we get some antidepressant medication started for you.
, d. Id like to sit with you a while so you may feel more comfortable talking with me.
ANS : D
Attending is a technique that demonstrates the nurses commitment to the
relationship and reduces feelings of isolation. This technique shows respect for the
patient and demonstrates caring. Generalizations, probing, and false reassurances
are non - therapeut ic.
5. A patient shows the nurse an article from the Internet about a health problem.
Which characteristic of the web sites address most alerts the nurse that the site may
have biased and prejudiced information? a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in .net.
ANS : B
Financial influences on a site are a clue that the information may be biased. .com at the
end of the address indicates that the site is a commercial one. .gov indicates that the
site is maintained by a government entity. .org indicates that the site is non proprietary;
the site may or may not have reliable information, but it does not profit from its
activities. .net can have multiple meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their
attention; however, I read a descriptive research study that says that this approach does
not work. I plan to stop calling patients by name. Which statement is the best appraisal of
this nurses comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff nurses apply new research findings only with the help from clinical nurse
specialists.
c. New research findings should be incorporated into clinical algorithms before using
them in practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
change.
ANS : A
Descriptive research findings provide evidence for practice but must be viewed in
relation to other studies before practice changes. One study is not enough. Descriptive
studies are low on the hierarchy of evidence. Clinical algorithms use flow charts to
manage problems and do not specify one response to a clinical problem. Classic tenets
of practice should change as research findings provide evidence for change.
7. Two nursing students discuss career pl ANS after graduation. One student wants to
enter psychiatric nursing. The other student asks, Why would you want to be a
BANK
THE PSYCHIATRIC
INTERVIEW
4th Edition Daniel J.
Carlat
,TEST BANK
The Psychiatric Interview 4th Edition Carlat Test Bank
(Chapter 1 - Chapter 3)
Chapter 1: The Initial Interview: A Preview
Chapter 2: Logistic Preparations: What toDo Before the Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a
patient living in the community and diagnosed with serious and persistent mental
illness? Within 3 months, the patient will:
,a. deny suicidal ideation.
b. report a sense of well - being.
c. take medications as prescribed.
d. attend clinic appointments on time.
ANS : B
Recovery emphasizes managing symptoms, reducing psychosocial disability, and
improving role performance. The goal of recovery is to empower the individual with
mental illness to achieve a sense of meaning and satisfaction in life and to function at the
highest possible level of wellne ss. The incorrect options focus on the classic medical
model rather than recovery.
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
a divorce. Select the nurses most caring comment.
a. Lets discuss some me ANS of coping other than suicide when you have these feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
d. How did you get so depressed that hospitalization was necessary?
ANS : A
The nurses communication should evidence caring and a commitment to work with the
patient. This commitment lets the patient know the nurse will help. Probing and advice
are not helpful or therapeutic interventions.
3. In the shift - change report, an off - going nurse criticizes a patient who wears heavy
makeup.
Which comment by the nurse who receives the report best demonstrates
advocacy? a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this patient by wearing lots of makeup too.
c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our patients need our help to learn behaviors that will help them get along in society.
ANS : D
Accepting patients needs for self - expression and seeking to teach skills that will
contribute to their well - being demonstrate respect and are important parts of advocacy.
The on - coming nurse needs to take action to ensure that others are not prejudiced
aga inst the patient. Humor can be appropriate within the privacy of a shift report but not
at the expense of respect for patients. Judging the off - going nurse in a critical way will
create conflict. Nurses must show compassion for each other.
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
Which statement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
c. You will feel better after we get some antidepressant medication started for you.
, d. Id like to sit with you a while so you may feel more comfortable talking with me.
ANS : D
Attending is a technique that demonstrates the nurses commitment to the
relationship and reduces feelings of isolation. This technique shows respect for the
patient and demonstrates caring. Generalizations, probing, and false reassurances
are non - therapeut ic.
5. A patient shows the nurse an article from the Internet about a health problem.
Which characteristic of the web sites address most alerts the nurse that the site may
have biased and prejudiced information? a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in .net.
ANS : B
Financial influences on a site are a clue that the information may be biased. .com at the
end of the address indicates that the site is a commercial one. .gov indicates that the
site is maintained by a government entity. .org indicates that the site is non proprietary;
the site may or may not have reliable information, but it does not profit from its
activities. .net can have multiple meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their
attention; however, I read a descriptive research study that says that this approach does
not work. I plan to stop calling patients by name. Which statement is the best appraisal of
this nurses comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff nurses apply new research findings only with the help from clinical nurse
specialists.
c. New research findings should be incorporated into clinical algorithms before using
them in practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
change.
ANS : A
Descriptive research findings provide evidence for practice but must be viewed in
relation to other studies before practice changes. One study is not enough. Descriptive
studies are low on the hierarchy of evidence. Clinical algorithms use flow charts to
manage problems and do not specify one response to a clinical problem. Classic tenets
of practice should change as research findings provide evidence for change.
7. Two nursing students discuss career pl ANS after graduation. One student wants to
enter psychiatric nursing. The other student asks, Why would you want to be a
