The Psychiatric Interview 4th Edition Carlat
ll ll ll ll ll
ll TestBank (Full test bank, 100% Verified Answers)
l ll ll ll ll ll ll
TEST BANK ll
, The Psychiatric Interview 4th Edition Carlat Test Bank
ll ll ll ll ll ll ll
(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations: What
ll ll ll ll ll ll ll ll ll ll ll
toDo Before the Interview
ll l ll ll ll
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll ItMULTIPLE CHOICE
l ll
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
living in the community and diagnosed with serious and persistent mental illness? Within 3
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
months, the patient will:
ll ll ll ll
a. deny suicidal ideation. ll ll
b. report a sense of well-being. ll ll ll ll
c. take medications as prescribed. ll ll ll
d. attend clinic appointments on ll ll ll
ll time.ANS: B l ll
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
ll ll ll ll ll ll ll ll
ll roleperformance. The goal of recovery is to empower the individual with mental illness to
l ll ll ll ll ll ll ll ll ll ll ll ll ll
ll achieve a sense of meaning and satisfaction in life and to function at the highest possible level
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll of wellness. The incorrect options focus on the classic medical model rather than recovery.
ll ll ll ll ll ll ll ll ll ll ll ll ll
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll adivorce. Select the nurses most caring comment.
l ll ll ll ll ll ll
a. Lets discuss some means of coping other than suicide when you have these feelings.
ll ll ll ll ll ll ll ll ll ll ll ll ll
b. I understand why youre so depressed. When I got divorced, I was devastated too.
ll ll ll ll ll ll ll ll ll ll ll ll ll
c. You should forget about your marriage and move on with your life.
ll ll ll ll ll ll ll ll ll ll ll
d. How did you get so depressed that hospitalization was ll ll ll ll ll ll ll ll
ll necessary?ANS: A l ll
The nurses communication should evidence caring and a commitment to work with the patient.
ll ll ll ll ll ll ll ll ll ll ll ll ll
This commitment lets the patient know the nurse will help. Probing and advice are not helpful
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll ortherapeutic interventions.
l ll
3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
ll ll ll ll ll ll ll ll ll ll ll ll
ll makeup.Which comment by the nurse who receives the report best demonstrates advocacy?
l ll ll ll ll ll ll ll ll ll ll ll
a. This is a psychiatric hospital. Craziness is what we are all about.
ll ll ll ll ll ll ll ll ll ll ll
b. Lets all show acceptance of this patient by wearing lots of makeup too.
ll ll ll ll ll ll ll ll ll ll ll ll
,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
ll ll ll ll ll ll ll ll ll
d. Our patients need our help to learn behaviors that will help them get along in
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll society.ANS: D l ll
Accepting patients needs for self-expression and seeking to teach skills that will contribute to
ll ll ll ll ll ll ll ll ll ll ll ll ll
their well-being demonstrate respect and are important parts of advocacy. The on-coming
ll ll ll ll ll ll ll ll ll ll ll ll
ll nurseneeds to take action to ensure that others are not prejudiced against the patient. Humor
l ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll can be appropriate within the privacy of a shift report but not at the expense of respect for
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll patients.
Judging the off-going nurse in a critical way will create conflict. Nurses must show
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll compassionfor each other. l ll ll
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
ll ll ll ll ll ll ll ll ll ll ll
ll Whichstatement is an example of attending?
l ll ll ll ll ll
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
c. You will feel better after we get some antidepressant medication started for you.
ll ll ll ll ll ll ll ll ll ll ll ll
d. Id like to sit with you a while so you may feel more comfortable talking with
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll me.ANS: D l ll
Attending is a technique that demonstrates the nurses commitment to the relationship and
ll ll ll ll ll ll ll ll ll ll ll ll
ll reduces feelings of isolation. This technique shows respect for the patient and
ll ll ll ll ll ll ll ll ll ll ll
ll demonstratescaring. Generalizations, probing, and false reassurances are non-therapeutic.
l ll ll ll ll ll ll ll
5. A patient shows the nurse an article from the Internet about a health problem. Which
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
characteristic of the web sites address most alerts the nurse that the site may have biased
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll andprejudiced information?
l ll
a. Address ends in .org. ll ll ll
b. Address ends in .com. ll ll ll
c. Address ends in .gov. ll ll ll
d. Address ends in ll ll
ll .net.ANS: B l ll
Financial influences on a site are a clue that the information may be biased. .com at the end of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the address indicates that the site is a commercial one. .gov indicates that the site is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll maintainedby a government entity. .org indicates that the site is nonproprietary; the site may
l ll ll ll ll ll ll ll ll ll ll ll ll ll
ll or may not have reliable information, but it does not profit from its activities. .net can have
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll multiple
, meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
attention; however, I read a descriptive research study that says that this approach does not
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll work.I plan to stop calling patients by name. Which statement is the best appraisal of this nurses
l ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
comment?
ll
a. One descriptive research study rarely provides enough evidence to change practice.
ll ll ll ll ll ll ll ll ll ll
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
ll ll ll ll ll ll ll ll ll ll ll ll ll
c. New research findings should be incorporated into clinical algorithms before using them
ll ll ll ll ll ll ll ll ll ll ll
ll inpractice.
l
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll change.ANS: A l ll
Descriptive research findings provide evidence for practice but must be viewed in relation to
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll other studies before practice changes. One study is not enough. Descriptive studies are low on
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the hierarchy of evidence. Clinical algorithms use flow charts to manage problems and do not
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll specify one response to a clinical problem. Classic tenets of practice should change as
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll researchfindings provide evidence for change. l ll ll ll ll
7. Two nursing students discuss career plans after graduation. One student wants to enter
ll ll ll ll ll ll ll ll ll ll ll ll
ll psychiatric nursing. The other student asks, Why would you want to be a psychiatric nurse?
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll Allthey do is talk. You will lose your skills. Select the best response by the student interested
l ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll in psychiatric nursing.
ll ll
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ll ll ll ll ll ll ll ll ll
ll ratiosmust be better because of the nature of patients problems.
l ll ll ll ll ll ll ll ll ll
b. Psychiatric nurses use complex communication skills, as well as critical thinking, to ll ll ll ll ll ll ll ll ll ll ll
ll solvemultidimensional problems. Im challenged by those situations.
l ll ll ll ll ll ll
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll Ido not want to continue them after I graduate.
l ll ll ll ll ll ll ll ll
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll surgicalnurses. That appeals to me. l ll ll ll ll
ANS: B ll
The practice of psychiatric nursing requires a different set of skills than medical surgical
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll nursing,although substantial overlap does exist. Psychiatric nurses must be able to help patients
l ll ll ll ll ll ll ll ll ll ll ll ll
ll with medical and mental health problems, reflecting the holistic perspective these nurses must
ll ll ll ll ll ll ll ll ll ll ll ll
ll have.
ll ll ll ll ll
ll TestBank (Full test bank, 100% Verified Answers)
l ll ll ll ll ll ll
TEST BANK ll
, The Psychiatric Interview 4th Edition Carlat Test Bank
ll ll ll ll ll ll ll
(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations: What
ll ll ll ll ll ll ll ll ll ll ll
toDo Before the Interview
ll l ll ll ll
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll ItMULTIPLE CHOICE
l ll
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
living in the community and diagnosed with serious and persistent mental illness? Within 3
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
months, the patient will:
ll ll ll ll
a. deny suicidal ideation. ll ll
b. report a sense of well-being. ll ll ll ll
c. take medications as prescribed. ll ll ll
d. attend clinic appointments on ll ll ll
ll time.ANS: B l ll
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
ll ll ll ll ll ll ll ll
ll roleperformance. The goal of recovery is to empower the individual with mental illness to
l ll ll ll ll ll ll ll ll ll ll ll ll ll
ll achieve a sense of meaning and satisfaction in life and to function at the highest possible level
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll of wellness. The incorrect options focus on the classic medical model rather than recovery.
ll ll ll ll ll ll ll ll ll ll ll ll ll
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll adivorce. Select the nurses most caring comment.
l ll ll ll ll ll ll
a. Lets discuss some means of coping other than suicide when you have these feelings.
ll ll ll ll ll ll ll ll ll ll ll ll ll
b. I understand why youre so depressed. When I got divorced, I was devastated too.
ll ll ll ll ll ll ll ll ll ll ll ll ll
c. You should forget about your marriage and move on with your life.
ll ll ll ll ll ll ll ll ll ll ll
d. How did you get so depressed that hospitalization was ll ll ll ll ll ll ll ll
ll necessary?ANS: A l ll
The nurses communication should evidence caring and a commitment to work with the patient.
ll ll ll ll ll ll ll ll ll ll ll ll ll
This commitment lets the patient know the nurse will help. Probing and advice are not helpful
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll ortherapeutic interventions.
l ll
3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
ll ll ll ll ll ll ll ll ll ll ll ll
ll makeup.Which comment by the nurse who receives the report best demonstrates advocacy?
l ll ll ll ll ll ll ll ll ll ll ll
a. This is a psychiatric hospital. Craziness is what we are all about.
ll ll ll ll ll ll ll ll ll ll ll
b. Lets all show acceptance of this patient by wearing lots of makeup too.
ll ll ll ll ll ll ll ll ll ll ll ll
,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
ll ll ll ll ll ll ll ll ll
d. Our patients need our help to learn behaviors that will help them get along in
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll society.ANS: D l ll
Accepting patients needs for self-expression and seeking to teach skills that will contribute to
ll ll ll ll ll ll ll ll ll ll ll ll ll
their well-being demonstrate respect and are important parts of advocacy. The on-coming
ll ll ll ll ll ll ll ll ll ll ll ll
ll nurseneeds to take action to ensure that others are not prejudiced against the patient. Humor
l ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll can be appropriate within the privacy of a shift report but not at the expense of respect for
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll patients.
Judging the off-going nurse in a critical way will create conflict. Nurses must show
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll compassionfor each other. l ll ll
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
ll ll ll ll ll ll ll ll ll ll ll
ll Whichstatement is an example of attending?
l ll ll ll ll ll
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
c. You will feel better after we get some antidepressant medication started for you.
ll ll ll ll ll ll ll ll ll ll ll ll
d. Id like to sit with you a while so you may feel more comfortable talking with
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll me.ANS: D l ll
Attending is a technique that demonstrates the nurses commitment to the relationship and
ll ll ll ll ll ll ll ll ll ll ll ll
ll reduces feelings of isolation. This technique shows respect for the patient and
ll ll ll ll ll ll ll ll ll ll ll
ll demonstratescaring. Generalizations, probing, and false reassurances are non-therapeutic.
l ll ll ll ll ll ll ll
5. A patient shows the nurse an article from the Internet about a health problem. Which
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
characteristic of the web sites address most alerts the nurse that the site may have biased
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll andprejudiced information?
l ll
a. Address ends in .org. ll ll ll
b. Address ends in .com. ll ll ll
c. Address ends in .gov. ll ll ll
d. Address ends in ll ll
ll .net.ANS: B l ll
Financial influences on a site are a clue that the information may be biased. .com at the end of
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the address indicates that the site is a commercial one. .gov indicates that the site is
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll maintainedby a government entity. .org indicates that the site is nonproprietary; the site may
l ll ll ll ll ll ll ll ll ll ll ll ll ll
ll or may not have reliable information, but it does not profit from its activities. .net can have
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll multiple
, meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
attention; however, I read a descriptive research study that says that this approach does not
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll work.I plan to stop calling patients by name. Which statement is the best appraisal of this nurses
l ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
comment?
ll
a. One descriptive research study rarely provides enough evidence to change practice.
ll ll ll ll ll ll ll ll ll ll
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
ll ll ll ll ll ll ll ll ll ll ll ll ll
c. New research findings should be incorporated into clinical algorithms before using them
ll ll ll ll ll ll ll ll ll ll ll
ll inpractice.
l
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll change.ANS: A l ll
Descriptive research findings provide evidence for practice but must be viewed in relation to
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll other studies before practice changes. One study is not enough. Descriptive studies are low on
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
the hierarchy of evidence. Clinical algorithms use flow charts to manage problems and do not
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll specify one response to a clinical problem. Classic tenets of practice should change as
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll researchfindings provide evidence for change. l ll ll ll ll
7. Two nursing students discuss career plans after graduation. One student wants to enter
ll ll ll ll ll ll ll ll ll ll ll ll
ll psychiatric nursing. The other student asks, Why would you want to be a psychiatric nurse?
ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll Allthey do is talk. You will lose your skills. Select the best response by the student interested
l ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll in psychiatric nursing.
ll ll
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ll ll ll ll ll ll ll ll ll
ll ratiosmust be better because of the nature of patients problems.
l ll ll ll ll ll ll ll ll ll
b. Psychiatric nurses use complex communication skills, as well as critical thinking, to ll ll ll ll ll ll ll ll ll ll ll
ll solvemultidimensional problems. Im challenged by those situations.
l ll ll ll ll ll ll
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so
ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll Ido not want to continue them after I graduate.
l ll ll ll ll ll ll ll ll
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical ll ll ll ll ll ll ll ll ll ll ll ll ll ll
ll surgicalnurses. That appeals to me. l ll ll ll ll
ANS: B ll
The practice of psychiatric nursing requires a different set of skills than medical surgical
ll ll ll ll ll ll ll ll ll ll ll ll ll
ll nursing,although substantial overlap does exist. Psychiatric nurses must be able to help patients
l ll ll ll ll ll ll ll ll ll ll ll ll
ll with medical and mental health problems, reflecting the holistic perspective these nurses must
ll ll ll ll ll ll ll ll ll ll ll ll
ll have.
