TESTBANK q
THE PSYCHIATRIC I
q q
NTERVIEW
4th Edition Daniel J. Carlat
q q q q
TESTBANK q
,TheqPsychiatricqInterviewq4thqEditionqCarlatqTestqBankq(Chapte
rq1-Chapterq3)
Chapterq1:qTheq Initialq Interview:q Aq Preview
Chapterq 2:q Logisticq Preparations:q Whatq toDoqBeforeqtheqInterview
Chapterq 3:q Theq Therapeuticq Alliance:q Whatq Itq Is,q Whyq It'sq Important,q andq Howq toq Establishq It
MULTIPLEqCHOICE
1. Whichqoutcome,qfocusedqonqrecovery,qwouldqbeqexpectedqinqtheqplanqofqcareqforqaqpatientqli
vingqinqtheqcommunityqandqdiagnosedqwithqseriousqandqpersistentqmentalqillness?qWithinq3qmo
nths,qtheqpatientqwill:
a. denyq suicidalq ideation.
b. reportqaq senseq ofqwell-being.
c. takeq medicationsq asq prescribed.
d. attendqclinicqappointmentsqonqtime.q
ANS:qB
Recoveryqemphasizesqmanagingqsymptoms,qreducingqpsychosocialqdisability,qandqimprovingqroleq
performance.qTheqgoalqofqrecoveryqisqtoqempowerqtheqindividualqwithqmentalqillnessqtoqachieveqaqse
nseqofqmeaningqandqsatisfactionqinqlifeqandqtoqfunctionqatqtheqhighestqpossibleqlevelqofqwellness.qTh
eqincorrectqoptionsqfocusqonqtheqclassicqmedicalqmodelqratherqthanqrecovery.
2. Aqpatientqisqhospitalizedqforqdepressionqandqsuicidalqideationqafterqtheirqspouseqasksqforqaqdi
vorce.qSelectqtheqnursesqmostqcaringqcomment.
a. Letsq discussq someq meansqofqcopingq otherq thanq suicideq whenq youq haveq theseq feelings.
b. Iqunderstandq whyq youreq soq depressed.q Whenq Iq gotq divorced,q Iqwasq devastatedq too.
c. Youqshouldq forgetq aboutq yourq marriageq andqmoveq onq withq yourq life.
d. Howqdidqyouqgetqsoqdepressedqthatqhospitalizationqwasqnecessary?q
ANS:qA
Theqnursesqcommunicationqshouldqevidenceqcaringqandqaqcommitmentqtoqworkqwithqtheqpatient.qTh
isqcommitmentqletsqtheqpatientqknowqtheqnurseqwillqhelp.qProbingqandqadviceqareqnotqhelpfulqorqther
apeuticqinterventions.
3. Inqtheqshift-changeqreport,qanqoff-
goingqnurseqcriticizesqaqpatientqwhoqwearsqheavyqmakeup.qWhichqcommentqbyqtheqnurseqwhoqrec
eivesqtheqreportqbestqdemonstratesqadvocacy?
a. Thisq isq aq psychiatricq hospital.q Crazinessq isq whatq weq areq allq about.
b. Letsqallq showq acceptanceqofq thisq patientq byqwearingq lotsq ofq makeupq too.
,c. Yourq commentsq areq inconsiderateq andq inappropriate.q Keepq theq reportq objective.
d. Ourqpatientsqneedqourqhelpqtoqlearnqbehaviorsqthatqwillqhelpqthemqgetqalongqinqsociety.qA
NS:qD
Acceptingqpatientsqneedsqforqself-
expressionqandqseekingqtoqteachqskillsqthatqwillqcontributeqtoqtheirqwell-
beingqdemonstrateqrespectqandqareqimportantqpartsqofqadvocacy.qTheqon-
comingqnurseqneedsqtoqtakeqactionqtoqensureqthatqothersqareqnotqprejudicedqagainstqtheqpatient.qHu
morqcanqbeqappropriateqwithinqtheqprivacyqofqaqshiftqreportqbutqnotqatqtheqexpenseqofqrespectqforqpat
ients.
Judgingqtheqoff-
goingqnurseqinqaqcriticalqwayqwillqcreateqconflict.qNursesqmustqshowqcompassionqforqeachqother.
4. Aqnurseqassessesqaqnewlyqadmittedqpatientqdiagnosedqwithqmajorqdepressiveqdisorder.qWhichqst
atementqisqanqexampleqofqattending?
a. Weq allq haveq stressq inq life.qBeingq inqaq psychiatricq hospitalq isntqtheqendqofqtheq world.
b. Tellqmeq whyq youq feltq youq hadq toq beq hospitalizedq toq receiveq treatmentq forq yourq depression.
c. Youqwillq feelq betterq afterqweq getq someqantidepressantq medicationq startedq forq you.
d. Idqlikeqtoqsitqwithqyouqaqwhileqsoqyouqmayqfeelqmoreqcomfortableqtalkingqwithqme.qA
NS:qD
Attendingqisqaqtechniqueqthatqdemonstratesqtheqnursesqcommitmentqtoqtheqrelationshipqandqreduces
qfeelingsqofqisolation.qThisqtechniqueqshowsqrespectqforqtheqpatientqandqdemonstratesqcaring.qGene
ralizations,qprobing,qandqfalseqreassurancesqareqnon-therapeutic.
5. AqpatientqshowsqtheqnurseqanqarticleqfromqtheqInternetqaboutqaqhealthqproblem.qWhichqcharact
eristicqofqtheqwebqsitesqaddressqmostqalertsqtheqnurseqthatqtheqsiteqmayqhaveqbiasedqandqprejudice
dqinformation?
a. Addressqendsq inq .org.
b. Addressqendsq inq .com.
c. Addressqendsq inq .gov.
d. Addressqendsqinq.net.q
ANS:qB
Financialqinfluencesqonqaqsiteqareqaqclueqthatqtheqinformationqmayqbeqbiased.q.comqatqtheqendqofqtheq
addressqindicatesqthatqtheqsiteqisqaqcommercialqone.q.govqindicatesqthatqtheqsiteqisqmaintainedqbyqaqg
overnmentqentity.q.orgqindicatesqthatqtheqsiteqisqnonproprietary;qtheqsiteqmayqorqmayqnotqhaveqrelia
bleqinformation,qbutqitqdoesqnotqprofitqfromqitsqactivities.q.netqcanqhaveqmultiple
, meanings.
6. Aqnurseqsays,qWhenqIqwasqinqschool,qIqlearnedqtoqcallqupsetqpatientsqbyqnameqtoqgetqtheirqattention;
qhowever,qIqreadqaq descriptiveq researchqstudyqthatq saysqthatq thisqapproachqdoesqnotqwork.q Iqplanqtoqst
opqcallingqpatientsqbyqname.qWhichqstatementqisqtheqbestqappraisalqofqthisqnursesqcomment?
a. Oneq descriptiveq researchq studyq rarelyq providesq enoughq evidenceq toq changeq practice.
b. Staffqnursesq applyqnewq researchq findingsq onlyqwithq theq helpq fromq clinicalq nurseq specialists.
c. Newqresearchqfindingsqshouldqbeqincorporatedqintoqclinicalqalgorithmsqbeforequsingqthemqinqpr
actice.
d. Theqnurseqmisinterpretedqtheqresultsqofqtheqstudy.qClassicqtenetsqofqpracticeqdoqnotqchange.qA
NS:qA
Descriptiveqresearchqfindingsqprovideqevidenceqforqpracticeqbutqmustqbeqviewedqinqrelationqtoqothe
rqstudiesqbeforeqpracticeqchanges.qOneqstudyqisqnotqenough.qDescriptiveqstudiesqareqlowqonqtheqhier
archyqofqevidence.qClinicalqalgorithmsquseqflowqchartsqtoqmanageqproblemsqandqdoqnotqspecifyqon
eqresponseqtoqaqclinicalqproblem.qClassicqtenetsqofqpracticeqshouldqchangeqasqresearchqfindingsqpro
videqevidenceqforqchange.
7. Twoqnursingqstudentsqdiscussqcareerqplansqafterqgraduation.qOneqstudentqwantsqtoqenterqpsychiat
ricqnursing.qTheqotherqstudentqasks,qWhyqwouldqyouqwantqtoqbeqaqpsychiatricqnurse?qAllqtheyqdoqisqt
alk.qYouqwillqloseqyourqskills.qSelectqtheqbestqresponseqbyqtheqstudentqinterestedqinqpsychiatricqnurs
ing.
a. Psychiatricqnursesqpracticeqinqsaferqenvironmentsqthanqotherqspecialties.qNurse-to-
patientqratiosqmustqbeqbetterqbecauseqofqtheqnatureqofqpatientsqproblems.
b. Psychiatricqnursesquseqcomplexqcommunicationqskills,qasqwellqasqcriticalqthinking,qtoqsolveqm
ultidimensionalqproblems.qImqchallengedqbyqthoseqsituations.
c. IqthinkqIqwillqbeqgoodqinqtheqmentalqhealthqfield.qIqdoqnotqlikeqclinicalqrotationsqinqschool,qsoqIqdo
qnotqwantqtoqcontinueqthemqafterqIqgraduate.
d. Psychiatricqnursesqdoqnotqhaveqtoqdealqwithqasqmuchqpainqandqsufferingqasqmedicalqsurgicalqn
urses.qThatqappealsqtoqme.
ANS:qB
Theqpracticeqofqpsychiatricqnursingqrequiresqaqdifferentqsetqofqskillsqthanqmedicalqsurgicalqnursing,q
althoughqsubstantialqoverlapqdoesqexist.qPsychiatricqnursesqmustqbeqableqtoqhelpqpatientsqwithqmedi
calqandqmentalqhealthqproblems,qreflectingqtheqholisticqperspectiveqtheseqnursesqmustqhave.
THE PSYCHIATRIC I
q q
NTERVIEW
4th Edition Daniel J. Carlat
q q q q
TESTBANK q
,TheqPsychiatricqInterviewq4thqEditionqCarlatqTestqBankq(Chapte
rq1-Chapterq3)
Chapterq1:qTheq Initialq Interview:q Aq Preview
Chapterq 2:q Logisticq Preparations:q Whatq toDoqBeforeqtheqInterview
Chapterq 3:q Theq Therapeuticq Alliance:q Whatq Itq Is,q Whyq It'sq Important,q andq Howq toq Establishq It
MULTIPLEqCHOICE
1. Whichqoutcome,qfocusedqonqrecovery,qwouldqbeqexpectedqinqtheqplanqofqcareqforqaqpatientqli
vingqinqtheqcommunityqandqdiagnosedqwithqseriousqandqpersistentqmentalqillness?qWithinq3qmo
nths,qtheqpatientqwill:
a. denyq suicidalq ideation.
b. reportqaq senseq ofqwell-being.
c. takeq medicationsq asq prescribed.
d. attendqclinicqappointmentsqonqtime.q
ANS:qB
Recoveryqemphasizesqmanagingqsymptoms,qreducingqpsychosocialqdisability,qandqimprovingqroleq
performance.qTheqgoalqofqrecoveryqisqtoqempowerqtheqindividualqwithqmentalqillnessqtoqachieveqaqse
nseqofqmeaningqandqsatisfactionqinqlifeqandqtoqfunctionqatqtheqhighestqpossibleqlevelqofqwellness.qTh
eqincorrectqoptionsqfocusqonqtheqclassicqmedicalqmodelqratherqthanqrecovery.
2. Aqpatientqisqhospitalizedqforqdepressionqandqsuicidalqideationqafterqtheirqspouseqasksqforqaqdi
vorce.qSelectqtheqnursesqmostqcaringqcomment.
a. Letsq discussq someq meansqofqcopingq otherq thanq suicideq whenq youq haveq theseq feelings.
b. Iqunderstandq whyq youreq soq depressed.q Whenq Iq gotq divorced,q Iqwasq devastatedq too.
c. Youqshouldq forgetq aboutq yourq marriageq andqmoveq onq withq yourq life.
d. Howqdidqyouqgetqsoqdepressedqthatqhospitalizationqwasqnecessary?q
ANS:qA
Theqnursesqcommunicationqshouldqevidenceqcaringqandqaqcommitmentqtoqworkqwithqtheqpatient.qTh
isqcommitmentqletsqtheqpatientqknowqtheqnurseqwillqhelp.qProbingqandqadviceqareqnotqhelpfulqorqther
apeuticqinterventions.
3. Inqtheqshift-changeqreport,qanqoff-
goingqnurseqcriticizesqaqpatientqwhoqwearsqheavyqmakeup.qWhichqcommentqbyqtheqnurseqwhoqrec
eivesqtheqreportqbestqdemonstratesqadvocacy?
a. Thisq isq aq psychiatricq hospital.q Crazinessq isq whatq weq areq allq about.
b. Letsqallq showq acceptanceqofq thisq patientq byqwearingq lotsq ofq makeupq too.
,c. Yourq commentsq areq inconsiderateq andq inappropriate.q Keepq theq reportq objective.
d. Ourqpatientsqneedqourqhelpqtoqlearnqbehaviorsqthatqwillqhelpqthemqgetqalongqinqsociety.qA
NS:qD
Acceptingqpatientsqneedsqforqself-
expressionqandqseekingqtoqteachqskillsqthatqwillqcontributeqtoqtheirqwell-
beingqdemonstrateqrespectqandqareqimportantqpartsqofqadvocacy.qTheqon-
comingqnurseqneedsqtoqtakeqactionqtoqensureqthatqothersqareqnotqprejudicedqagainstqtheqpatient.qHu
morqcanqbeqappropriateqwithinqtheqprivacyqofqaqshiftqreportqbutqnotqatqtheqexpenseqofqrespectqforqpat
ients.
Judgingqtheqoff-
goingqnurseqinqaqcriticalqwayqwillqcreateqconflict.qNursesqmustqshowqcompassionqforqeachqother.
4. Aqnurseqassessesqaqnewlyqadmittedqpatientqdiagnosedqwithqmajorqdepressiveqdisorder.qWhichqst
atementqisqanqexampleqofqattending?
a. Weq allq haveq stressq inq life.qBeingq inqaq psychiatricq hospitalq isntqtheqendqofqtheq world.
b. Tellqmeq whyq youq feltq youq hadq toq beq hospitalizedq toq receiveq treatmentq forq yourq depression.
c. Youqwillq feelq betterq afterqweq getq someqantidepressantq medicationq startedq forq you.
d. Idqlikeqtoqsitqwithqyouqaqwhileqsoqyouqmayqfeelqmoreqcomfortableqtalkingqwithqme.qA
NS:qD
Attendingqisqaqtechniqueqthatqdemonstratesqtheqnursesqcommitmentqtoqtheqrelationshipqandqreduces
qfeelingsqofqisolation.qThisqtechniqueqshowsqrespectqforqtheqpatientqandqdemonstratesqcaring.qGene
ralizations,qprobing,qandqfalseqreassurancesqareqnon-therapeutic.
5. AqpatientqshowsqtheqnurseqanqarticleqfromqtheqInternetqaboutqaqhealthqproblem.qWhichqcharact
eristicqofqtheqwebqsitesqaddressqmostqalertsqtheqnurseqthatqtheqsiteqmayqhaveqbiasedqandqprejudice
dqinformation?
a. Addressqendsq inq .org.
b. Addressqendsq inq .com.
c. Addressqendsq inq .gov.
d. Addressqendsqinq.net.q
ANS:qB
Financialqinfluencesqonqaqsiteqareqaqclueqthatqtheqinformationqmayqbeqbiased.q.comqatqtheqendqofqtheq
addressqindicatesqthatqtheqsiteqisqaqcommercialqone.q.govqindicatesqthatqtheqsiteqisqmaintainedqbyqaqg
overnmentqentity.q.orgqindicatesqthatqtheqsiteqisqnonproprietary;qtheqsiteqmayqorqmayqnotqhaveqrelia
bleqinformation,qbutqitqdoesqnotqprofitqfromqitsqactivities.q.netqcanqhaveqmultiple
, meanings.
6. Aqnurseqsays,qWhenqIqwasqinqschool,qIqlearnedqtoqcallqupsetqpatientsqbyqnameqtoqgetqtheirqattention;
qhowever,qIqreadqaq descriptiveq researchqstudyqthatq saysqthatq thisqapproachqdoesqnotqwork.q Iqplanqtoqst
opqcallingqpatientsqbyqname.qWhichqstatementqisqtheqbestqappraisalqofqthisqnursesqcomment?
a. Oneq descriptiveq researchq studyq rarelyq providesq enoughq evidenceq toq changeq practice.
b. Staffqnursesq applyqnewq researchq findingsq onlyqwithq theq helpq fromq clinicalq nurseq specialists.
c. Newqresearchqfindingsqshouldqbeqincorporatedqintoqclinicalqalgorithmsqbeforequsingqthemqinqpr
actice.
d. Theqnurseqmisinterpretedqtheqresultsqofqtheqstudy.qClassicqtenetsqofqpracticeqdoqnotqchange.qA
NS:qA
Descriptiveqresearchqfindingsqprovideqevidenceqforqpracticeqbutqmustqbeqviewedqinqrelationqtoqothe
rqstudiesqbeforeqpracticeqchanges.qOneqstudyqisqnotqenough.qDescriptiveqstudiesqareqlowqonqtheqhier
archyqofqevidence.qClinicalqalgorithmsquseqflowqchartsqtoqmanageqproblemsqandqdoqnotqspecifyqon
eqresponseqtoqaqclinicalqproblem.qClassicqtenetsqofqpracticeqshouldqchangeqasqresearchqfindingsqpro
videqevidenceqforqchange.
7. Twoqnursingqstudentsqdiscussqcareerqplansqafterqgraduation.qOneqstudentqwantsqtoqenterqpsychiat
ricqnursing.qTheqotherqstudentqasks,qWhyqwouldqyouqwantqtoqbeqaqpsychiatricqnurse?qAllqtheyqdoqisqt
alk.qYouqwillqloseqyourqskills.qSelectqtheqbestqresponseqbyqtheqstudentqinterestedqinqpsychiatricqnurs
ing.
a. Psychiatricqnursesqpracticeqinqsaferqenvironmentsqthanqotherqspecialties.qNurse-to-
patientqratiosqmustqbeqbetterqbecauseqofqtheqnatureqofqpatientsqproblems.
b. Psychiatricqnursesquseqcomplexqcommunicationqskills,qasqwellqasqcriticalqthinking,qtoqsolveqm
ultidimensionalqproblems.qImqchallengedqbyqthoseqsituations.
c. IqthinkqIqwillqbeqgoodqinqtheqmentalqhealthqfield.qIqdoqnotqlikeqclinicalqrotationsqinqschool,qsoqIqdo
qnotqwantqtoqcontinueqthemqafterqIqgraduate.
d. Psychiatricqnursesqdoqnotqhaveqtoqdealqwithqasqmuchqpainqandqsufferingqasqmedicalqsurgicalqn
urses.qThatqappealsqtoqme.
ANS:qB
Theqpracticeqofqpsychiatricqnursingqrequiresqaqdifferentqsetqofqskillsqthanqmedicalqsurgicalqnursing,q
althoughqsubstantialqoverlapqdoesqexist.qPsychiatricqnursesqmustqbeqableqtoqhelpqpatientsqwithqmedi
calqandqmentalqhealthqproblems,qreflectingqtheqholisticqperspectiveqtheseqnursesqmustqhave.
