psychiatric 4th edition n n
The Psychiatric Interview 4th Edition Carlat Test Bank
n n n n n n n
(Chaptern 1-
Chaptern 3)Then Initialn Interview:n An Previewn Chaptern 2:n Logisticn Preparations:n Whatn tonDonBeforenthe
n Interview
Chaptern 3:n Then Therapeuticn Alliance:n Whatn Itn Is,n Whyn It'sn Important,n andn Hown ton Establishn ItnMULT
IPLEnCHOICE
1. Whichnoutcome,nfocusednonnrecovery,nwouldnbenexpectedninnthenplannofncarenfornanpatientnliv
ingninnthencommunitynandndiagnosednwithnseriousnandnpersistentnmentalnillness?nWithinn3nmont
hs,nthenpatientnwill:
a. denyn suicidaln ideation.
b. reportn an sensen ofn well-being.
c. taken medicationsn asn prescribed.
d. attendn clinicn appointmentsn onn time.n
ANS:nB
Recoveryn emphasizesn managingn symptoms,n reducingn psychosocialn disability,n andn improvingn rolenpe
rformance.n Then goaln ofn recoveryn isn ton empowern then individualn withn mentaln illnessn ton achieven ansense
n ofn meaningn andn satisfactionn inn lifen andn ton functionn atn then highestn possiblen leveln ofn wellness.nTheninc
orrectn optionsn focusn onn thenclassicnmedicalnmodeln rathern thann recovery.
2. An patientn isn hospitalizedn forn depressionn andn suicidaln ideationn aftern theirn spousen asksn forn and
ivorce.nSelectnthennursesnmostncaringncomment.
a. Letsn discussn somen meansn ofn copingn othern thann suiciden whenn youn haven thesen feelings.
b. In understandn whyn youren son depressed.n Whenn In gotn divorced,n In wasn devastatedn too.
c. Youn shouldn forgetn aboutn yourn marriagen andn moven onn withn yourn life.
d. Hown didn youn getn son depressedn thatn hospitalizationn wasn necessary?n
ANS:nA
Then nursesn communicationn shouldn evidencen caringn andn an commitmentn ton workn withn then patient.nThis
n commitmentn letsn then patientn known then nursen willn help.n Probingn andn advicen aren notn helpfuln orntherape
uticninterventions.
3. Inn then shift-changen report,n ann off-
goingn nursen criticizesn an patientn whon wearsn heavyn makeup.nWhichn commentn byn then nursen whon re
ceivesn then reportn bestn demonstratesn advocacy?
a. Thisn isn an psychiatricn hospital.n Crazinessn isn whatn wen aren alln about.
b. Letsn alln shown acceptancen ofn thisn patientn byn wearingn lotsn ofn makeupn too.
,c. Yourn commentsn aren inconsideraten andn inappropriate.n Keepn then reportn objective.
d. Ourn patientsn needn ourn helpn ton learnn behaviorsn thatn willn helpn themn getn alongn inn society.n
ANS:nD
Acceptingn patientsn needsn forn self-
expressionn andn seekingn ton teachn skillsn thatn willn contributen tontheirn well-
beingn demonstraten respectn andn aren importantn partsn ofn advocacy.n Then on-
comingn nursenneedsn ton taken actionn ton ensuren thatn othersn aren notn prejudicedn againstn then patient.n Hum
orn cann benappropriaten withinn then privacyn ofn an shiftn reportn butn notn atn then expensen ofn respectn forn patie
nts.
Judgingn then off-
goingn nursen inn an criticaln wayn willn createn conflict.n Nursesn mustn shown compassionnforneachnother.
4. An nursen assessesn an newlyn admittedn patientn diagnosedn withn majorn depressiven disorder.n Whichns
tatementnisnannexamplenofnattending?
a. Wen alln haven stressn inn life.n Beingn inn an psychiatricn hospitaln isntn then endn ofn then world.
b. Telln men whyn youn feltn youn hadn ton ben hospitalizedn ton receiven treatmentn forn yourn depression.
c. Youn willn feeln bettern aftern wen getn somen antidepressantn medicationn startedn forn you.
d. Idn liken ton sitn withn youn an whilen son youn mayn feeln moren comfortablen talkingn withn me.n
ANS:nD
Attendingn isn an techniquen thatn demonstratesn then nursesn commitmentn ton then relationshipn andnre
ducesn feelingsn ofn isolation.n Thisn techniquen showsn respectn forn then patientn andn demonstratesncar
ing.n Generalizations,n probing,n andn falsen reassurancesnaren non-therapeutic.
5. An patientn showsn then nursen ann articlen fromn then Internetn aboutn an healthn problem.n Whichncharac
teristicn ofn then webn sitesn addressn mostn alertsn then nursen thatn then siten mayn haven biasedn andnprejudi
cedninformation?
a. Addressn endsn inn .org.
b. Addressn endsn inn .com.
c. Addressn endsn inn .gov.
d. Addressn endsn inn .net.n
ANS:nB
Financialn influencesn onn an siten aren an cluen thatn then informationn mayn ben biased.n .comn atn then endn ofnthe
n addressn indicatesn thatn then siten isn an commercialn one.n .govn indicatesn thatn then siten isn maintainednbyn an
governmentn entity.n .orgn indicatesn thatn then siten isn nonproprietary;n then siten mayn orn mayn notnhaven reli
ablen information,n butn itn doesn notn profitn fromn itsn activities.n .netn cann haven multiple
,meanings.
6. An nursen says,n Whenn In wasn inn school,n In learnedn ton calln upsetn patientsn byn namen tongetn theirnattention
;n however,n In readn an descriptiven researchn studyn thatn saysn thatn thisn approachn doesn notn work.nIn plann ton s
topn callingn patientsn byn name.n Whichn statementn isn then bestn appraisaln ofn thisn nursesncomment?
a. Onen descriptiven researchn studyn rarelyn providesn enoughn evidencen ton changen practice.
b. Staffn nursesn applyn newn researchn findingsn onlyn withn then helpn fromn clinicaln nursen specialists.
c. Newn researchn findingsn shouldn ben incorporatedn inton clinicaln algorithmsn beforen usingn themn innp
ractice.
d. Then nursen misinterpretedn then resultsn ofn then study.n Classicn tenetsn ofn practicen don notn change.n
ANS:nA
Descriptiven researchn findingsn providen evidencen forn practicen butn mustn ben viewedn inn relationn tonothe
rn studiesn beforen practicen changes.n Onen studyn isn notn enough.n Descriptiven studiesn aren lown onnthen hier
archyn ofn evidence.n Clinicaln algorithmsn usen flown chartsn ton managen problemsn andn don notnspecifyn on
en responsen ton an clinicaln problem.n Classicn tenetsn ofn practicen shouldn changen asn researchnfindingsnpro
videnevidencenfornchange.
7. Twon nursingn studentsn discussn careern plansn aftern graduation.n Onen studentn wantsn ton enternpsychia
tricn nursing.n Then othern studentn asks,n Whyn wouldn youn wantn ton ben an psychiatricn nurse?n Allntheyn don i
sn talk.n Youn willn losen yourn skills.n Selectn then bestn responsen byn then studentn interestedn innpsychiatricnn
ursing.
a. Psychiatricn nursesn practicen inn safern environmentsn thann othern specialties.n Nurse-to-
patientn ratiosnmustnbenbetternbecausenofnthennaturenofnpatientsnproblems.
b. Psychiatricn nursesn usen complexn communicationn skills,n asn welln asn criticaln thinking,n ton solven
multidimensionalnproblems.nImnchallengednbynthosensituations.
c. In thinkn In willn ben goodn inn then mentaln healthn field.n In don notn liken clinicaln rotationsn inn school,n son Ind
onnotnwantntoncontinuenthemnafternIngraduate.
d. Psychiatricn nursesn don notn haven ton dealn withn asn muchn painn andn sufferingn asn medicaln surgicalnn
urses.nThatnappealsntonme.
ANS:n B
Then practicen ofn psychiatricn nursingn requiresn an differentn setn ofn skillsn thann medicaln surgicaln nursing,nalt
houghn substantialn overlapn doesn exist.n Psychiatricn nursesn mustn ben ablen ton helpn patientsn withnmedicaln a
ndn mentaln healthn problems,n reflectingn then holisticn perspectiven thesen nursesn mustn have.
, Nurse-
patientn ratiosn andn workloadsn inn psychiatricn settingsn haven increased,n similarn ton othernspecialties.n Psych
iatricn nursingn involvesn clinicaln practice,n notn simplyn documentation.
Psychosocialn painn isn realn andn cann causen asn muchn sufferingn asn physicaln pain.
8. Whichn researchn evidencen wouldn mostn influencen an groupn ofn nursesn ton changen theirn practice?
a. Expertn committeen reportn ofn recommendationsn forn practice
b. Systematicn reviewn ofn randomizedn controlledn trials
c. Nonexperimentaln descriptiven study
d. Criticaln pathwayn
ANS:nB
Researchn findingsn aren gradedn usingn an hierarchyn ofn evidence.n An systematicn reviewn ofn randomizednc
ontrolledn trialsn isn Leveln An andn providesn then strongestn evidencen forn changingn practice.n Expertncom
mitteen recommendationsn andn descriptiven studiesn lendn lessn powerfuln andn influentialn evidence.nAn cri
ticaln pathwayn isn notn evidence;n itn incorporatesn researchn findingsn aftern theyn haven beennanalyzed.
9. An billn introducedn inn Congressn wouldn reducen fundingn forn then caren ofn peoplen diagnosedn withnme
ntaln illnesses.n An groupn ofn nursesn writen lettersn ton theirn electedn representativesn inn oppositionn tonthenl
egislation.nWhichnrolenhaventhennursesnfulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-
basedn practicenANS:nA
Ann advocaten defendsn orn assertsn anothersn cause,n particularlyn whenn then othern personn lacksn thenability
n ton don thatn forn himselfn orn herself.n Examplesn ofn individualn advocacyn includen helpingn patientsnunderst
andn theirn rightsn orn maken decisions.n Onn an communityn scale,n advocacyn includesn politicalnactivity,n pub
licn speaking,n andn publicationn inn then interestn ofn improvingn then individualsn withn mentalnillness;n then let
ter-
writingn campaignn advocatesn forn thatn causen onn behalfn ofn patientsn whon aren unablentonarticulatentheirno
wnnneeds.
10. Ann informaln groupn ofn patientsn discussn theirn perceptionsn ofn nursingn care.n Whichn commentn best
The Psychiatric Interview 4th Edition Carlat Test Bank
n n n n n n n
(Chaptern 1-
Chaptern 3)Then Initialn Interview:n An Previewn Chaptern 2:n Logisticn Preparations:n Whatn tonDonBeforenthe
n Interview
Chaptern 3:n Then Therapeuticn Alliance:n Whatn Itn Is,n Whyn It'sn Important,n andn Hown ton Establishn ItnMULT
IPLEnCHOICE
1. Whichnoutcome,nfocusednonnrecovery,nwouldnbenexpectedninnthenplannofncarenfornanpatientnliv
ingninnthencommunitynandndiagnosednwithnseriousnandnpersistentnmentalnillness?nWithinn3nmont
hs,nthenpatientnwill:
a. denyn suicidaln ideation.
b. reportn an sensen ofn well-being.
c. taken medicationsn asn prescribed.
d. attendn clinicn appointmentsn onn time.n
ANS:nB
Recoveryn emphasizesn managingn symptoms,n reducingn psychosocialn disability,n andn improvingn rolenpe
rformance.n Then goaln ofn recoveryn isn ton empowern then individualn withn mentaln illnessn ton achieven ansense
n ofn meaningn andn satisfactionn inn lifen andn ton functionn atn then highestn possiblen leveln ofn wellness.nTheninc
orrectn optionsn focusn onn thenclassicnmedicalnmodeln rathern thann recovery.
2. An patientn isn hospitalizedn forn depressionn andn suicidaln ideationn aftern theirn spousen asksn forn and
ivorce.nSelectnthennursesnmostncaringncomment.
a. Letsn discussn somen meansn ofn copingn othern thann suiciden whenn youn haven thesen feelings.
b. In understandn whyn youren son depressed.n Whenn In gotn divorced,n In wasn devastatedn too.
c. Youn shouldn forgetn aboutn yourn marriagen andn moven onn withn yourn life.
d. Hown didn youn getn son depressedn thatn hospitalizationn wasn necessary?n
ANS:nA
Then nursesn communicationn shouldn evidencen caringn andn an commitmentn ton workn withn then patient.nThis
n commitmentn letsn then patientn known then nursen willn help.n Probingn andn advicen aren notn helpfuln orntherape
uticninterventions.
3. Inn then shift-changen report,n ann off-
goingn nursen criticizesn an patientn whon wearsn heavyn makeup.nWhichn commentn byn then nursen whon re
ceivesn then reportn bestn demonstratesn advocacy?
a. Thisn isn an psychiatricn hospital.n Crazinessn isn whatn wen aren alln about.
b. Letsn alln shown acceptancen ofn thisn patientn byn wearingn lotsn ofn makeupn too.
,c. Yourn commentsn aren inconsideraten andn inappropriate.n Keepn then reportn objective.
d. Ourn patientsn needn ourn helpn ton learnn behaviorsn thatn willn helpn themn getn alongn inn society.n
ANS:nD
Acceptingn patientsn needsn forn self-
expressionn andn seekingn ton teachn skillsn thatn willn contributen tontheirn well-
beingn demonstraten respectn andn aren importantn partsn ofn advocacy.n Then on-
comingn nursenneedsn ton taken actionn ton ensuren thatn othersn aren notn prejudicedn againstn then patient.n Hum
orn cann benappropriaten withinn then privacyn ofn an shiftn reportn butn notn atn then expensen ofn respectn forn patie
nts.
Judgingn then off-
goingn nursen inn an criticaln wayn willn createn conflict.n Nursesn mustn shown compassionnforneachnother.
4. An nursen assessesn an newlyn admittedn patientn diagnosedn withn majorn depressiven disorder.n Whichns
tatementnisnannexamplenofnattending?
a. Wen alln haven stressn inn life.n Beingn inn an psychiatricn hospitaln isntn then endn ofn then world.
b. Telln men whyn youn feltn youn hadn ton ben hospitalizedn ton receiven treatmentn forn yourn depression.
c. Youn willn feeln bettern aftern wen getn somen antidepressantn medicationn startedn forn you.
d. Idn liken ton sitn withn youn an whilen son youn mayn feeln moren comfortablen talkingn withn me.n
ANS:nD
Attendingn isn an techniquen thatn demonstratesn then nursesn commitmentn ton then relationshipn andnre
ducesn feelingsn ofn isolation.n Thisn techniquen showsn respectn forn then patientn andn demonstratesncar
ing.n Generalizations,n probing,n andn falsen reassurancesnaren non-therapeutic.
5. An patientn showsn then nursen ann articlen fromn then Internetn aboutn an healthn problem.n Whichncharac
teristicn ofn then webn sitesn addressn mostn alertsn then nursen thatn then siten mayn haven biasedn andnprejudi
cedninformation?
a. Addressn endsn inn .org.
b. Addressn endsn inn .com.
c. Addressn endsn inn .gov.
d. Addressn endsn inn .net.n
ANS:nB
Financialn influencesn onn an siten aren an cluen thatn then informationn mayn ben biased.n .comn atn then endn ofnthe
n addressn indicatesn thatn then siten isn an commercialn one.n .govn indicatesn thatn then siten isn maintainednbyn an
governmentn entity.n .orgn indicatesn thatn then siten isn nonproprietary;n then siten mayn orn mayn notnhaven reli
ablen information,n butn itn doesn notn profitn fromn itsn activities.n .netn cann haven multiple
,meanings.
6. An nursen says,n Whenn In wasn inn school,n In learnedn ton calln upsetn patientsn byn namen tongetn theirnattention
;n however,n In readn an descriptiven researchn studyn thatn saysn thatn thisn approachn doesn notn work.nIn plann ton s
topn callingn patientsn byn name.n Whichn statementn isn then bestn appraisaln ofn thisn nursesncomment?
a. Onen descriptiven researchn studyn rarelyn providesn enoughn evidencen ton changen practice.
b. Staffn nursesn applyn newn researchn findingsn onlyn withn then helpn fromn clinicaln nursen specialists.
c. Newn researchn findingsn shouldn ben incorporatedn inton clinicaln algorithmsn beforen usingn themn innp
ractice.
d. Then nursen misinterpretedn then resultsn ofn then study.n Classicn tenetsn ofn practicen don notn change.n
ANS:nA
Descriptiven researchn findingsn providen evidencen forn practicen butn mustn ben viewedn inn relationn tonothe
rn studiesn beforen practicen changes.n Onen studyn isn notn enough.n Descriptiven studiesn aren lown onnthen hier
archyn ofn evidence.n Clinicaln algorithmsn usen flown chartsn ton managen problemsn andn don notnspecifyn on
en responsen ton an clinicaln problem.n Classicn tenetsn ofn practicen shouldn changen asn researchnfindingsnpro
videnevidencenfornchange.
7. Twon nursingn studentsn discussn careern plansn aftern graduation.n Onen studentn wantsn ton enternpsychia
tricn nursing.n Then othern studentn asks,n Whyn wouldn youn wantn ton ben an psychiatricn nurse?n Allntheyn don i
sn talk.n Youn willn losen yourn skills.n Selectn then bestn responsen byn then studentn interestedn innpsychiatricnn
ursing.
a. Psychiatricn nursesn practicen inn safern environmentsn thann othern specialties.n Nurse-to-
patientn ratiosnmustnbenbetternbecausenofnthennaturenofnpatientsnproblems.
b. Psychiatricn nursesn usen complexn communicationn skills,n asn welln asn criticaln thinking,n ton solven
multidimensionalnproblems.nImnchallengednbynthosensituations.
c. In thinkn In willn ben goodn inn then mentaln healthn field.n In don notn liken clinicaln rotationsn inn school,n son Ind
onnotnwantntoncontinuenthemnafternIngraduate.
d. Psychiatricn nursesn don notn haven ton dealn withn asn muchn painn andn sufferingn asn medicaln surgicalnn
urses.nThatnappealsntonme.
ANS:n B
Then practicen ofn psychiatricn nursingn requiresn an differentn setn ofn skillsn thann medicaln surgicaln nursing,nalt
houghn substantialn overlapn doesn exist.n Psychiatricn nursesn mustn ben ablen ton helpn patientsn withnmedicaln a
ndn mentaln healthn problems,n reflectingn then holisticn perspectiven thesen nursesn mustn have.
, Nurse-
patientn ratiosn andn workloadsn inn psychiatricn settingsn haven increased,n similarn ton othernspecialties.n Psych
iatricn nursingn involvesn clinicaln practice,n notn simplyn documentation.
Psychosocialn painn isn realn andn cann causen asn muchn sufferingn asn physicaln pain.
8. Whichn researchn evidencen wouldn mostn influencen an groupn ofn nursesn ton changen theirn practice?
a. Expertn committeen reportn ofn recommendationsn forn practice
b. Systematicn reviewn ofn randomizedn controlledn trials
c. Nonexperimentaln descriptiven study
d. Criticaln pathwayn
ANS:nB
Researchn findingsn aren gradedn usingn an hierarchyn ofn evidence.n An systematicn reviewn ofn randomizednc
ontrolledn trialsn isn Leveln An andn providesn then strongestn evidencen forn changingn practice.n Expertncom
mitteen recommendationsn andn descriptiven studiesn lendn lessn powerfuln andn influentialn evidence.nAn cri
ticaln pathwayn isn notn evidence;n itn incorporatesn researchn findingsn aftern theyn haven beennanalyzed.
9. An billn introducedn inn Congressn wouldn reducen fundingn forn then caren ofn peoplen diagnosedn withnme
ntaln illnesses.n An groupn ofn nursesn writen lettersn ton theirn electedn representativesn inn oppositionn tonthenl
egislation.nWhichnrolenhaventhennursesnfulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-
basedn practicenANS:nA
Ann advocaten defendsn orn assertsn anothersn cause,n particularlyn whenn then othern personn lacksn thenability
n ton don thatn forn himselfn orn herself.n Examplesn ofn individualn advocacyn includen helpingn patientsnunderst
andn theirn rightsn orn maken decisions.n Onn an communityn scale,n advocacyn includesn politicalnactivity,n pub
licn speaking,n andn publicationn inn then interestn ofn improvingn then individualsn withn mentalnillness;n then let
ter-
writingn campaignn advocatesn forn thatn causen onn behalfn ofn patientsn whon aren unablentonarticulatentheirno
wnnneeds.
10. Ann informaln groupn ofn patientsn discussn theirn perceptionsn ofn nursingn care.n Whichn commentn best
