test bank for the psychiatric interview 4thedition daniel_j._carlat.

TESTBANK Y




THE PSYCHIATRIC I
Y Y




NTERVIEW
4th Edition Daniel J. Carlat
Y Y Y Y




TESTBANK Y

,TheYPsychiatricYInterviewY4thYEditionYCarlatYTestYBankY(Chapt
erY1-ChapterY3)

ChapterY1:YTheY InitialY Interview:Y AY Preview
ChapterY 2:Y LogisticY Preparations:Y WhatY toDoYBeforeYtheYInterview
ChapterY3:Y TheYTherapeuticY Alliance:Y WhatY ItY Is,Y WhyYIt'sY Important,YandYHowY toY EstablishY It

MULTIPLEYCHOICE

1. WhichYoutcome,YfocusedYonYrecovery,YwouldYbeYexpectedYinYtheYplanYofYcareYforYaYpatien
tYlivingYinYtheYcommunityYandYdiagnosedYwithYseriousYandYpersistentYmentalYillness?YWithin
3Ymonths,YtheYpatientYwill:
Y


a. denyYsuicidalY ideation.
b. reportYaYsenseYofYwell-being.
c. takeY medicationsY asY prescribed.
d. attendYclinicYappointmentsYonYtime.
ANS:YB
Y


RecoveryYemphasizesYmanagingYsymptoms,YreducingYpsychosocialYdisability,YandYimprovingYrol
eYperformance.YTheYgoalYofYrecoveryYisYtoYempowerYtheYindividualYwithYmentalYillnessYtoYachiev
eYaYsenseYofYmeaningYandYsatisfactionYinYlifeYandYtoYfunctionYatYtheYhighestYpossibleYlevelYofYwel
lness.YTheYincorrectYoptionsYfocusYonYtheYclassicYmedicalYmodelYratherYthanYrecovery.




2. AYpatientYisYhospitalizedYforYdepressionYandYsuicidalYideationYafterYtheirYspouseYasksYforY
aYdivorce.YSelectYtheYnursesYmostYcaringYcomment.
a. LetsYdiscussY someY meansYofYcopingYotherYthanYsuicideY whenY youY haveY theseY feelings.
b. IYunderstandY whyY youreY soY depressed.YWhenY IY gotY divorced,Y IYwasY devastatedYtoo.
c. YouYshouldYforgetYaboutYyourYmarriageY andYmoveYonYwithY yourYlife.
d. HowYdidYyouYgetYsoYdepressedYthatYhospitalizationYwasYnecessary
?YANS:YA
TheYnursesYcommunicationYshouldYevidenceYcaringYandYaYcommitmentYtoYworkYwithYtheYpatient.
ThisYcommitmentYletsYtheYpatientYknowYtheYnurseYwillYhelp.YProbingYandYadviceYareYnotYhelpful
Y


orYtherapeuticYinterventions.
Y




3. InYtheYshift-changeYreport,YanYoff-
goingYnurseYcriticizesYaYpatientYwhoYwearsYheavyYmakeup.YWhichYcommentYbyYtheYnurseYwho
receivesYtheYreportYbestYdemonstratesYadvocacy?
Y


a. ThisYisYaYpsychiatricY hospital.YCrazinessYisYwhatYweYareYallYabout.
b. LetsYallY showYacceptanceYofYthisYpatientY byYwearingY lotsYofYmakeupYtoo.

,c. YourY commentsY areY inconsiderateY andY inappropriate.Y KeepY theY reportY objective.
d. OurYpatientsYneedYourYhelpYtoYlearnYbehaviorsYthatYwillYhelpYthemYgetYalongYinYsociet
y.YANS:YD
AcceptingYpatientsYneedsYforYself-
expressionYandYseekingYtoYteachYskillsYthatYwillYcontributeYtoYtheirYwell-
beingYdemonstrateYrespectYandYareYimportantYpartsYofYadvocacy.YTheYon-
comingYnurseYneedsYtoYtakeYactionYtoYensureYthatYothersYareYnotYprejudicedYagainstYtheYpatient.Y
HumorYcanYbeYappropriateYwithinYtheYprivacyYofYaYshiftYreportYbutYnotYatYtheYexpenseYofYrespect
forYpatients.
Y


JudgingYtheYoff-
goingYnurseYinYaYcriticalYwayYwillYcreateYconflict.YNursesYmustYshowYcompassionYforYeachYother.




4. AYnurseYassessesYaYnewlyYadmittedYpatientYdiagnosedYwithYmajorYdepressiveYdisorder.YWhich
statementYisYanYexampleYofYattending?
Y


a. WeYallYhaveYstressYinYlife.YBeingYinYaYpsychiatricY hospitalY isntYtheYendYofYtheY world.
b. TellYmeYwhyYyouY feltY youYhadY toYbeY hospitalizedYtoYreceiveY treatmentYforY yourY depression.
c. YouYwillY feelY betterYafterYweY getY someYantidepressantYmedicationY startedYforYyou.
d. IdYlikeYtoYsitYwithYyouYaYwhileYsoYyouYmayYfeelYmoreYcomfortableYtalkingYwithYm
e.YANS:YD
AttendingYisYaYtechniqueYthatYdemonstratesYtheYnursesYcommitmentYtoYtheYrelationshipYandYredu
cesYfeelingsYofYisolation.YThisYtechniqueYshowsYrespectYforYtheYpatientYandYdemonstratesYcaring.
Generalizations,Yprobing,YandYfalseYreassurancesYareYnon-therapeutic.
Y




5. AYpatientYshowsYtheYnurseYanYarticleYfromYtheYInternetYaboutYaYhealthYproblem.YWhichYcha
racteristicYofYtheYwebYsitesYaddressYmostYalertsYtheYnurseYthatYtheYsiteYmayYhaveYbiasedYandYp
rejudicedYinformation?
a. AddressYendsYinY.org.
b. AddressYendsYinY .com.
c. AddressYendsYinY .gov.
d. AddressYendsYinY.net
.YANS:YB
FinancialYinfluencesYonYaYsiteYareYaYclueYthatYtheYinformationYmayYbeYbiased.Y.comYatYtheYendYo
fYtheYaddressYindicatesYthatYtheYsiteYisYaYcommercialYone.Y.govYindicatesYthatYtheYsiteYisYmaintain
edYbyYaYgovernmentYentity.Y.orgYindicatesYthatYtheYsiteYisYnonproprietary;YtheYsiteYmayYorYmayYn
otYhaveYreliableYinformation,YbutYitYdoesYnotYprofitYfromYitsYactivities.Y.netYcanYhaveYmultiple

, meanings.




6. AYnurseYsays,YWhenYIYwasYinYschool,YIYlearnedYtoYcallYupsetYpatientsYbyYnameYtoYgetYtheirYatten
tion;Yhowever,YIYreadYaY descriptiveY researchYstudyYthatY saysYthatY thisYapproachYdoesYnotYwork.Y IY
planYtoYstopYcallingYpatientsYbyYname.YWhichYstatementYisYtheYbestYappraisalYofYthisYnursesYcomm
ent?
a. OneY descriptiveY researchYstudyYrarelyYprovidesY enoughY evidenceY toY changeY practice.
b. StaffYnursesYapplyYnewYresearchY findingsYonlyYwithYtheY helpYfromY clinicalYnurseY specialists.
c. NewYresearchYfindingsYshouldYbeYincorporatedYintoYclinicalYalgorithmsYbeforeYusingYthemYi
nYpractice.
d. TheYnurseYmisinterpretedYtheYresultsYofYtheYstudy.YClassicYtenetsYofYpracticeYdoYnotYchange
.YANS:YA
DescriptiveYresearchYfindingsYprovideYevidenceYforYpracticeYbutYmustYbeYviewedYinYrelationYtoYo
therYstudiesYbeforeYpracticeYchanges.YOneYstudyYisYnotYenough.YDescriptiveYstudiesYareYlowYonYt
heYhierarchyYofYevidence.YClinicalYalgorithmsYuseYflowYchartsYtoYmanageYproblemsYandYdoYnotY
specifyYoneYresponseYtoYaYclinicalYproblem.YClassicYtenetsYofYpracticeYshouldYchangeYasYresearc
hYfindingsYprovideYevidenceYforYchange.




7. TwoYnursingYstudentsYdiscussYcareerYplansYafterYgraduation.YOneYstudentYwantsYtoYenterYpsyc
hiatricYnursing.YTheYotherYstudentYasks,YWhyYwouldYyouYwantYtoYbeYaYpsychiatricYnurse?YAllYthe
yYdoYisYtalk.YYouYwillYloseYyourYskills.YSelectYtheYbestYresponseYbyYtheYstudentYinterestedYinYpsy
chiatricYnursing.
a. PsychiatricYnursesYpracticeYinYsaferYenvironmentsYthanYotherYspecialties.YNurse-to-
patientYratiosYmustYbeYbetterYbecauseYofYtheYnatureYofYpatientsYproblems.
b. PsychiatricYnursesYuseYcomplexYcommunicationYskills,YasYwellYasYcriticalYthinking,YtoYsolv
eYmultidimensionalYproblems.YImYchallengedYbyYthoseYsituations.
c. IYthinkYIYwillYbeYgoodYinYtheYmentalYhealthYfield.YIYdoYnotYlikeYclinicalYrotationsYinYschool,Yso
I doYnotYwantYtoYcontinueYthemYafterYIYgraduate.
Y Y


d. PsychiatricYnursesYdoYnotYhaveYtoYdealYwithYasYmuchYpainYandYsufferingYasYmedicalYsurgic
alYnurses.YThatYappealsYtoYme.
ANS:YB
TheYpracticeYofYpsychiatricYnursingYrequiresYaYdifferentYsetYofYskillsYthanYmedicalYsurgicalYnursin
g,YalthoughYsubstantialYoverlapYdoesYexist.YPsychiatricYnursesYmustYbeYableYtoYhelpYpatientsYwith
medicalYandYmentalYhealthYproblems,YreflectingYtheYholisticYperspectiveYtheseYnursesYmustYhave.
Y