TEST BANK n
THE PSYCHIATRIC
n n
INTERVIEW
4th Edition Daniel J. Carlat
n n n n
TEST BANK n
,ThenPsychiatricnInterviewn4thnEditionnCarlatnTestnBankn
(Chaptern 1-Chaptern 3)
Chaptern1:nThen Initialn Interview:n An Preview
Chaptern 2:n Logisticn Preparations:n Whatn toDonBeforenthenInterview
Chaptern 3:n Then Therapeuticn Alliance:n Whatn Itn Is,n Whyn It'sn Important,n andn Hown ton Establishn It
MULTIPLEnCHOICE
1. Whichnoutcome,nfocusednonnrecovery,nwouldnbenexpectedninnthenplannofncarenfornanpatientnli
vingninnthencommunitynandndiagnosednwithnseriousnandnpersistentnmentalnillness?nWithinn3nmo
nths,nthenpatientnwill:
a. denyn suicidaln ideation.
b. reportnan sensen ofnwell-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 rolenp
erformance.n Then goaln ofn recoveryn isn ton empowern then individualn withn mentaln illnessn ton achieven ansen
sen ofnmeaningn andn satisfactionn inn lifen andn ton functionn atn then highestn possiblen leveln ofn wellness.nTheni
ncorrectn optionsnfocusn onnthenclassicnmedicaln modeln rathernthann 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 caringnandn an commitmentn ton workn withn then patient.nTh
isn commitmentn letsn then patientn known then nursen willn help.n Probingn andn advicen aren notn helpfuln ornthera
peuticninterventions.
3. Inn then shift-changen report,n ann off-
goingn nursen criticizesn an patientn whon wearsn heavyn makeup.nWhichncommentn bynthen nursen whonre
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
Acceptingnpatientsn needsn forn self-
expressionn andn seekingn tonteachn 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 privacynofnan shiftn reportn butn notn atn then expensen ofnrespectn 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
tatementnisnannexamplen ofnattending?
a. Wen alln haven stressn inn life.n Beingninn an psychiatricn hospitaln isntnthen 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 afternwen getn somen antidepressantn medicationn startedn forn you.
d. Idn liken ton sitn withn youn an whilen son youn mayn feeln moren comfortablen talkingn withnme.n
ANS:nD
Attendingn isn an techniquen thatn demonstratesn then nursesn commitmentn ton then relationshipn andnreduces
n feelingsn ofn isolation.n Thisn techniquen showsn respectn forn then patientn andn demonstratesncaring.n Gener
alizations,nprobing,nandn falsen reassurancesnaren non-therapeutic.
5. An patientn showsnthen nursenann articlen fromn then Internetn aboutn an healthn problem.nWhichncharac
teristicn ofn then webn sitesn addressn mostn alertsn then nursen thatn then siten mayn haven biasedn andnprejudic
edninformation?
a. Addressn endsn inn .org.
b. Addressn endsn inn .com.
c. Addressnendsn 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 ofnthen
addressn indicatesn thatn then siten isn an commercialn one.n .govn indicatesn thatn then siten isn maintainednbynan g
overnmentn entity.n .orgn indicatesn thatn then siten isn nonproprietary;n then siten mayn orn mayn notnhaven relia
blen information,n butn itn doesn notn profitn fromn itsnactivities.n .netn cann haven multiple
, meanings.
6. Annursen says,n Whenn Inwasn innschool,n Inlearnedntoncallnupsetn patientsn bynnamenton getn theirnattention
;n however,n In readn an descriptiven researchn studyn thatn saysn thatn thisn approachn doesn notn work.nInplann tons
topn callingn patientsn bynname.n Whichn statementn isn then bestnappraisalnofnthisn 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 innrelationn 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 plansnaftern graduation.n Onen studentn wantsnton enternpsychia
tricn nursing.n Then othern studentn asks,n Whyn wouldn youn wantn ton ben an psychiatricn nurse?n Allntheyndon i
sn talk.n Youn willn losen yourn skills.n Selectn thenbestn 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.nImnchallengednbynthosen situations.
c. Inthinkn Inwilln ben goodn inn then mentaln healthn field.n Indonnotn liken clinicaln rotationsn inn school,n son Ind
onnotnwantntoncontinuenthemnafternIngraduate.
d. Psychiatricn nursesn don notnhaven 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,na
lthoughn substantialn overlapn doesn exist.n Psychiatricn nursesn mustn ben ablen tonhelpnpatientsn withnmedica
ln andn mentaln healthn problems,n reflectingn then holisticn perspectiven thesen nursesn mustn have.
THE PSYCHIATRIC
n n
INTERVIEW
4th Edition Daniel J. Carlat
n n n n
TEST BANK n
,ThenPsychiatricnInterviewn4thnEditionnCarlatnTestnBankn
(Chaptern 1-Chaptern 3)
Chaptern1:nThen Initialn Interview:n An Preview
Chaptern 2:n Logisticn Preparations:n Whatn toDonBeforenthenInterview
Chaptern 3:n Then Therapeuticn Alliance:n Whatn Itn Is,n Whyn It'sn Important,n andn Hown ton Establishn It
MULTIPLEnCHOICE
1. Whichnoutcome,nfocusednonnrecovery,nwouldnbenexpectedninnthenplannofncarenfornanpatientnli
vingninnthencommunitynandndiagnosednwithnseriousnandnpersistentnmentalnillness?nWithinn3nmo
nths,nthenpatientnwill:
a. denyn suicidaln ideation.
b. reportnan sensen ofnwell-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 rolenp
erformance.n Then goaln ofn recoveryn isn ton empowern then individualn withn mentaln illnessn ton achieven ansen
sen ofnmeaningn andn satisfactionn inn lifen andn ton functionn atn then highestn possiblen leveln ofn wellness.nTheni
ncorrectn optionsnfocusn onnthenclassicnmedicaln modeln rathernthann 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 caringnandn an commitmentn ton workn withn then patient.nTh
isn commitmentn letsn then patientn known then nursen willn help.n Probingn andn advicen aren notn helpfuln ornthera
peuticninterventions.
3. Inn then shift-changen report,n ann off-
goingn nursen criticizesn an patientn whon wearsn heavyn makeup.nWhichncommentn bynthen nursen whonre
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
Acceptingnpatientsn needsn forn self-
expressionn andn seekingn tonteachn 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 privacynofnan shiftn reportn butn notn atn then expensen ofnrespectn 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
tatementnisnannexamplen ofnattending?
a. Wen alln haven stressn inn life.n Beingninn an psychiatricn hospitaln isntnthen 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 afternwen getn somen antidepressantn medicationn startedn forn you.
d. Idn liken ton sitn withn youn an whilen son youn mayn feeln moren comfortablen talkingn withnme.n
ANS:nD
Attendingn isn an techniquen thatn demonstratesn then nursesn commitmentn ton then relationshipn andnreduces
n feelingsn ofn isolation.n Thisn techniquen showsn respectn forn then patientn andn demonstratesncaring.n Gener
alizations,nprobing,nandn falsen reassurancesnaren non-therapeutic.
5. An patientn showsnthen nursenann articlen fromn then Internetn aboutn an healthn problem.nWhichncharac
teristicn ofn then webn sitesn addressn mostn alertsn then nursen thatn then siten mayn haven biasedn andnprejudic
edninformation?
a. Addressn endsn inn .org.
b. Addressn endsn inn .com.
c. Addressnendsn 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 ofnthen
addressn indicatesn thatn then siten isn an commercialn one.n .govn indicatesn thatn then siten isn maintainednbynan g
overnmentn entity.n .orgn indicatesn thatn then siten isn nonproprietary;n then siten mayn orn mayn notnhaven relia
blen information,n butn itn doesn notn profitn fromn itsnactivities.n .netn cann haven multiple
, meanings.
6. Annursen says,n Whenn Inwasn innschool,n Inlearnedntoncallnupsetn patientsn bynnamenton getn theirnattention
;n however,n In readn an descriptiven researchn studyn thatn saysn thatn thisn approachn doesn notn work.nInplann tons
topn callingn patientsn bynname.n Whichn statementn isn then bestnappraisalnofnthisn 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 innrelationn 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 plansnaftern graduation.n Onen studentn wantsnton enternpsychia
tricn nursing.n Then othern studentn asks,n Whyn wouldn youn wantn ton ben an psychiatricn nurse?n Allntheyndon i
sn talk.n Youn willn losen yourn skills.n Selectn thenbestn 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.nImnchallengednbynthosen situations.
c. Inthinkn Inwilln ben goodn inn then mentaln healthn field.n Indonnotn liken clinicaln rotationsn inn school,n son Ind
onnotnwantntoncontinuenthemnafternIngraduate.
d. Psychiatricn nursesn don notnhaven 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,na
lthoughn substantialn overlapn doesn exist.n Psychiatricn nursesn mustn ben ablen tonhelpnpatientsn withnmedica
ln andn mentaln healthn problems,n reflectingn then holisticn perspectiven thesen nursesn mustn have.
