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

TESTBANK Q




THE PSYCHIATRIC I
Q Q




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




TESTBANK Q

,TheQPsychiatricQInterviewQ4thQEditionQCarlatQTestQBankQ(Chap
terQ1-ChapterQ3)

ChapterQ1:QTheQ InitialQ Interview:Q AQ Preview
ChapterQ 2:Q LogisticQ Preparations:Q WhatQ toDoQBeforeQtheQInterview
ChapterQ3:Q TheQTherapeuticQ Alliance:Q WhatQ ItQ Is,Q WhyQIt'sQ Important,QandQHowQ toQ EstablishQ It

MULTIPLEQCHOICE

1. WhichQoutcome,QfocusedQonQrecovery,QwouldQbeQexpectedQinQtheQplanQofQcareQforQaQpatien
tQlivingQinQtheQcommunityQandQdiagnosedQwithQseriousQandQpersistentQmentalQillness?QWithin
3Qmonths,QtheQpatientQwill:
Q


a. denyQsuicidalQ ideation.
b. reportQaQsenseQofQwell-being.
c. takeQ medicationsQ asQ prescribed.
d. attendQclinicQappointmentsQonQtime.
ANS:QB
Q


RecoveryQemphasizesQmanagingQsymptoms,QreducingQpsychosocialQdisability,QandQimprovingQrol
eQperformance.QTheQgoalQofQrecoveryQisQtoQempowerQtheQindividualQwithQmentalQillnessQtoQachiev
eQaQsenseQofQmeaningQandQsatisfactionQinQlifeQandQtoQfunctionQatQtheQhighestQpossibleQlevelQofQwel
lness.QTheQincorrectQoptionsQfocusQonQtheQclassicQmedicalQmodelQratherQthanQrecovery.




2. AQpatientQisQhospitalizedQforQdepressionQandQsuicidalQideationQafterQtheirQspouseQasksQforQ
aQdivorce.QSelectQtheQnursesQmostQcaringQcomment.
a. LetsQdiscussQ someQ meansQofQcopingQotherQthanQsuicideQ whenQ youQ haveQ theseQ feelings.
b. IQunderstandQ whyQ youreQ soQ depressed.QWhenQ IQ gotQ divorced,Q IQwasQ devastatedQtoo.
c. YouQshouldQforgetQaboutQyourQmarriageQ andQmoveQonQwithQ yourQlife.
d. HowQdidQyouQgetQsoQdepressedQthatQhospitalizationQwasQnecessary
?QANS:QA
TheQnursesQcommunicationQshouldQevidenceQcaringQandQaQcommitmentQtoQworkQwithQtheQpatient.
ThisQcommitmentQletsQtheQpatientQknowQtheQnurseQwillQhelp.QProbingQandQadviceQareQnotQhelpful
Q


orQtherapeuticQinterventions.
Q




3. InQtheQshift-changeQreport,QanQoff-
goingQnurseQcriticizesQaQpatientQwhoQwearsQheavyQmakeup.QWhichQcommentQbyQtheQnurseQwho
receivesQtheQreportQbestQdemonstratesQadvocacy?
Q


a. ThisQisQaQpsychiatricQ hospital.QCrazinessQisQwhatQweQareQallQabout.
b. LetsQallQ showQacceptanceQofQthisQpatientQ byQwearingQ lotsQofQmakeupQtoo.

,c. YourQ commentsQ areQ inconsiderateQ andQ inappropriate.Q KeepQ theQ reportQ objective.
d. OurQpatientsQneedQourQhelpQtoQlearnQbehaviorsQthatQwillQhelpQthemQgetQalongQinQsociet
y.QANS:QD
AcceptingQpatientsQneedsQforQself-
expressionQandQseekingQtoQteachQskillsQthatQwillQcontributeQtoQtheirQwell-
beingQdemonstrateQrespectQandQareQimportantQpartsQofQadvocacy.QTheQon-
comingQnurseQneedsQtoQtakeQactionQtoQensureQthatQothersQareQnotQprejudicedQagainstQtheQpatient.Q
HumorQcanQbeQappropriateQwithinQtheQprivacyQofQaQshiftQreportQbutQnotQatQtheQexpenseQofQrespect
forQpatients.
Q


JudgingQtheQoff-
goingQnurseQinQaQcriticalQwayQwillQcreateQconflict.QNursesQmustQshowQcompassionQforQeachQother.




4. AQnurseQassessesQaQnewlyQadmittedQpatientQdiagnosedQwithQmajorQdepressiveQdisorder.QWhich
statementQisQanQexampleQofQattending?
Q


a. WeQallQhaveQstressQinQlife.QBeingQinQaQpsychiatricQ hospitalQ isntQtheQendQofQtheQ world.
b. TellQmeQwhyQyouQ feltQ youQhadQ toQbeQ hospitalizedQtoQreceiveQ treatmentQforQ yourQ depression.
c. YouQwillQ feelQ betterQafterQweQ getQ someQantidepressantQmedicationQ startedQforQyou.
d. IdQlikeQtoQsitQwithQyouQaQwhileQsoQyouQmayQfeelQmoreQcomfortableQtalkingQwithQm
e.QANS:QD
AttendingQisQaQtechniqueQthatQdemonstratesQtheQnursesQcommitmentQtoQtheQrelationshipQandQredu
cesQfeelingsQofQisolation.QThisQtechniqueQshowsQrespectQforQtheQpatientQandQdemonstratesQcaring.
Generalizations,Qprobing,QandQfalseQreassurancesQareQnon-therapeutic.
Q




5. AQpatientQshowsQtheQnurseQanQarticleQfromQtheQInternetQaboutQaQhealthQproblem.QWhichQcha
racteristicQofQtheQwebQsitesQaddressQmostQalertsQtheQnurseQthatQtheQsiteQmayQhaveQbiasedQandQp
rejudicedQinformation?
a. AddressQendsQinQ.org.
b. AddressQendsQinQ .com.
c. AddressQendsQinQ .gov.
d. AddressQendsQinQ.net
.QANS:QB
FinancialQinfluencesQonQaQsiteQareQaQclueQthatQtheQinformationQmayQbeQbiased.Q.comQatQtheQendQo
fQtheQaddressQindicatesQthatQtheQsiteQisQaQcommercialQone.Q.govQindicatesQthatQtheQsiteQisQmaintain
edQbyQaQgovernmentQentity.Q.orgQindicatesQthatQtheQsiteQisQnonproprietary;QtheQsiteQmayQorQmayQn
otQhaveQreliableQinformation,QbutQitQdoesQnotQprofitQfromQitsQactivities.Q.netQcanQhaveQmultiple

, meanings.




6. AQnurseQsays,QWhenQIQwasQinQschool,QIQlearnedQtoQcallQupsetQpatientsQbyQnameQtoQgetQtheirQatten
tion;Qhowever,QIQreadQaQ descriptiveQ researchQstudyQthatQ saysQthatQ thisQapproachQdoesQnotQwork.Q IQ
planQtoQstopQcallingQpatientsQbyQname.QWhichQstatementQisQtheQbestQappraisalQofQthisQnursesQcomm
ent?
a. OneQ descriptiveQ researchQstudyQrarelyQprovidesQ enoughQ evidenceQ toQ changeQ practice.
b. StaffQnursesQapplyQnewQresearchQ findingsQonlyQwithQtheQ helpQfromQ clinicalQnurseQ specialists.
c. NewQresearchQfindingsQshouldQbeQincorporatedQintoQclinicalQalgorithmsQbeforeQusingQthemQi
nQpractice.
d. TheQnurseQmisinterpretedQtheQresultsQofQtheQstudy.QClassicQtenetsQofQpracticeQdoQnotQchange
.QANS:QA
DescriptiveQresearchQfindingsQprovideQevidenceQforQpracticeQbutQmustQbeQviewedQinQrelationQtoQo
therQstudiesQbeforeQpracticeQchanges.QOneQstudyQisQnotQenough.QDescriptiveQstudiesQareQlowQonQt
heQhierarchyQofQevidence.QClinicalQalgorithmsQuseQflowQchartsQtoQmanageQproblemsQandQdoQnotQ
specifyQoneQresponseQtoQaQclinicalQproblem.QClassicQtenetsQofQpracticeQshouldQchangeQasQresearc
hQfindingsQprovideQevidenceQforQchange.




7. TwoQnursingQstudentsQdiscussQcareerQplansQafterQgraduation.QOneQstudentQwantsQtoQenterQpsyc
hiatricQnursing.QTheQotherQstudentQasks,QWhyQwouldQyouQwantQtoQbeQaQpsychiatricQnurse?QAllQthe
yQdoQisQtalk.QYouQwillQloseQyourQskills.QSelectQtheQbestQresponseQbyQtheQstudentQinterestedQinQpsy
chiatricQnursing.
a. PsychiatricQnursesQpracticeQinQsaferQenvironmentsQthanQotherQspecialties.QNurse-to-
patientQratiosQmustQbeQbetterQbecauseQofQtheQnatureQofQpatientsQproblems.
b. PsychiatricQnursesQuseQcomplexQcommunicationQskills,QasQwellQasQcriticalQthinking,QtoQsolv
eQmultidimensionalQproblems.QImQchallengedQbyQthoseQsituations.
c. IQthinkQIQwillQbeQgoodQinQtheQmentalQhealthQfield.QIQdoQnotQlikeQclinicalQrotationsQinQschool,Qso
I doQnotQwantQtoQcontinueQthemQafterQIQgraduate.
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d. PsychiatricQnursesQdoQnotQhaveQtoQdealQwithQasQmuchQpainQandQsufferingQasQmedicalQsurgic
alQnurses.QThatQappealsQtoQme.
ANS:QB
TheQpracticeQofQpsychiatricQnursingQrequiresQaQdifferentQsetQofQskillsQthanQmedicalQsurgicalQnursin
g,QalthoughQsubstantialQoverlapQdoesQexist.QPsychiatricQnursesQmustQbeQableQtoQhelpQpatientsQwith
medicalQandQmentalQhealthQproblems,QreflectingQtheQholisticQperspectiveQtheseQnursesQmustQhave.
Q