, FULL TEST BANK FOR THE PSYCHIATRIC INTERVIEW 4TH EDITION
CARLAT NEWEST EDITION WITH QUESTIONS AND WELL GUIDED
ANSWERS VERIFIED BY EXPERTS 100% GUARANTEED PASS.
(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations: What to
Do Before the Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in
the community and diagnosed with serious and persistent mental illness? Within 3 months, the
patient will:
o
.c
a. deny suicidal ideation.
k
b. report a sense of well-being.
n
c. take medications as prescribed.
a
d. attend clinic appointments on time. ANS: B
k t
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
performance. The goal of recovery is to empower the individual with mental illness to achieve a
sense of meaning and satisfaction in life and to function at the highest possible level of wellness.
n
The incorrect options focus on the classic medical model rather than recovery.
a
tb
s
t. e
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce.
Select the nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
w
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
w
d. How did you get so depressed that hospitalization was necessary? ANS: A
w
The nurses communication should evidence caring and a commitment to work with the patient.
This commitment lets the patient know the nurse will help. Probing and advice are not helpful or
therapeutic interventions.
3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup. Which
comment by the nurse who receives the report best demonstrates advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this patient by wearing lots of makeup too.
, c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our patients need our help to learn behaviors that will help them get along in society. ANS: D
Accepting patients needs for self-expression and seeking to teach skills that will contribute to their
well-being demonstrate respect and are important parts of advocacy. The on-coming nurse needs to
take action to ensure that others are not prejudiced against the patient. Humor can be appropriate
within the privacy of a shift report but not at the expense of respect for patients.
Judging the off-going nurse in a critical way will create conflict. Nurses must show compassion for
each other.
o
.c
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
statement is an example of attending?
n k
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
ta
c. You will feel better after we get some antidepressant medication started for you.
k
d. Id like to sit with you a while so you may feel more comfortable talking with me. ANS: D
Attending is a technique that demonstrates the nurses commitment to the relationship and reduces
n
feelings of isolation. This technique shows respect for the patient and demonstrates caring.
a
Generalizations, probing, and false reassurances are non-therapeutic.
b
s t
t. e
5. A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the nurse that the site may have biased and
prejudiced information?
a. Address ends in .org.
w
w
b. Address ends in .com.
w
c. Address ends in .gov.
d. Address ends in .net. ANS: B
Financial influences on a site are a clue that the information may be biased. .com at the end of the
address indicates that the site is a commercial one. .gov indicates that the site is maintained by a
government entity. .org indicates that the site is nonproprietary; the site may or may not have
reliable information, but it does not profit from its activities. .net can have multiple
, meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their attention;
however, I read a descriptive research study that says that this approach does not work. I plan to
stop calling patients by name. Which statement is the best appraisal of this nurses comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using them in
o
.c
practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change.
ANS: A
k
Descriptive research findings provide evidence for practice but must be viewed in relation to
other studies before practice changes. One study i
n
ta
sgx notgx enough.gx Descriptivegx studiesgx aregx lowgx ongxthegx hierarchygx ofgx evidence.gx Clinicalgx algorit
n k
hmsgx usegx flowgx chartsgx togx managegx problemsgx andgx dogx notgxspecifyg x oneg x responsegx togx ag x clinic
algx problem.gx Classicgx tenetsgx ofgx practiceg x shouldgx changeg x asgx researchgxfindingsgxprovidegxeviden
cegxforgxchange.
b a
s t
t. e
7. Twogx nursinggx studentsgx discussgx careergx plansgx aftergx graduation.gx Onegx studentgx wantsgx togx ent
ergxpsychiatricgx nursing.gx Thegx othergx studentgx asks,gx Whygx wouldgx yougx wantg x togx begx agx psychiat
ricgx nurse?gx Allgxtheygx dogx isgx talk.gx Yougx willgx losegx yourgx skills.gx Selectgx thegx bestgx responsegx bygx t
w
hegx studentgx interestedgx ingxpsychiatricgxnursing.
w
a. Psychiatricgx nursesgx practicegx ingx saferg x environmentsg x thang x otherg x specialties.g x Nurse-to-
w
patientgx ratiosgxmustgxbegxbettergx becausegxofgx thegxnaturegx ofgxpatientsgxproblems.
b. Psychiatricgx nursesgx usegx complexgx communicationg x skills,g x asgx wellg x asgx criticalg x thinking,g
x togx solvegxmultidimensionalgxproblems.gx Imgx challengedgx bygx thosegx situations.
c. Igx thinkgx Igx willgx begx goodgx ingx thegx mentalgx healthgx field.gx Igx dogx notgx likegx clinicalgx rotationsgx i
ngx school,gx sogx IgxdogxnotgxwantgxtogxcontinuegxthemgxaftergxIgxgraduate.
d. Psychiatricgx nursesgx dogx notgx havegx togx dealgx withgx asg x muchgx paingx andgx sufferinggx asgx medi
calgx surgicalgxnurses.gxThatgxappealsgx togxme.
ANS:gx B
Thegx practicegx ofgx psychiatricgx nursinggx requiresg x agx differentg x setg x ofgx skillsg x thangx medicalg x surgical
gx nursing,gxalthoughgx substantialgx overlapgx doesgx exist.g x Psychiatricgx nursesgx mustgx begx ablegx togx helpgx p
atientsgx withgxmedicalgx andgx mentalgx healthgx problems,gx reflectinggx thegx holisticgx perspectivegx thesegx
nursesgx mustgx have.
CARLAT NEWEST EDITION WITH QUESTIONS AND WELL GUIDED
ANSWERS VERIFIED BY EXPERTS 100% GUARANTEED PASS.
(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations: What to
Do Before the Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living in
the community and diagnosed with serious and persistent mental illness? Within 3 months, the
patient will:
o
.c
a. deny suicidal ideation.
k
b. report a sense of well-being.
n
c. take medications as prescribed.
a
d. attend clinic appointments on time. ANS: B
k t
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
performance. The goal of recovery is to empower the individual with mental illness to achieve a
sense of meaning and satisfaction in life and to function at the highest possible level of wellness.
n
The incorrect options focus on the classic medical model rather than recovery.
a
tb
s
t. e
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divorce.
Select the nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
w
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget about your marriage and move on with your life.
w
d. How did you get so depressed that hospitalization was necessary? ANS: A
w
The nurses communication should evidence caring and a commitment to work with the patient.
This commitment lets the patient know the nurse will help. Probing and advice are not helpful or
therapeutic interventions.
3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup. Which
comment by the nurse who receives the report best demonstrates advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
b. Lets all show acceptance of this patient by wearing lots of makeup too.
, c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our patients need our help to learn behaviors that will help them get along in society. ANS: D
Accepting patients needs for self-expression and seeking to teach skills that will contribute to their
well-being demonstrate respect and are important parts of advocacy. The on-coming nurse needs to
take action to ensure that others are not prejudiced against the patient. Humor can be appropriate
within the privacy of a shift report but not at the expense of respect for patients.
Judging the off-going nurse in a critical way will create conflict. Nurses must show compassion for
each other.
o
.c
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
statement is an example of attending?
n k
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
ta
c. You will feel better after we get some antidepressant medication started for you.
k
d. Id like to sit with you a while so you may feel more comfortable talking with me. ANS: D
Attending is a technique that demonstrates the nurses commitment to the relationship and reduces
n
feelings of isolation. This technique shows respect for the patient and demonstrates caring.
a
Generalizations, probing, and false reassurances are non-therapeutic.
b
s t
t. e
5. A patient shows the nurse an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the nurse that the site may have biased and
prejudiced information?
a. Address ends in .org.
w
w
b. Address ends in .com.
w
c. Address ends in .gov.
d. Address ends in .net. ANS: B
Financial influences on a site are a clue that the information may be biased. .com at the end of the
address indicates that the site is a commercial one. .gov indicates that the site is maintained by a
government entity. .org indicates that the site is nonproprietary; the site may or may not have
reliable information, but it does not profit from its activities. .net can have multiple
, meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their attention;
however, I read a descriptive research study that says that this approach does not work. I plan to
stop calling patients by name. Which statement is the best appraisal of this nurses comment?
a. One descriptive research study rarely provides enough evidence to change practice.
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
c. New research findings should be incorporated into clinical algorithms before using them in
o
.c
practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change.
ANS: A
k
Descriptive research findings provide evidence for practice but must be viewed in relation to
other studies before practice changes. One study i
n
ta
sgx notgx enough.gx Descriptivegx studiesgx aregx lowgx ongxthegx hierarchygx ofgx evidence.gx Clinicalgx algorit
n k
hmsgx usegx flowgx chartsgx togx managegx problemsgx andgx dogx notgxspecifyg x oneg x responsegx togx ag x clinic
algx problem.gx Classicgx tenetsgx ofgx practiceg x shouldgx changeg x asgx researchgxfindingsgxprovidegxeviden
cegxforgxchange.
b a
s t
t. e
7. Twogx nursinggx studentsgx discussgx careergx plansgx aftergx graduation.gx Onegx studentgx wantsgx togx ent
ergxpsychiatricgx nursing.gx Thegx othergx studentgx asks,gx Whygx wouldgx yougx wantg x togx begx agx psychiat
ricgx nurse?gx Allgxtheygx dogx isgx talk.gx Yougx willgx losegx yourgx skills.gx Selectgx thegx bestgx responsegx bygx t
w
hegx studentgx interestedgx ingxpsychiatricgxnursing.
w
a. Psychiatricgx nursesgx practicegx ingx saferg x environmentsg x thang x otherg x specialties.g x Nurse-to-
w
patientgx ratiosgxmustgxbegxbettergx becausegxofgx thegxnaturegx ofgxpatientsgxproblems.
b. Psychiatricgx nursesgx usegx complexgx communicationg x skills,g x asgx wellg x asgx criticalg x thinking,g
x togx solvegxmultidimensionalgxproblems.gx Imgx challengedgx bygx thosegx situations.
c. Igx thinkgx Igx willgx begx goodgx ingx thegx mentalgx healthgx field.gx Igx dogx notgx likegx clinicalgx rotationsgx i
ngx school,gx sogx IgxdogxnotgxwantgxtogxcontinuegxthemgxaftergxIgxgraduate.
d. Psychiatricgx nursesgx dogx notgx havegx togx dealgx withgx asg x muchgx paingx andgx sufferinggx asgx medi
calgx surgicalgxnurses.gxThatgxappealsgx togxme.
ANS:gx B
Thegx practicegx ofgx psychiatricgx nursinggx requiresg x agx differentg x setg x ofgx skillsg x thangx medicalg x surgical
gx nursing,gxalthoughgx substantialgx overlapgx doesgx exist.g x Psychiatricgx nursesgx mustgx begx ablegx togx helpgx p
atientsgx withgxmedicalgx andgx mentalgx healthgx problems,gx reflectinggx thegx holisticgx perspectivegx thesegx
nursesgx mustgx have.
