Test Bank For The Psychiatric Interview 4th Edition by Daniel J. Carlat 9781496327710 Chapter 1-34 Complete Guide.,Test Bank For The Psychiatric Interview 4th Edition by Daniel J. Carlat 9781496327710 Chapter 1-34 Complete Guide.

TESTBANK 2
c




THE PSYCHIATRIC I
c2 c2




NTERVIEW
4th Edition Daniel J. Carlat
c2 c2 c2 c2




TESTBANK 2
c

,The Psychiatric Interview 4th Edition Carlat Test Bank (Chap
c2 c2 c2 c2 c2 c2 c2 c2


ter 1-Chapter 3)
c2 c2




Chapter 1: The Initial Interview: A Preview
c2 c2 c2 c2 c2 c2


Chapter 2: Logistic Preparations: What toDo Before the Interview
c2 c2 c2 c2 c2 c2 c2 c2


Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2




MULTIPLE CHOICE c2




1. Which outcome, focused on recovery, would be expected in the plan of care for a patie
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



nt living in the community and diagnosed with serious and persistent mental illness? With
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



in 3 months, the patient will:
c2 c2 c2 c2 c2



a. deny suicidal ideation. c2 c2



b. report a sense of well-being. c2 c2 c2 c2



c. take medications as prescribed.
c2 c2 c2



d. attend clinic appointments on time c2 c2 c2 c2



. ANS: B
c2 c2



Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving rol
c2 c2 c2 c2 c2 c2 c2 c2 c2



e performance. The goal of recovery is to empower the individual with mental illness to achie
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



ve a sense of meaning and satisfaction in life and to function at the highest possible level of w
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



ellness. The incorrect options focus on the classic medical model rather than recovery.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2




2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



a divorce. Select the nurses most caring comment.
c2 c2 c2 c2 c2 c2 c2



a. Lets discuss some means of coping other than suicide when you have these feelings.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



b. I understand why youre so depressed. When I got divorced, I was devastated too.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



c. You should forget about your marriage and move on with your life.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



d. How did you get so depressed that hospitalization was necessary
c2 c2 c2 c2 c2 c2 c2 c2 c2



? ANS: A
c2 c2



The nurses communication should evidence caring and a commitment to work with the patient.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



c2 This commitment lets the patient know the nurse will help. Probing and advice are not helpfu
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



l or therapeutic interventions.
c2 c2 c2




3. In the shift-change report, an off-
c2 c2 c2 c2 c2



going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse wh
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



o receives the report best demonstrates advocacy?
c2 c2 c2 c2 c2 c2



a. This is a psychiatric hospital. Craziness is what we are all about.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



b. Lets all show acceptance of this patient by wearing lots of makeup too.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2

,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
c2 c2 c2 c2 c2 c2 c2 c2 c2



d. Our patients need our help to learn behaviors that will help them get along in societ
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



y. ANS: Dc2 c2



Accepting patients needs for self- c2 c2 c2 c2



expression and seeking to teach skills that will contribute to their well-
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



being demonstrate respect and are important parts of advocacy. The on-
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



coming nurse needs to take action to ensure that others are not prejudiced against the patient.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



Humor can be appropriate within the privacy of a shift report but not at the expense of respec
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



t for patients.
c2 c2



Judging the off- c2 c2



going nurse in a critical way will create conflict. Nurses must show compassion for each other
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



.




4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Whic
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



h statement is an example of attending?
c2 c2 c2 c2 c2 c2



a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



c. You will feel better after we get some antidepressant medication started for you.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



d. Id like to sit with you a while so you may feel more comfortable talking with m
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



e. ANS: Dc2 c2



Attending is a technique that demonstrates the nurses commitment to the relationship and red
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



uces feelings of isolation. This technique shows respect for the patient and demonstrates carin
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



g. Generalizations, probing, and false reassurances are non-therapeutic.
c2 c2 c2 c2 c2 c2 c2




5. A patient shows the nurse an article from the Internet about a health problem. Which cha
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



racteristic of the web sites address most alerts the nurse that the site may have biased and p
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



rejudiced information? c2



a. Address ends in .org. c2 c2 c2



b. Address ends in .com. c2 c2 c2



c. Address ends in .gov. c2 c2 c2



d. Address ends in .net c2 c2 c2



. ANS: B
c2 c2



Financial influences on a site are a clue that the information may be biased. .com at the end o
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



f the address indicates that the site is a commercial one. .gov indicates that the site is maintai
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



ned by a government entity. .org indicates that the site is nonproprietary; the site may or may
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c



2 not have reliable information, but it does not profit from its activities. .net can have multiple
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2

, meanings.




6. A nurse says, When I was in school, I learned to call upset patients by name to get their atte
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



ntion; however, I read a descriptive research study that says that this approach does not work.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c



2 I plan to stop calling patients by name. Which statement is the best appraisal of this nurses co
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



mment?
a. One descriptive research study rarely provides enough evidence to change practice.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



c. New research findings should be incorporated into clinical algorithms before using them i
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



n practice.
c2



d. The nurse misinterpreted the results of the study. Classic tenets of practice do not chang
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



e. ANS: Ac2 c2



Descriptive research findings provide evidence for practice but must be viewed in relation to
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



other studies before practice changes. One study is not enough. Descriptive studies are low on
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



c2 the hierarchy of evidence. Clinical algorithms use flow charts to manage problems and do no
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



t specify one response to a clinical problem. Classic tenets of practice should change as resear
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



ch findings provide evidence for change.
c2 c2 c2 c2 c2




7. Two nursing students discuss career plans after graduation. One student wants to enter psyc
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



hiatric nursing. The other student asks, Why would you want to be a psychiatric nurse? All th
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



ey do is talk. You will lose your skills. Select the best response by the student interested in ps
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



ychiatric nursing. c2



a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
c2 c2 c2 c2 c2 c2 c2 c2 c2



patient ratios must be better because of the nature of patients problems.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



b. Psychiatric nurses use complex communication skills, as well as critical thinking, to solv
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



e multidimensional problems. Im challenged by those situations.
c2 c2 c2 c2 c2 c2 c2



c. I think I will be good in the mental health field. I do not like clinical rotations in school, s
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



o I do not want to continue them after I graduate.
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



d. Psychiatric nurses do not have to deal with as much pain and suffering as medical surgic
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



al nurses. That appeals to me.
c2 c2 c2 c2 c2



ANS: B c2



The practice of psychiatric nursing requires a different set of skills than medical surgical nursi
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



ng, although substantial overlap does exist. Psychiatric nurses must be able to help patients wit
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



h medical and mental health problems, reflecting the holistic perspective these nurses must hav
c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2 c2



e.