, Table of Contents
Section I: General Principles of Effective Interviewing
o 1: The Initial Interview: A Preview
o 2: Logistic Preparations: What to Do Before the Interview
o 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
o 4: Asking Questions I: How to Approach Threatening Topics
o 5: Asking Questions II: Tricks for Improving Patient Recall
o 6: Asking Questions III: How to Change Topics with Style
o 7: Techniques for the Reluctant Patient
o 8: Techniques for the Overly Talkative Patient
o 9: Techniques for the Malingering Patient
o 10: Techniques for the Adolescent Patient1
o 11: Interviewing Family Members and Other Informants
o 12: Techniques for Other Challenging Situations
o 13: Practical Psychodynamics in the Diagnostic Interview
Section II: The Psychiatric History
o 14: Obtaining the History of Present Illness
o 15: Obtaining the Psychiatric History
o 16: Screening for General Medical Conditions
o 17: Family Psychiatric History
o 18: Obtaining the Social and Developmental History
Section III: Interviewing for Diagnosis: The Psychiatric Review of Symptoms
o 19: How to Memorize the DSM-5 Criteria
o 20: Interviewing for Diagnosis: The Art of Hypothesis Testing
o 21: Mental Status Examination
o 22: Assessing Suicidal and Homicidal Ideation
o 23: Assessing Mood Disorders I: Depressive Disorders
o 24: Assessing Mood Disorders II: Bipolar Disorder
o 25: Assessing Anxiety, Obsessive, and Trauma Disorders
o 26: Assessing Alcohol Use Disorder
o 27: Assessing Psychotic Disorders
o 28: Assessing Neurocognitive Disorders (Dementia and Delirium)
o 29: Assessing Eating Disorders and Somatic Symptom Disorder
o 30: Assessing Attention Deficit Hyperactivity Disorder
o 31: Assessing Personality Disorders
Section IV: Interviewing for Treatment
o 32: How to Educate Your Patient
o 33: Negotiating a Treatment Plan
o 34: Writing Up the Results of the Interview
,(Chapter 1-Chapter 3)The Initial Interview: A Preview, Chapter 2: Logistic Preparations:
What ToDo 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:
a. Deny suicidal ideation.
b. Report a sense of well-being.
c. Take medications as prescribed.
d. Attend clinic appointments on time.
Answer: b
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
roleperformance. 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. The incorrect options focus on the classic medical model rather than recovery.
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks
for adivorce. Select the nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
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.
d. How did you get so depressed that hospitalization was
necessary?
Answer: a
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
ortherapeutic 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.
Answer: 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
nurseneeds 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
compassionfor each other.
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
Whichstatement is an example of attending?
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.
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with
me.
Answer: d
Attending is a technique that demonstrates the nurses commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the patient and
demonstratescaring. Generalizations, probing, and false reassurances are non-therapeutic.
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
andprejudiced information?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in
.net.
Answer: 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
Section I: General Principles of Effective Interviewing
o 1: The Initial Interview: A Preview
o 2: Logistic Preparations: What to Do Before the Interview
o 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
o 4: Asking Questions I: How to Approach Threatening Topics
o 5: Asking Questions II: Tricks for Improving Patient Recall
o 6: Asking Questions III: How to Change Topics with Style
o 7: Techniques for the Reluctant Patient
o 8: Techniques for the Overly Talkative Patient
o 9: Techniques for the Malingering Patient
o 10: Techniques for the Adolescent Patient1
o 11: Interviewing Family Members and Other Informants
o 12: Techniques for Other Challenging Situations
o 13: Practical Psychodynamics in the Diagnostic Interview
Section II: The Psychiatric History
o 14: Obtaining the History of Present Illness
o 15: Obtaining the Psychiatric History
o 16: Screening for General Medical Conditions
o 17: Family Psychiatric History
o 18: Obtaining the Social and Developmental History
Section III: Interviewing for Diagnosis: The Psychiatric Review of Symptoms
o 19: How to Memorize the DSM-5 Criteria
o 20: Interviewing for Diagnosis: The Art of Hypothesis Testing
o 21: Mental Status Examination
o 22: Assessing Suicidal and Homicidal Ideation
o 23: Assessing Mood Disorders I: Depressive Disorders
o 24: Assessing Mood Disorders II: Bipolar Disorder
o 25: Assessing Anxiety, Obsessive, and Trauma Disorders
o 26: Assessing Alcohol Use Disorder
o 27: Assessing Psychotic Disorders
o 28: Assessing Neurocognitive Disorders (Dementia and Delirium)
o 29: Assessing Eating Disorders and Somatic Symptom Disorder
o 30: Assessing Attention Deficit Hyperactivity Disorder
o 31: Assessing Personality Disorders
Section IV: Interviewing for Treatment
o 32: How to Educate Your Patient
o 33: Negotiating a Treatment Plan
o 34: Writing Up the Results of the Interview
,(Chapter 1-Chapter 3)The Initial Interview: A Preview, Chapter 2: Logistic Preparations:
What ToDo 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:
a. Deny suicidal ideation.
b. Report a sense of well-being.
c. Take medications as prescribed.
d. Attend clinic appointments on time.
Answer: b
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
roleperformance. 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. The incorrect options focus on the classic medical model rather than recovery.
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks
for adivorce. Select the nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
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.
d. How did you get so depressed that hospitalization was
necessary?
Answer: a
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
ortherapeutic 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.
Answer: 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
nurseneeds 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
compassionfor each other.
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
Whichstatement is an example of attending?
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.
c. You will feel better after we get some antidepressant medication started for you.
d. Id like to sit with you a while so you may feel more comfortable talking with
me.
Answer: d
Attending is a technique that demonstrates the nurses commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the patient and
demonstratescaring. Generalizations, probing, and false reassurances are non-therapeutic.
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
andprejudiced information?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
d. Address ends in
.net.
Answer: 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
