NR 668 EXAMPREP PRACTICE SOLUTION
TESTED QUESTIONS WITH COMPLETE
ANSWERS
●● What are the four tasks of the diagnostic interview?
Answer: Build a therapeutic alliance
Obtain the psychiatric database (aka psych hx)
Interview for diagnosis
Negotiate a treatment plan with the patient.
●● What is alliance building?
Answer: Therapeutic alliance is the most important goal in the interview
process. It is the cooperative working relationship between the therapist
and the client and is a fundamental component of successful therapy.
Without a treatment could be compromised.
●● What are the interview phases, durations, and tasks?
Answer: Opening phase 5-10 minutes: meet patient, learn life situation,
build therapeutic alliance, allow uninterrupted narrative.
Body of interview 30-40 minutes: develop diagnostic hypotheses, assess
HPI, psychiatric symptoms, family history, social/developmental history,
medical history, psychiatric ROS.
,Closing phase 5-10 minutes: discuss assessment, negotiate
treatment/follow-up plan, provide patient education.
●● What are safety measures during the interview?
Answer: - A comfortable clean space to put the provider in client at ease.
- Visible clock to monitor time.
- access to alarms or other safety measures.
- provider access to the door for safe exiting.
- removal of sharp objects, such as scissors or letter openers.
- a noise canceling device for privacy
●● What is optimal communication between patient and provider?
Answer: Use empathy, active listening, respect, nonjudgmental
communication, open-ended questions, validation, clarification,
appropriate silence, and patient-centered communication.
●● What are examples of therapeutic communication techniques?
Answer: Broad openings; reflecting; presenting reality; clarification;
validation; summarizing; silence; making observations, sympathy
●● What are examples of nontherapeutic communication techniques?
, Answer: Asking for explanations; giving advice; false reassurance;
disapproval; defensive responses; asking personal questions.
●● What is the difference between the psychiatric interview and medical
interview?
Answer: Psychiatric interview is the primary diagnosed to use to identify
psychiatric conditions. In physical medicine in addition to the history, a
physical exam laboratory test and other diagnostic procedures are use for
diagnosis.
●● What is transference versus countertransference?
Answer: Transference = patient unconsciously transfers feelings from
previous relationships onto provider.
Countertransference = the providers unconscious or conscious reaction
based on psychological needs or conflicts
Either can be negative or positive
●● What are the types of transitions in communication?
Answer: Smooth transition; Referred transition; Introduced transition.
●● What is a smooth transition
TESTED QUESTIONS WITH COMPLETE
ANSWERS
●● What are the four tasks of the diagnostic interview?
Answer: Build a therapeutic alliance
Obtain the psychiatric database (aka psych hx)
Interview for diagnosis
Negotiate a treatment plan with the patient.
●● What is alliance building?
Answer: Therapeutic alliance is the most important goal in the interview
process. It is the cooperative working relationship between the therapist
and the client and is a fundamental component of successful therapy.
Without a treatment could be compromised.
●● What are the interview phases, durations, and tasks?
Answer: Opening phase 5-10 minutes: meet patient, learn life situation,
build therapeutic alliance, allow uninterrupted narrative.
Body of interview 30-40 minutes: develop diagnostic hypotheses, assess
HPI, psychiatric symptoms, family history, social/developmental history,
medical history, psychiatric ROS.
,Closing phase 5-10 minutes: discuss assessment, negotiate
treatment/follow-up plan, provide patient education.
●● What are safety measures during the interview?
Answer: - A comfortable clean space to put the provider in client at ease.
- Visible clock to monitor time.
- access to alarms or other safety measures.
- provider access to the door for safe exiting.
- removal of sharp objects, such as scissors or letter openers.
- a noise canceling device for privacy
●● What is optimal communication between patient and provider?
Answer: Use empathy, active listening, respect, nonjudgmental
communication, open-ended questions, validation, clarification,
appropriate silence, and patient-centered communication.
●● What are examples of therapeutic communication techniques?
Answer: Broad openings; reflecting; presenting reality; clarification;
validation; summarizing; silence; making observations, sympathy
●● What are examples of nontherapeutic communication techniques?
, Answer: Asking for explanations; giving advice; false reassurance;
disapproval; defensive responses; asking personal questions.
●● What is the difference between the psychiatric interview and medical
interview?
Answer: Psychiatric interview is the primary diagnosed to use to identify
psychiatric conditions. In physical medicine in addition to the history, a
physical exam laboratory test and other diagnostic procedures are use for
diagnosis.
●● What is transference versus countertransference?
Answer: Transference = patient unconsciously transfers feelings from
previous relationships onto provider.
Countertransference = the providers unconscious or conscious reaction
based on psychological needs or conflicts
Either can be negative or positive
●● What are the types of transitions in communication?
Answer: Smooth transition; Referred transition; Introduced transition.
●● What is a smooth transition
