Page 1 of 167
TEST BANK
THE PSYCHIATRIC INTERVIEW
5TH EDITION DANIEL J. CARLAT
, Page 2 of 167
TABLE OF CONTENTS
1 The initial interview: a preview
2 Logistic preparations: what to do before the interview
3 The therapeutic alliance: what it is, why it’s important, and how to establish it
4 Asking questions I: how to approach threatening topics
5 Asking questions ii: tricks for improving patient recall
6 Asking questions iii: how to change topics with style
7 Techniques for the reluctant patient
8 Techniques for the overly talkative patient
9 Techniques for the malingering patient
10 Techniques for the agitated patient
11 Techniques for the adolescent patient
12 Interviewing family members and other informants
13 Techniques for other challenging situations
14 Practical psychodynamics in the diagnostic interview
SECTION II. THE PSYCHIATRIC HISTORY
15 Obtaining the history of present illness
16 Obtaining the psychiatric history
17 Screening for general medical conditions contents
18 Family psychiatric history
19 Obtaining the social and developmental history
SECTION III. INTERVIEWING FOR DIAGNOSIS: THE PSYCHIATRIC REVIEW OF SYMPTOMS
20 How to memorize the dsm-5-tr criteria
21 Interviewing for diagnosis: the art of hypothesis testing
22 Mental status examination
23 Assessing suicidal and homicidal ideation
24 Assessing mood disorders I: depressive disorders
25 Assessing mood disorders ii: bipolar disorder
26 Assessing anxiety , obsessive, and trauma disorders
27 Assessing substance use disorder
28 Assessing psychotic disorders
29 Assessing neurocognitive disorders (dementia and delirium)
30 Assessing eating disorders and somatic symptom disorder
31 Assessing attention deficit hyperactivity disorder
32 Assessing personality disorders
SECTION IV. INTERVIEWING FOR TREATMENT
33 How to educate your patient
34 Negotiating a treatment plan
35 Writing up the results of the interview
, Page 3 of 167
THE PSYCHIATRIC INTERVIEW 5TH EDITION CARLAT TEST
BANK (CHAPTER 1-CHAPTER 3)
Chapter 1: 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:
a. Deny suicidal ideation.
b. Report a sense of well-being.
c. Take medications as prescribed.
d. Attend clinic appointments on time.
Ans: b
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. 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 a divorce. Select the nurse’s most caring comment.
a. Let us discuss some means of coping other than suicide when you have these feelings.
b. I understand why you are 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?
Ans: 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 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. Let’s all show acceptance of this patient by wearing lots of makeup too.
, Page 4 of 167
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.
4. A nurse assesses a newly admitted patient diagnosed with major depressive
disorder. Which statement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isn’t 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. I’d 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 feelings of isolation. This technique shows respect for the
patient and demonstrates caring.
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 and prejudiced information?
a. Address ends in .org.
b. Address ends in .com.
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 nurse’s 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 practice.
TEST BANK
THE PSYCHIATRIC INTERVIEW
5TH EDITION DANIEL J. CARLAT
, Page 2 of 167
TABLE OF CONTENTS
1 The initial interview: a preview
2 Logistic preparations: what to do before the interview
3 The therapeutic alliance: what it is, why it’s important, and how to establish it
4 Asking questions I: how to approach threatening topics
5 Asking questions ii: tricks for improving patient recall
6 Asking questions iii: how to change topics with style
7 Techniques for the reluctant patient
8 Techniques for the overly talkative patient
9 Techniques for the malingering patient
10 Techniques for the agitated patient
11 Techniques for the adolescent patient
12 Interviewing family members and other informants
13 Techniques for other challenging situations
14 Practical psychodynamics in the diagnostic interview
SECTION II. THE PSYCHIATRIC HISTORY
15 Obtaining the history of present illness
16 Obtaining the psychiatric history
17 Screening for general medical conditions contents
18 Family psychiatric history
19 Obtaining the social and developmental history
SECTION III. INTERVIEWING FOR DIAGNOSIS: THE PSYCHIATRIC REVIEW OF SYMPTOMS
20 How to memorize the dsm-5-tr criteria
21 Interviewing for diagnosis: the art of hypothesis testing
22 Mental status examination
23 Assessing suicidal and homicidal ideation
24 Assessing mood disorders I: depressive disorders
25 Assessing mood disorders ii: bipolar disorder
26 Assessing anxiety , obsessive, and trauma disorders
27 Assessing substance use disorder
28 Assessing psychotic disorders
29 Assessing neurocognitive disorders (dementia and delirium)
30 Assessing eating disorders and somatic symptom disorder
31 Assessing attention deficit hyperactivity disorder
32 Assessing personality disorders
SECTION IV. INTERVIEWING FOR TREATMENT
33 How to educate your patient
34 Negotiating a treatment plan
35 Writing up the results of the interview
, Page 3 of 167
THE PSYCHIATRIC INTERVIEW 5TH EDITION CARLAT TEST
BANK (CHAPTER 1-CHAPTER 3)
Chapter 1: 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:
a. Deny suicidal ideation.
b. Report a sense of well-being.
c. Take medications as prescribed.
d. Attend clinic appointments on time.
Ans: b
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. 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 a divorce. Select the nurse’s most caring comment.
a. Let us discuss some means of coping other than suicide when you have these feelings.
b. I understand why you are 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?
Ans: 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 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. Let’s all show acceptance of this patient by wearing lots of makeup too.
, Page 4 of 167
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.
4. A nurse assesses a newly admitted patient diagnosed with major depressive
disorder. Which statement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital isn’t 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. I’d 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 feelings of isolation. This technique shows respect for the
patient and demonstrates caring.
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 and prejudiced information?
a. Address ends in .org.
b. Address ends in .com.
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 nurse’s 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 practice.
