TEST BANK x
THE PSYCHIATRIC
x x
INTERVIEW
4th Edition Daniel J. Carlat
x x x x
TEST BANK x
,ThexPsychiatricxInterviewx4thxEditionxCarlatxTestxBank
x(Chapterx 1-Chapterx 3)
Chapterx1:xThex Initialx Interview:x Ax Preview
Chapterx 2:x Logisticx Preparations:x Whatx toDoxBeforexthexInterview
Chapterx 3:x ThexTherapeuticx Alliance:x Whatx Itx Is,x WhyxIt'sx Important,xandx Howxtox Establishx It
MULTIPLExCHOICE
1. Whichxoutcome,xfocusedxonxrecovery,xwouldxbexexpectedxinxthexplanxofxcarexforxaxpatientxl
ivingxinxthexcommunityxandxdiagnosedxwithxseriousxandxpersistentxmentalxillness?xWithinx3x
months,xthexpatientxwill:
a. denyxsuicidalx ideation.
b. reportxaxsensexofxwell-being.
c. takex medicationsx asx prescribed.
d. attendx clinicx appointmentsx onx time.x
ANS:xB
Recoveryx emphasizesx managingx symptoms,x reducingx psychosocialx disability,x andx improvingx rolex
performance.xThex goalx ofx recoveryxisx tox empowerx thex individualx withxmentalx illnessx toxachievex ax
sensexofxmeaningxandxsatisfactionx inxlifex andxtox functionxatx thexhighestx possiblex levelx ofxwellness.x
Thexincorrectxoptionsxfocusxonxthexclassicxmedicalxmodelxratherxthanxrecovery.
2. Ax patientx isxhospitalizedx forx depressionx andx suicidalx ideationx afterxtheirx spousex asksx forx
axdivorce.xSelectxthexnursesxmostxcaringxcomment.
a. Letsxdiscussx somex meansx ofxcopingxotherx thanxsuicidex whenx youx havex thesex feelings.
b. Ixunderstandx whyx yourex sox depressed.x Whenx Ix gotx divorced,x Ixwasx devastatedx too.
c. Youxshouldx forgetx aboutx yourxmarriagex andxmovex onxwithx yourxlife.
d. Howxdidx youx getx sox depressedx thatx hospitalizationx wasxnecessary
?xANS:xA
Thexnursesx communicationx shouldxevidencex caringxandx ax commitmentx toxworkx withxthex patient.xT
hisxcommitmentx letsxthexpatientx knowxthexnursex willx help.x Probingxandxadvicex arex notx helpfulx orxth
erapeuticxinterventions.
3. Inx thex shift-changex report,x anx off-
goingxnursex criticizesx ax patientx whox wearsx heavyxmakeup.xWhichxcommentxbyxthexnursexwhoxr
eceivesxthexreportxbestxdemonstratesxadvocacy?
a. Thisxisxax psychiatricx hospital.x Crazinessxisxwhatx wex arexallx about.
b. Letsxallx showx acceptancexofxthisx patientx byxwearingx lotsxofxmakeupxtoo.
,c. Yourx commentsx arex inconsideratex andx inappropriate.x Keepx thex reportx objective.
d. Ourxpatientsxneedx ourxhelpx toxlearnx behaviorsxthatx willx helpxthemx getxalongxinxsociety
.xANS:xD
Acceptingxpatientsxneedsxforx self-
expressionx andxseekingxtoxteachxskillsxthatxwillxcontributextoxtheirx well-
beingx demonstratex respectx andx arex importantx partsx ofx advocacy.x Thex on-
comingx nursexneedsxtoxtakexactionxtoxensurex thatx othersxarex notxprejudicedxagainstx thexpatient.x Hu
morxcanxbexappropriatexwithinxthexprivacyxofxaxshiftx reportxbutxnotxatxthexexpensexofxrespectx forxp
atients.
Judgingxthex off-
goingx nursex inxaxcriticalx wayxwillx createx conflict.x Nursesxmustxshowxcompassionxforxeachxother.
4. Ax nursex assessesx ax newlyx admittedx patientx diagnosedx withx majorx depressivex disorder.x Which
statementxisxanxexamplexofxattending?
x
a. Wexallx havexstressxinxlife.x Beingxinxaxpsychiatricx hospitalx isntxthexendxofxthex world.
b. Tellxmexwhyx youx feltx youx hadx toxbex hospitalizedxtoxreceivex treatmentxforx yourx depression.
c. Youxwillx feelx betterxafterxwex getx somexantidepressantxmedicationx startedx forx you.
d. Idxlikex tox sitxwithx youxax whilexsox youxmayx feelxmorexcomfortablextalkingxwithxme
.xANS:xD
Attendingxisx ax techniquex thatx demonstratesx thex nursesx commitmentx toxthexrelationshipx andxreduc
esx feelingsx ofx isolation.x Thisx techniquex showsx respectx forx thex patientx andx demonstratesxcaring.xG
eneralizations,xprobing,xandxfalsexreassurancesxarexnon-therapeutic.
5. Axpatientxshowsxthexnursexanxarticlex fromxthex Internetxaboutxaxhealthxproblem.x Whichxchar
acteristicx ofxthex webx sitesx addressx mostxalertsxthex nursex thatxthex sitex mayxhavex biasedx andxprej
udicedxinformation?
a. Addressxendsx inx.org.
b. Addressxendsx inx .com.
c. Addressxendsxinx.gov.
d. Addressxendsxinx.net.x
ANS:xB
Financialxinfluencesxonxax sitexarexaxcluexthatxthexinformationxmayxbexbiased.x.comxatxthexendxofxt
hexaddressx indicatesxthatxthex sitex isxax commercialx one.x .govxindicatesx thatx thex sitex isxmaintainedxb
yxax governmentxentity.x .orgxindicatesx thatxthex sitex isx nonproprietary;x thex sitexmayxorx mayxnotxhav
exreliablexinformation,xbutxitxdoesxnotxprofitxfromxitsxactivities.x.netxcanxhavexmultiple
, meanings.
6. Axnursexsays,x Whenx Ixwasxinxschool,xIxlearnedxtoxcallxupsetxpatientsxbyxnamextoxgetxtheirxattenti
on;x however,x Ixreadx ax descriptivex researchx studyxthatx saysx thatx thisxapproachx doesx notx work.xIxplan
x toxstopxcallingxpatientsxbyxname.xWhichxstatementxisxthexbestxappraisalxofxthisxnursesxcomment?
a. Onex descriptivex researchx studyxrarelyx providesx enoughx evidencex tox changex practice.
b. Staffxnursesxapplyxnewxresearchx findingsxonlyxwithx thex helpx fromx clinicalxnursex specialists.
c. Newx researchx findingsx shouldx bex incorporatedx intoxclinicalx algorithmsx beforexusingxthemx in
practice.
x
d. Thexnursex misinterpretedx thex resultsx ofxthex study.x Classicx tenetsx ofxpracticex dox notx change
.xANS:xA
Descriptivex researchxfindingsxprovidex evidencex forxpracticex butxmustxbex viewedxinxrelationxtoxoth
erxstudiesxbeforexpracticex changes.xOnex studyxisx notx enough.xDescriptivex studiesx arexlowxonxthex
hierarchyxofxevidence.xClinicalxalgorithmsx usex flowx chartsxtoxmanagex problemsx andxdoxnotxspeci
fyxonex responsex toxax clinicalx problem.x Classicx tenetsx ofxpracticex shouldx changex asx researchxfindin
gsxprovidexevidencexforxchange.
7. Twoxnursingxstudentsxdiscussxcareerxplansxafterx graduation.xOnexstudentxwantsxtoxenterxpsychi
atricx nursing.x Thex otherx studentxasks,x Whyx wouldx youx wantx tox bexax psychiatricx nurse?x Allxtheyxd
oxisxtalk.xYouxwillxlosex yourxskills.xSelectxthexbestxresponsexbyxthexstudentxinterestedxinxpsychiat
ricxnursing.
a. Psychiatricx nursesx practicex inx saferx environmentsx thanx otherx specialties.x Nurse-to-
patientx ratiosxmustxbexbetterxbecausexofxthexnaturexofxpatientsxproblems.
b. Psychiatricx nursesx usex complexxcommunicationx skills,x asx wellxasx criticalx thinking,x tox solve
multidimensionalxproblems.xImxchallengedxbyxthosex situations.
x
c. Ixthinkx Ixwillxbex goodxinxthexmentalxhealthx field.xIxdoxnotxlikexclinicalxrotationsxinxschool,xsox
IxdoxnotxwantxtoxcontinuexthemxafterxIxgraduate.
d. Psychiatricxnursesxdoxnotxhavex toxdealx withxasxmuchxpainxandxsufferingxasxmedicalx surgica
lxnurses.xThatxappealsxtoxme.
ANS:xB
Thex practicex ofxpsychiatricx nursingx requiresx ax differentx setx ofxskillsx thanx medicalx surgicalx nursing,x
althoughxsubstantialxoverlapxdoesxexist.xPsychiatricxnursesxmustxbexablextoxhelpxpatientsxwithxmedi
calx andxmentalx healthxproblems,x reflectingx thexholisticx perspectivex thesexnursesx mustxhave.
THE PSYCHIATRIC
x x
INTERVIEW
4th Edition Daniel J. Carlat
x x x x
TEST BANK x
,ThexPsychiatricxInterviewx4thxEditionxCarlatxTestxBank
x(Chapterx 1-Chapterx 3)
Chapterx1:xThex Initialx Interview:x Ax Preview
Chapterx 2:x Logisticx Preparations:x Whatx toDoxBeforexthexInterview
Chapterx 3:x ThexTherapeuticx Alliance:x Whatx Itx Is,x WhyxIt'sx Important,xandx Howxtox Establishx It
MULTIPLExCHOICE
1. Whichxoutcome,xfocusedxonxrecovery,xwouldxbexexpectedxinxthexplanxofxcarexforxaxpatientxl
ivingxinxthexcommunityxandxdiagnosedxwithxseriousxandxpersistentxmentalxillness?xWithinx3x
months,xthexpatientxwill:
a. denyxsuicidalx ideation.
b. reportxaxsensexofxwell-being.
c. takex medicationsx asx prescribed.
d. attendx clinicx appointmentsx onx time.x
ANS:xB
Recoveryx emphasizesx managingx symptoms,x reducingx psychosocialx disability,x andx improvingx rolex
performance.xThex goalx ofx recoveryxisx tox empowerx thex individualx withxmentalx illnessx toxachievex ax
sensexofxmeaningxandxsatisfactionx inxlifex andxtox functionxatx thexhighestx possiblex levelx ofxwellness.x
Thexincorrectxoptionsxfocusxonxthexclassicxmedicalxmodelxratherxthanxrecovery.
2. Ax patientx isxhospitalizedx forx depressionx andx suicidalx ideationx afterxtheirx spousex asksx forx
axdivorce.xSelectxthexnursesxmostxcaringxcomment.
a. Letsxdiscussx somex meansx ofxcopingxotherx thanxsuicidex whenx youx havex thesex feelings.
b. Ixunderstandx whyx yourex sox depressed.x Whenx Ix gotx divorced,x Ixwasx devastatedx too.
c. Youxshouldx forgetx aboutx yourxmarriagex andxmovex onxwithx yourxlife.
d. Howxdidx youx getx sox depressedx thatx hospitalizationx wasxnecessary
?xANS:xA
Thexnursesx communicationx shouldxevidencex caringxandx ax commitmentx toxworkx withxthex patient.xT
hisxcommitmentx letsxthexpatientx knowxthexnursex willx help.x Probingxandxadvicex arex notx helpfulx orxth
erapeuticxinterventions.
3. Inx thex shift-changex report,x anx off-
goingxnursex criticizesx ax patientx whox wearsx heavyxmakeup.xWhichxcommentxbyxthexnursexwhoxr
eceivesxthexreportxbestxdemonstratesxadvocacy?
a. Thisxisxax psychiatricx hospital.x Crazinessxisxwhatx wex arexallx about.
b. Letsxallx showx acceptancexofxthisx patientx byxwearingx lotsxofxmakeupxtoo.
,c. Yourx commentsx arex inconsideratex andx inappropriate.x Keepx thex reportx objective.
d. Ourxpatientsxneedx ourxhelpx toxlearnx behaviorsxthatx willx helpxthemx getxalongxinxsociety
.xANS:xD
Acceptingxpatientsxneedsxforx self-
expressionx andxseekingxtoxteachxskillsxthatxwillxcontributextoxtheirx well-
beingx demonstratex respectx andx arex importantx partsx ofx advocacy.x Thex on-
comingx nursexneedsxtoxtakexactionxtoxensurex thatx othersxarex notxprejudicedxagainstx thexpatient.x Hu
morxcanxbexappropriatexwithinxthexprivacyxofxaxshiftx reportxbutxnotxatxthexexpensexofxrespectx forxp
atients.
Judgingxthex off-
goingx nursex inxaxcriticalx wayxwillx createx conflict.x Nursesxmustxshowxcompassionxforxeachxother.
4. Ax nursex assessesx ax newlyx admittedx patientx diagnosedx withx majorx depressivex disorder.x Which
statementxisxanxexamplexofxattending?
x
a. Wexallx havexstressxinxlife.x Beingxinxaxpsychiatricx hospitalx isntxthexendxofxthex world.
b. Tellxmexwhyx youx feltx youx hadx toxbex hospitalizedxtoxreceivex treatmentxforx yourx depression.
c. Youxwillx feelx betterxafterxwex getx somexantidepressantxmedicationx startedx forx you.
d. Idxlikex tox sitxwithx youxax whilexsox youxmayx feelxmorexcomfortablextalkingxwithxme
.xANS:xD
Attendingxisx ax techniquex thatx demonstratesx thex nursesx commitmentx toxthexrelationshipx andxreduc
esx feelingsx ofx isolation.x Thisx techniquex showsx respectx forx thex patientx andx demonstratesxcaring.xG
eneralizations,xprobing,xandxfalsexreassurancesxarexnon-therapeutic.
5. Axpatientxshowsxthexnursexanxarticlex fromxthex Internetxaboutxaxhealthxproblem.x Whichxchar
acteristicx ofxthex webx sitesx addressx mostxalertsxthex nursex thatxthex sitex mayxhavex biasedx andxprej
udicedxinformation?
a. Addressxendsx inx.org.
b. Addressxendsx inx .com.
c. Addressxendsxinx.gov.
d. Addressxendsxinx.net.x
ANS:xB
Financialxinfluencesxonxax sitexarexaxcluexthatxthexinformationxmayxbexbiased.x.comxatxthexendxofxt
hexaddressx indicatesxthatxthex sitex isxax commercialx one.x .govxindicatesx thatx thex sitex isxmaintainedxb
yxax governmentxentity.x .orgxindicatesx thatxthex sitex isx nonproprietary;x thex sitexmayxorx mayxnotxhav
exreliablexinformation,xbutxitxdoesxnotxprofitxfromxitsxactivities.x.netxcanxhavexmultiple
, meanings.
6. Axnursexsays,x Whenx Ixwasxinxschool,xIxlearnedxtoxcallxupsetxpatientsxbyxnamextoxgetxtheirxattenti
on;x however,x Ixreadx ax descriptivex researchx studyxthatx saysx thatx thisxapproachx doesx notx work.xIxplan
x toxstopxcallingxpatientsxbyxname.xWhichxstatementxisxthexbestxappraisalxofxthisxnursesxcomment?
a. Onex descriptivex researchx studyxrarelyx providesx enoughx evidencex tox changex practice.
b. Staffxnursesxapplyxnewxresearchx findingsxonlyxwithx thex helpx fromx clinicalxnursex specialists.
c. Newx researchx findingsx shouldx bex incorporatedx intoxclinicalx algorithmsx beforexusingxthemx in
practice.
x
d. Thexnursex misinterpretedx thex resultsx ofxthex study.x Classicx tenetsx ofxpracticex dox notx change
.xANS:xA
Descriptivex researchxfindingsxprovidex evidencex forxpracticex butxmustxbex viewedxinxrelationxtoxoth
erxstudiesxbeforexpracticex changes.xOnex studyxisx notx enough.xDescriptivex studiesx arexlowxonxthex
hierarchyxofxevidence.xClinicalxalgorithmsx usex flowx chartsxtoxmanagex problemsx andxdoxnotxspeci
fyxonex responsex toxax clinicalx problem.x Classicx tenetsx ofxpracticex shouldx changex asx researchxfindin
gsxprovidexevidencexforxchange.
7. Twoxnursingxstudentsxdiscussxcareerxplansxafterx graduation.xOnexstudentxwantsxtoxenterxpsychi
atricx nursing.x Thex otherx studentxasks,x Whyx wouldx youx wantx tox bexax psychiatricx nurse?x Allxtheyxd
oxisxtalk.xYouxwillxlosex yourxskills.xSelectxthexbestxresponsexbyxthexstudentxinterestedxinxpsychiat
ricxnursing.
a. Psychiatricx nursesx practicex inx saferx environmentsx thanx otherx specialties.x Nurse-to-
patientx ratiosxmustxbexbetterxbecausexofxthexnaturexofxpatientsxproblems.
b. Psychiatricx nursesx usex complexxcommunicationx skills,x asx wellxasx criticalx thinking,x tox solve
multidimensionalxproblems.xImxchallengedxbyxthosex situations.
x
c. Ixthinkx Ixwillxbex goodxinxthexmentalxhealthx field.xIxdoxnotxlikexclinicalxrotationsxinxschool,xsox
IxdoxnotxwantxtoxcontinuexthemxafterxIxgraduate.
d. Psychiatricxnursesxdoxnotxhavex toxdealx withxasxmuchxpainxandxsufferingxasxmedicalx surgica
lxnurses.xThatxappealsxtoxme.
ANS:xB
Thex practicex ofxpsychiatricx nursingx requiresx ax differentx setx ofxskillsx thanx medicalx surgicalx nursing,x
althoughxsubstantialxoverlapxdoesxexist.xPsychiatricxnursesxmustxbexablextoxhelpxpatientsxwithxmedi
calx andxmentalx healthxproblems,x reflectingx thexholisticx perspectivex thesexnursesx mustxhave.
