Testbank The Psychiatric Interview 5Th Edition

TESTBANK
THE PSYCHIATRIC
1 1




INTERVIEW
4th Edition Daniel J. Carlat
1 1 1 1




TESTBANK

,The1Psychiatric1Interview14th1Edition1CarlatfTest1Bank(1
Chapter11-Chapter13)

Chapterf1:1The1Initial1Interview:1A1Preview
Chapterf2:1Logistic1Preparations:1What1toDo1Before1the1Interview
Chapterf3:1The1Therapeutic1Alliance:1What1It1Is,1Why1It's1Important,1and1How1to1Establish1It

MULTIPLE1CHOICE

1. Which1outcome,1focused1on1recovery,1would1be1expected1in1the1plan1of1care1for1a1patient1liv
i1ngfin1the1community1and1diagnosed1with1serious1and1persistent1mental1illness?1Within131mont
h1s,1the1patient1will:
a. deny1suicidal1ideation.
b. report1a1sense1of1well-being.
c. take1medications1as1prescribed.
d. attend1clinic1appointmentsfon1time.1
ANS:1B
Recovery1emphasizes1managing1symptoms,1reducing1psychosocial1disability,1and1improving1rolepe1
rformance.1The1goal1of1recovery1is1to1empower1the1individual1with1mental1illness1to1achieve1a1sense1
of1meaning1and1satisfaction1in1life1and1to1functionfat1thefhighest1possible1level1of1wellness.1The1incor
1rect1options1focus1on1the1classic1medical1model1rather1than1recovery.




2. A1patient1is1hospitalized1for1depressionfand1suicidal1ideation1after1theirfspouse1asks1forfadi1
vorce.1Select1the1nurses1most1caringfcomment.
a. Lets1discuss1some1means1of1coping1other1than1suicide1when1you1have1these1feelings.
b. Ifunderstand1why1youre1so1depressed.1When1I1got1divorced,1Ifwas1devastated1too.
c. You1should1forget1about1your1marriage1and1move1on1with1your1life.
d. How1did1you1get1so1depressed1thatfhospitalization1was1necessary?A
NS:1A
1

The1nurses1communication1should1evidence1caringfandfa1commitment1to1work1with1the1patient.1This1
commitmentflets1the1patient1know1the1nurse1will1help.1Probing1and1advice1are1not1helpful1orftherape1
utic1interventions.

3. In1the1shift-change1report,1an1off-
going1nurse1criticizes1a1patient1who1wears1heavy1makeup.Which1comment1by1the1nurse1who1rec1eiv
es1the1report1bestfdemonstrates1advocacy?
a. This1is1a1psychiatric1hospital.1Craziness1is1whatfwe1are1all1about.
b. Lets1all1show1acceptance1of1this1patient1by1wearing1lots1of1makeup1too.

,c. Your1commentsfare1inconsiderate1and1inappropriate.1Keep1thefreport1objective.
d. Our1patients1need1our1help1to1learnfbehaviors1that1will1help1them1get1along1in1society.
A1NS:1D
Accepting1patients1needs1forfself-
expression1and1seeking1to1teach1skills1that1will1contribute1to1theirfwell-
1being1demonstrate1respectfand1are1important1parts1of1advocacy.1The1on
-
comingfnurseneeds1to1take1action1to1ensure1that1others1are1not1prejudiced1against1the1patient.1Humo
r can1be1appropriate1within1the1privacy1of1a1shift1report1but1not1at1the1expense1of1respect1for1patient
1 1

s.1Judging1the1off-
going1nurse1in1a1critical1way1will1create1conflict.1Nurses1must1show1compassionfor1each1other.




4. A1nursefassesses1a1newly1admitted1patient1diagnosed1with1major1depressive1disorder.1Whichst
atement1is1an1example1of1attending?
1

a. We1all1have1stress1in1life.1Being1in1a1psychiatric1hospital1isnt1the1end1of1the1world.
b. Tell1me1why1you1felt1you1had1to1be1hospitalized1to1receive1treatment1forfyour1depression.
c. You1will1feel1betterfafter1wefget1some1antidepressant1medicationfstarted1for1you.
d. Id1like1to1sit1with1you1a1while1so1you1may1feel1more1comfortable1talking1with1me.
A1NS:1D
Attending1is1a1technique1that1demonstrates1the1nurses1commitment1to1thefrelationship1and1reduces1f
eelings1of1isolation.1This1technique1shows1respect1for1the1patientfand1demonstratescaring.1Generali1
1

zations,1probing,1and1false1reassurances1are1non-therapeutic.



5. A1patient1shows1the1nurse1anfarticle1from1the1Internet1aboutfa1health1problem.1Which1charact
e1ristic1of1the1web1sites1address1most1alerts1the1nurse1that1the1site1may1have1biased1andprejudice
d1i1nformation?
a. Address1ends1in1.org.
b. Address1ends1in1.com.
c. Address1ends1in1.gov.
d. Address1ends1in1.net.1
ANS:1B
Financial1influences1on1a1site1are1a1clue1that1the1information1may1be1biased.1.com1at1the1end1of1the1
a1ddress1indicates1that1the1site1is1a1commercial1one.1.gov1indicates1that1the1site1is1maintainedby1a1go
v1ernment1entity.1.org1indicates1that1the1site1is1nonproprietary;1the1site1may1orfmay1not1have1reliabl
e1i1nformation,1but1it1does1not1profit1from1its1activities.1.net1can1have1multiple

, meanings.



6. A1nurse1says,1When1I1was1in1school,1I1learned1to1call1upset1patients1by1name1to1getftheir1attention;1
however,1I1read1a1descriptive1research1study1that1says1that1this1approach1does1not1work.I1plan1to1sto
p1calling1patients1by1name.1Which1statement1is1the1bestfappraisal1of1this1nurses1comment?
a. One1descriptive1research1study1rarely1provides1enough1evidence1to1change1practice.
b. Staff1nurses1apply1new1research1findings1only1with1the1help1from1clinical1nurse1specialists.
c. New1research1findings1should1be1incorporated1into1clinical1algorithms1before1using1them1inpr
actice.
1

d. The1nurse1misinterpreted1the1results1of1the1study.1Classic1tenets1of1practice1do1not1change.
A1NS:1A
Descriptive1research1findings1provide1evidence1for1practice1but1must1be1viewed1in1relation1to1other1st
udies1before1practice1changes.1One1study1is1not1enough.1Descriptive1studies1are1low1on1the1hierarc1hy1
of1evidence.1Clinical1algorithms1use1flow1charts1to1manage1problems1and1do1not1specify1one1res1pons
e1to1a1clinical1problem.1Classic1tenets1of1practice1shouldfchange1as1researchffindings1provide1ev1idenc
e1forfchange.



7. Two1nursing1students1discuss1career1plans1after1graduation.1One1student1wants1to1enter1psychiat
r1ic1nursing.1The1other1student1asks,1Why1wouldfyou1want1tofbe1a1psychiatric1nurse?1Allthey1do1is1t
a1lk.1You1will1lose1yourfskills.1Select1the1best1response1by1the1student1interested1in1psychiatric1nurs
in1g.
a. Psychiatric1nurses1practice1in1safer1environments1than1otherfspecialties.1Nurse-to-
patient1ratiosmust1be1better1becausefof1the1nature1of1patients1problems.
1

b. Psychiatric1nurses1use1complex1communication1skills,1as1well1as1critical1thinking,1to1solvem
ultidimensional1problems.1Im1challenged1by1those1situations.
1

c. I1think1I1will1be1goodfin1the1mental1health1field.1I1do1notflike1clinical1rotations1in1school,1so1Ido1
n1ot1want1to1continue1them1afterfI1graduate.
d. Psychiatric1nurses1do1not1have1to1deal1with1as1much1pain1and1suffering1as1medical1surgicaln
u1rses.1That1appeals1to1me.
ANS:1B
The1practice1of1psychiatric1nursing1requires1a1different1set1of1skills1than1medical1surgical1nursing,alt
hough1substantial1overlap1does1exist.1Psychiatric1nursesfmust1be1able1to1help1patients1with1medical1a
1

1ndfmental1health1problems,1reflecting1the1holistic1perspective1these1nurses1must1have.