d d d d d d
Bank (Full test bank, 100% Verified Answers)
d d d d d d
TEST BANK d
, The Psychiatric Interview 4th Edition Carlat Test Bank
d d d d d d d
(Chapterd 1-
Chapterd 3)Thed Initiald Interview:d Ad Previewd Chapterd 2:d Logisticd Preparations:d Whatd todDodBeforedthe
dInterview
Chapterd 3:d Thed Therapeuticd Alliance:d Whatd Itd Is,d Whyd It'sd Important,d andd Howd tod Establishd ItdMULT
IPLEdCHOICE
1. Whichdoutcome,dfocuseddondrecovery,dwoulddbedexpecteddindthedplandofdcaredfordadpatientdliv
ingdindthedcommunitydandddiagnoseddwithdseriousdanddpersistentdmentaldillness?dWithind3dmont
hs,dthedpatientdwill:
a. denyd suicidald ideation.
b. reportdad sensed ofd well-being.
c. taked medicationsd asd prescribed.
d. attendd clinicd appointmentsd ond time.d
ANS:dB
Recoveryd emphasizesd managingd symptoms,d reducingd psychosociald disability,d andd improvingd roledpe
rformance.d Thed goald ofd recoveryd isd tod empowerd thed individuald withd mentald illnessd tod achieved adsense
d ofd meaningd andd satisfactiond ind lifed andd tod functiond atd thed highestd possibled leveld ofd wellness.dThedinc
orrectdoptionsdfocusdondthedclassicdmedicaldmodeldratherdthandrecovery.
2. Ad patientd isd hospitalizedd ford depressiond andd suicidald ideationd afterd theird spoused asksd ford add
ivorce.dSelectdthednursesdmostdcaringdcomment.
a. Letsd discussd somed meansd ofd copingd otherd thand suicided whend youd haved thesed feelings.
b. Id understandd whyd youred sod depressed.d Whend Id gotd divorced,d Id wasd devastatedd too.
c. Youd shouldd forgetd aboutd yourd marriaged andd moved ond withd yourd life.
d. Howd didd youd getd sod depressedd thatd hospitalizationd wasd necessary?d
ANS:dA
Thed nursesd communicationd shouldd evidenced caringd andd ad commitmentd tod workd withd thed patient.dThis
d commitmentd letsd thed patientd knowd thed nursed willd help.d Probingd andd adviced ared notd helpfuld ordtherape
uticdinterventions.
3. Ind thed shift-changed report,d and off-
goingd nursed criticizesd ad patientd whod wearsd heavyd makeup.dWhichd commentd byd thed nursed whodre
ceivesdthed reportd bestddemonstratesd advocacy?
a. Thisd isd ad psychiatricd hospital.d Crazinessd isd whatd wed ared alld about.
b. Letsd alld showd acceptanced ofd thisd patientd byd wearingd lotsd ofd makeupd too.
,c. Yourd commentsd ared inconsiderated andd inappropriate.d Keepd thed reportd objective.
d. Ourd patientsd needd ourd helpd tod learnd behaviorsd thatd willd helpd themd getd alongd ind society.d
ANS:dD
Acceptingd patientsd needsd ford self-
expressiond andd seekingd tod teachd skillsd thatd willd contributed todtheird well-
beingd demonstrated respectd andd ared importantd partsd ofd advocacy.d Thed on-
comingd nursedneedsd tod taked actiond tod ensured thatd othersd ared notd prejudicedd againstd thed patient.d Hum
ord cand bedappropriated withind thed privacyd ofd ad shiftd reportd butd notdatdthed expensed ofd respectd ford patie
nts.
Judgingd thed off-
goingd nursed ind ad criticald wayd willd created conflict.d Nursesd mustd showd compassiondfordeachdother.
4. Ad nursed assessesd ad newlyd admittedd patientd diagnosedd withd majord depressived disorder.d Whichds
tatementdisdandexampledofdattending?
a. Wed alld haved stressd ind life.dBeingd ind ad psychiatricd hospitald isntd thed endd ofd thed world.
b. Telld med whyd youd feltd youd hadd tod bed hospitalizedd tod received treatmentd ford yourd depression.
c. Youd willd feeld betterd afterd wed getd somed antidepressantd medicationd startedd ford you.
d. Idd liked tod sitd withd youd ad whiled sod youd mayd feeld mored comfortabled talkingd withd me.d
ANS:dD
Attendingd isd ad techniqued thatd demonstratesd thed nursesd commitmentd tod thed relationshipd anddre
ducesd feelingsd ofd isolation.d Thisd techniqued showsd respectd ford thed patientd andd demonstratesdcar
ing.dGeneralizations,dprobing,danddfalsedreassurancesdarednon-therapeutic.
5. Ad patientd showsd thed nursedand articled fromdthed Internetd aboutd ad healthd problem.dWhichdcharac
teristicd ofd thed webd sitesd addressd mostd alertsd thed nursed thatd thed sited mayd haved biasedd anddprejudi
ceddinformation?
a. Addressd endsd ind .org.
b. Addressd endsd ind .com.
c. Addressd endsd ind .gov.
d. Addressd endsd ind .net.d
ANS:dB
Financialdinfluencesd ond ad sited ared adclued thatd thedinformationd mayd bed biased.d .comd atd thedendd ofdthe
d addressd indicatesd thatd thed sited isd ad commerciald one.d .govd indicatesd thatd thed sited isd maintaineddbyd ad
governmentd entity.d .orgd indicatesd thatd thed sited isd nonproprietary;d thed sited mayd ord mayd notdhaved reli
abled information,dbutditd doesd notd profitd fromd itsd activities.d .netdcand haved multiple
, meanings.
6. Adnursed says,d WhendId wasd indschool,d Id learneddtod calldupsetdpatientsd byd namedtodgetd theirdattention
;d however,d Id readd ad descriptived researchd studyd thatd saysd thatd thisd approachd doesd notd work.dId pland tod s
topd callingd patientsd byd name.d Whichd statementdisd thed bestd appraisald ofdthisd nursesdcomment?
a. Oned descriptived researchd studyd rarelyd providesd enoughd evidenced tod changed practice.
b. Staffd nursesd applyd newd researchd findingsd onlyd withd thed helpd fromd clinicald nursed specialists.
c. Newd researchd findingsd shouldd bed incorporatedd intod clinicald algorithmsd befored usingd themd indp
ractice.
d. Thed nursed misinterpretedd thed resultsd ofd thed study.d Classicd tenetsd ofd practiced dod notd change.d
ANS:dA
Descriptived researchd findingsd provided evidenced ford practiced butd mustd bed viewedd ind relationd todothe
rd studiesd befored practiced changes.d Oned studyd isd notd enough.d Descriptived studiesd ared lowd ondthed hier
archyd ofd evidence.d Clinicald algorithmsd used flowd chartsd tod managed problemsd andd dod notdspecifyd on
ed responsed tod ad clinicald problem.d Classicd tenetsd ofd practiced shouldd changed asd researchdfindingsdpro
videdevidencedfordchange.
7. Twod nursingd studentsd discussd careerd plansd afterd graduation.d Oned studentd wantsdtod enterdpsychia
tricd nursing.d Thed otherd studentd asks,d Whyd wouldd youd wantd tod bed ad psychiatricd nurse?d Alldtheyd dod i
sd talk.d Youd willd losed yourd skills.d Selectd thed bestd responsed byd thed studentd interestedd indpsychiatricdn
ursing.
a. Psychiatricd nursesd practiced ind saferd environmentsd thand otherd specialties.d Nurse-to-
patientd ratiosdmustdbedbetterdbecausedofdthednaturedofdpatientsdproblems.
b. Psychiatricd nursesd used complexd communicationd skills,d asd welld asd criticald thinking,d tod solved
multidimensionaldproblems.dImdchallengeddbydthosedsituations.
c. Id thinkd Id willd bed goodd indthed mentald healthd field.d Id dod notd liked clinicald rotationsd ind school,d sod Idd
odnotdwantdtodcontinuedthemdafterdIdgraduate.
d. Psychiatricd nursesd dod notd haved tod deald withd asd muchd paind andd sufferingd asd medicald surgicaldn
urses.dThatdappealsdtodme.
ANS:d B
Thed practiced ofd psychiatricd nursingd requiresd ad differentd setd ofd skillsd thand medicald surgicald nursing,dalt
houghd substantiald overlapddoesd exist.d Psychiatricd nursesd mustd bed abledtod helpd patientsd withdmedicald a
ndd mentald healthd problems,d reflectingd thed holisticd perspectived thesed nursesd mustd have.