TESTBANK l
THE PSYCHIATRIC I
l l
NTERVIEW
4th Edition Daniel J. Carlat
l l l l
TESTBANK l
,ThelPsychiatriclInterviewl4thlEditionlCarlatlTestlBankl(Chapterl1
-Chapterl3)
Chapterl1:lThel Initiall Interview:l Al Preview
Chapterl 2:l Logisticl Preparations:l Whatl toDolBeforelthelInterview
Chapterl 3:l ThelTherapeuticl Alliance:l Whatl Itl Is,l WhylIt'sl Important,l andl Howl tol Establishl It
MULTIPLElCHOICE
1. Whichloutcome,lfocusedlonlrecovery,lwouldlbelexpectedlinlthelplanloflcarelforlalpatientllivingl
inlthelcommunitylandldiagnosedlwithlseriouslandlpersistentlmentallillness?lWithinl3lmonths,lthel
patientlwill:
a. denyl suicidall ideation.
b. reportlal sensel oflwell-being.
c. takel medicationsl asl prescribed.
d. attendlcliniclappointmentslonltime.l
ANS:lB
Recoverylemphasizeslmanaginglsymptoms,lreducinglpsychosocialldisability,landlimprovinglrolelper
formance.lThelgoalloflrecoverylisltolempowerlthelindividuallwithlmentallillnessltolachievelalsenselofl
meaninglandlsatisfactionlinllifelandltolfunctionlatlthelhighestlpossiblellevelloflwellness.lThelincorrectl
optionslfocuslonlthelclassiclmedicallmodellratherlthanlrecovery.
2. Alpatientlislhospitalizedlforldepressionlandlsuicidallideationlafterltheirlspouselaskslforlaldivor
ce.lSelectlthelnurseslmostlcaringlcomment.
a. Letsl discussl somel meansl oflcopingl otherl thanl suicidel whenl youl havel thesel feelings.
b. Ilunderstandl whyl yourel sol depressed.lWhenl Il gotl divorced,l Ilwasl devastatedl too.
c. Youlshouldl forgetl aboutl yourlmarriagel andl movel onl withl yourl life.
d. Howldidlyoulgetlsoldepressedlthatlhospitalizationlwaslnecessary?lAN
S:lA
Thelnurseslcommunicationlshouldlevidencelcaringlandlalcommitmentltolworklwithlthelpatient.lThislc
ommitmentlletslthelpatientlknowlthelnurselwilllhelp.lProbinglandladvicelarelnotlhelpfullorltherapeuticl
interventions.
3. Inlthelshift-changelreport,lanloff-
goinglnurselcriticizeslalpatientlwholwearslheavylmakeup.lWhichlcommentlbylthelnurselwholreceiv
eslthelreportlbestldemonstratesladvocacy?
a. Thisl islal psychiatricl hospital.l Crazinessl isl whatl wel arel alllabout.
b. Letslalll showlacceptancel ofl thisl patientl bylwearingl lotsl oflmakeupl too.
,c. Yourl commentsl arel inconsideratel andl inappropriate.l Keepl thel reportl objective.
d. Ourlpatientslneedlourlhelpltollearnlbehaviorslthatlwilllhelplthemlgetlalonglinlsociety.lANS:l
D
Acceptinglpatientslneedslforlself-
expressionlandlseekingltolteachlskillslthatlwilllcontributeltoltheirlwell-
beingldemonstratelrespectlandlarelimportantlpartslofladvocacy.lThelon-
cominglnurselneedsltoltakelactionltolensurelthatlotherslarelnotlprejudicedlagainstlthelpatient.lHumorlc
anlbelappropriatelwithinlthelprivacyloflalshiftlreportlbutlnotlatlthelexpenseloflrespectlforlpatients.
Judgingltheloff-
goinglnurselinlalcriticallwaylwilllcreatelconflict.lNurseslmustlshowlcompassionlforleachlother.
4. Alnurselassesseslalnewlyladmittedlpatientldiagnosedlwithlmajorldepressiveldisorder.lWhichlstate
mentlislanlexampleloflattending?
a. Wel alll havel stressl inllife.l Beingl inlal psychiatricl hospitall isntlthelendloflthel world.
b. Telll mel whylyoul feltl youl hadl tol bel hospitalizedltol receivel treatmentl forl yourl depression.
c. Youlwilll feell betterl afterlwel getl somelantidepressantlmedicationl startedlforl you.
d. Idllikeltolsitlwithlyoulalwhilelsolyoulmaylfeellmorelcomfortableltalkinglwithlme.lANS:l
D
Attendinglislaltechniquelthatldemonstrateslthelnurseslcommitmentltolthelrelationshiplandlreduceslfee
lingsloflisolation.lThisltechniquelshowslrespectlforlthelpatientlandldemonstrateslcaring.lGeneralizati
ons,lprobing,landlfalselreassuranceslarelnon-therapeutic.
5. AlpatientlshowslthelnurselanlarticlelfromlthelInternetlaboutlalhealthlproblem.lWhichlcharacteris
ticloflthelweblsitesladdresslmostlalertslthelnurselthatlthelsitelmaylhavelbiasedlandlprejudicedlinfor
mation?
a. Addresslendsl inl .org.
b. Addresslendsl inl .com.
c. Addresslendsl inl .gov.
d. Addresslendslinl.net.l
ANS:lB
Financiallinfluenceslonlalsitelarelalcluelthatlthelinformationlmaylbelbiased.l.comlatlthelendlofltheladdr
esslindicateslthatlthelsitelislalcommerciallone.l.govlindicateslthatlthelsitelislmaintainedlbylalgovernme
ntlentity.l.orglindicateslthatlthelsitelislnonproprietary;lthelsitelmaylorlmaylnotlhavelreliablelinformati
on,lbutlitldoeslnotlprofitlfromlitslactivities.l.netlcanlhavelmultiple
, meanings.
6. Alnurselsays,lWhenlIlwaslinlschool,lIllearnedltolcalllupsetlpatientslbylnameltolgetltheirlattention;lhow
ever,lIlreadlal descriptivel researchlstudylthatl sayslthatl thislapproachldoeslnotlwork.l Ilplanltolstoplcallin
glpatientslbylname.lWhichlstatementlislthelbestlappraisalloflthislnurseslcomment?
a. Onel descriptivel researchl studyl rarelyl providesl enoughl evidencel tol changel practice.
b. Stafflnursesl applylnewl researchl findingsl onlylwithlthel helpl froml clinicall nursel specialists.
c. Newlresearchlfindingslshouldlbelincorporatedlintolclinicallalgorithmslbeforelusinglthemlinlpract
ice.
d. Thelnurselmisinterpretedlthelresultsloflthelstudy.lClassicltenetsloflpracticeldolnotlchange.lANS:l
A
Descriptivelresearchlfindingslprovidelevidencelforlpracticelbutlmustlbelviewedlinlrelationltolotherlst
udieslbeforelpracticelchanges.lOnelstudylislnotlenough.lDescriptivelstudieslarellowlonlthelhierarchyl
oflevidence.lClinicallalgorithmsluselflowlchartsltolmanagelproblemslandldolnotlspecifylonelresponsel
tolalclinicallproblem.lClassicltenetsloflpracticelshouldlchangelaslresearchlfindingslprovidelevidencelf
orlchange.
7. Twolnursinglstudentsldiscusslcareerlplanslafterlgraduation.lOnelstudentlwantsltolenterlpsychiatricl
nursing.lThelotherlstudentlasks,lWhylwouldlyoulwantltolbelalpsychiatriclnurse?lAllltheyldolisltalk.lYo
ulwilllloselyourlskills.lSelectlthelbestlresponselbylthelstudentlinterestedlinlpsychiatriclnursing.
a. Psychiatriclnurseslpracticelinlsaferlenvironmentslthanlotherlspecialties.lNurse-to-
patientlratioslmustlbelbetterlbecauseloflthelnatureloflpatientslproblems.
b. Psychiatriclnursesluselcomplexlcommunicationlskills,laslwelllaslcriticallthinking,ltolsolvelmult
idimensionallproblems.lImlchallengedlbylthoselsituations.
c. IlthinklIlwilllbelgoodlinlthelmentallhealthlfield.lIldolnotllikelclinicallrotationslinlschool,lsolIldolnotl
wantltolcontinuelthemlafterlIlgraduate.
d. Psychiatriclnursesldolnotlhaveltoldeallwithlaslmuchlpainlandlsufferinglaslmedicallsurgicallnurse
s.lThatlappealsltolme.
ANS:lB
Thelpracticeloflpsychiatriclnursinglrequireslaldifferentlsetloflskillslthanlmedicallsurgicallnursing,lalth
oughlsubstantialloverlapldoeslexist.lPsychiatriclnurseslmustlbelableltolhelplpatientslwithlmedicallandl
mentallhealthlproblems,lreflectinglthelholisticlperspectiveltheselnurseslmustlhave.
THE PSYCHIATRIC I
l l
NTERVIEW
4th Edition Daniel J. Carlat
l l l l
TESTBANK l
,ThelPsychiatriclInterviewl4thlEditionlCarlatlTestlBankl(Chapterl1
-Chapterl3)
Chapterl1:lThel Initiall Interview:l Al Preview
Chapterl 2:l Logisticl Preparations:l Whatl toDolBeforelthelInterview
Chapterl 3:l ThelTherapeuticl Alliance:l Whatl Itl Is,l WhylIt'sl Important,l andl Howl tol Establishl It
MULTIPLElCHOICE
1. Whichloutcome,lfocusedlonlrecovery,lwouldlbelexpectedlinlthelplanloflcarelforlalpatientllivingl
inlthelcommunitylandldiagnosedlwithlseriouslandlpersistentlmentallillness?lWithinl3lmonths,lthel
patientlwill:
a. denyl suicidall ideation.
b. reportlal sensel oflwell-being.
c. takel medicationsl asl prescribed.
d. attendlcliniclappointmentslonltime.l
ANS:lB
Recoverylemphasizeslmanaginglsymptoms,lreducinglpsychosocialldisability,landlimprovinglrolelper
formance.lThelgoalloflrecoverylisltolempowerlthelindividuallwithlmentallillnessltolachievelalsenselofl
meaninglandlsatisfactionlinllifelandltolfunctionlatlthelhighestlpossiblellevelloflwellness.lThelincorrectl
optionslfocuslonlthelclassiclmedicallmodellratherlthanlrecovery.
2. Alpatientlislhospitalizedlforldepressionlandlsuicidallideationlafterltheirlspouselaskslforlaldivor
ce.lSelectlthelnurseslmostlcaringlcomment.
a. Letsl discussl somel meansl oflcopingl otherl thanl suicidel whenl youl havel thesel feelings.
b. Ilunderstandl whyl yourel sol depressed.lWhenl Il gotl divorced,l Ilwasl devastatedl too.
c. Youlshouldl forgetl aboutl yourlmarriagel andl movel onl withl yourl life.
d. Howldidlyoulgetlsoldepressedlthatlhospitalizationlwaslnecessary?lAN
S:lA
Thelnurseslcommunicationlshouldlevidencelcaringlandlalcommitmentltolworklwithlthelpatient.lThislc
ommitmentlletslthelpatientlknowlthelnurselwilllhelp.lProbinglandladvicelarelnotlhelpfullorltherapeuticl
interventions.
3. Inlthelshift-changelreport,lanloff-
goinglnurselcriticizeslalpatientlwholwearslheavylmakeup.lWhichlcommentlbylthelnurselwholreceiv
eslthelreportlbestldemonstratesladvocacy?
a. Thisl islal psychiatricl hospital.l Crazinessl isl whatl wel arel alllabout.
b. Letslalll showlacceptancel ofl thisl patientl bylwearingl lotsl oflmakeupl too.
,c. Yourl commentsl arel inconsideratel andl inappropriate.l Keepl thel reportl objective.
d. Ourlpatientslneedlourlhelpltollearnlbehaviorslthatlwilllhelplthemlgetlalonglinlsociety.lANS:l
D
Acceptinglpatientslneedslforlself-
expressionlandlseekingltolteachlskillslthatlwilllcontributeltoltheirlwell-
beingldemonstratelrespectlandlarelimportantlpartslofladvocacy.lThelon-
cominglnurselneedsltoltakelactionltolensurelthatlotherslarelnotlprejudicedlagainstlthelpatient.lHumorlc
anlbelappropriatelwithinlthelprivacyloflalshiftlreportlbutlnotlatlthelexpenseloflrespectlforlpatients.
Judgingltheloff-
goinglnurselinlalcriticallwaylwilllcreatelconflict.lNurseslmustlshowlcompassionlforleachlother.
4. Alnurselassesseslalnewlyladmittedlpatientldiagnosedlwithlmajorldepressiveldisorder.lWhichlstate
mentlislanlexampleloflattending?
a. Wel alll havel stressl inllife.l Beingl inlal psychiatricl hospitall isntlthelendloflthel world.
b. Telll mel whylyoul feltl youl hadl tol bel hospitalizedltol receivel treatmentl forl yourl depression.
c. Youlwilll feell betterl afterlwel getl somelantidepressantlmedicationl startedlforl you.
d. Idllikeltolsitlwithlyoulalwhilelsolyoulmaylfeellmorelcomfortableltalkinglwithlme.lANS:l
D
Attendinglislaltechniquelthatldemonstrateslthelnurseslcommitmentltolthelrelationshiplandlreduceslfee
lingsloflisolation.lThisltechniquelshowslrespectlforlthelpatientlandldemonstrateslcaring.lGeneralizati
ons,lprobing,landlfalselreassuranceslarelnon-therapeutic.
5. AlpatientlshowslthelnurselanlarticlelfromlthelInternetlaboutlalhealthlproblem.lWhichlcharacteris
ticloflthelweblsitesladdresslmostlalertslthelnurselthatlthelsitelmaylhavelbiasedlandlprejudicedlinfor
mation?
a. Addresslendsl inl .org.
b. Addresslendsl inl .com.
c. Addresslendsl inl .gov.
d. Addresslendslinl.net.l
ANS:lB
Financiallinfluenceslonlalsitelarelalcluelthatlthelinformationlmaylbelbiased.l.comlatlthelendlofltheladdr
esslindicateslthatlthelsitelislalcommerciallone.l.govlindicateslthatlthelsitelislmaintainedlbylalgovernme
ntlentity.l.orglindicateslthatlthelsitelislnonproprietary;lthelsitelmaylorlmaylnotlhavelreliablelinformati
on,lbutlitldoeslnotlprofitlfromlitslactivities.l.netlcanlhavelmultiple
, meanings.
6. Alnurselsays,lWhenlIlwaslinlschool,lIllearnedltolcalllupsetlpatientslbylnameltolgetltheirlattention;lhow
ever,lIlreadlal descriptivel researchlstudylthatl sayslthatl thislapproachldoeslnotlwork.l Ilplanltolstoplcallin
glpatientslbylname.lWhichlstatementlislthelbestlappraisalloflthislnurseslcomment?
a. Onel descriptivel researchl studyl rarelyl providesl enoughl evidencel tol changel practice.
b. Stafflnursesl applylnewl researchl findingsl onlylwithlthel helpl froml clinicall nursel specialists.
c. Newlresearchlfindingslshouldlbelincorporatedlintolclinicallalgorithmslbeforelusinglthemlinlpract
ice.
d. Thelnurselmisinterpretedlthelresultsloflthelstudy.lClassicltenetsloflpracticeldolnotlchange.lANS:l
A
Descriptivelresearchlfindingslprovidelevidencelforlpracticelbutlmustlbelviewedlinlrelationltolotherlst
udieslbeforelpracticelchanges.lOnelstudylislnotlenough.lDescriptivelstudieslarellowlonlthelhierarchyl
oflevidence.lClinicallalgorithmsluselflowlchartsltolmanagelproblemslandldolnotlspecifylonelresponsel
tolalclinicallproblem.lClassicltenetsloflpracticelshouldlchangelaslresearchlfindingslprovidelevidencelf
orlchange.
7. Twolnursinglstudentsldiscusslcareerlplanslafterlgraduation.lOnelstudentlwantsltolenterlpsychiatricl
nursing.lThelotherlstudentlasks,lWhylwouldlyoulwantltolbelalpsychiatriclnurse?lAllltheyldolisltalk.lYo
ulwilllloselyourlskills.lSelectlthelbestlresponselbylthelstudentlinterestedlinlpsychiatriclnursing.
a. Psychiatriclnurseslpracticelinlsaferlenvironmentslthanlotherlspecialties.lNurse-to-
patientlratioslmustlbelbetterlbecauseloflthelnatureloflpatientslproblems.
b. Psychiatriclnursesluselcomplexlcommunicationlskills,laslwelllaslcriticallthinking,ltolsolvelmult
idimensionallproblems.lImlchallengedlbylthoselsituations.
c. IlthinklIlwilllbelgoodlinlthelmentallhealthlfield.lIldolnotllikelclinicallrotationslinlschool,lsolIldolnotl
wantltolcontinuelthemlafterlIlgraduate.
d. Psychiatriclnursesldolnotlhaveltoldeallwithlaslmuchlpainlandlsufferinglaslmedicallsurgicallnurse
s.lThatlappealsltolme.
ANS:lB
Thelpracticeloflpsychiatriclnursinglrequireslaldifferentlsetloflskillslthanlmedicallsurgicallnursing,lalth
oughlsubstantialloverlapldoeslexist.lPsychiatriclnurseslmustlbelableltolhelplpatientslwithlmedicallandl
mentallhealthlproblems,lreflectinglthelholisticlperspectiveltheselnurseslmustlhave.
