TEST BANK p
THE PSYCHIATRIC
p p
INTERVIEW
4th Edition Daniel J. Carlat
p p p p
TEST BANK p
,ThepPsychiatricpInterviewp4thpEditionpCarlatpTestpBankp
(Chapterp 1-Chapterp 3)
Chapterp1:pThep Initialp Interview:p Ap Preview
Chapterp 2:p Logisticp Preparations:p Whatp toDopBeforepthepInterview
Chapterp 3:p Thep Therapeuticp Alliance:p Whatp Itp Is,p Whyp It'sp Important,pandp Howptop Establishp It
MULTIPLEpCHOICE
1. Whichpoutcome,pfocusedponprecovery,pwouldpbepexpectedpinpthepplanpofpcarepforpappatientpli
vingpinpthepcommunitypandpdiagnosedpwithpseriouspandppersistentpmentalpillness?pWithinp3pmo
nths,ptheppatientpwill:
a. denyp suicidalp ideation.
b. reportpap sensep ofpwell-being.
c. takep medicationsp asp prescribed.
d. attendp clinicp appointmentsp onp time.p
ANS:pB
Recoveryp emphasizesp managingp symptoms,p reducingp psychosocialp disability,p andp improvingp rolepp
erformance.p Thep goalp ofp recoveryp isp top empowerp thep individualp withp mentalp illnessp topachievep apsen
sep ofpmeaningp andp satisfactionp inplifep andp top functionp atp thep highestp possiblep levelp ofp wellness.pThepi
ncorrectpoptionspfocusponpthepclassicpmedicalp modelpratherpthanprecovery.
2. Ap patientp isp hospitalizedp forp depressionp andp suicidalp ideationp afterptheirp spousep asksp forp apd
ivorce.pSelectpthepnursespmostpcaringpcomment.
a. Letsp discussp somep meanspofpcopingp otherp thanp suicidep whenp youp havep thesep feelings.
b. Ipunderstandp whyp yourep sop depressed.p Whenp Ip gotp divorced,p Ip wasp devastatedp too.
c. Youp shouldp forgetp aboutp yourp marriagep andp movep onp withp yourp life.
d. Howp didp youp getp sop depressedp thatp hospitalizationp wasp necessary?p
ANS:pA
Thep nursesp communicationp shouldp evidencep caringpandp ap commitmentp top workp withp thep patient.pTh
isp commitmentp letspthep patientp knowpthep nursep willp help.p Probingp andpadvicep arep notp helpfulp orpthera
peuticpinterventions.
3. Inp thep shift-changep report,p anp off-
goingp nursep criticizesp ap patientp whop wearsp heavyp makeup.pWhichpcommentpbypthep nursep whopre
ceivespthepreportp bestp demonstratesp advocacy?
a. Thisp ispap psychiatricp hospital.p Crazinessp isp whatp wep arep allp about.
b. Letsp allp showp acceptancepofp thisp patientp bypwearingp lotsp ofp makeupptoo.
,c. Yourp commentsp arep inconsideratep andp inappropriate.p Keepp thep reportp objective.
d. Ourp patientsp needp ourp helpp top learnp behaviorsp thatp willp helpp themp getp alongp inp society.p
ANS:pD
Acceptingppatientsp needsp forp self-
expressionp andp seekingp topteachp skillsp thatp willp contributep toptheirp well-
beingp demonstratep respectp andp arep importantp partsp ofp advocacy.p Thep on-
comingp nursepneedsp toptakep actionp top ensurep thatp othersp arep notp prejudicedp againstp thep patient.p Hum
orp canpbepappropriatep withinp thepprivacypofpap shiftp reportp butpnotp atpthep expensep ofprespectp forp patie
nts.
Judgingpthep off-
goingp nursep inp apcriticalp wayp willp createp conflict.p Nursesp mustp showp compassionpforpeachpother.
4. Ap nursep assessesp ap newlyp admittedp patientp diagnosedp withp majorp depressivep disorder.p Whichps
tatementpispanpexamplepofpattending?
a. Wep allp havep stressp inp life.p Beingpinpap psychiatricp hospitalp isntpthependpofp thep world.
b. Tellp mep whyp youp feltp youp hadp top bep hospitalizedp top receivep treatmentp forp yourp depression.
c. Youp willp feelp betterp afterpwep getp somepantidepressantp medicationp startedp forp you.
d. Idplikep top sitp withp youp ap whilep sop youp mayp feelp morepcomfortableptalkingp withpme.p
ANS:pD
Attendingp isp ap techniquep thatp demonstratesp thep nursesp commitmentp top thep relationshipp andpreduces
p feelingsp ofp isolation.p Thisp techniquep showsp respectp forp thep patientp andp demonstratespcaring.pGener
alizations,pprobing,pandpfalsepreassurancesparepnon-therapeutic.
5. Appatientp showspthep nursepanparticlep fromp thep Internetp aboutp ap healthp problem.pWhichpcharac
teristicp ofp thep webp sitesp addressp mostp alertsp thep nursep thatpthep sitep mayp havep biasedp andpprejudic
edpinformation?
a. Addresspendsp inp .org.
b. Addresspendsp inp .com.
c. Addresspendsp inp .gov.
d. Addressp endsp inp .net.p
ANS:pB
Financialp influencesponpap siteparep apcluepthatp thepinformationpmaypbep biased.p .comp atp thep endp ofpthep
addressp indicatespthatpthep sitep isp ap commercialp one.p .govp indicatesp thatp thep sitep isp maintainedpbypap g
overnmentpentity.p .orgp indicatesp thatp thep sitep isp nonproprietary;p thep sitep mayporp maypnotphavep relia
blepinformation,pbutp itp doespnotp profitp frompitspactivities.p .netpcanp havep multiple
, meanings.
6. Apnursep says,p Whenp Ipwasp inpschool,p Iplearnedptopcallpupsetppatientsp bypnameptopgetp theirpattention
;p however,p Ip readp ap descriptivep researchp studyp thatp saysp thatp thispapproachp doesp notp work.pIpplanp tops
toppcallingppatientsp bypname.pWhichp statementpisp thep bestpappraisalpofpthisp nursespcomment?
a. Onep descriptivep researchp studyp rarelyp providesp enoughp evidencep top changep practice.
b. Staffp nursesp applypnewp researchp findingsp onlypwithp thep helpp fromp clinicalp nursep specialists.
c. Newp researchp findingsp shouldp bep incorporatedp intopclinicalp algorithmsp beforep usingp themp inpp
ractice.
d. Thep nursep misinterpretedp thep resultsp ofp thep study.p Classicp tenetsp ofp practicep dop notp change.p
ANS:pA
Descriptivep researchp findingsp providep evidencep forppracticep butp mustp bep viewedp inprelationp topothe
rp studiesp beforep practicep changes.p Onep studypisp notp enough.p Descriptivep studiesp areplowp onpthep hier
archypofp evidence.p Clinicalp algorithmsp usep flowp chartsp top managep problemsp andp dop notpspecifyp on
ep responsep topap clinicalp problem.p Classicp tenetsp ofp practicep shouldp changep asp researchpfindingsppro
videpevidencepforpchange.
7. Twop nursingpstudentspdiscussp careerp planspafterp graduation.pOnep studentp wantsptopenterppsychia
tricp nursing.p Thep otherp studentp asks,p Whyp wouldp youp wantp top bep ap psychiatricp nurse?p Allptheypdop i
sptalk.p Youp willp losep yourp skills.p Selectp thepbestp responsepbypthep studentp interestedp inppsychiatricpn
ursing.
a. Psychiatricp nursesp practicep inp saferp environmentsp thanp otherp specialties.p Nurse-to-
patientp ratiospmustpbepbetterpbecausepofpthepnaturepofppatientspproblems.
b. Psychiatricp nursesp usep complexpcommunicationp skills,p asp wellp asp criticalp thinking,p top solvep
multidimensionalpproblems.pImpchallengedpbypthosepsituations.
c. Ipthinkp Ipwillp bep goodp inp thep mentalphealthp field.p Ipdopnotp likepclinicalprotationsp inp school,p sop Ipd
opnotpwantptopcontinuepthempafterpIpgraduate.
d. Psychiatricp nursesp dop notphavep top dealp withp asp muchppainp andp sufferingp asp medicalp surgicalpn
urses.pThatpappealsptopme.
ANS:p B
Thep practicep ofp psychiatricp nursingp requiresp ap differentp setp ofp skillsp thanp medicalp surgicalp nursing,pa
lthoughpsubstantialp overlapp doespexist.p Psychiatricp nursesp mustp bepablep tophelpppatientsp withpmedica
lp andp mentalp healthp problems,p reflectingp thep holisticp perspectivep thesep nursesp mustp have.
THE PSYCHIATRIC
p p
INTERVIEW
4th Edition Daniel J. Carlat
p p p p
TEST BANK p
,ThepPsychiatricpInterviewp4thpEditionpCarlatpTestpBankp
(Chapterp 1-Chapterp 3)
Chapterp1:pThep Initialp Interview:p Ap Preview
Chapterp 2:p Logisticp Preparations:p Whatp toDopBeforepthepInterview
Chapterp 3:p Thep Therapeuticp Alliance:p Whatp Itp Is,p Whyp It'sp Important,pandp Howptop Establishp It
MULTIPLEpCHOICE
1. Whichpoutcome,pfocusedponprecovery,pwouldpbepexpectedpinpthepplanpofpcarepforpappatientpli
vingpinpthepcommunitypandpdiagnosedpwithpseriouspandppersistentpmentalpillness?pWithinp3pmo
nths,ptheppatientpwill:
a. denyp suicidalp ideation.
b. reportpap sensep ofpwell-being.
c. takep medicationsp asp prescribed.
d. attendp clinicp appointmentsp onp time.p
ANS:pB
Recoveryp emphasizesp managingp symptoms,p reducingp psychosocialp disability,p andp improvingp rolepp
erformance.p Thep goalp ofp recoveryp isp top empowerp thep individualp withp mentalp illnessp topachievep apsen
sep ofpmeaningp andp satisfactionp inplifep andp top functionp atp thep highestp possiblep levelp ofp wellness.pThepi
ncorrectpoptionspfocusponpthepclassicpmedicalp modelpratherpthanprecovery.
2. Ap patientp isp hospitalizedp forp depressionp andp suicidalp ideationp afterptheirp spousep asksp forp apd
ivorce.pSelectpthepnursespmostpcaringpcomment.
a. Letsp discussp somep meanspofpcopingp otherp thanp suicidep whenp youp havep thesep feelings.
b. Ipunderstandp whyp yourep sop depressed.p Whenp Ip gotp divorced,p Ip wasp devastatedp too.
c. Youp shouldp forgetp aboutp yourp marriagep andp movep onp withp yourp life.
d. Howp didp youp getp sop depressedp thatp hospitalizationp wasp necessary?p
ANS:pA
Thep nursesp communicationp shouldp evidencep caringpandp ap commitmentp top workp withp thep patient.pTh
isp commitmentp letspthep patientp knowpthep nursep willp help.p Probingp andpadvicep arep notp helpfulp orpthera
peuticpinterventions.
3. Inp thep shift-changep report,p anp off-
goingp nursep criticizesp ap patientp whop wearsp heavyp makeup.pWhichpcommentpbypthep nursep whopre
ceivespthepreportp bestp demonstratesp advocacy?
a. Thisp ispap psychiatricp hospital.p Crazinessp isp whatp wep arep allp about.
b. Letsp allp showp acceptancepofp thisp patientp bypwearingp lotsp ofp makeupptoo.
,c. Yourp commentsp arep inconsideratep andp inappropriate.p Keepp thep reportp objective.
d. Ourp patientsp needp ourp helpp top learnp behaviorsp thatp willp helpp themp getp alongp inp society.p
ANS:pD
Acceptingppatientsp needsp forp self-
expressionp andp seekingp topteachp skillsp thatp willp contributep toptheirp well-
beingp demonstratep respectp andp arep importantp partsp ofp advocacy.p Thep on-
comingp nursepneedsp toptakep actionp top ensurep thatp othersp arep notp prejudicedp againstp thep patient.p Hum
orp canpbepappropriatep withinp thepprivacypofpap shiftp reportp butpnotp atpthep expensep ofprespectp forp patie
nts.
Judgingpthep off-
goingp nursep inp apcriticalp wayp willp createp conflict.p Nursesp mustp showp compassionpforpeachpother.
4. Ap nursep assessesp ap newlyp admittedp patientp diagnosedp withp majorp depressivep disorder.p Whichps
tatementpispanpexamplepofpattending?
a. Wep allp havep stressp inp life.p Beingpinpap psychiatricp hospitalp isntpthependpofp thep world.
b. Tellp mep whyp youp feltp youp hadp top bep hospitalizedp top receivep treatmentp forp yourp depression.
c. Youp willp feelp betterp afterpwep getp somepantidepressantp medicationp startedp forp you.
d. Idplikep top sitp withp youp ap whilep sop youp mayp feelp morepcomfortableptalkingp withpme.p
ANS:pD
Attendingp isp ap techniquep thatp demonstratesp thep nursesp commitmentp top thep relationshipp andpreduces
p feelingsp ofp isolation.p Thisp techniquep showsp respectp forp thep patientp andp demonstratespcaring.pGener
alizations,pprobing,pandpfalsepreassurancesparepnon-therapeutic.
5. Appatientp showspthep nursepanparticlep fromp thep Internetp aboutp ap healthp problem.pWhichpcharac
teristicp ofp thep webp sitesp addressp mostp alertsp thep nursep thatpthep sitep mayp havep biasedp andpprejudic
edpinformation?
a. Addresspendsp inp .org.
b. Addresspendsp inp .com.
c. Addresspendsp inp .gov.
d. Addressp endsp inp .net.p
ANS:pB
Financialp influencesponpap siteparep apcluepthatp thepinformationpmaypbep biased.p .comp atp thep endp ofpthep
addressp indicatespthatpthep sitep isp ap commercialp one.p .govp indicatesp thatp thep sitep isp maintainedpbypap g
overnmentpentity.p .orgp indicatesp thatp thep sitep isp nonproprietary;p thep sitep mayporp maypnotphavep relia
blepinformation,pbutp itp doespnotp profitp frompitspactivities.p .netpcanp havep multiple
, meanings.
6. Apnursep says,p Whenp Ipwasp inpschool,p Iplearnedptopcallpupsetppatientsp bypnameptopgetp theirpattention
;p however,p Ip readp ap descriptivep researchp studyp thatp saysp thatp thispapproachp doesp notp work.pIpplanp tops
toppcallingppatientsp bypname.pWhichp statementpisp thep bestpappraisalpofpthisp nursespcomment?
a. Onep descriptivep researchp studyp rarelyp providesp enoughp evidencep top changep practice.
b. Staffp nursesp applypnewp researchp findingsp onlypwithp thep helpp fromp clinicalp nursep specialists.
c. Newp researchp findingsp shouldp bep incorporatedp intopclinicalp algorithmsp beforep usingp themp inpp
ractice.
d. Thep nursep misinterpretedp thep resultsp ofp thep study.p Classicp tenetsp ofp practicep dop notp change.p
ANS:pA
Descriptivep researchp findingsp providep evidencep forppracticep butp mustp bep viewedp inprelationp topothe
rp studiesp beforep practicep changes.p Onep studypisp notp enough.p Descriptivep studiesp areplowp onpthep hier
archypofp evidence.p Clinicalp algorithmsp usep flowp chartsp top managep problemsp andp dop notpspecifyp on
ep responsep topap clinicalp problem.p Classicp tenetsp ofp practicep shouldp changep asp researchpfindingsppro
videpevidencepforpchange.
7. Twop nursingpstudentspdiscussp careerp planspafterp graduation.pOnep studentp wantsptopenterppsychia
tricp nursing.p Thep otherp studentp asks,p Whyp wouldp youp wantp top bep ap psychiatricp nurse?p Allptheypdop i
sptalk.p Youp willp losep yourp skills.p Selectp thepbestp responsepbypthep studentp interestedp inppsychiatricpn
ursing.
a. Psychiatricp nursesp practicep inp saferp environmentsp thanp otherp specialties.p Nurse-to-
patientp ratiospmustpbepbetterpbecausepofpthepnaturepofppatientspproblems.
b. Psychiatricp nursesp usep complexpcommunicationp skills,p asp wellp asp criticalp thinking,p top solvep
multidimensionalpproblems.pImpchallengedpbypthosepsituations.
c. Ipthinkp Ipwillp bep goodp inp thep mentalphealthp field.p Ipdopnotp likepclinicalprotationsp inp school,p sop Ipd
opnotpwantptopcontinuepthempafterpIpgraduate.
d. Psychiatricp nursesp dop notphavep top dealp withp asp muchppainp andp sufferingp asp medicalp surgicalpn
urses.pThatpappealsptopme.
ANS:p B
Thep practicep ofp psychiatricp nursingp requiresp ap differentp setp ofp skillsp thanp medicalp surgicalp nursing,pa
lthoughpsubstantialp overlapp doespexist.p Psychiatricp nursesp mustp bepablep tophelpppatientsp withpmedica
lp andp mentalp healthp problems,p reflectingp thep holisticp perspectivep thesep nursesp mustp have.
