TESTBANK 4
h
THE PSYCHIATRIC I
h4 h4
NTERVIEW
4th Edition Daniel J. Carlat
h4 h4 h4 h4
TESTBANK 4
h
,The Psychiatric Interview 4th Edition Carlat Test Bank (Cha
h4 h4 h4 h4 h4 h4 h4 h4
pter 1-Chapter 3)
h4 h4
Chapter 1: The Initial Interview: A Preview
h4 h4 h4 h4 h4 h4
Chapter 2: Logistic Preparations: What toDo Before the Interview
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
MULTIPLE CHOICE h4
1. Which outcome, focused on recovery, would be expected in the plan of care for a patie
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
nt living in the community and diagnosed with serious and persistent mental illness? With
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
in 3 months, the patient will:
h4 h4 h4 h4 h4
a. deny suicidal ideation. h4 h4
b. report a sense of well-being. h4 h4 h4 h4
c. take medications as prescribed.
h4 h4 h4
d. attend clinic appointments on timeh4 h4 h4 h4
. ANS: B
h4 h4
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving ro
h4 h4 h4 h4 h4 h4 h4 h4 h4
le performance. The goal of recovery is to empower the individual with mental illness to achi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
eve a sense of meaning and satisfaction in life and to function at the highest possible level of
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
wellness. The incorrect options focus on the classic medical model rather than recovery.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
h4 a divorce. Select the nurses most caring comment.
h4 h4 h4 h4 h4 h4 h4
a. Lets discuss some means of coping other than suicide when you have these feelings.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. I understand why youre so depressed. When I got divorced, I was devastated too.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
c. You should forget about your marriage and move on with your life.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
d. How did you get so depressed that hospitalization was necessary
h4 h4 h4 h4 h4 h4 h4 h4 h4
? ANS: A
h4 h4
The nurses communication should evidence caring and a commitment to work with the patient
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
. This commitment lets the patient know the nurse will help. Probing and advice are not helpf
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ul or therapeutic interventions.
h4 h4 h4
3. In the shift-change report, an off-
h4 h4 h4 h4 h4
going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse wh
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
o receives the report best demonstrates advocacy?
h4 h4 h4 h4 h4 h4
a. This is a psychiatric hospital. Craziness is what we are all about.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Lets all show acceptance of this patient by wearing lots of makeup too.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
h4 h4 h4 h4 h4 h4 h4 h4 h4
d. Our patients need our help to learn behaviors that will help them get along in socie
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ty. ANS: Dh4 h4
Accepting patients needs for self- h4 h4 h4 h4
expression and seeking to teach skills that will contribute to their well-
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
being demonstrate respect and are important parts of advocacy. The on-
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
coming nurse needs to take action to ensure that others are not prejudiced against the patient.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
h4 Humor can be appropriate within the privacy of a shift report but not at the expense of resp
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ect for patients.
h4 h4
Judging the off- h4 h4
going nurse in a critical way will create conflict. Nurses must show compassion for each othe
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
r.
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Whic
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
h statement is an example of attending?
h4 h4 h4 h4 h4 h4
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
c. You will feel better after we get some antidepressant medication started for you.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
d. Id like to sit with you a while so you may feel more comfortable talking with
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
me. ANS: D h4 h4
Attending is a technique that demonstrates the nurses commitment to the relationship and red
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
uces feelings of isolation. This technique shows respect for the patient and demonstrates cari
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ng. Generalizations, probing, and false reassurances are non-therapeutic.
h4 h4 h4 h4 h4 h4 h4
5. A patient shows the nurse an article from the Internet about a health problem. Which ch
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
aracteristic of the web sites address most alerts the nurse that the site may have biased and
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
h4 prejudiced information? h4
a. Address ends in .org. h4 h4 h4
b. Address ends in .com. h4 h4 h4
c. Address ends in .gov. h4 h4 h4
d. Address ends in .net h4 h4 h4
. ANS: B
h4 h4
Financial influences on a site are a clue that the information may be biased. .com at the end
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
of the address indicates that the site is a commercial one. .gov indicates that the site is maint
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ained by a government entity. .org indicates that the site is nonproprietary; the site may or m
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ay not have reliable information, but it does not profit from its activities. .net can have multi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ple
, meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their atte
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ntion; however, I read a descriptive research study that says that this approach does not work.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
h 4 I plan to stop calling patients by name. Which statement is the best appraisal of this nurses c
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
omment?
a. One descriptive research study rarely provides enough evidence to change practice.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
c. New research findings should be incorporated into clinical algorithms before using them i
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
n practice.
h4
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not chang
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
e. ANS: A
h4 h4
Descriptive research findings provide evidence for practice but must be viewed in relation to
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
other studies before practice changes. One study is not enough. Descriptive studies are low o
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
n the hierarchy of evidence. Clinical algorithms use flow charts to manage problems and do
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
not specify one response to a clinical problem. Classic tenets of practice should change as re
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
search findings provide evidence for change.
h4 h4 h4 h4 h4
7. Two nursing students discuss career plans after graduation. One student wants to enter psyc
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
hiatric nursing. The other student asks, Why would you want to be a psychiatric nurse? All th
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ey do is talk. You will lose your skills. Select the best response by the student interested in p
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
sychiatric nursing. h4
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
h4 h4 h4 h4 h4 h4 h4 h4 h4
patient ratios must be better because of the nature of patients problems.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Psychiatric nurses use complex communication skills, as well as critical thinking, to sol
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ve multidimensional problems. Im challenged by those situations.
h4 h4 h4 h4 h4 h4 h4
c. I think I will be good in the mental health field. I do not like clinical rotations in school,
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
so I do not want to continue them after I graduate.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical surgi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
cal nurses. That appeals to me.
h4 h4 h4 h4 h4
ANS: B h4
The practice of psychiatric nursing requires a different set of skills than medical surgical nursi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ng, although substantial overlap does exist. Psychiatric nurses must be able to help patients wi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
th medical and mental health problems, reflecting the holistic perspective these nurses must ha
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ve.
h
THE PSYCHIATRIC I
h4 h4
NTERVIEW
4th Edition Daniel J. Carlat
h4 h4 h4 h4
TESTBANK 4
h
,The Psychiatric Interview 4th Edition Carlat Test Bank (Cha
h4 h4 h4 h4 h4 h4 h4 h4
pter 1-Chapter 3)
h4 h4
Chapter 1: The Initial Interview: A Preview
h4 h4 h4 h4 h4 h4
Chapter 2: Logistic Preparations: What toDo Before the Interview
h4 h4 h4 h4 h4 h4 h4 h4
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
MULTIPLE CHOICE h4
1. Which outcome, focused on recovery, would be expected in the plan of care for a patie
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
nt living in the community and diagnosed with serious and persistent mental illness? With
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
in 3 months, the patient will:
h4 h4 h4 h4 h4
a. deny suicidal ideation. h4 h4
b. report a sense of well-being. h4 h4 h4 h4
c. take medications as prescribed.
h4 h4 h4
d. attend clinic appointments on timeh4 h4 h4 h4
. ANS: B
h4 h4
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving ro
h4 h4 h4 h4 h4 h4 h4 h4 h4
le performance. The goal of recovery is to empower the individual with mental illness to achi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
eve a sense of meaning and satisfaction in life and to function at the highest possible level of
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
wellness. The incorrect options focus on the classic medical model rather than recovery.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
h4 a divorce. Select the nurses most caring comment.
h4 h4 h4 h4 h4 h4 h4
a. Lets discuss some means of coping other than suicide when you have these feelings.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. I understand why youre so depressed. When I got divorced, I was devastated too.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
c. You should forget about your marriage and move on with your life.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
d. How did you get so depressed that hospitalization was necessary
h4 h4 h4 h4 h4 h4 h4 h4 h4
? ANS: A
h4 h4
The nurses communication should evidence caring and a commitment to work with the patient
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
. This commitment lets the patient know the nurse will help. Probing and advice are not helpf
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ul or therapeutic interventions.
h4 h4 h4
3. In the shift-change report, an off-
h4 h4 h4 h4 h4
going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse wh
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
o receives the report best demonstrates advocacy?
h4 h4 h4 h4 h4 h4
a. This is a psychiatric hospital. Craziness is what we are all about.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Lets all show acceptance of this patient by wearing lots of makeup too.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
h4 h4 h4 h4 h4 h4 h4 h4 h4
d. Our patients need our help to learn behaviors that will help them get along in socie
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ty. ANS: Dh4 h4
Accepting patients needs for self- h4 h4 h4 h4
expression and seeking to teach skills that will contribute to their well-
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
being demonstrate respect and are important parts of advocacy. The on-
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
coming nurse needs to take action to ensure that others are not prejudiced against the patient.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
h4 Humor can be appropriate within the privacy of a shift report but not at the expense of resp
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ect for patients.
h4 h4
Judging the off- h4 h4
going nurse in a critical way will create conflict. Nurses must show compassion for each othe
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
r.
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Whic
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
h statement is an example of attending?
h4 h4 h4 h4 h4 h4
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
c. You will feel better after we get some antidepressant medication started for you.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
d. Id like to sit with you a while so you may feel more comfortable talking with
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
me. ANS: D h4 h4
Attending is a technique that demonstrates the nurses commitment to the relationship and red
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
uces feelings of isolation. This technique shows respect for the patient and demonstrates cari
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ng. Generalizations, probing, and false reassurances are non-therapeutic.
h4 h4 h4 h4 h4 h4 h4
5. A patient shows the nurse an article from the Internet about a health problem. Which ch
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
aracteristic of the web sites address most alerts the nurse that the site may have biased and
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
h4 prejudiced information? h4
a. Address ends in .org. h4 h4 h4
b. Address ends in .com. h4 h4 h4
c. Address ends in .gov. h4 h4 h4
d. Address ends in .net h4 h4 h4
. ANS: B
h4 h4
Financial influences on a site are a clue that the information may be biased. .com at the end
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
of the address indicates that the site is a commercial one. .gov indicates that the site is maint
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ained by a government entity. .org indicates that the site is nonproprietary; the site may or m
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ay not have reliable information, but it does not profit from its activities. .net can have multi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ple
, meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their atte
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ntion; however, I read a descriptive research study that says that this approach does not work.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
h 4 I plan to stop calling patients by name. Which statement is the best appraisal of this nurses c
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
omment?
a. One descriptive research study rarely provides enough evidence to change practice.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
c. New research findings should be incorporated into clinical algorithms before using them i
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
n practice.
h4
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not chang
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
e. ANS: A
h4 h4
Descriptive research findings provide evidence for practice but must be viewed in relation to
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
other studies before practice changes. One study is not enough. Descriptive studies are low o
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
n the hierarchy of evidence. Clinical algorithms use flow charts to manage problems and do
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
not specify one response to a clinical problem. Classic tenets of practice should change as re
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
search findings provide evidence for change.
h4 h4 h4 h4 h4
7. Two nursing students discuss career plans after graduation. One student wants to enter psyc
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
hiatric nursing. The other student asks, Why would you want to be a psychiatric nurse? All th
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ey do is talk. You will lose your skills. Select the best response by the student interested in p
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
sychiatric nursing. h4
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
h4 h4 h4 h4 h4 h4 h4 h4 h4
patient ratios must be better because of the nature of patients problems.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
b. Psychiatric nurses use complex communication skills, as well as critical thinking, to sol
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ve multidimensional problems. Im challenged by those situations.
h4 h4 h4 h4 h4 h4 h4
c. I think I will be good in the mental health field. I do not like clinical rotations in school,
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
so I do not want to continue them after I graduate.
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical surgi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
cal nurses. That appeals to me.
h4 h4 h4 h4 h4
ANS: B h4
The practice of psychiatric nursing requires a different set of skills than medical surgical nursi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ng, although substantial overlap does exist. Psychiatric nurses must be able to help patients wi
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
th medical and mental health problems, reflecting the holistic perspective these nurses must ha
h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4 h4
ve.
