THEPSYCHIATRIC
#
l
INTERVIEW
l#
4th Edition Daniel J. Carlat
l# l# l# l#
TEST BANK l#
,The l# Psychiatric l#Interview l# 4th l#Edition l#Carlat l#Test
l# Bank l # (Chapter l# 1-Chapter l # 3)
Chapter l#1: l#The l # Initial l # Interview: l # A l # Preview
Chapter l# 2: l # Logistic l # Preparations: l # What l# toDo l#Before l#the l#Interview
Chapter l# 3: l# The l# Therapeutic l # Alliance: l# What l# It l# Is, l# Why l#It's l # Important, l# and l# How l# to
l # Establish l# It
MULTIPLE l#CHOICE
1. Which l# outcome, l# focused l# on l# recovery, l# would l# be l # expected l# in l# the l# plan
l# of l# care l# for l# a l# patient l# living l# in l# the l# community l# and l# diagnosed l # with
l# serious l# and l# persistent l# mental l# illness? l# Within l# 3 l # months, l#the l#patient
l# will:
a. deny l#suicidal l# ideation.
b. report l#a l# sense l# of l#well-being.
c. take l# medications l # as l# prescribed.
d. attend l# clinic l# appointments
l# on l# time. l# ANS: l#B
Recovery l # emphasizes l # managing l # symptoms, l # reducing l # psychosocial l # disability,
l# and l # improving l # role l # performance. l# The l# goal l# of l#recovery l#is l# to l# empower
l# the l # individual l# with l# mental l# illness l# to l# achieve l # a l # sense l# of l#meaning l# and
l# satisfaction l# in l# life l# and l#to l# function l# at l# the l# highest l# possible l# level l# of l#wellness.
l # The l#incorrect l#options l#focus l#on l#the l#classic l#medical l#model l#rather l#than l#recovery.
2. A l# patient l# is l# hospitalized l# for l# depression l# and l# suicidal l# ideation l# after
l# their l# spouse l # asks l# for l# a l # divorce. l#Select l#the l#nurses l#most l#caring
l# comment.
a. Lets l# discuss l# some l # means l# of l#coping l# other l# than l# suicide l# when l# you l# have l # these
l# feelings.
b. I l#understand l# why l# youre l# so l# depressed. l# When l# I l#got l # divorced, l# I l#was l# devastated
l# too.
c. You l# should l# forget l# about l# your l# marriage l# and l# move l# on l# with l# your l# life.
d. How l# did l # you l # get l # so l# depressed l # that l# hospitalization
l# was l# necessary? l # ANS: l#A
The l# nurses l# communication l # should l# evidence l # caring l#and l# a l # commitment l # to l# work
l# with l# the l# patient. l # This l# commitment l# lets l# the l# patient l# know l# the l# nurse l# will
l# help. l# Probing l# and l# advice l# are l# not l# helpful l # or l # therapeutic l#interventions.
,3. In l# the l # shift-change l# report, l# an l # off-going l#nurse l# criticizes l# a l# patient l # who
l# wears l# heavy l# makeup. l # Which l#comment l# by l#the l# nurse l# who l#receives l#the
l# report l#best l# demonstrates l#advocacy?
a. This l# is l# a l# psychiatric l# hospital. l# Craziness l# is l# what l# we l# are l# all l# about.
b. Lets l# all l# show l# acceptance l# of l#this l# patient l# by l#wearing l# lots l# of l# makeup l#too.
, c. Your l # comments l # are l# inconsiderate l # and l# inappropriate. l # Keep l # the l # report
l # objective.
d. Our l# patients l# need l# our l#help l# to l# learn l# behaviors l#that l#will l# help l# them
l# get l# along l#in l# society. l # ANS: l#D
Accepting l#patients l# needs l#for l#self-expression l# and l# seeking l#to l#teach l#skills l# that
l# will l# contribute l# to l # their l# well-being l# demonstrate l # respect l # and l # are l # important
l# parts l# of l# advocacy. l # The l # on-coming l # nurse l # needs l# to l#take l# action l#to l# ensure
l# that l# others l# are l# not l# prejudiced l# against l# the l# patient. l# Humor l# can l#be
l # appropriate l# within l#the l# privacy l#of l#a l# shift l# report l#but l#not l# at l#the l#expense l# of
l# respect l# for l#patients.
Judging l#the l # off-going l# nurse l# in l# a l# critical l# way l#will l# create l# conflict. l# Nurses
l# must l# show l# compassion l # for l#each l#other.
4. A l # nurse l # assesses l # a l # newly l# admitted l # patient l # diagnosed l # with l # major
l# depressive l # disorder. l # Which l # statement l#is l#an l#example l#of l#attending?
a. We l# all l# have l# stress l# in l# life. l# Being l#in l#a l# psychiatric l# hospital l# isnt l#the l# end l#of
l# the l# world.
b. Tell l# me l# why l#you l# felt l # you l# had l# to l# be l # hospitalized l# to l# receive l# treatment
l# for l# your l # depression.
c. You l# will l# feel l# better l# after l# we l# get l# some l#antidepressant l# medication l# started
l # for l# you.
d. Id l#like l# to l# sit l# with l# you l#a l# while l# so l#you l# may l#feel l# more
l# comfortable l#talking l# with l#me. l # ANS: l#D
Attending l# is l# a l# technique l# that l# demonstrates l# the l# nurses l# commitment l# to l# the
l# relationship l# and l # reduces l # feelings l # of l# isolation. l # This l# technique l # shows
l# respect l # for l # the l # patient l # and l # demonstrates l # caring. l#Generalizations, l#probing,
l# and l#false l#reassurances l#are l#non-therapeutic.
5. A l#patient l# shows l#the l# nurse l#an l#article l# from l#the l# Internet l# about l# a l#health
l# problem. l#Which l # characteristic l# of l# the l# web l# sites l# address l# most l# alerts l# the
l# nurse l# that l# the l# site l# may l#have l# biased l# and l # prejudiced l#information?
a. Address l#ends l# in l#.org.
b. Address l#ends l# in l# .com.
c. Address l#ends l# in l# .gov.
d. Address l# ends l# in