,The hPsychiatric hInterview h4th hEdition hCarlat hTest
hBankh(Chapter h 1-Chapter h 3)
Chapter h1: hThe h Initial h Interview: h A h Preview
Chapter h 2: h Logistic h Preparations: h What h toDo hBefore hthe hInterview
Chapter h 3: h The hTherapeutic h Alliance: h What h It h Is, h Why hIt's h Important, hand h How hto h Establish
h It
MULTIPLE hCHOICE
1. Which houtcome, hfocused hon hrecovery, hwould hbe hexpected hin hthe hplan hof hcare hfor
ha hpatient hliving hin hthe hcommunity hand hdiagnosed hwith hserious hand hpersistent hmental
hillness? hWithin h3 hmonths, hthe hpatient hwill:
a. deny h suicidal h ideation.
b. report ha h sense h of hwell-being.
c. take h medications h as h prescribed.
d. attend h clinic h appointments h on
h time.hANS: hB
Recovery h emphasizes h managing h symptoms, h reducing h psychosocial h disability, h and
h improving h rolehperformance. h The h goal h of h recovery h is h to h empower h the h individual h with
h mental h illness h to h achieve h a hsense h of h meaning h and h satisfaction h in h life h and h to h function h at
h the h highest h possible h level h of h wellness. hThe hincorrect h options hfocus h on hthe hclassic
h medical h model h rather hthan hrecovery.
2. A h patient h is h hospitalized h for h depression h and h suicidal h ideation h after h their h spouse
h asks h for h ahdivorce. hSelect hthe hnurses hmost hcaring hcomment.
a. Lets h discuss h some h means h of hcoping h other h than h suicide h when h you h have h these h feelings.
b. I hunderstand h why hyoure h so h depressed. hWhen h I h got h divorced, h I h was h devastated h too.
c. You h should h forget h about h your h marriage h and hmove h on h with h your hlife.
d. How h did h you h get h so h depressed h that h hospitalization h was
h necessary?hANS: hA
The h nurses h communication h should h evidence h caring hand h a h commitment h to h work h with h the
h patient. hThis h commitment h lets h the h patient h know h the h nurse h will h help. h Probing h and h advice
h are h not h helpful h orhtherapeutic hinterventions.
3. In h the h shift-change h report, h an h off-going h nurse h criticizes h a h patient h who h wears h heavy
h makeup.hWhich hcomment h by hthe h nurse h who h receives h the h report h best h demonstrates
h advocacy?
a. This h is h a h psychiatric h hospital. h Craziness h is h what h we h are hall h about.
b. Lets hall h show h acceptance h of h this h patient h by hwearing h lots h of h makeup h too.
,c. Your h comments h are h inconsiderate h and h inappropriate. h Keep h the h report h objective.
d. Our h patients h need h our hhelp h to h learn h behaviors h that h will h help h them h get h along
h in h society.hANS: hD
Accepting hpatients h needs h for h self-expression h and h seeking hto hteach h skills h that h will
h contribute h to htheir h well-being h demonstrate h respect h and h are h important h parts h of h advocacy.
h The h on-coming h nursehneeds h to h take h action h to h ensure h that h others h are h not h prejudiced
h against h the h patient. h Humor h can h be happropriate h within h the h privacy hof ha h shift h report h but
h not h at h the h expense h of hrespect h for h patients.
Judging hthe h off-going h nurse h in h a h critical h way hwill h create h conflict. h Nurses h must h show
h compassionhfor heach hother.
4. A h nurse h assesses h a h newly h admitted h patient h diagnosed h with h major h depressive
h disorder. h Whichhstatement his han hexample h of hattending?
a. We h all h have h stress h in h life. h Being hin ha h psychiatric h hospital h isnt hthe hend hof h the h world.
b. Tell h me h why hyou h felt h you h had h to h be h hospitalized hto h receive h treatment h for h your
h depression.
c. You h will h feel h better h after hwe h get h some h antidepressant hmedication h started h for h you.
d. Id hlike h to h sit h with h you h a h while h so h you hmay hfeel h more h comfortable
h talking h with hme.hANS: hD
Attending h is h a h technique h that h demonstrates h the h nurses h commitment h to hthe h relationship
h and hreduces h feelings h of h isolation. h This h technique h shows h respect h for h the h patient h and
h demonstrateshcaring. h Generalizations, hprobing, hand h false h reassurances hare h non-therapeutic.
5. A hpatient h shows hthe h nurse han harticle h from hthe hInternet habout h a h health hproblem.
h Which hcharacteristic h of h the h web h sites h address h most h alerts h the h nurse h that h the h site
h may h have h biased h andhprejudiced hinformation?
a. Address hends h in h .org.
b. Address hends h in h .com.
c. Address hends hin h .gov.
d. Address h ends hin
h .net.hANS: hB
Financial h influences h on ha h site h are h a hclue h that hthe hinformation h may hbe hbiased. h .com h at
h the h end h of hthe h address h indicates h that h the h site h is h a h commercial h one. h .gov h indicates h that
h the h site h is h maintainedhby ha h government h entity. h .org h indicates h that h the h site h is
h nonproprietary; h the h site h may h or h may h not hhave h reliable hinformation, h but h it h does h not
h profit h from h its h activities. h .net h can h have h multiple
, meanings.
6. A hnurse h says, h When hI hwas h in hschool, h I hlearned hto hcall h upset hpatients h by hname hto h get
h their hattention; h however, h I h read h a h descriptive h research h study h that h says h that h this
h approach h does h not h work.hI hplan h to hstop hcalling h patients h by hname. h Which h statement h is
h the h best h appraisal h of hthis h nurses hcomment?
a. One h descriptive h research h study hrarely h provides h enough h evidence h to h change h practice.
b. Staff h nurses happly hnew h research h findings h only hwith h the h help h from h clinical h nurse h specialists.
c. New h research h findings h should h be h incorporated h into hclinical h algorithms h before h using
h them h inhpractice.
d. The h nurse h misinterpreted h the h results h of h the h study. h Classic h tenets h of h practice h do
h not h change.hANS: hA
Descriptive h research hfindings hprovide h evidence h for hpractice h but hmust h be hviewed h in
h relation h to hother h studies h before h practice h changes. h One h study his h not h enough. h Descriptive
h studies h are h low h on hthe h hierarchy h of h evidence. h Clinical h algorithms h use h flow h charts h to
h manage h problems h and h do h not hspecify h one h response h to h a h clinical h problem. h Classic
h tenets h of h practice h should h change h as h researchhfindings hprovide hevidence hfor hchange.
7. Two h nursing hstudents h discuss h career h plans hafter h graduation. hOne h student h wants hto
h enter hpsychiatric h nursing. h The h other h student h asks, h Why h would h you h want h to h be h a
h psychiatric h nurse? h Allhthey hdo h is h talk. h You h will h lose h your h skills. h Select h the h best
h response h by h the h student h interested h in hpsychiatric hnursing.
a. Psychiatric h nurses h practice h in h safer h environments h than h other h specialties. h Nurse-to-
patient h ratioshmust hbe hbetter hbecause hof hthe hnature hof hpatients hproblems.
b. Psychiatric h nurses h use h complex h communication h skills, h as h well has h critical h thinking,
h to h solvehmultidimensional hproblems. hIm hchallenged hby hthose h situations.
c. I hthink hI hwill h be h good hin hthe h mental hhealth h field. h I hdo h not h like h clinical hrotations h in
h school, h so h Ihdo hnot hwant hto hcontinue hthem hafter hI hgraduate.
d. Psychiatric h nurses h do h not hhave h to h deal h with has h much h pain hand h suffering has
h medical h surgicalhnurses. hThat happeals hto hme.
ANS: h B
The h practice h of h psychiatric h nursing h requires h a h different h set h of h skills h than h medical
h surgical h nursing,halthough h substantial h overlap h does h exist. h Psychiatric h nurses h must h be h able
h to hhelp h patients h with hmedical h and h mental h health h problems, h reflecting h the h holistic
h perspective h these h nurses h must h have.
hBankh(Chapter h 1-Chapter h 3)
Chapter h1: hThe h Initial h Interview: h A h Preview
Chapter h 2: h Logistic h Preparations: h What h toDo hBefore hthe hInterview
Chapter h 3: h The hTherapeutic h Alliance: h What h It h Is, h Why hIt's h Important, hand h How hto h Establish
h It
MULTIPLE hCHOICE
1. Which houtcome, hfocused hon hrecovery, hwould hbe hexpected hin hthe hplan hof hcare hfor
ha hpatient hliving hin hthe hcommunity hand hdiagnosed hwith hserious hand hpersistent hmental
hillness? hWithin h3 hmonths, hthe hpatient hwill:
a. deny h suicidal h ideation.
b. report ha h sense h of hwell-being.
c. take h medications h as h prescribed.
d. attend h clinic h appointments h on
h time.hANS: hB
Recovery h emphasizes h managing h symptoms, h reducing h psychosocial h disability, h and
h improving h rolehperformance. h The h goal h of h recovery h is h to h empower h the h individual h with
h mental h illness h to h achieve h a hsense h of h meaning h and h satisfaction h in h life h and h to h function h at
h the h highest h possible h level h of h wellness. hThe hincorrect h options hfocus h on hthe hclassic
h medical h model h rather hthan hrecovery.
2. A h patient h is h hospitalized h for h depression h and h suicidal h ideation h after h their h spouse
h asks h for h ahdivorce. hSelect hthe hnurses hmost hcaring hcomment.
a. Lets h discuss h some h means h of hcoping h other h than h suicide h when h you h have h these h feelings.
b. I hunderstand h why hyoure h so h depressed. hWhen h I h got h divorced, h I h was h devastated h too.
c. You h should h forget h about h your h marriage h and hmove h on h with h your hlife.
d. How h did h you h get h so h depressed h that h hospitalization h was
h necessary?hANS: hA
The h nurses h communication h should h evidence h caring hand h a h commitment h to h work h with h the
h patient. hThis h commitment h lets h the h patient h know h the h nurse h will h help. h Probing h and h advice
h are h not h helpful h orhtherapeutic hinterventions.
3. In h the h shift-change h report, h an h off-going h nurse h criticizes h a h patient h who h wears h heavy
h makeup.hWhich hcomment h by hthe h nurse h who h receives h the h report h best h demonstrates
h advocacy?
a. This h is h a h psychiatric h hospital. h Craziness h is h what h we h are hall h about.
b. Lets hall h show h acceptance h of h this h patient h by hwearing h lots h of h makeup h too.
,c. Your h comments h are h inconsiderate h and h inappropriate. h Keep h the h report h objective.
d. Our h patients h need h our hhelp h to h learn h behaviors h that h will h help h them h get h along
h in h society.hANS: hD
Accepting hpatients h needs h for h self-expression h and h seeking hto hteach h skills h that h will
h contribute h to htheir h well-being h demonstrate h respect h and h are h important h parts h of h advocacy.
h The h on-coming h nursehneeds h to h take h action h to h ensure h that h others h are h not h prejudiced
h against h the h patient. h Humor h can h be happropriate h within h the h privacy hof ha h shift h report h but
h not h at h the h expense h of hrespect h for h patients.
Judging hthe h off-going h nurse h in h a h critical h way hwill h create h conflict. h Nurses h must h show
h compassionhfor heach hother.
4. A h nurse h assesses h a h newly h admitted h patient h diagnosed h with h major h depressive
h disorder. h Whichhstatement his han hexample h of hattending?
a. We h all h have h stress h in h life. h Being hin ha h psychiatric h hospital h isnt hthe hend hof h the h world.
b. Tell h me h why hyou h felt h you h had h to h be h hospitalized hto h receive h treatment h for h your
h depression.
c. You h will h feel h better h after hwe h get h some h antidepressant hmedication h started h for h you.
d. Id hlike h to h sit h with h you h a h while h so h you hmay hfeel h more h comfortable
h talking h with hme.hANS: hD
Attending h is h a h technique h that h demonstrates h the h nurses h commitment h to hthe h relationship
h and hreduces h feelings h of h isolation. h This h technique h shows h respect h for h the h patient h and
h demonstrateshcaring. h Generalizations, hprobing, hand h false h reassurances hare h non-therapeutic.
5. A hpatient h shows hthe h nurse han harticle h from hthe hInternet habout h a h health hproblem.
h Which hcharacteristic h of h the h web h sites h address h most h alerts h the h nurse h that h the h site
h may h have h biased h andhprejudiced hinformation?
a. Address hends h in h .org.
b. Address hends h in h .com.
c. Address hends hin h .gov.
d. Address h ends hin
h .net.hANS: hB
Financial h influences h on ha h site h are h a hclue h that hthe hinformation h may hbe hbiased. h .com h at
h the h end h of hthe h address h indicates h that h the h site h is h a h commercial h one. h .gov h indicates h that
h the h site h is h maintainedhby ha h government h entity. h .org h indicates h that h the h site h is
h nonproprietary; h the h site h may h or h may h not hhave h reliable hinformation, h but h it h does h not
h profit h from h its h activities. h .net h can h have h multiple
, meanings.
6. A hnurse h says, h When hI hwas h in hschool, h I hlearned hto hcall h upset hpatients h by hname hto h get
h their hattention; h however, h I h read h a h descriptive h research h study h that h says h that h this
h approach h does h not h work.hI hplan h to hstop hcalling h patients h by hname. h Which h statement h is
h the h best h appraisal h of hthis h nurses hcomment?
a. One h descriptive h research h study hrarely h provides h enough h evidence h to h change h practice.
b. Staff h nurses happly hnew h research h findings h only hwith h the h help h from h clinical h nurse h specialists.
c. New h research h findings h should h be h incorporated h into hclinical h algorithms h before h using
h them h inhpractice.
d. The h nurse h misinterpreted h the h results h of h the h study. h Classic h tenets h of h practice h do
h not h change.hANS: hA
Descriptive h research hfindings hprovide h evidence h for hpractice h but hmust h be hviewed h in
h relation h to hother h studies h before h practice h changes. h One h study his h not h enough. h Descriptive
h studies h are h low h on hthe h hierarchy h of h evidence. h Clinical h algorithms h use h flow h charts h to
h manage h problems h and h do h not hspecify h one h response h to h a h clinical h problem. h Classic
h tenets h of h practice h should h change h as h researchhfindings hprovide hevidence hfor hchange.
7. Two h nursing hstudents h discuss h career h plans hafter h graduation. hOne h student h wants hto
h enter hpsychiatric h nursing. h The h other h student h asks, h Why h would h you h want h to h be h a
h psychiatric h nurse? h Allhthey hdo h is h talk. h You h will h lose h your h skills. h Select h the h best
h response h by h the h student h interested h in hpsychiatric hnursing.
a. Psychiatric h nurses h practice h in h safer h environments h than h other h specialties. h Nurse-to-
patient h ratioshmust hbe hbetter hbecause hof hthe hnature hof hpatients hproblems.
b. Psychiatric h nurses h use h complex h communication h skills, h as h well has h critical h thinking,
h to h solvehmultidimensional hproblems. hIm hchallenged hby hthose h situations.
c. I hthink hI hwill h be h good hin hthe h mental hhealth h field. h I hdo h not h like h clinical hrotations h in
h school, h so h Ihdo hnot hwant hto hcontinue hthem hafter hI hgraduate.
d. Psychiatric h nurses h do h not hhave h to h deal h with has h much h pain hand h suffering has
h medical h surgicalhnurses. hThat happeals hto hme.
ANS: h B
The h practice h of h psychiatric h nursing h requires h a h different h set h of h skills h than h medical
h surgical h nursing,halthough h substantial h overlap h does h exist. h Psychiatric h nurses h must h be h able
h to hhelp h patients h with hmedical h and h mental h health h problems, h reflecting h the h holistic
h perspective h these h nurses h must h have.
