,psychiatric 4th edition b b
5. A patient shows the nurse an article from the Internet about a health problem. Which
n n n n n n n n n n n n n n
ncharacteristic of the web sites address most alerts the nurse that the site may have biased and
n n n n n n n n n n n n n n n n
nprejudiced information? a. Address ends in .org. n n n n n n
Address ends in .com. n n n
nAddress ends in .gov. n n n
nAddress ends in .net. n n n
nANS: B n
Financial influences on a site are a clue that the information may be biased. .com at the end of the
n n n n n n n n n n n n n n n n n n n
naddress indicates that the site is a commercial one. .gov indicates that the site is maintained by a
n n n n n n n n n n n n n n n n n
ngovernment entity. .org indicates that the site is nonproprietary; the site may or may not have
n n n n n n n n n n n n n n n
nreliable information, but it does not profit from its activities. .net can have multiple meanings.
n n n n n n n n n n n n n n
6. A nurse says, When I was in school, I learned to call upset patients by name to get their
n n n n n n n n n n n n n n n n n n
nattention; however, I read a descriptive research study that says that this approach does not work.
n n n n n n n n n n n n n n n
nI plan to stop calling patients by name. Which statement is the best appraisal of this nurses
n n n n n n n n n n n n n n n n
ncomment?
One descriptive research study rarely provides enough evidence to change practice.
n n n n n n n n n n
Staff nurses apply new research findings only with the help from clinical nurse specialists.
n n n n n n n n n n n n n
nNew research findings should be incorporated into clinical algorithms before using them in
n n n n n n n n n n n n
npractice.
The nurse misinterpreted the results of the study. Classic tenets of practice do not change.
n n n n n n n n n n n n n n
nANS: A n
Descriptive research findings provide evidence for practice but must be viewed in relation to other
n n n n n n n n n n n n n n
nstudies before practice changes. One study is not enough. Descriptive studies are low on the
n n n n n n n n n n n n n n
nhierarchy of evidence. Clinical algorithms use flow charts to manage problems and do not
n n n n n n n n n n n n n
nspecify one response to a clinical problem. Classic tenets of practice should change as research
n n n n n n n n n n n n n n
nfindings provide evidence for change. n n n n
7. Two nursing students discuss career plans after graduation. One student wants to enter
n n n n n n n n n n n n
npsychiatric nursing. The other student asks, Why would you want to be a psychiatric nurse? All
n n n n n n n n n n n n n n n
nthey do is talk. You will lose your skills. Select the best response by the student interested in
n n n n n n n n n n n n n n n n n
npsychiatric nursing. n
Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios
n n n n n n n n n n
nmust be better because of the nature of patients problems.
n n n n n n n n n
Psychiatric nurses use complex communication skills, as well as critical thinking, to solve
n n n n n n n n n n n n
nmultidimensional problems. Im challenged by those situations. n n n n n n
I think I will be good in the mental health field. I do not like clinical rotations in school, so I do not
n n n n n n n n n n n n n n n n n n n n n n
nwant to continue them after I graduate.
n n n n n n
Psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurses.
n n n n n n n n n n n n n n n n
nThat appeals to me.n n n
ANS: B n
,The Psychiatric Interview 4th Edition Carlat Test Bank
n n n n n n n
(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations: What to
n n n n n n n n n n n n
nDo Before the Interview
n n n
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
n n n n n n n n n n n n n n n
nMULTIPLE CHOICE n
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living
n n n n n n n n n n n n n n n n
nin the community and diagnosed with serious and persistent mental illness? Within 3 months,
n n n n n n n n n n n n n
n the patient will: n n
deny suicidal ideation. n n
nreport a sense of well-being. n n n n
take medications as prescribed.
n n n
nattend clinic appointments on time.
n n n n
nANS: B n
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
n n n n n n n n n
nperformance. The goal of recovery is to empower the individual with mental illness to achieve
n n n n n n n n n n n n n n
na sense of meaning and satisfaction in life and to function at the highest possible level of
n n n n n n n n n n n n n n n n
nwellness.
The incorrect options focus on the classic medical model rather than recovery.
n n n n n n n n n n n
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
n n n n n n n n n n n n n n
ndivorce. Select the nurses most caring comment.n n n n n n
Lets discuss some means of coping other than suicide when you have these feelings.
n n n n n n n n n n n n n
nI understand why youre so depressed. When I got divorced, I was devastated too.
n n n n n n n n n n n n n
nYou should forget about your marriage and move on with your life.
n n n n n n n n n n n
How did you get so depressed that hospitalization was necessary?
n n n n n n n n n
nANS: A n
The nurses communication should evidence caring and a commitment to work with the patient.
n n n n n n n n n n n n n
nThis commitment lets the patient know the nurse will help. Probing and advice are not helpful or
n n n n n n n n n n n n n n n n
ntherapeutic interventions. n
3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup.
n n n n n n n n n n n n n
n Which comment by the nurse who receives the report best demonstrates advocacy? a. This is a
n n n n n n n n n n n n n n n
npsychiatric hospital. Craziness is what we are all about. n n n n n n n n
Lets all show acceptance of this patient by wearing lots of makeup too.
n n n n n n n n n n n n
Your comments are inconsiderate and inappropriate. Keep the report objective.
n n n n n n n n n
Our patients need our help to learn behaviors that will help them get along in society.
n n n n n n n n n n n n n n n
nANS: D n
Accepting patients needs for self-expression and seeking to teach skills that will contribute to their
n n n n n n n n n n n n n n
nwell-being demonstrate respect and are important parts of advocacy. The on-coming nurse needs to
n n n n n n n n n n n n n
ntake action to ensure that others are not prejudiced against the patient. Humor can be appropriate
n n n n n n n n n n n n n n n
nwithin the privacy of a shift report but not at the expense of respect for patients. Judging the off-
n n n n n n n n n n n n n n n n n n
n going nurse in a critical way will create conflict. Nurses must show compassion for each other.
n n n n n n n n n n n n n n n
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
n n n n n n n n n n n n
nstatement is an example of attending? n n n n n
We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
n n n n n n n n n n n n n n n n
, Tell me why you felt you had to be hospitalized to receive treatment for your depression.
n n n n n n n n n n n n n n n
nYou will feel better after we get some antidepressant medication started for you.
n n n n n n n n n n n n
Id like to sit with you a while so you may feel more comfortable talking with me.
n n n n n n n n n n n n n n n n
nANS: D n
Attending is a technique that demonstrates the nurses commitment to the relationship and reduces
n n n n n n n n n n n n n
nfeelings of isolation. This technique shows respect for the patient and demonstrates caring.
n n n n n n n n n n n n
Generalizations, probing, and false reassurances are non-therapeutic.
n n n n n n
The practice of psychiatric nursing requires a different set of skills than medical surgical nursing,
n n n n n n n n n n n n n n
nalthough substantial overlap does exist. Psychiatric nurses must be able to help patients with
n n n n n n n n n n n n n
nmedical and mental health problems, reflecting the holistic perspective these nurses must have.
n n n n n n n n n n n n
5. A patient shows the nurse an article from the Internet about a health problem. Which
n n n n n n n n n n n n n n
ncharacteristic of the web sites address most alerts the nurse that the site may have biased and
n n n n n n n n n n n n n n n n
nprejudiced information? a. Address ends in .org. n n n n n n
Address ends in .com. n n n
nAddress ends in .gov. n n n
nAddress ends in .net. n n n
nANS: B n
Financial influences on a site are a clue that the information may be biased. .com at the end of the
n n n n n n n n n n n n n n n n n n n
naddress indicates that the site is a commercial one. .gov indicates that the site is maintained by a
n n n n n n n n n n n n n n n n n
ngovernment entity. .org indicates that the site is nonproprietary; the site may or may not have
n n n n n n n n n n n n n n n
nreliable information, but it does not profit from its activities. .net can have multiple meanings.
n n n n n n n n n n n n n n
6. A nurse says, When I was in school, I learned to call upset patients by name to get their
n n n n n n n n n n n n n n n n n n
nattention; however, I read a descriptive research study that says that this approach does not work.
n n n n n n n n n n n n n n n
nI plan to stop calling patients by name. Which statement is the best appraisal of this nurses
n n n n n n n n n n n n n n n n
ncomment?
One descriptive research study rarely provides enough evidence to change practice.
n n n n n n n n n n
Staff nurses apply new research findings only with the help from clinical nurse specialists.
n n n n n n n n n n n n n
nNew research findings should be incorporated into clinical algorithms before using them in
n n n n n n n n n n n n
npractice.
The nurse misinterpreted the results of the study. Classic tenets of practice do not change.
n n n n n n n n n n n n n n
nANS: A n
Descriptive research findings provide evidence for practice but must be viewed in relation to other
n n n n n n n n n n n n n n
nstudies before practice changes. One study is not enough. Descriptive studies are low on the
n n n n n n n n n n n n n n
nhierarchy of evidence. Clinical algorithms use flow charts to manage problems and do not
n n n n n n n n n n n n n
nspecify one response to a clinical problem. Classic tenets of practice should change as research
n n n n n n n n n n n n n n
nfindings provide evidence for change. n n n n
7. Two nursing students discuss career plans after graduation. One student wants to enter
n n n n n n n n n n n n
npsychiatric nursing. The other student asks, Why would you want to be a psychiatric nurse? All
n n n n n n n n n n n n n n n
nthey do is talk. You will lose your skills. Select the best response by the student interested in
n n n n n n n n n n n n n n n n n
npsychiatric nursing. n
Psychiatric nurses practice in safer environments than other specialties. Nurse-to-patient ratios
n n n n n n n n n n
nmust be better because of the nature of patients problems.
n n n n n n n n n
Psychiatric nurses use complex communication skills, as well as critical thinking, to solve
n n n n n n n n n n n n
nmultidimensional problems. Im challenged by those situations. n n n n n n
I think I will be good in the mental health field. I do not like clinical rotations in school, so I do not
n n n n n n n n n n n n n n n n n n n n n n
nwant to continue them after I graduate.
n n n n n n
Psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurses.
n n n n n n n n n n n n n n n n
nThat appeals to me.n n n
ANS: B n
,The Psychiatric Interview 4th Edition Carlat Test Bank
n n n n n n n
(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations: What to
n n n n n n n n n n n n
nDo Before the Interview
n n n
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
n n n n n n n n n n n n n n n
nMULTIPLE CHOICE n
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living
n n n n n n n n n n n n n n n n
nin the community and diagnosed with serious and persistent mental illness? Within 3 months,
n n n n n n n n n n n n n
n the patient will: n n
deny suicidal ideation. n n
nreport a sense of well-being. n n n n
take medications as prescribed.
n n n
nattend clinic appointments on time.
n n n n
nANS: B n
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
n n n n n n n n n
nperformance. The goal of recovery is to empower the individual with mental illness to achieve
n n n n n n n n n n n n n n
na sense of meaning and satisfaction in life and to function at the highest possible level of
n n n n n n n n n n n n n n n n
nwellness.
The incorrect options focus on the classic medical model rather than recovery.
n n n n n n n n n n n
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
n n n n n n n n n n n n n n
ndivorce. Select the nurses most caring comment.n n n n n n
Lets discuss some means of coping other than suicide when you have these feelings.
n n n n n n n n n n n n n
nI understand why youre so depressed. When I got divorced, I was devastated too.
n n n n n n n n n n n n n
nYou should forget about your marriage and move on with your life.
n n n n n n n n n n n
How did you get so depressed that hospitalization was necessary?
n n n n n n n n n
nANS: A n
The nurses communication should evidence caring and a commitment to work with the patient.
n n n n n n n n n n n n n
nThis commitment lets the patient know the nurse will help. Probing and advice are not helpful or
n n n n n n n n n n n n n n n n
ntherapeutic interventions. n
3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy makeup.
n n n n n n n n n n n n n
n Which comment by the nurse who receives the report best demonstrates advocacy? a. This is a
n n n n n n n n n n n n n n n
npsychiatric hospital. Craziness is what we are all about. n n n n n n n n
Lets all show acceptance of this patient by wearing lots of makeup too.
n n n n n n n n n n n n
Your comments are inconsiderate and inappropriate. Keep the report objective.
n n n n n n n n n
Our patients need our help to learn behaviors that will help them get along in society.
n n n n n n n n n n n n n n n
nANS: D n
Accepting patients needs for self-expression and seeking to teach skills that will contribute to their
n n n n n n n n n n n n n n
nwell-being demonstrate respect and are important parts of advocacy. The on-coming nurse needs to
n n n n n n n n n n n n n
ntake action to ensure that others are not prejudiced against the patient. Humor can be appropriate
n n n n n n n n n n n n n n n
nwithin the privacy of a shift report but not at the expense of respect for patients. Judging the off-
n n n n n n n n n n n n n n n n n n
n going nurse in a critical way will create conflict. Nurses must show compassion for each other.
n n n n n n n n n n n n n n n
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
n n n n n n n n n n n n
nstatement is an example of attending? n n n n n
We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
n n n n n n n n n n n n n n n n
, Tell me why you felt you had to be hospitalized to receive treatment for your depression.
n n n n n n n n n n n n n n n
nYou will feel better after we get some antidepressant medication started for you.
n n n n n n n n n n n n
Id like to sit with you a while so you may feel more comfortable talking with me.
n n n n n n n n n n n n n n n n
nANS: D n
Attending is a technique that demonstrates the nurses commitment to the relationship and reduces
n n n n n n n n n n n n n
nfeelings of isolation. This technique shows respect for the patient and demonstrates caring.
n n n n n n n n n n n n
Generalizations, probing, and false reassurances are non-therapeutic.
n n n n n n
The practice of psychiatric nursing requires a different set of skills than medical surgical nursing,
n n n n n n n n n n n n n n
nalthough substantial overlap does exist. Psychiatric nurses must be able to help patients with
n n n n n n n n n n n n n
nmedical and mental health problems, reflecting the holistic perspective these nurses must have.
n n n n n n n n n n n n
