Test Bank - for The Psychiatric Interview Fifth Edition( Author: DANIEL J. CARLAT, 2024) Latest Edition|| All Chapters

TEST BANK
THE PSYCHIATRIC
INTERVIEW
5th Edition Daniel J. Carlat

,TEST BANK
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,The Psychiatric Interview 4th Edition Carlat Test
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Bank(Chapter 1-Chapter 3)
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Chapter 1: The Initial Interview: A Preview
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Chapter 2: Logistic Preparations: What toDo Before the Interview
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Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
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MULTIPLE CHOICE u




1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
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u living in the community and diagnosed with serious and persistent mental illness? Within 3
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u months, the patient will: u u u



a. deny suicidal ideation. u u



b. report a sense of well-being. u u u u



c. take medications as prescribed.
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d. attend clinic appointments on u u u



u time.ANS: B u u



Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
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u roleperformance. The goal of recovery is to empower the individual with mental illness to
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u achieve a sense of meaning and satisfaction in life and to function at the highest possible level
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u of wellness. The incorrect options focus on the classic medical model rather than recovery.
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2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for
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u adivorce. Select the nurses most caring comment.
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a. Lets discuss some means of coping other than suicide when you have these feelings.
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b. I understand why youre so depressed. When I got divorced, I was devastated too.
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c. You should forget about your marriage and move on with your life.
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d. How did you get so depressed that hospitalization was
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u necessary?ANS: A u u



The nurses communication should evidence caring and a commitment to work with the patient.
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u This commitment lets the patient know the nurse will help. Probing and advice are not helpful
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u ortherapeutic interventions.
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3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
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u makeup.Which comment by the nurse who receives the report best demonstrates advocacy?
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a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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, c. Your comments are inconsiderate and inappropriate. Keep the report objective.
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d. Our patients need our help to learn behaviors that will help them get along in
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u society.ANS: D u u



Accepting patients needs for self-expression and seeking to teach skills that will contribute to
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u their well-being demonstrate respect and are important parts of advocacy. The on-coming
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u nurseneeds to take action to ensure that others are not prejudiced against the patient. Humor
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u can be appropriate within the privacy of a shift report but not at the expense of respect for
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u patients.
Judging the off-going nurse in a critical way will create conflict. Nurses must show compassion
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for each other.
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4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
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u Whichstatement is an example of attending?
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a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
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b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
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c. You will feel better after we get some antidepressant medication started for you.
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d. Id like to sit with you a while so you may feel more comfortable talking with
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me.ANS: D
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Attending is a technique that demonstrates the nurses commitment to the relationship and
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u reduces feelings of isolation. This technique shows respect for the patient and demonstrates
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caring. Generalizations, probing, and false reassurances are non-therapeutic.
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5. A patient shows the nurse an article from the Internet about a health problem. Which
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u characteristic of the web sites address most alerts the nurse that the site may have biased
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u andprejudiced information?
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a. Address ends in .org. u u u



b. Address ends in .com. u u u



c. Address ends in .gov. u u u



d. Address ends in u u



.net.ANS: B
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Financial influences on a site are a clue that the information may be biased. .com at the end of
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u the address indicates that the site is a commercial one. .gov indicates that the site is
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u maintainedby a government entity. .org indicates that the site is nonproprietary; the site may
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u or may not have reliable information, but it does not profit from its activities. .net can have
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u multiple