,(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations:
What ToDo Before The Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, And How To
Establish It
MULTIPLE CHOICE
1. Which Outcome, Focused On Recovery, Would Be Expected In The Plan Of Care For A
Patient Living In The Community And Diagnosed With Serious And Persistent Mental
Illness? Within 3 Months, The Patient Will:
a. Deny Suicidal Ideation.
b. Report A Sense Of Well-Being.
c. Take Medications As Prescribed.
d. Attend Clinic Appointments On
Time.
ANSWER: B
Recovery Emphasizes Managing Symptoms, Reducing Psychosocial Disability, And Improving
RolePerformance. The Goal Of Recovery Is To Empower The Individual With Mental Illness To
Achieve A Sense Of Meaning And Satisfaction In Life And To Function At The Highest Possible
Level Of Wellness. The Incorrect Options Focus On The Classic Medical Model Rather Than
Recovery.
2. A Patient Is Hospitalized For Depression And Suicidal Ideation After Their Spouse
Asks For ADivorce. Select The Nurses Most Caring Comment.
a. Lets Discuss Some Means Of Coping Other Than Suicide When You Have These Feelings.
b. I Understand Why Youre So Depressed. When I Got Divorced, I Was Devastated Too.
c. You Should Forget About Your Marriage And Move On With Your Life.
d. How Did You Get So Depressed That Hospitalization Was
Necessary?
ANSWER: A
The Nurses Communication Should Evidence Caring And A Commitment To Work With The
Patient. This Commitment Lets The Patient Know The Nurse Will Help. Probing And Advice
Are Not Helpful OrTherapeutic Interventions.
3. In The Shift-Change Report, An Off-Going Nurse Criticizes A Patient Who Wears Heavy
Makeup.Which Comment By The Nurse Who Receives The Report Best Demonstrates
Advocacy?
a. This Is A Psychiatric Hospital. Craziness Is What We Are All About.
,b. Lets All Show Acceptance Of This Patient By Wearing Lots Of Makeup Too.
c. Your Comments Are Inconsiderate And Inappropriate. Keep The Report Objective.
d. Our Patients Need Our Help To Learn Behaviors That Will Help Them Get Along In
Society.
ANSWER: D
Accepting Patients Needs For Self-Expression And Seeking To Teach Skills That Will
Contribute To Their Well-Being Demonstrate Respect And Are Important Parts Of Advocacy.
The On-Coming NurseNeeds To Take Action To Ensure That Others Are Not Prejudiced
Against The Patient. Humor Can Be Appropriate Within The Privacy Of A Shift Report But Not
At The Expense Of Respect For Patients.
Judging The Off-Going Nurse In A Critical Way Will Create Conflict. Nurses Must Show
CompassionFor Each Other.
4. A Nurse Assesses A Newly Admitted Patient Diagnosed With Major Depressive Disorder.
WhichStatement Is An Example Of Attending?
a. We All Have Stress In Life. Being In A Psychiatric Hospital Isnt The End Of The World.
b. Tell Me Why You Felt You Had To Be Hospitalized To Receive Treatment For Your
Depression.
c. You Will Feel Better After We Get Some Antidepressant Medication Started For You.
d. Id Like To Sit With You A While So You May Feel More Comfortable Talking
With Me.
ANSWER: D
Attending Is A Technique That Demonstrates The Nurses Commitment To The Relationship
And Reduces Feelings Of Isolation. This Technique Shows Respect For The Patient And
DemonstratesCaring. Generalizations, Probing, And False Reassurances Are Non-Therapeutic.
5. A Patient Shows The Nurse An Article From The Internet About A Health Problem.
Which Characteristic Of The Web Sites Address Most Alerts The Nurse That The Site May
Have Biased AndPrejudiced Information?
a. Address Ends In .Org.
b. Address Ends In .Com.
c. Address Ends In .Gov.
d. Address Ends In
.Net.
ANSWER: B
Financial Influences On A Site Are A Clue That The Information May Be Biased. .Com At The
End Of The Address Indicates That The Site Is A Commercial One. .Gov Indicates That The
, Site Is MaintainedBy A Government Entity. .Org Indicates That The Site Is Nonproprietary; The
Site May Or May Not Have Reliable Information, But It Does Not Profit From Its Activities.
.Net Can Have Multiple
Meanings.
6. A Nurse Says, When I Was In School, I Learned To Call Upset Patients By Name To Get
Their Attention; However, I Read A Descriptive Research Study That Says That This Approach
Does Not Work.I Plan To Stop Calling Patients By Name. Which Statement Is The Best
Appraisal Of This Nurses Comment?
a. One Descriptive Research Study Rarely Provides Enough Evidence To Change Practice.
b. Staff Nurses Apply New Research Findings Only With The Help From Clinical Nurse
Specialists.
c. New Research Findings Should Be Incorporated Into Clinical Algorithms Before Using
Them InPractice.
d. The Nurse Misinterpreted The Results Of The Study. Classic Tenets Of Practice Do Not
Change.
ANSWER: A
Descriptive Research Findings Provide Evidence For Practice But Must Be Viewed In Relation
To Other Studies Before Practice Changes. One Study Is Not Enough. Descriptive Studies Are
Low On The Hierarchy Of Evidence. Clinical Algorithms Use Flow Charts To Manage
Problems And Do Not Specify One Response To A Clinical Problem. Classic Tenets Of
Practice Should Change As ResearchFindings Provide Evidence For Change.
7. Two Nursing Students Discuss Career Plans After Graduation. One Student Wants To Enter
Psychiatric Nursing. The Other Student Asks, Why Would You Want To Be A Psychiatric
Nurse? AllThey Do Is Talk. You Will Lose Your Skills. Select The Best Response By The
Student Interested In Psychiatric Nursing.
a. Psychiatric Nurses Practice In Safer Environments Than Other Specialties. Nurse-To-Patient
RatiosMust Be Better Because Of The Nature Of Patients Problems.
b. Psychiatric Nurses Use Complex Communication Skills, As Well As Critical Thinking,
To SolveMultidimensional Problems. Im Challenged By Those Situations.
c. I Think I Will Be Good In The Mental Health Field. I Do Not Like Clinical Rotations In
School, So IDo Not Want To Continue Them After I Graduate.
d. Psychiatric Nurses Do Not Have To Deal With As Much Pain And Suffering As Medical
SurgicalNurses. That Appeals To Me.
ANSWER: B
The Practice Of Psychiatric Nursing Requires A Different Set Of Skills Than Medical Surgical
What ToDo Before The Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, And How To
Establish It
MULTIPLE CHOICE
1. Which Outcome, Focused On Recovery, Would Be Expected In The Plan Of Care For A
Patient Living In The Community And Diagnosed With Serious And Persistent Mental
Illness? Within 3 Months, The Patient Will:
a. Deny Suicidal Ideation.
b. Report A Sense Of Well-Being.
c. Take Medications As Prescribed.
d. Attend Clinic Appointments On
Time.
ANSWER: B
Recovery Emphasizes Managing Symptoms, Reducing Psychosocial Disability, And Improving
RolePerformance. The Goal Of Recovery Is To Empower The Individual With Mental Illness To
Achieve A Sense Of Meaning And Satisfaction In Life And To Function At The Highest Possible
Level Of Wellness. The Incorrect Options Focus On The Classic Medical Model Rather Than
Recovery.
2. A Patient Is Hospitalized For Depression And Suicidal Ideation After Their Spouse
Asks For ADivorce. Select The Nurses Most Caring Comment.
a. Lets Discuss Some Means Of Coping Other Than Suicide When You Have These Feelings.
b. I Understand Why Youre So Depressed. When I Got Divorced, I Was Devastated Too.
c. You Should Forget About Your Marriage And Move On With Your Life.
d. How Did You Get So Depressed That Hospitalization Was
Necessary?
ANSWER: A
The Nurses Communication Should Evidence Caring And A Commitment To Work With The
Patient. This Commitment Lets The Patient Know The Nurse Will Help. Probing And Advice
Are Not Helpful OrTherapeutic Interventions.
3. In The Shift-Change Report, An Off-Going Nurse Criticizes A Patient Who Wears Heavy
Makeup.Which Comment By The Nurse Who Receives The Report Best Demonstrates
Advocacy?
a. This Is A Psychiatric Hospital. Craziness Is What We Are All About.
,b. Lets All Show Acceptance Of This Patient By Wearing Lots Of Makeup Too.
c. Your Comments Are Inconsiderate And Inappropriate. Keep The Report Objective.
d. Our Patients Need Our Help To Learn Behaviors That Will Help Them Get Along In
Society.
ANSWER: D
Accepting Patients Needs For Self-Expression And Seeking To Teach Skills That Will
Contribute To Their Well-Being Demonstrate Respect And Are Important Parts Of Advocacy.
The On-Coming NurseNeeds To Take Action To Ensure That Others Are Not Prejudiced
Against The Patient. Humor Can Be Appropriate Within The Privacy Of A Shift Report But Not
At The Expense Of Respect For Patients.
Judging The Off-Going Nurse In A Critical Way Will Create Conflict. Nurses Must Show
CompassionFor Each Other.
4. A Nurse Assesses A Newly Admitted Patient Diagnosed With Major Depressive Disorder.
WhichStatement Is An Example Of Attending?
a. We All Have Stress In Life. Being In A Psychiatric Hospital Isnt The End Of The World.
b. Tell Me Why You Felt You Had To Be Hospitalized To Receive Treatment For Your
Depression.
c. You Will Feel Better After We Get Some Antidepressant Medication Started For You.
d. Id Like To Sit With You A While So You May Feel More Comfortable Talking
With Me.
ANSWER: D
Attending Is A Technique That Demonstrates The Nurses Commitment To The Relationship
And Reduces Feelings Of Isolation. This Technique Shows Respect For The Patient And
DemonstratesCaring. Generalizations, Probing, And False Reassurances Are Non-Therapeutic.
5. A Patient Shows The Nurse An Article From The Internet About A Health Problem.
Which Characteristic Of The Web Sites Address Most Alerts The Nurse That The Site May
Have Biased AndPrejudiced Information?
a. Address Ends In .Org.
b. Address Ends In .Com.
c. Address Ends In .Gov.
d. Address Ends In
.Net.
ANSWER: B
Financial Influences On A Site Are A Clue That The Information May Be Biased. .Com At The
End Of The Address Indicates That The Site Is A Commercial One. .Gov Indicates That The
, Site Is MaintainedBy A Government Entity. .Org Indicates That The Site Is Nonproprietary; The
Site May Or May Not Have Reliable Information, But It Does Not Profit From Its Activities.
.Net Can Have Multiple
Meanings.
6. A Nurse Says, When I Was In School, I Learned To Call Upset Patients By Name To Get
Their Attention; However, I Read A Descriptive Research Study That Says That This Approach
Does Not Work.I Plan To Stop Calling Patients By Name. Which Statement Is The Best
Appraisal Of This Nurses Comment?
a. One Descriptive Research Study Rarely Provides Enough Evidence To Change Practice.
b. Staff Nurses Apply New Research Findings Only With The Help From Clinical Nurse
Specialists.
c. New Research Findings Should Be Incorporated Into Clinical Algorithms Before Using
Them InPractice.
d. The Nurse Misinterpreted The Results Of The Study. Classic Tenets Of Practice Do Not
Change.
ANSWER: A
Descriptive Research Findings Provide Evidence For Practice But Must Be Viewed In Relation
To Other Studies Before Practice Changes. One Study Is Not Enough. Descriptive Studies Are
Low On The Hierarchy Of Evidence. Clinical Algorithms Use Flow Charts To Manage
Problems And Do Not Specify One Response To A Clinical Problem. Classic Tenets Of
Practice Should Change As ResearchFindings Provide Evidence For Change.
7. Two Nursing Students Discuss Career Plans After Graduation. One Student Wants To Enter
Psychiatric Nursing. The Other Student Asks, Why Would You Want To Be A Psychiatric
Nurse? AllThey Do Is Talk. You Will Lose Your Skills. Select The Best Response By The
Student Interested In Psychiatric Nursing.
a. Psychiatric Nurses Practice In Safer Environments Than Other Specialties. Nurse-To-Patient
RatiosMust Be Better Because Of The Nature Of Patients Problems.
b. Psychiatric Nurses Use Complex Communication Skills, As Well As Critical Thinking,
To SolveMultidimensional Problems. Im Challenged By Those Situations.
c. I Think I Will Be Good In The Mental Health Field. I Do Not Like Clinical Rotations In
School, So IDo Not Want To Continue Them After I Graduate.
d. Psychiatric Nurses Do Not Have To Deal With As Much Pain And Suffering As Medical
SurgicalNurses. That Appeals To Me.
ANSWER: B
The Practice Of Psychiatric Nursing Requires A Different Set Of Skills Than Medical Surgical
