, The iPsychiatric iInterview i4th iEdition iCarlat iTest iBank
(Chapter i 1-Chapter i 3)The i Initial i Interview: i A i Preview i Chapter i 2: i Logistic i Preparations:
i What i toiDo iBefore ithe iInterview
Chapter i 3: i The i Therapeutic i Alliance: i What i It i Is, i Why i It's i Important, i and i How i to i Establish
i ItiMULTIPLE iCHOICE
1. Which ioutcome, ifocused ion irecovery, iwould ibe iexpected iin ithe iplan iof icare ifor ia
ipatient iliving iin ithe icommunity iand idiagnosed iwith iserious iand ipersistent imental iillness?
iWithin i3 imonths, ithe ipatient iwill:
a. deny i suicidal i ideation.
b. report ia i sense i of i well-being.
c. take i medications i as i prescribed.
d. attend i clinic i appointments i on
i time.iANS: iB
Recovery i emphasizes i managing i symptoms, i reducing i psychosocial i disability, i and i improving
i roleiperformance. i The i goal i of i recovery i is i to i empower i the i individual i with i mental i illness i to
i achieve i a isense i of i meaning i and i satisfaction i in i life i and i to i function i at i the i highest i possible
i level i of i wellness. iThe iincorrect i options i focus i on i the i classic imedical imodel irather ithan
i recovery.
2. A i patient i is i hospitalized i for i depression i and i suicidal i ideation i after i their i spouse i asks
i for i aidivorce. iSelect ithe inurses imost icaring icomment.
a. Lets i discuss i some i means i of i coping i other i than i suicide i when i you i have i these i feelings.
b. I i understand i why i youre i so i depressed. i When i I i got i divorced, i I i was i devastated i too.
c. You i should i forget i about i your i marriage i and i move i on i with i your i life.
d. How i did i you i get i so i depressed i that i hospitalization i was
i necessary?iANS: iA
The i nurses i communication i should i evidence i caring i and i a i commitment i to i work i with i the
i patient. iThis i commitment i lets i the i patient i know i the i nurse i will i help. i Probing i and i advice i are
i not i helpful i oritherapeutic iinterventions.
3. In i the i shift-change i report, i an i off-going i nurse i criticizes i a i patient i who i wears i heavy
i makeup.iWhich i comment i by i the i nurse i who i receives i the i report i best i demonstrates
i advocacy?
a. This i is i a i psychiatric i hospital. i Craziness i is i what i we i are i all i about.
b. Lets i all i show i acceptance i of i this i patient i by i wearing i lots i of i makeup i too.
,c. Your i comments i are i inconsiderate i and i inappropriate. i Keep i the i report i objective.
d. Our i patients i need i our i help i to i learn i behaviors i that i will i help i them i get i along i in
i society.iANS: iD
Accepting i patients i needs i for i self-expression i and i seeking i to iteach i skills i that i will i contribute
i to itheir i well-being i demonstrate i respect i and i are i important i parts i of i advocacy. i The i on-
coming i nurseineeds i to i take i action i to i ensure i that i others i are i not i prejudiced i against i the
i patient. i Humor i can i be iappropriate i within i the i privacy i of i a i shift i report i but i not i at i the
i expense i of i respect i for i patients.
Judging i the i off-going i nurse i in i a i critical i way i will i create i conflict. i Nurses i must i show
i compassionifor ieach iother.
4. A i nurse i assesses i a i newly i admitted i patient i diagnosed i with i major i depressive i disorder.
i Whichistatement iis ian iexample iof iattending?
a. We i all i have i stress i in i life. i Being i in i a i psychiatric i hospital i isnt ithe i end i of i the i world.
b. Tell i me i why i you i felt i you i had i to i be i hospitalized i to i receive i treatment i for i your i depression.
c. You i will i feel i better i after i we i get i some i antidepressant i medication i started i for i you.
d. Id i like i to i sit i with i you i a i while i so i you i may i feel i more i comfortable i talking
i with i me.iANS: iD
Attending i is i a i technique i that i demonstrates i the i nurses i commitment i to i the i relationship
i and ireduces i feelings i of i isolation. i This i technique i shows i respect i for i the i patient i and
i demonstratesicaring. i Generalizations, i probing, i and i false i reassurances i are i non-therapeutic.
5. A i patient i shows i the i nurse i an iarticle i from i the i Internet iabout i a i health i problem. i Which
icharacteristic i of i the i web i sites i address i most i alerts i the i nurse i that i the i site i may i have
i biased i andiprejudiced iinformation?
a. Address i ends i in i .org.
b. Address i ends i in i .com.
c. Address i ends i in i .gov.
d. Address i ends i in
i .net.iANS: iB
Financial i influences i on ia i site iare ia i clue ithat i the iinformation i may i be i biased. i .com i at i the
i end i of ithe i address i indicates i that i the i site i is i a i commercial i one. i .gov i indicates i that i the i site
i is i maintainediby i a i government i entity. i .org i indicates i that i the i site i is i nonproprietary; i the i site
i may i or i may i not ihave i reliable i information, i but i it i does i not i profit i from i its i activities. i .net i can
i have i multiple
, meanings.
6. A inurse i says, i When iI i was i in ischool, i I i learned ito i call i upset ipatients i by i name ito i get i their
iattention; i however, i I i read i a i descriptive i research i study i that i says i that i this i approach i does i not
i work.iI i plan i to i stop i calling i patients i by i name. i Which i statement i is i the i best i appraisal i of i this
i nurses icomment?
a. One i descriptive i research i study i rarely i provides i enough i evidence i to i change i practice.
b. Staff i nurses i apply i new i research i findings i only i with i the i help i from i clinical i nurse i specialists.
c. New i research i findings i should i be i incorporated i into i clinical i algorithms i before i using
i them i inipractice.
d. The i nurse i misinterpreted i the i results i of i the i study. i Classic i tenets i of i practice i do i not
i change.iANS: iA
Descriptive i research i findings i provide i evidence i for i practice i but i must i be i viewed i in i relation
i to iother i studies i before i practice i changes. i One i study i is i not i enough. i Descriptive i studies i are
i low i on ithe i hierarchy i of i evidence. i Clinical i algorithms i use i flow i charts i to i manage i problems
i and i do i not ispecify i one i response i to i a i clinical i problem. i Classic i tenets i of i practice i should
i change i as i researchifindings iprovide ievidence ifor ichange.
7. Two i nursing i students i discuss i career i plans i after i graduation. i One i student i wants i to i enter
ipsychiatric i nursing. i The i other i student i asks, i Why i would i you i want i to i be i a i psychiatric
i nurse? i Allithey i do i is i talk. i You i will i lose i your i skills. i Select i the i best i response i by i the
i student i interested i in ipsychiatric inursing.
a. Psychiatric i nurses i practice i in i safer i environments i than i other i specialties. i Nurse-to-patient
i ratiosimust ibe ibetter ibecause iof ithe inature iof ipatients iproblems.
b. Psychiatric i nurses i use i complex i communication i skills, i as i well i as i critical i thinking, i to
i solveimultidimensional iproblems. iIm ichallenged iby ithose isituations.
c. I i think i I i will i be i good i in i the i mental i health i field. iI i do i not i like iclinical i rotations iin
i school, i so i Iido inot iwant ito icontinue ithem iafter iI igraduate.
d. Psychiatric i nurses i do i not i have i to i deal i with i as i much i pain i and i suffering i as i medical
i surgicalinurses. iThat iappeals ito ime.
ANS: iB
The i practice i of i psychiatric i nursing i requires i a i different i set i of i skills i than i medical i surgical
i nursing,ialthough i substantial i overlap i does i exist. i Psychiatric i nurses i must i be i able i to i help
i patients i with imedical i and i mental i health i problems, i reflecting i the i holistic i perspective i these
i nurses i must i have.
(Chapter i 1-Chapter i 3)The i Initial i Interview: i A i Preview i Chapter i 2: i Logistic i Preparations:
i What i toiDo iBefore ithe iInterview
Chapter i 3: i The i Therapeutic i Alliance: i What i It i Is, i Why i It's i Important, i and i How i to i Establish
i ItiMULTIPLE iCHOICE
1. Which ioutcome, ifocused ion irecovery, iwould ibe iexpected iin ithe iplan iof icare ifor ia
ipatient iliving iin ithe icommunity iand idiagnosed iwith iserious iand ipersistent imental iillness?
iWithin i3 imonths, ithe ipatient iwill:
a. deny i suicidal i ideation.
b. report ia i sense i of i well-being.
c. take i medications i as i prescribed.
d. attend i clinic i appointments i on
i time.iANS: iB
Recovery i emphasizes i managing i symptoms, i reducing i psychosocial i disability, i and i improving
i roleiperformance. i The i goal i of i recovery i is i to i empower i the i individual i with i mental i illness i to
i achieve i a isense i of i meaning i and i satisfaction i in i life i and i to i function i at i the i highest i possible
i level i of i wellness. iThe iincorrect i options i focus i on i the i classic imedical imodel irather ithan
i recovery.
2. A i patient i is i hospitalized i for i depression i and i suicidal i ideation i after i their i spouse i asks
i for i aidivorce. iSelect ithe inurses imost icaring icomment.
a. Lets i discuss i some i means i of i coping i other i than i suicide i when i you i have i these i feelings.
b. I i understand i why i youre i so i depressed. i When i I i got i divorced, i I i was i devastated i too.
c. You i should i forget i about i your i marriage i and i move i on i with i your i life.
d. How i did i you i get i so i depressed i that i hospitalization i was
i necessary?iANS: iA
The i nurses i communication i should i evidence i caring i and i a i commitment i to i work i with i the
i patient. iThis i commitment i lets i the i patient i know i the i nurse i will i help. i Probing i and i advice i are
i not i helpful i oritherapeutic iinterventions.
3. In i the i shift-change i report, i an i off-going i nurse i criticizes i a i patient i who i wears i heavy
i makeup.iWhich i comment i by i the i nurse i who i receives i the i report i best i demonstrates
i advocacy?
a. This i is i a i psychiatric i hospital. i Craziness i is i what i we i are i all i about.
b. Lets i all i show i acceptance i of i this i patient i by i wearing i lots i of i makeup i too.
,c. Your i comments i are i inconsiderate i and i inappropriate. i Keep i the i report i objective.
d. Our i patients i need i our i help i to i learn i behaviors i that i will i help i them i get i along i in
i society.iANS: iD
Accepting i patients i needs i for i self-expression i and i seeking i to iteach i skills i that i will i contribute
i to itheir i well-being i demonstrate i respect i and i are i important i parts i of i advocacy. i The i on-
coming i nurseineeds i to i take i action i to i ensure i that i others i are i not i prejudiced i against i the
i patient. i Humor i can i be iappropriate i within i the i privacy i of i a i shift i report i but i not i at i the
i expense i of i respect i for i patients.
Judging i the i off-going i nurse i in i a i critical i way i will i create i conflict. i Nurses i must i show
i compassionifor ieach iother.
4. A i nurse i assesses i a i newly i admitted i patient i diagnosed i with i major i depressive i disorder.
i Whichistatement iis ian iexample iof iattending?
a. We i all i have i stress i in i life. i Being i in i a i psychiatric i hospital i isnt ithe i end i of i the i world.
b. Tell i me i why i you i felt i you i had i to i be i hospitalized i to i receive i treatment i for i your i depression.
c. You i will i feel i better i after i we i get i some i antidepressant i medication i started i for i you.
d. Id i like i to i sit i with i you i a i while i so i you i may i feel i more i comfortable i talking
i with i me.iANS: iD
Attending i is i a i technique i that i demonstrates i the i nurses i commitment i to i the i relationship
i and ireduces i feelings i of i isolation. i This i technique i shows i respect i for i the i patient i and
i demonstratesicaring. i Generalizations, i probing, i and i false i reassurances i are i non-therapeutic.
5. A i patient i shows i the i nurse i an iarticle i from i the i Internet iabout i a i health i problem. i Which
icharacteristic i of i the i web i sites i address i most i alerts i the i nurse i that i the i site i may i have
i biased i andiprejudiced iinformation?
a. Address i ends i in i .org.
b. Address i ends i in i .com.
c. Address i ends i in i .gov.
d. Address i ends i in
i .net.iANS: iB
Financial i influences i on ia i site iare ia i clue ithat i the iinformation i may i be i biased. i .com i at i the
i end i of ithe i address i indicates i that i the i site i is i a i commercial i one. i .gov i indicates i that i the i site
i is i maintainediby i a i government i entity. i .org i indicates i that i the i site i is i nonproprietary; i the i site
i may i or i may i not ihave i reliable i information, i but i it i does i not i profit i from i its i activities. i .net i can
i have i multiple
, meanings.
6. A inurse i says, i When iI i was i in ischool, i I i learned ito i call i upset ipatients i by i name ito i get i their
iattention; i however, i I i read i a i descriptive i research i study i that i says i that i this i approach i does i not
i work.iI i plan i to i stop i calling i patients i by i name. i Which i statement i is i the i best i appraisal i of i this
i nurses icomment?
a. One i descriptive i research i study i rarely i provides i enough i evidence i to i change i practice.
b. Staff i nurses i apply i new i research i findings i only i with i the i help i from i clinical i nurse i specialists.
c. New i research i findings i should i be i incorporated i into i clinical i algorithms i before i using
i them i inipractice.
d. The i nurse i misinterpreted i the i results i of i the i study. i Classic i tenets i of i practice i do i not
i change.iANS: iA
Descriptive i research i findings i provide i evidence i for i practice i but i must i be i viewed i in i relation
i to iother i studies i before i practice i changes. i One i study i is i not i enough. i Descriptive i studies i are
i low i on ithe i hierarchy i of i evidence. i Clinical i algorithms i use i flow i charts i to i manage i problems
i and i do i not ispecify i one i response i to i a i clinical i problem. i Classic i tenets i of i practice i should
i change i as i researchifindings iprovide ievidence ifor ichange.
7. Two i nursing i students i discuss i career i plans i after i graduation. i One i student i wants i to i enter
ipsychiatric i nursing. i The i other i student i asks, i Why i would i you i want i to i be i a i psychiatric
i nurse? i Allithey i do i is i talk. i You i will i lose i your i skills. i Select i the i best i response i by i the
i student i interested i in ipsychiatric inursing.
a. Psychiatric i nurses i practice i in i safer i environments i than i other i specialties. i Nurse-to-patient
i ratiosimust ibe ibetter ibecause iof ithe inature iof ipatients iproblems.
b. Psychiatric i nurses i use i complex i communication i skills, i as i well i as i critical i thinking, i to
i solveimultidimensional iproblems. iIm ichallenged iby ithose isituations.
c. I i think i I i will i be i good i in i the i mental i health i field. iI i do i not i like iclinical i rotations iin
i school, i so i Iido inot iwant ito icontinue ithem iafter iI igraduate.
d. Psychiatric i nurses i do i not i have i to i deal i with i as i much i pain i and i suffering i as i medical
i surgicalinurses. iThat iappeals ito ime.
ANS: iB
The i practice i of i psychiatric i nursing i requires i a i different i set i of i skills i than i medical i surgical
i nursing,ialthough i substantial i overlap i does i exist. i Psychiatric i nurses i must i be i able i to i help
i patients i with imedical i and i mental i health i problems, i reflecting i the i holistic i perspective i these
i nurses i must i have.
