TEST BANK for- Psychiatric Interview 4th Edition Carlat {ultimate guide graded a+]

The Psychiatric Interview 4thjEdition Carlat Test
Bank

(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic
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Preparations:What to Do Before the Interview
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Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish
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ItMULTIPLE CHOICE
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1. Which outcome, focused on recovery, would be expected in the plan of care for
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KR a patient living in the community and diagnosed with serious and persistent
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KR mental illness? Within 3 months, the patient will:
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a. deny suicidal ideation.
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b. report a sense of well-being.
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c. take medications as prescribed.
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d. attend clinic appointments KR KR




KR ontime. ANS: B
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Recovery emphasizes managing symptoms, reducing psychosocial disability, and
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KR improvingrole performance. The goal of recovery is to empower the individual with
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KR mental illness to achieve a sense of meaning and satisfaction in life and to function at the
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highest possible levelof wellness. The incorrect options focus on the classic medical model
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rather than recovery.
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,2. A patient is hospitalized for depression and suicidal ideation after their spouse
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asksfor a divorce. 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
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wasnecessary? ANS: A
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The nurses communication should evidence caring and a commitment to work with
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KR the patient. This commitment lets the patient know the nurse will help. Probing and
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advice arenot helpful or therapeutic interventions.
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3. In the shift-change report, an off-going nurse criticizes a patient who wears
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heavymakeup. Which comment by the nurse who receives the report best
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KR demonstrates advocacy? KR




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
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KR insociety. ANS: D
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Accepting patients needs for self-expression and seeking to teach skills that will
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KR contributeto their well-being demonstrate respect and are important parts of
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KR advocacy. The on- coming nurse needs to take action to ensure that others are not
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KR prejudiced against the patient. Humor can be appropriate within the privacy of a shift
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report but not at the expense of respect for patients.
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Judging the off-going nurse in a critical way will create conflict. Nurses must
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KR showcompassion for each other.
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4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
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Which statement 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
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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
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KR withme. ANS: D
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, Attending is a technique that demonstrates the nurses commitment to the relationship
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KR andreduces feelings of isolation. This technique shows respect for the patient and
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demonstratescaring. 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.
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KR Which characteristic of the web sites address most alerts the nurse that the site may
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have biasedand prejudiced information?
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a. Address ends in .org. KR KR KR




b. Address ends in .com. KR KR KR




c. Address ends in .gov. KR KR KR




d. Address ends in KR KR




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