The Psychiatric Interview 5th Edition Carlat Test Bank
z z z z z z z
(Chapter z 1-Chapter z 3)The z Initial z Interview: z A z Preview z Chapter z 2: z Logistic z Preparations:
z What z tozDo zBefore zthe zInterview
Chapter z 3: z The zTherapeutic z Alliance: z What z It zIs, z Why zIt's z Important, z and z How zto
z Establish z Itz
MULTIPLE zCHOICE
1. Which zoutcome, zfocused zon zrecovery, zwould zbe zexpected zin zthe zplan zof zcare zfor za
z patient zliving zin zthe zcommunity zand zdiagnosed zwith zserious zand zpersistent zmental zillness?
z Within z3 zmonths, zthe zpatient zwill:
a. deny z suicidal z ideation.
b. report za z sense z of zwell-being.
c. take z medications z as z prescribed.
d. attend zclinic zappointments zon ztime.
z ANS: zB
Recovery z emphasizes z managing z symptoms, z reducing z psychosocial z disability, z and z improving
z rolezperformance. zThe z goal z of z recovery z is z to z empower z the z individual z with zmental z illness z to
z achieve z a zsense z of zmeaning zand z satisfaction z in zlife z and zto z function z at z the z highest z possible z level
z of z wellness. zThe zincorrect zoptions zfocus zon zthe zclassic zmedical z model zrather zthan zrecovery.
2. A z patient z is zhospitalized z for z depression z and z suicidal z ideation z after z their z spouse z asks
z for z azdivorce. zSelect zthe znurses zmost zcaring zcomment.
,a. Lets z discuss z some z means z of zcoping z other z than z suicide z when z you z have z these z feelings.
b. I zunderstand z why z youre z so z depressed. z When z I z got z divorced, z I z was z devastated z too.
c. You z should z forget z about z your z marriage z and z move z on z with z your zlife.
d. How z did z you z get z so z depressed z that z hospitalization z was
z necessary?zANS: zA
The z nurses z communication z should z evidence z caring zand z a z commitment z to z work z with z the
z patient. zThis z commitment z lets z the z patient z know z the z nurse z will z help. z Probing zand zadvice z are
z not z helpful z orztherapeutic zinterventions.
3. In z the z shift-change z report, z an z off-going z nurse z criticizes z a z patient z who z wears z heavy
z makeup.zWhich zcomment zby zthe z nurse z who z receives z the zreport z best z demonstrates zadvocacy?
a. This z is za z psychiatric z hospital. z Craziness zis z what z we z are z all z about.
b. Lets zall z show z acceptance z of z this z patient z by zwearing z lots z of zmakeup ztoo.
,c. Your z comments z are z inconsiderate z and z inappropriate. z Keep z the z report z objective.
d. Our z patients z need z our z help z to zlearn z behaviors z that zwill z help z them z get zalong zin
z society.zANS: zD
Accepting zpatients z needs zfor z self-expression z and z seeking zto z teach z skills z that zwill z contribute z to
z their z well-being z demonstrate z respect z and z are z important z parts z of z advocacy. z The z on-coming
z nursezneeds z to z take zaction zto zensure z that z others zare z not z prejudiced zagainst z the z patient. z Humor
z can z be zappropriate z within z the z privacy zof za z shift z report z but znot zat zthe zexpense z of zrespect z for
z patients.
Judging zthe z off-going z nurse z in z a z critical z way zwill z create z conflict. z Nurses zmust z show
z compassionzfor zeach zother.
4. A z nurse z assesses z a z newly z admitted z patient z diagnosed z with z major z depressive z disorder.
z Whichzstatement zis zan zexample zof zattending?
a. We zall z have z stress z in z life. z Being zin z a z psychiatric z hospital z isnt zthe z end zof z the z world.
b. Tell z me z why zyou z felt z you z had z to z be z hospitalized zto z receive z treatment z for z your z depression.
c. You z will z feel z better z after zwe z get z some z antidepressant zmedication z started z for z you.
d. Id zlike z to z sit z with z you za z while z so z you z may z feel z more z comfortable z talking zwith
z me.zANS: zD
Attending z is z a z technique z that z demonstrates z the z nurses z commitment z to z the z relationship z and
z reduces z feelings z of z isolation. z This z technique z shows z respect z for z the z patient z and z demonstrates
caring. zGeneralizations, zprobing, zand zfalse zreassurances zare znon-therapeutic.
z
5. A zpatient z shows zthe znurse zan z article z from z the z Internet zabout z a zhealth z problem. z Which
z characteristic z of z the z web z sites zaddress z most z alerts zthe z nurse z that z the z site z may z have z biased
z andzprejudiced zinformation?
a. Address zends z in z .org.
b. Address zends z in z .com.
c. Address zends zin z .gov.
d. Address z ends zin
z .net.zANS: zB
Financial z influences z on za z site z are z a z clue zthat z the zinformation zmay zbe z biased. z .com z at z the zend
z of zthe z address z indicates z that zthe z site z is za z commercial z one. z .gov zindicates z that z the z site z is
z maintainedzby za z government zentity. z .org zindicates z that zthe z site z is znonproprietary; z the z site zmay
z or z may znot zhave z reliable zinformation, zbut z it z does znot z profit z from z its zactivities. z .net z can z have
z multiple
, meanings.
6. A znurse z says, z When z I zwas z in zschool, z I zlearned zto zcall zupset zpatients z by zname zto z get z their
z attention; z however, z I z read z a z descriptive z research z study z that z says z that z this z approach z does z not
z work.zI zplan z to zstop zcalling zpatients z by zname. zWhich z statement zis zthe zbest zappraisal z of zthis
z nurses zcomment?
a. One z descriptive z research z study z rarely z provides z enough z evidence z to z change z practice.
b. Staff z nurses zapply znew z research z findings z only zwith z the z help z from z clinical znurse z specialists.
c. New z research z findings z should z be z incorporated z into z clinical z algorithms z before z using z them
z inzpractice.
d. The z nurse z misinterpreted z the z results z of z the z study. z Classic z tenets z of z practice z do z not
z change.zANS: zA
Descriptive z research z findings z provide z evidence z for zpractice z but zmust z be z viewed z in zrelation z to
z other z studies z before zpractice z changes. z One z study zis z not z enough. z Descriptive z studies z are z low
z on zthe z hierarchy zof z evidence. zClinical zalgorithms z use z flow z charts zto zmanage z problems z and z do
z not zspecify z one z response z to za z clinical z problem. z Classic z tenets z of z practice z should z change z as
z researchzfindings zprovide zevidence zfor zchange.
7. Two z nursing zstudents z discuss z career z plans zafter z graduation. zOne z student z wants zto zenter
z psychiatric z nursing. z The z other z student zasks, z Why zwould z you z want z to z be z a z psychiatric z nurse?
z Allzthey zdo z is ztalk. z You zwill zlose z your z skills. z Select zthe zbest z response zby zthe z student
z interested zin zpsychiatric znursing.
a. Psychiatric z nurses z practice z in z safer z environments z than z other z specialties. z Nurse-to-patient
z ratioszmust zbe zbetter zbecause zof zthe znature zof zpatients zproblems.
b. Psychiatric z nurses z use z complex z communication z skills, z as z well zas z critical z thinking, z to
z solvezmultidimensional zproblems. zIm zchallenged zby zthose z situations.
c. I zthink z I zwill z be z good z in zthe zmental zhealth z field. z I zdo z not z like z clinical zrotations z in z school,
z so zIzdo znot zwant zto zcontinue zthem zafter zI zgraduate.
d. Psychiatric z nurses z do z not zhave z to z deal z with z as zmuch z pain z and z suffering z as zmedical
z surgicalznurses. zThat zappeals zto zme.
ANS: z B
The z practice z of z psychiatric z nursing z requires z a z different z set z of z skills z than z medical z surgical
z nursing,zalthough zsubstantial z overlap zdoes zexist. z Psychiatric z nurses zmust z be zable z to zhelp z patients
z with zmedical z and z mental z health z problems, z reflecting z the z holistic z perspective z these z nurses z must
z have.
z z z z z z z
(Chapter z 1-Chapter z 3)The z Initial z Interview: z A z Preview z Chapter z 2: z Logistic z Preparations:
z What z tozDo zBefore zthe zInterview
Chapter z 3: z The zTherapeutic z Alliance: z What z It zIs, z Why zIt's z Important, z and z How zto
z Establish z Itz
MULTIPLE zCHOICE
1. Which zoutcome, zfocused zon zrecovery, zwould zbe zexpected zin zthe zplan zof zcare zfor za
z patient zliving zin zthe zcommunity zand zdiagnosed zwith zserious zand zpersistent zmental zillness?
z Within z3 zmonths, zthe zpatient zwill:
a. deny z suicidal z ideation.
b. report za z sense z of zwell-being.
c. take z medications z as z prescribed.
d. attend zclinic zappointments zon ztime.
z ANS: zB
Recovery z emphasizes z managing z symptoms, z reducing z psychosocial z disability, z and z improving
z rolezperformance. zThe z goal z of z recovery z is z to z empower z the z individual z with zmental z illness z to
z achieve z a zsense z of zmeaning zand z satisfaction z in zlife z and zto z function z at z the z highest z possible z level
z of z wellness. zThe zincorrect zoptions zfocus zon zthe zclassic zmedical z model zrather zthan zrecovery.
2. A z patient z is zhospitalized z for z depression z and z suicidal z ideation z after z their z spouse z asks
z for z azdivorce. zSelect zthe znurses zmost zcaring zcomment.
,a. Lets z discuss z some z means z of zcoping z other z than z suicide z when z you z have z these z feelings.
b. I zunderstand z why z youre z so z depressed. z When z I z got z divorced, z I z was z devastated z too.
c. You z should z forget z about z your z marriage z and z move z on z with z your zlife.
d. How z did z you z get z so z depressed z that z hospitalization z was
z necessary?zANS: zA
The z nurses z communication z should z evidence z caring zand z a z commitment z to z work z with z the
z patient. zThis z commitment z lets z the z patient z know z the z nurse z will z help. z Probing zand zadvice z are
z not z helpful z orztherapeutic zinterventions.
3. In z the z shift-change z report, z an z off-going z nurse z criticizes z a z patient z who z wears z heavy
z makeup.zWhich zcomment zby zthe z nurse z who z receives z the zreport z best z demonstrates zadvocacy?
a. This z is za z psychiatric z hospital. z Craziness zis z what z we z are z all z about.
b. Lets zall z show z acceptance z of z this z patient z by zwearing z lots z of zmakeup ztoo.
,c. Your z comments z are z inconsiderate z and z inappropriate. z Keep z the z report z objective.
d. Our z patients z need z our z help z to zlearn z behaviors z that zwill z help z them z get zalong zin
z society.zANS: zD
Accepting zpatients z needs zfor z self-expression z and z seeking zto z teach z skills z that zwill z contribute z to
z their z well-being z demonstrate z respect z and z are z important z parts z of z advocacy. z The z on-coming
z nursezneeds z to z take zaction zto zensure z that z others zare z not z prejudiced zagainst z the z patient. z Humor
z can z be zappropriate z within z the z privacy zof za z shift z report z but znot zat zthe zexpense z of zrespect z for
z patients.
Judging zthe z off-going z nurse z in z a z critical z way zwill z create z conflict. z Nurses zmust z show
z compassionzfor zeach zother.
4. A z nurse z assesses z a z newly z admitted z patient z diagnosed z with z major z depressive z disorder.
z Whichzstatement zis zan zexample zof zattending?
a. We zall z have z stress z in z life. z Being zin z a z psychiatric z hospital z isnt zthe z end zof z the z world.
b. Tell z me z why zyou z felt z you z had z to z be z hospitalized zto z receive z treatment z for z your z depression.
c. You z will z feel z better z after zwe z get z some z antidepressant zmedication z started z for z you.
d. Id zlike z to z sit z with z you za z while z so z you z may z feel z more z comfortable z talking zwith
z me.zANS: zD
Attending z is z a z technique z that z demonstrates z the z nurses z commitment z to z the z relationship z and
z reduces z feelings z of z isolation. z This z technique z shows z respect z for z the z patient z and z demonstrates
caring. zGeneralizations, zprobing, zand zfalse zreassurances zare znon-therapeutic.
z
5. A zpatient z shows zthe znurse zan z article z from z the z Internet zabout z a zhealth z problem. z Which
z characteristic z of z the z web z sites zaddress z most z alerts zthe z nurse z that z the z site z may z have z biased
z andzprejudiced zinformation?
a. Address zends z in z .org.
b. Address zends z in z .com.
c. Address zends zin z .gov.
d. Address z ends zin
z .net.zANS: zB
Financial z influences z on za z site z are z a z clue zthat z the zinformation zmay zbe z biased. z .com z at z the zend
z of zthe z address z indicates z that zthe z site z is za z commercial z one. z .gov zindicates z that z the z site z is
z maintainedzby za z government zentity. z .org zindicates z that zthe z site z is znonproprietary; z the z site zmay
z or z may znot zhave z reliable zinformation, zbut z it z does znot z profit z from z its zactivities. z .net z can z have
z multiple
, meanings.
6. A znurse z says, z When z I zwas z in zschool, z I zlearned zto zcall zupset zpatients z by zname zto z get z their
z attention; z however, z I z read z a z descriptive z research z study z that z says z that z this z approach z does z not
z work.zI zplan z to zstop zcalling zpatients z by zname. zWhich z statement zis zthe zbest zappraisal z of zthis
z nurses zcomment?
a. One z descriptive z research z study z rarely z provides z enough z evidence z to z change z practice.
b. Staff z nurses zapply znew z research z findings z only zwith z the z help z from z clinical znurse z specialists.
c. New z research z findings z should z be z incorporated z into z clinical z algorithms z before z using z them
z inzpractice.
d. The z nurse z misinterpreted z the z results z of z the z study. z Classic z tenets z of z practice z do z not
z change.zANS: zA
Descriptive z research z findings z provide z evidence z for zpractice z but zmust z be z viewed z in zrelation z to
z other z studies z before zpractice z changes. z One z study zis z not z enough. z Descriptive z studies z are z low
z on zthe z hierarchy zof z evidence. zClinical zalgorithms z use z flow z charts zto zmanage z problems z and z do
z not zspecify z one z response z to za z clinical z problem. z Classic z tenets z of z practice z should z change z as
z researchzfindings zprovide zevidence zfor zchange.
7. Two z nursing zstudents z discuss z career z plans zafter z graduation. zOne z student z wants zto zenter
z psychiatric z nursing. z The z other z student zasks, z Why zwould z you z want z to z be z a z psychiatric z nurse?
z Allzthey zdo z is ztalk. z You zwill zlose z your z skills. z Select zthe zbest z response zby zthe z student
z interested zin zpsychiatric znursing.
a. Psychiatric z nurses z practice z in z safer z environments z than z other z specialties. z Nurse-to-patient
z ratioszmust zbe zbetter zbecause zof zthe znature zof zpatients zproblems.
b. Psychiatric z nurses z use z complex z communication z skills, z as z well zas z critical z thinking, z to
z solvezmultidimensional zproblems. zIm zchallenged zby zthose z situations.
c. I zthink z I zwill z be z good z in zthe zmental zhealth z field. z I zdo z not z like z clinical zrotations z in z school,
z so zIzdo znot zwant zto zcontinue zthem zafter zI zgraduate.
d. Psychiatric z nurses z do z not zhave z to z deal z with z as zmuch z pain z and z suffering z as zmedical
z surgicalznurses. zThat zappeals zto zme.
ANS: z B
The z practice z of z psychiatric z nursing z requires z a z different z set z of z skills z than z medical z surgical
z nursing,zalthough zsubstantial z overlap zdoes zexist. z Psychiatric z nurses zmust z be zable z to zhelp z patients
z with zmedical z and z mental z health z problems, z reflecting z the z holistic z perspective z these z nurses z must
z have.
