THE PSYCHIATRIC I
O O
NTERVIEW
4th Edition Daniel J. Carlat
O O O O
TESTBANK O
,TheOPsychiatricOInterviewO4thOEditionOCarlatOTestOBankO(Chap
terO1-ChapterO3)
ChapterO1:OTheO InitialO Interview:O AO Preview
ChapterO 2:O LogisticO Preparations:O WhatO toDoOBeforeOtheOInterview
ChapterO3:O TheOTherapeuticO Alliance:O WhatO ItO Is,O WhyOIt'sO Important,OandOHowO toO EstablishO It
MULTIPLEOCHOICE
1. WhichOoutcome,OfocusedOonOrecovery,OwouldObeOexpectedOinOtheOplanOofOcareOforOaOpatien
tOlivingOinOtheOcommunityOandOdiagnosedOwithOseriousOandOpersistentOmentalOillness?OWithin
3Omonths,OtheOpatientOwill:
O
a. denyOsuicidalO ideation.
b. reportOaOsenseOofOwell-being.
c. takeO medicationsO asO prescribed.
d. attendOclinicOappointmentsOonOtime.
ANS:OB
O
RecoveryOemphasizesOmanagingOsymptoms,OreducingOpsychosocialOdisability,OandOimprovingOrol
eOperformance.OTheOgoalOofOrecoveryOisOtoOempowerOtheOindividualOwithOmentalOillnessOtoOachiev
eOaOsenseOofOmeaningOandOsatisfactionOinOlifeOandOtoOfunctionOatOtheOhighestOpossibleOlevelOofOwel
lness.OTheOincorrectOoptionsOfocusOonOtheOclassicOmedicalOmodelOratherOthanOrecovery.
2. AOpatientOisOhospitalizedOforOdepressionOandOsuicidalOideationOafterOtheirOspouseOasksOforO
aOdivorce.OSelectOtheOnursesOmostOcaringOcomment.
a. LetsOdiscussO someO meansOofOcopingOotherOthanOsuicideO whenO youO haveO theseO feelings.
b. IOunderstandO whyO youreO soO depressed.OWhenO IO gotO divorced,O IOwasO devastatedOtoo.
c. YouOshouldOforgetOaboutOyourOmarriageO andOmoveOonOwithO yourOlife.
d. HowOdidOyouOgetOsoOdepressedOthatOhospitalizationOwasOnecessary
?OANS:OA
TheOnursesOcommunicationOshouldOevidenceOcaringOandOaOcommitmentOtoOworkOwithOtheOpatient.
ThisOcommitmentOletsOtheOpatientOknowOtheOnurseOwillOhelp.OProbingOandOadviceOareOnotOhelpful
O
orOtherapeuticOinterventions.
O
3. InOtheOshift-changeOreport,OanOoff-
goingOnurseOcriticizesOaOpatientOwhoOwearsOheavyOmakeup.OWhichOcommentObyOtheOnurseOwho
receivesOtheOreportObestOdemonstratesOadvocacy?
O
a. ThisOisOaOpsychiatricO hospital.OCrazinessOisOwhatOweOareOallOabout.
b. LetsOallO showOacceptanceOofOthisOpatientO byOwearingO lotsOofOmakeupOtoo.
,c. YourO commentsO areO inconsiderateO andO inappropriate.O KeepO theO reportO objective.
d. OurOpatientsOneedOourOhelpOtoOlearnObehaviorsOthatOwillOhelpOthemOgetOalongOinOsociet
y.OANS:OD
AcceptingOpatientsOneedsOforOself-
expressionOandOseekingOtoOteachOskillsOthatOwillOcontributeOtoOtheirOwell-
beingOdemonstrateOrespectOandOareOimportantOpartsOofOadvocacy.OTheOon-
comingOnurseOneedsOtoOtakeOactionOtoOensureOthatOothersOareOnotOprejudicedOagainstOtheOpatient.O
HumorOcanObeOappropriateOwithinOtheOprivacyOofOaOshiftOreportObutOnotOatOtheOexpenseOofOrespect
forOpatients.
O
JudgingOtheOoff-
goingOnurseOinOaOcriticalOwayOwillOcreateOconflict.ONursesOmustOshowOcompassionOforOeachOother.
4. AOnurseOassessesOaOnewlyOadmittedOpatientOdiagnosedOwithOmajorOdepressiveOdisorder.OWhich
statementOisOanOexampleOofOattending?
O
a. WeOallOhaveOstressOinOlife.OBeingOinOaOpsychiatricO hospitalO isntOtheOendOofOtheO world.
b. TellOmeOwhyOyouO feltO youOhadO toObeO hospitalizedOtoOreceiveO treatmentOforO yourO depression.
c. YouOwillO feelO betterOafterOweO getO someOantidepressantOmedicationO startedOforOyou.
d. IdOlikeOtoOsitOwithOyouOaOwhileOsoOyouOmayOfeelOmoreOcomfortableOtalkingOwithOm
e.OANS:OD
AttendingOisOaOtechniqueOthatOdemonstratesOtheOnursesOcommitmentOtoOtheOrelationshipOandOredu
cesOfeelingsOofOisolation.OThisOtechniqueOshowsOrespectOforOtheOpatientOandOdemonstratesOcaring.
Generalizations,Oprobing,OandOfalseOreassurancesOareOnon-therapeutic.
O
5. AOpatientOshowsOtheOnurseOanOarticleOfromOtheOInternetOaboutOaOhealthOproblem.OWhichOcha
racteristicOofOtheOwebOsitesOaddressOmostOalertsOtheOnurseOthatOtheOsiteOmayOhaveObiasedOandOp
rejudicedOinformation?
a. AddressOendsOinO.org.
b. AddressOendsOinO .com.
c. AddressOendsOinO .gov.
d. AddressOendsOinO.net
.OANS:OB
FinancialOinfluencesOonOaOsiteOareOaOclueOthatOtheOinformationOmayObeObiased.O.comOatOtheOendOo
fOtheOaddressOindicatesOthatOtheOsiteOisOaOcommercialOone.O.govOindicatesOthatOtheOsiteOisOmaintain
edObyOaOgovernmentOentity.O.orgOindicatesOthatOtheOsiteOisOnonproprietary;OtheOsiteOmayOorOmayOn
otOhaveOreliableOinformation,ObutOitOdoesOnotOprofitOfromOitsOactivities.O.netOcanOhaveOmultiple
, meanings.
6. AOnurseOsays,OWhenOIOwasOinOschool,OIOlearnedOtoOcallOupsetOpatientsObyOnameOtoOgetOtheirOatten
tion;Ohowever,OIOreadOaO descriptiveO researchOstudyOthatO saysOthatO thisOapproachOdoesOnotOwork.O IO
planOtoOstopOcallingOpatientsObyOname.OWhichOstatementOisOtheObestOappraisalOofOthisOnursesOcomm
ent?
a. OneO descriptiveO researchOstudyOrarelyOprovidesO enoughO evidenceO toO changeO practice.
b. StaffOnursesOapplyOnewOresearchO findingsOonlyOwithOtheO helpOfromO clinicalOnurseO specialists.
c. NewOresearchOfindingsOshouldObeOincorporatedOintoOclinicalOalgorithmsObeforeOusingOthemOi
nOpractice.
d. TheOnurseOmisinterpretedOtheOresultsOofOtheOstudy.OClassicOtenetsOofOpracticeOdoOnotOchange
.OANS:OA
DescriptiveOresearchOfindingsOprovideOevidenceOforOpracticeObutOmustObeOviewedOinOrelationOtoOo
therOstudiesObeforeOpracticeOchanges.OOneOstudyOisOnotOenough.ODescriptiveOstudiesOareOlowOonOt
heOhierarchyOofOevidence.OClinicalOalgorithmsOuseOflowOchartsOtoOmanageOproblemsOandOdoOnotO
specifyOoneOresponseOtoOaOclinicalOproblem.OClassicOtenetsOofOpracticeOshouldOchangeOasOresearc
hOfindingsOprovideOevidenceOforOchange.
7. TwoOnursingOstudentsOdiscussOcareerOplansOafterOgraduation.OOneOstudentOwantsOtoOenterOpsyc
hiatricOnursing.OTheOotherOstudentOasks,OWhyOwouldOyouOwantOtoObeOaOpsychiatricOnurse?OAllOthe
yOdoOisOtalk.OYouOwillOloseOyourOskills.OSelectOtheObestOresponseObyOtheOstudentOinterestedOinOpsy
chiatricOnursing.
a. PsychiatricOnursesOpracticeOinOsaferOenvironmentsOthanOotherOspecialties.ONurse-to-
patientOratiosOmustObeObetterObecauseOofOtheOnatureOofOpatientsOproblems.
b. PsychiatricOnursesOuseOcomplexOcommunicationOskills,OasOwellOasOcriticalOthinking,OtoOsolv
eOmultidimensionalOproblems.OImOchallengedObyOthoseOsituations.
c. IOthinkOIOwillObeOgoodOinOtheOmentalOhealthOfield.OIOdoOnotOlikeOclinicalOrotationsOinOschool,Oso
I doOnotOwantOtoOcontinueOthemOafterOIOgraduate.
O O
d. PsychiatricOnursesOdoOnotOhaveOtoOdealOwithOasOmuchOpainOandOsufferingOasOmedicalOsurgic
alOnurses.OThatOappealsOtoOme.
ANS:OB
TheOpracticeOofOpsychiatricOnursingOrequiresOaOdifferentOsetOofOskillsOthanOmedicalOsurgicalOnursin
g,OalthoughOsubstantialOoverlapOdoesOexist.OPsychiatricOnursesOmustObeOableOtoOhelpOpatientsOwith
medicalOandOmentalOhealthOproblems,OreflectingOtheOholisticOperspectiveOtheseOnursesOmustOhave.
O