TESTBANK r
THE PSYCHIATRIC I
r r
NTERVIEW
4th Edition Daniel J. Carlat
r r r r
TESTBANK r
,The Psychiatric Interview 4th Edition Carlat Test Bank (Chapter
r r r r r r r r r
1-Chapter 3) r
Chapter 1: The Initial Interview: A Preview r r r r r r
Chapter 2: Logistic Preparations: What toDo Before the Interview
r r r r r r r r
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
r r r r r r r r r r r r r r r
MULTIPLE CHOICE r
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living
r r r r r r r r r r r r r r r r r
in the community and diagnosed with serious and persistent mental illness? Within 3 months, the
r r r r r r r r r r r r r r r
patient will: r
a. deny suicidal ideation. r r
b. report a sense of well-being. r r r r
c. take medications as prescribed.r r r
d. attend clinic appointments on time. r r r r r
ANS: B r
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role per
r r r r r r r r r r
formance. The goal of recovery is to empower the individual with mental illness to achieve a sense of
r r r r r r r r r r r r r r r r r r
meaning and satisfaction in life and to function at the highest possible level of wellness. The incorrect
r r r r r r r r r r r r r r r r r
options focus on the classic medical model rather than recovery.
r r r r r r r r r
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divor
r r r r r r r r r r r r r r r
ce. Select the nurses most caring comment.
r r r r r r
a. Lets discuss some means of coping other than suicide when you have these feelings.
r r r r r r r r r r r r r
b. I understand why youre so depressed. When I got divorced, I was devastated too.
r r r r r r r r r r r r r
c. You should forget about your marriage and move on with your life.
r r r r r r r r r r r
d. How did you get so depressed that hospitalization was necessary? AN
r r r r r r r r r r
S: A
r
The nurses communication should evidence caring and a commitment to work with the patient. This c
r r r r r r r r r r r r r r r
ommitment lets the patient know the nurse will help. Probing and advice are not helpful or therapeutic
r r r r r r r r r r r r r r r r r
interventions.
3. In the shift-change report, an off-
r r r r r
going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse who receiv
r r r r r r r r r r r r r r r
es the report best demonstrates advocacy?
r r r r r
a. This is a psychiatric hospital. Craziness is what we are all about.
r r r r r r r r r r r
b. Lets all show acceptance of this patient by wearing lots of makeup too.
r r r r r r r r r r r r
,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
r r r r r r r r r
d. Our patients need our help to learn behaviors that will help them get along in society. ANS:
r r r r r r r r r r r r r r r r r
D
Accepting patients needs for self- r r r r
expression and seeking to teach skills that will contribute to their well- r r r r r r r r r r r
being demonstrate respect and are important parts of advocacy. The on-
r r r r r r r r r r
coming nurse needs to take action to ensure that others are not prejudiced against the patient. Humor c
r r r r r r r r r r r r r r r r r
an be appropriate within the privacy of a shift report but not at the expense of respect for patients.
r r r r r r r r r r r r r r r r r r
Judging the off- r r
going nurse in a critical way will create conflict. Nurses must show compassion for each other.
r r r r r r r r r r r r r r r
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which state
r r r r r r r r r r r r r
ment is an example of attending?
r r r r r
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
r r r r r r r r r r r r r r r r
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
r r r r r r r r r r r r r r r
c. You will feel better after we get some antidepressant medication started for you.
r r r r r r r r r r r r
d. Id like to sit with you a while so you may feel more comfortable talking with me. ANS:
r r r r r r r r r r r r r r r r r r
D
Attending is a technique that demonstrates the nurses commitment to the relationship and reduces fee
r r r r r r r r r r r r r r
lings of isolation. This technique shows respect for the patient and demonstrates caring. Generalizati
r r r r r r r r r r r r r
ons, probing, and false reassurances are non-therapeutic.
r r r r r r
5. A patient shows the nurse an article from the Internet about a health problem. Which characterist
r r r r r r r r r r r r r r r
ic of the web sites address most alerts the nurse that the site may have biased and prejudiced inform
r r r r r r r r r r r r r r r r r r
ation?
a. Address ends in .org. r r r
b. Address ends in .com. r r r
c. Address ends in .gov. r r r
d. Address ends in .net. r r r r
ANS: B r
Financial influences on a site are a clue that the information may be biased. .com at the end of the addr
r r r r r r r r r r r r r r r r r r r r
ess indicates that the site is a commercial one. .gov indicates that the site is maintained by a governme
r r r r r r r r r r r r r r r r r r
nt entity. .org indicates that the site is nonproprietary; the site may or may not have reliable informatio
r r r r r r r r r r r r r r r r r
n, but it does not profit from its activities. .net can have multiple
r r r r r r r r r r r r
, meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their attention; how
r r r r r r r r r r r r r r r r r r r r
ever, I read a descriptive research study that says that this approach does not work. I plan to stop calling
r r r r r r r r r r r r r r r r r r r
r patients by name. Which statement is the best appraisal of this nurses comment?
r r r r r r r r r r r r
a. One descriptive research study rarely provides enough evidence to change practice.
r r r r r r r r r r
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
r r r r r r r r r r r r r
c. New research findings should be incorporated into clinical algorithms before using them in pract
r r r r r r r r r r r r r
ice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change. ANS:
r r r r r r r r r r r r r r r r
A
Descriptive research findings provide evidence for practice but must be viewed in relation to other st
r r r r r r r r r r r r r r r
udies before practice changes. One study is not enough. Descriptive studies are low on the hierarchy o
r r r r r r r r r r r r r r r r
f evidence. Clinical algorithms use flow charts to manage problems and do not specify one response t
r r r r r r r r r r r r r r r r
o a clinical problem. Classic tenets of practice should change as research findings provide evidence f
r r r r r r r r r r r r r r r
or change. r
7. Two nursing students discuss career plans after graduation. One student wants to enter psychiatric
r r r r r r r r r r r r r r
nursing. The other student asks, Why would you want to be a psychiatric nurse? All they do is talk. Yo
r r r r r r r r r r r r r r r r r r r
u will lose your skills. Select the best response by the student interested in psychiatric nursing.
r r r r r r r r r r r r r r r
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to- r r r r r r r r r
patient ratios must be better because of the nature of patients problems.
r r r r r r r r r r r
b. Psychiatric nurses use complex communication skills, as well as critical thinking, to solve multi r r r r r r r r r r r r r
dimensional problems. Im challenged by those situations. r r r r r r
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so I do not w
r r r r r r r r r r r r r r r r r r r r r r r
ant to continue them after I graduate.
r r r r r r
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurse r r r r r r r r r r r r r r r r
s. That appeals to me.
r r r r
ANS: B r
The practice of psychiatric nursing requires a different set of skills than medical surgical nursing, alth
r r r r r r r r r r r r r r r
ough substantial overlap does exist. Psychiatric nurses must be able to help patients with medical and
r r r r r r r r r r r r r r r r
mental health problems, reflecting the holistic perspective these nurses must have.
r r r r r r r r r r
THE PSYCHIATRIC I
r r
NTERVIEW
4th Edition Daniel J. Carlat
r r r r
TESTBANK r
,The Psychiatric Interview 4th Edition Carlat Test Bank (Chapter
r r r r r r r r r
1-Chapter 3) r
Chapter 1: The Initial Interview: A Preview r r r r r r
Chapter 2: Logistic Preparations: What toDo Before the Interview
r r r r r r r r
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
r r r r r r r r r r r r r r r
MULTIPLE CHOICE r
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living
r r r r r r r r r r r r r r r r r
in the community and diagnosed with serious and persistent mental illness? Within 3 months, the
r r r r r r r r r r r r r r r
patient will: r
a. deny suicidal ideation. r r
b. report a sense of well-being. r r r r
c. take medications as prescribed.r r r
d. attend clinic appointments on time. r r r r r
ANS: B r
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role per
r r r r r r r r r r
formance. The goal of recovery is to empower the individual with mental illness to achieve a sense of
r r r r r r r r r r r r r r r r r r
meaning and satisfaction in life and to function at the highest possible level of wellness. The incorrect
r r r r r r r r r r r r r r r r r
options focus on the classic medical model rather than recovery.
r r r r r r r r r
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a divor
r r r r r r r r r r r r r r r
ce. Select the nurses most caring comment.
r r r r r r
a. Lets discuss some means of coping other than suicide when you have these feelings.
r r r r r r r r r r r r r
b. I understand why youre so depressed. When I got divorced, I was devastated too.
r r r r r r r r r r r r r
c. You should forget about your marriage and move on with your life.
r r r r r r r r r r r
d. How did you get so depressed that hospitalization was necessary? AN
r r r r r r r r r r
S: A
r
The nurses communication should evidence caring and a commitment to work with the patient. This c
r r r r r r r r r r r r r r r
ommitment lets the patient know the nurse will help. Probing and advice are not helpful or therapeutic
r r r r r r r r r r r r r r r r r
interventions.
3. In the shift-change report, an off-
r r r r r
going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse who receiv
r r r r r r r r r r r r r r r
es the report best demonstrates advocacy?
r r r r r
a. This is a psychiatric hospital. Craziness is what we are all about.
r r r r r r r r r r r
b. Lets all show acceptance of this patient by wearing lots of makeup too.
r r r r r r r r r r r r
,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
r r r r r r r r r
d. Our patients need our help to learn behaviors that will help them get along in society. ANS:
r r r r r r r r r r r r r r r r r
D
Accepting patients needs for self- r r r r
expression and seeking to teach skills that will contribute to their well- r r r r r r r r r r r
being demonstrate respect and are important parts of advocacy. The on-
r r r r r r r r r r
coming nurse needs to take action to ensure that others are not prejudiced against the patient. Humor c
r r r r r r r r r r r r r r r r r
an be appropriate within the privacy of a shift report but not at the expense of respect for patients.
r r r r r r r r r r r r r r r r r r
Judging the off- r r
going nurse in a critical way will create conflict. Nurses must show compassion for each other.
r r r r r r r r r r r r r r r
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which state
r r r r r r r r r r r r r
ment is an example of attending?
r r r r r
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
r r r r r r r r r r r r r r r r
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
r r r r r r r r r r r r r r r
c. You will feel better after we get some antidepressant medication started for you.
r r r r r r r r r r r r
d. Id like to sit with you a while so you may feel more comfortable talking with me. ANS:
r r r r r r r r r r r r r r r r r r
D
Attending is a technique that demonstrates the nurses commitment to the relationship and reduces fee
r r r r r r r r r r r r r r
lings of isolation. This technique shows respect for the patient and demonstrates caring. Generalizati
r r r r r r r r r r r r r
ons, probing, and false reassurances are non-therapeutic.
r r r r r r
5. A patient shows the nurse an article from the Internet about a health problem. Which characterist
r r r r r r r r r r r r r r r
ic of the web sites address most alerts the nurse that the site may have biased and prejudiced inform
r r r r r r r r r r r r r r r r r r
ation?
a. Address ends in .org. r r r
b. Address ends in .com. r r r
c. Address ends in .gov. r r r
d. Address ends in .net. r r r r
ANS: B r
Financial influences on a site are a clue that the information may be biased. .com at the end of the addr
r r r r r r r r r r r r r r r r r r r r
ess indicates that the site is a commercial one. .gov indicates that the site is maintained by a governme
r r r r r r r r r r r r r r r r r r
nt entity. .org indicates that the site is nonproprietary; the site may or may not have reliable informatio
r r r r r r r r r r r r r r r r r
n, but it does not profit from its activities. .net can have multiple
r r r r r r r r r r r r
, meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their attention; how
r r r r r r r r r r r r r r r r r r r r
ever, I read a descriptive research study that says that this approach does not work. I plan to stop calling
r r r r r r r r r r r r r r r r r r r
r patients by name. Which statement is the best appraisal of this nurses comment?
r r r r r r r r r r r r
a. One descriptive research study rarely provides enough evidence to change practice.
r r r r r r r r r r
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
r r r r r r r r r r r r r
c. New research findings should be incorporated into clinical algorithms before using them in pract
r r r r r r r r r r r r r
ice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change. ANS:
r r r r r r r r r r r r r r r r
A
Descriptive research findings provide evidence for practice but must be viewed in relation to other st
r r r r r r r r r r r r r r r
udies before practice changes. One study is not enough. Descriptive studies are low on the hierarchy o
r r r r r r r r r r r r r r r r
f evidence. Clinical algorithms use flow charts to manage problems and do not specify one response t
r r r r r r r r r r r r r r r r
o a clinical problem. Classic tenets of practice should change as research findings provide evidence f
r r r r r r r r r r r r r r r
or change. r
7. Two nursing students discuss career plans after graduation. One student wants to enter psychiatric
r r r r r r r r r r r r r r
nursing. The other student asks, Why would you want to be a psychiatric nurse? All they do is talk. Yo
r r r r r r r r r r r r r r r r r r r
u will lose your skills. Select the best response by the student interested in psychiatric nursing.
r r r r r r r r r r r r r r r
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to- r r r r r r r r r
patient ratios must be better because of the nature of patients problems.
r r r r r r r r r r r
b. Psychiatric nurses use complex communication skills, as well as critical thinking, to solve multi r r r r r r r r r r r r r
dimensional problems. Im challenged by those situations. r r r r r r
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so I do not w
r r r r r r r r r r r r r r r r r r r r r r r
ant to continue them after I graduate.
r r r r r r
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurse r r r r r r r r r r r r r r r r
s. That appeals to me.
r r r r
ANS: B r
The practice of psychiatric nursing requires a different set of skills than medical surgical nursing, alth
r r r r r r r r r r r r r r r
ough substantial overlap does exist. Psychiatric nurses must be able to help patients with medical and
r r r r r r r r r r r r r r r r
mental health problems, reflecting the holistic perspective these nurses must have.
r r r r r r r r r r
