TEST BANK FOR
THE PSYCHIATRIC INTERVIEW
4TH EDITION
Daniel J. Carlat
,(CHAPTER 1-CHAPTER 3)
CHAPTER 1: THE INITIAL INTERVIEW: A PREVIEW
CHAPTER 2: LOGISTIC PREPARATIONS: WHAT TODO BEFORE
THE INTERVIEW
CHAPTER 3: THE THERAPEUTIC ALLIANCE: WHAT IT IS, WHY
IT'S IMPORTANT, AND HOW TO ESTABLISH IT
MULTIPLE CHOICE
1. WHICH OUTCOME, FOCUSED ON RECOVERY, WOULD BE
EXPECTED IN THE PLAN OF CARE FOR A PATIENT LIVING IN THE
COMMUNITY AND DIAGNOSED WITH SERIOUS AND PERSISTENT
MENTAL ILLNESS? WITHIN 3 MONTHS, THE PATIENT WILL:
a. DENY SUICIDAL IDEATION.
b. REPORT A SENSE OF WELL-BEING.
c. TAKE MEDICATIONS AS PRESCRIBED.
d. ATTEND CLINIC
APPOINTMENTS ON TIME.
ANS: B
RECOVERY EMPHASIZES MANAGING SYMPTOMS, REDUCING
PSYCHOSOCIAL DISABILITY, AND IMPROVING ROLE PERFORMANCE.
THE GOAL OF RECOVERY IS TO EMPOWER THE INDIVIDUAL WITH
MENTAL ILLNESS TO ACHIEVE A SENSE OF MEANING AND
SATISFACTION IN LIFE AND TO FUNCTION AT THE HIGHEST POSSIBLE
LEVEL OF WELLNESS. THE INCORRECT OPTIONS FOCUS ON THE
CLASSIC MEDICAL MODEL RATHER THAN RECOVERY.
2. A PATIENT IS HOSPITALIZED FOR DEPRESSION AND SUICIDAL
IDEATION AFTER THEIR SPOUSE ASKS FOR A DIVORCE. SELECT
THE NURSES MOST CARING COMMENT.
a. LETS DISCUSS SOME MEANS OF COPING OTHER THAN SUICIDE WHEN
YOU HAVE THESE FEELINGS.
,b. IUNDERSTAND WHY YOURE SO DEPRESSED. WHEN I GOT DIVORCED, I
WAS DEVASTATED TOO.
c. YOU SHOULD FORGET ABOUT YOUR MARRIAGE AND MOVE ON WITH
YOUR LIFE.
d. HOW DID YOU GET SO DEPRESSED THAT
HOSPITALIZATION WAS NECESSARY? ANS: A
THE NURSES COMMUNICATION SHOULD EVIDENCE CARING AND A
COMMITMENT TO WORK WITH THE PATIENT. THIS COMMITMENT
LETS THE PATIENT KNOW THE NURSE WILL HELP. PROBING AND
ADVICE ARE NOT HELPFUL OR THERAPEUTIC INTERVENTIONS.
3. IN THE SHIFT-CHANGE REPORT, AN OFF-GOING NURSE
CRITICIZES A PATIENT WHO WEARS HEAVY MAKEUP. WHICH
COMMENT BY THE NURSE WHO RECEIVES THE REPORT BEST
DEMONSTRATES ADVOCACY?
a. THISIS A PSYCHIATRIC HOSPITAL. CRAZINESS IS WHAT WE ARE ALL
ABOUT.
b. LETS ALL SHOW ACCEPTANCE OF THIS PATIENT BY WEARING LOTS OF
MAKEUP TOO.
, c. YOUR COMMENTS ARE INCONSIDERATE AND INAPPROPRIATE. KEEP
THE REPORT OBJECTIVE.
d. OUR PATIENTS NEED OUR HELP TO LEARN BEHAVIORS THAT
WILL HELP THEM GET ALONG IN SOCIETY. ANS: D
ACCEPTING PATIENTS NEEDS FOR SELF-EXPRESSION AND SEEKING
TO TEACH SKILLS THAT WILL CONTRIBUTE TO THEIR WELL-BEING
DEMONSTRATE RESPECT AND ARE IMPORTANT PARTS OF
ADVOCACY. THE ON-COMING NURSE NEEDS TO TAKE ACTION TO
ENSURE THAT OTHERS ARE NOT PREJUDICED AGAINST THE PATIENT.
HUMOR CAN BE APPROPRIATE WITHIN THE PRIVACY OF A SHIFT
REPORT BUT NOT AT THE EXPENSE OF RESPECT FOR PATIENTS.
JUDGING THE OFF-GOING NURSE IN A CRITICAL WAY WILL CREATE
CONFLICT. NURSES MUST SHOW COMPASSION FOR EACH OTHER.
4. A NURSE ASSESSES A NEWLY ADMITTED PATIENT DIAGNOSED WITH
MAJOR DEPRESSIVE DISORDER. WHICH STATEMENT IS AN EXAMPLE
OF ATTENDING?
a. WE ALL HAVE STRESS IN LIFE. BEING IN A PSYCHIATRIC HOSPITAL ISNT
THE END OF THE WORLD.
b. TELL ME WHY YOU FELT YOU HAD TO BE HOSPITALIZED TO RECEIVE
TREATMENT FOR YOUR DEPRESSION.
c. YOU WILL FEEL BETTER AFTER WE GET SOME ANTIDEPRESSANT
MEDICATION STARTED FOR YOU.
d. ID LIKE TO SIT WITH YOU A WHILE SO YOU MAY FEEL
MORE COMFORTABLE TALKING WITH ME. ANS: D
ATTENDING IS A TECHNIQUE THAT DEMONSTRATES THE NURSES
COMMITMENT TO THE RELATIONSHIP AND REDUCES FEELINGS OF
ISOLATION. THIS TECHNIQUE SHOWS RESPECT FOR THE PATIENT
AND DEMONSTRATES CARING. GENERALIZATIONS, PROBING, AND
FALSE REASSURANCES ARE NON-THERAPEUTIC.
THE PSYCHIATRIC INTERVIEW
4TH EDITION
Daniel J. Carlat
,(CHAPTER 1-CHAPTER 3)
CHAPTER 1: THE INITIAL INTERVIEW: A PREVIEW
CHAPTER 2: LOGISTIC PREPARATIONS: WHAT TODO BEFORE
THE INTERVIEW
CHAPTER 3: THE THERAPEUTIC ALLIANCE: WHAT IT IS, WHY
IT'S IMPORTANT, AND HOW TO ESTABLISH IT
MULTIPLE CHOICE
1. WHICH OUTCOME, FOCUSED ON RECOVERY, WOULD BE
EXPECTED IN THE PLAN OF CARE FOR A PATIENT LIVING IN THE
COMMUNITY AND DIAGNOSED WITH SERIOUS AND PERSISTENT
MENTAL ILLNESS? WITHIN 3 MONTHS, THE PATIENT WILL:
a. DENY SUICIDAL IDEATION.
b. REPORT A SENSE OF WELL-BEING.
c. TAKE MEDICATIONS AS PRESCRIBED.
d. ATTEND CLINIC
APPOINTMENTS ON TIME.
ANS: B
RECOVERY EMPHASIZES MANAGING SYMPTOMS, REDUCING
PSYCHOSOCIAL DISABILITY, AND IMPROVING ROLE PERFORMANCE.
THE GOAL OF RECOVERY IS TO EMPOWER THE INDIVIDUAL WITH
MENTAL ILLNESS TO ACHIEVE A SENSE OF MEANING AND
SATISFACTION IN LIFE AND TO FUNCTION AT THE HIGHEST POSSIBLE
LEVEL OF WELLNESS. THE INCORRECT OPTIONS FOCUS ON THE
CLASSIC MEDICAL MODEL RATHER THAN RECOVERY.
2. A PATIENT IS HOSPITALIZED FOR DEPRESSION AND SUICIDAL
IDEATION AFTER THEIR SPOUSE ASKS FOR A DIVORCE. SELECT
THE NURSES MOST CARING COMMENT.
a. LETS DISCUSS SOME MEANS OF COPING OTHER THAN SUICIDE WHEN
YOU HAVE THESE FEELINGS.
,b. IUNDERSTAND WHY YOURE SO DEPRESSED. WHEN I GOT DIVORCED, I
WAS DEVASTATED TOO.
c. YOU SHOULD FORGET ABOUT YOUR MARRIAGE AND MOVE ON WITH
YOUR LIFE.
d. HOW DID YOU GET SO DEPRESSED THAT
HOSPITALIZATION WAS NECESSARY? ANS: A
THE NURSES COMMUNICATION SHOULD EVIDENCE CARING AND A
COMMITMENT TO WORK WITH THE PATIENT. THIS COMMITMENT
LETS THE PATIENT KNOW THE NURSE WILL HELP. PROBING AND
ADVICE ARE NOT HELPFUL OR THERAPEUTIC INTERVENTIONS.
3. IN THE SHIFT-CHANGE REPORT, AN OFF-GOING NURSE
CRITICIZES A PATIENT WHO WEARS HEAVY MAKEUP. WHICH
COMMENT BY THE NURSE WHO RECEIVES THE REPORT BEST
DEMONSTRATES ADVOCACY?
a. THISIS A PSYCHIATRIC HOSPITAL. CRAZINESS IS WHAT WE ARE ALL
ABOUT.
b. LETS ALL SHOW ACCEPTANCE OF THIS PATIENT BY WEARING LOTS OF
MAKEUP TOO.
, c. YOUR COMMENTS ARE INCONSIDERATE AND INAPPROPRIATE. KEEP
THE REPORT OBJECTIVE.
d. OUR PATIENTS NEED OUR HELP TO LEARN BEHAVIORS THAT
WILL HELP THEM GET ALONG IN SOCIETY. ANS: D
ACCEPTING PATIENTS NEEDS FOR SELF-EXPRESSION AND SEEKING
TO TEACH SKILLS THAT WILL CONTRIBUTE TO THEIR WELL-BEING
DEMONSTRATE RESPECT AND ARE IMPORTANT PARTS OF
ADVOCACY. THE ON-COMING NURSE NEEDS TO TAKE ACTION TO
ENSURE THAT OTHERS ARE NOT PREJUDICED AGAINST THE PATIENT.
HUMOR CAN BE APPROPRIATE WITHIN THE PRIVACY OF A SHIFT
REPORT BUT NOT AT THE EXPENSE OF RESPECT FOR PATIENTS.
JUDGING THE OFF-GOING NURSE IN A CRITICAL WAY WILL CREATE
CONFLICT. NURSES MUST SHOW COMPASSION FOR EACH OTHER.
4. A NURSE ASSESSES A NEWLY ADMITTED PATIENT DIAGNOSED WITH
MAJOR DEPRESSIVE DISORDER. WHICH STATEMENT IS AN EXAMPLE
OF ATTENDING?
a. WE ALL HAVE STRESS IN LIFE. BEING IN A PSYCHIATRIC HOSPITAL ISNT
THE END OF THE WORLD.
b. TELL ME WHY YOU FELT YOU HAD TO BE HOSPITALIZED TO RECEIVE
TREATMENT FOR YOUR DEPRESSION.
c. YOU WILL FEEL BETTER AFTER WE GET SOME ANTIDEPRESSANT
MEDICATION STARTED FOR YOU.
d. ID LIKE TO SIT WITH YOU A WHILE SO YOU MAY FEEL
MORE COMFORTABLE TALKING WITH ME. ANS: D
ATTENDING IS A TECHNIQUE THAT DEMONSTRATES THE NURSES
COMMITMENT TO THE RELATIONSHIP AND REDUCES FEELINGS OF
ISOLATION. THIS TECHNIQUE SHOWS RESPECT FOR THE PATIENT
AND DEMONSTRATES CARING. GENERALIZATIONS, PROBING, AND
FALSE REASSURANCES ARE NON-THERAPEUTIC.
