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. I UNDERSTAND 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. THIS IS 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.
5. A PATIENT SHOWS THE NURSE AN ARTICLE FROM THE INTERNET ABOUT A
HEALTH PROBLEM. WHICH CHARACTERISTIC OF THE WEB SITES ADDRESS
MOST ALERTS THE NURSE THAT THE SITE MAY HAVE BIASED AND
PREJUDICED INFORMATION?
a. ADDRESS ENDS IN .ORG.
b. ADDRESS ENDS IN .COM.
c. ADDRESS ENDS IN .GOV.
d. ADDRESS ENDS
IN .NET. ANS: B
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. I UNDERSTAND 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. THIS IS 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.
5. A PATIENT SHOWS THE NURSE AN ARTICLE FROM THE INTERNET ABOUT A
HEALTH PROBLEM. WHICH CHARACTERISTIC OF THE WEB SITES ADDRESS
MOST ALERTS THE NURSE THAT THE SITE MAY HAVE BIASED AND
PREJUDICED INFORMATION?
a. ADDRESS ENDS IN .ORG.
b. ADDRESS ENDS IN .COM.
c. ADDRESS ENDS IN .GOV.
d. ADDRESS ENDS
IN .NET. ANS: B
