THE
PSYCHIATRIC
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INTERVIEW
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4th Edition Daniel J. Carlat
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,TESTBANK
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,The Psychiatric Interview 4th Edition Carlat Test
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vBank(Chapter 1-Chapter 3) v v v
Chapter 1: The Initial Interview: A Preview v v v v v v
Chapter 2: Logistic Preparations: What toDo Before the Interview
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Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to
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vEstablish It v
MULTIPLE CHOICE v
1. Which outcome, focused on recovery, would be expected in the plan of
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v care for a patient living in the community and diagnosed with serious and persistent
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v mental illness? Within 3 months, the patient will:
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a. deny suicidal ideation. v v
b. report a sense of well-being. v v v v
c. take medications as prescribed. v v v
d. attend clinic appointments on v v v
v time.ANS: B v v
Recovery emphasizes managing symptoms, reducing psychosocial disability, and
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v improving roleperformance. The goal of recovery is to empower the individual v v v v v v v v v v
v with mental illness to achieve a sense of meaning and satisfaction in life and to
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v function at the highest possible level of wellness. The incorrect options focus on
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v the classic v
medical model rather than recovery. v v v v
2. A patient is hospitalized for depression and suicidal ideation after their
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v spouse asks for adivorce. Select the nurses most caring comment.
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a. Lets discuss some means of coping other than suicide when you have these feelings.
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b. I understand why youre so depressed. When I got divorced, I was devastated too.
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c. You should forget about your marriage and move on with your life.
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d. How did you get so depressed that hospitalization
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v was necessary? ANS: Av v v
The nurses communication should evidence caring and a commitment to work
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v with the patient. This commitment lets the patient know the nurse will help.
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v Probing and advice are not helpful ortherapeutic interventions. v v v v v v v
3. In the shift-change report, an off-going nurse criticizes a patient who wears
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v heavy makeup.Which comment by the nurse who receives the report best
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v demonstrates advocacy? v
a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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, c. Your comments are inconsiderate and inappropriate. Keep the report objective.
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d. Our patients need our help to learn behaviors that will help them get
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v along in society.ANS: D v v v v
Accepting patients needs for self-expression and seeking to teach skills that will
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vcontribute to their well-being demonstrate respect and are important parts of
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v advocacy. The on-coming nurseneeds to take action to ensure that others are not
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v prejudiced against the patient. Humor can be appropriate within the privacy of a
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v shift report but not at the expense of respect for patients.
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Judging the off-going nurse in a critical way will create conflict. Nurses must show
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vcompassionfor each other. v v
4. A nurse assesses a newly admitted patient diagnosed with major
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v depressive disorder. Whichstatement is an example of attending? v v v v v v v
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
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b. Tell me why you felt you had to be hospitalized to receive treatment
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for your depression.
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c. You will feel better after we get some antidepressant medication started for you.
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d. Id like to sit with you a while so you may feel more
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v comfortable talking with me.ANS: D v v v v v
Attending is a technique that demonstrates the nurses commitment to the
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v relationship and reduces feelings of isolation. This technique shows respect for v v v v v v v v v v
v the patient and demonstratescaring. Generalizations, probing, and false reassurances
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v are non-therapeutic.
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5. A patient shows the nurse an article from the Internet about a health problem.
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vWhich characteristic of the web sites address most alerts the nurse that the
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v site may have biased andprejudiced information?
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a. Address ends in .org. v v v
b. Address ends in .com. v v v
c. Address ends in .gov. v v v
d. Address ends in v v
.net.ANS: B
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Financial influences on a site are a clue that the information may be biased.
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v .com at the end of the address indicates that the site is a commercial one. .gov
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v indicates that the site is maintainedby a government entity. .org indicates that the
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v site is nonproprietary; the site may or may not have reliable information, but it
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v does not profit from its activities. .net can have multiple
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