TEST BANK FOR The Psychiatric Interview 4th Edition by Daniel Carlat ISBN: 978-1496327710 A+ GRADE ASSURED!!! ALL CHAPTERS COVERED!! 100% COMPLETE GUIDE!!

TESTBANK
THEPSYCHIATRICI N dr




TERVIEW
4thEditionDanielJ.Carlat




TESTBANK

,The Psychiatric Interview4th Edition Carlat Test Bank (Chapter
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1-Chapter3) rd




Chapter 1: The Initial Interview: A Preview dr r dr rd r dr dr



Chapter 2: Logistic Preparations: What toDo Before the Interview
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Chapter 3: The Therapeutic Alliance: What It Is, WhyIt's Important, and How to Establish It
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MULTIPLE CHOICE dr




1. Which outcome, focused on recovery, would be expected in the plan of care for a patient living
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r in the communityand diagnosedwith serious and persistent mental illness? Within 3 months, the
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patient will: r




a. denysuicidal ideation. rd r



b. report a sense of well-being. r dr dr dr




c. take medications as prescribed. dr rdr rdr




d. attend clinic appointments ontime. r dr dr dr




ANS:B
Recoveryemphasizes managing symptoms, reducing psychosocial disability, and improving role per f dr r r r r dr dr r dr d r




ormance. The goal of recovery is to empower the individual withmental illness to achieve a sense of
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meaning and satisfaction in life andto functionat the highest possible level of wellness. The incorrect
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options focus on the classic medical model rather than recovery.
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2. A patient is hospitalized for depression andsuicidal ideation after their spouse asks for a divor
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ce. 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 whyyoure 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 sodepressed that hospitalization was necessary? AN S
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:A r



The nurses communication should evidence caring and a commitment to work withthe patient. This c o
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mmitment lets the patient know the nurse willhelp. Probing and advice are not helpful or therapeutic in
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terventions.

3. In the shift-change report, an off-
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going nurse criticizes a patient whowears heavy makeup. Whichcomment by the nurse whoreceiv e
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s the report best demonstrates advocacy?
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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 bywearing 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 learnbehaviors that will helpthem get along in society. ANS
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:D dr




Accepting patients needs for self- r dr dr dr




expressionandseeking to teachskills that willcontribute to their well- r r dr dr dr dr dr




dr being demonstrate respect and are important parts of advocacy. The on-
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comingnurse needs to take action toensure that others are not prejudiced against the patient. Humor c
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an be appropriate withinthe privacy of a shift report but not at the expense of respect for patients.
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Judging the off- r dr




going nurse in a critical waywillcreate conflict. Nurses must show compassionfor each other.
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4. A nurse assesses a newlyadmitted patient diagnosedwith major depressive disorder. Which state
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ment is anexample of attending? dr dr dr dr




a. We all have stress in life. Being in a psychiatric hospital isntthe end ofthe world.
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b. Tell me why you felt you had tobe hospitalized to receive treatment 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 mayfeel more comfortable talkingwithme. ANS:
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r D
Attending is a technique that demonstrates the nurses commitment to the relationshipand reduces fee
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lings of isolation. This technique shows respect for the patient and demonstrates caring. Generalizati
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ons, probing, andfalse reassurances are non-therapeutic.
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5. A patient shows the nurse a n article from the Internet about a health problem. Which characterist i
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c of the web sites address most alerts the nurse that the site mayhave biased andprejudiced inform a
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tion?
a. Address ends in .org. dr dr r




b. Address ends in .com. dr dr rd r



c. Address ends in .gov. dr dr rd r




d. Address ends in .net. dr dr r dr




ANS:B
Financial influences ona site are a clue that the information may be biased. .com at the end of the addr
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ess indicates that the site is a commercial one. .gov indicates that the site is maintained by a governme n
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t entity. .org indicates that the site is nonproprietary; the site may or maynot have reliable informatio n,b
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ut it does not profit from its activities. .net can have multiple
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, meanings.




6. A nurse says, When I was in school, I learned to call upset patients byname to get their attention; how e
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ver, I read a descriptive research studythat says that this approach does not work. I plan to stop calling pa
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tients by name. Which statement is the best appraisal of this nurses comment?
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a. One descriptive research studyrarely provides enough evidence to change practice.
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b. Staff nurses apply new research findings onlywith the help from clinical nurse specialists.
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c. New researchfindings should be incorporated into clinicalalgorithms before using them in pract ic
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e.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change. ANS:
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A
Descriptive research findings provide evidence for practice but must be viewed in relation to other st
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udies before practice changes. One study is not enough. Descriptive studies are low on the hierarchyo f
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evidence. Clinical algorithms use flow charts to manage problems and do not specify one response t o
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a clinical problem. Classic tenets of practice should change as research findings provide evidence f or
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change.
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7. Twonursingstudents discuss career plans after graduation. One student wants to enter psychiatric dr dr dr dr d r dr dr dr dr dr dr dr




nursing. The other student asks, Whywould you want to be a psychiatric nurse? All theydo is talk. Yo
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u will lose your skills. Select the best response bythe student interested in psychiatric nursing.
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a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to- dr dr dr dr dr r rd r dr dr




dr patient ratios must be better because of the nature of patients problems.
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b. Psychiatric nurses use complex communication skills, as well as critical thinking, to solve multi d
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imensional problems. Im challenged by those situations. r dr r r dr dr




c. I think I will be good in the mental healthfield. I do not like clinical rotations in school,so I donot w a
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nt to continue them after I graduate.
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d. Psychiatric nurses do not have to deal with as much pain and suffering as medical surgical nurse
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s. That appeals tome. ANS:B
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The practice of psychiatric nursing requires a different set of skills thanmedical surgical nursing, alth o
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ugh substantial overlap does exist. Psychiatric nurses must be able to help patients with medical and
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r mental health problems, reflectingthe holistic perspective these nurses must have.
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