The26Psychiatric26Interview264th26Edition26Carlat26Test26Bank
(Chapter261-
Chapter263)The26Initial26Interview:26A26Preview26Chapter262:26Logistic26Preparations:26What26to26
Do26Before26the26Interview
Chapter263:26The26Therapeutic26Alliance:26What26It26Is,26Why26It's26Important,26and26How26to26Establ
ish26It26MULTIPLE26CHOICE
1. Which26outcome,26focused26on26recovery,26would26be26expected26in26the26plan26of26care26fo
r26a26patient26living26in26the26community26and26diagnosed26with26serious26and26persistent26me
ntal26illness?26Within26326months,26the26patient26will:
a. deny2 6 suicidal26 ideation.
b. report26 a26 sense26 of26 well-being.
c. take26 medications26 as26 prescribed.
d. attend26clinic26appointments26on26ti
me.26ANS:26B
Recovery26emphasizes26managing26symptoms,26reducing26psychosocial26disability,26and26improvi
ng26role26performance.26The26goal26of26recovery26is26to26empower26the26individual26with26mental26
illness26to26achieve26a26sense26of26meaning26and26satisfaction26in26life26and26to26function26at26the26h
ighest26possible26level26of26wellness.26The26incorrect26options26focus26on26the26classic26medical26m
odel26rather26than26recovery.
,2. A26patient26is26hospitalized26for26depression26and26suicidal26ideation26after26their26spouse26
asks26for26a26divorce.26Select26the26nurses26most26caring26comment.
a. Lets26 discuss26 some26 means26 of26 coping26 other26 than26 suicide26 when26 you26 have26 these26 feelings
.
b. I26 understand26 why26 youre26 so26 depressed.26 When26 I26 got26 divorced,26 I26 was26 devastated26 too.
c. You26 should26 forget26 about26 your26 marriage26 and26 move26 on26 with26 your26 life.
d. How26did26you26get26so26depressed26that26hospitalization26was26nec
essary?26ANS:26A
The26nurses26communication26should26evidence26caring26and26a26commitment26to26work26with26the
26patient.26This26commitment26lets26the26patient26know26the26nurse26will26help.26Probing26and26advi
ce26are26not26helpful26or26therapeutic26interventions.
3. In26the26shift-change26report,26an26off-
going26nurse26criticizes26a26patient26who26wears26heavy26makeup.26Which26comment26by26the26n
urse26who26receives26the26report26best26demonstrates26advocacy?
a. This26 is26 a26 psychiatric26 hospital.26 Craziness26 is26 what26 we26 are26 all26 about.
b. Lets26 all26 show26 acceptance26 of26 this26 patient26 by26 wearing26 lots26 of26 makeup26 too.
,c. Your26 comments26 are26 inconsiderate26 and2 6 inappropriate.26 Keep26 the26 report2 6 objective.
d. Our26patients26need26our26help26to26learn26behaviors26that26will26help26them26get26along2
6in26society.26ANS:26D
Accepting26patients26needs26for26self-
expression26and26seeking26to26teach26skills26that26will26contribute26to26their26well-
being26demonstrate26respect26and26are26important26parts26of26advocacy.26The26on-
coming26nurse26needs26to26take26action26to26ensure26that26others26are26not26prejudiced26against26th
e26patient.26Humor26can26be26appropriate26within26the26privacy26of26a26shift26report26but26not26at26t
he26expense26of26respect26for26patients.
Judging26the26off-
going26nurse26in26a26critical26way26will26create26conflict.26Nurses26must26show26compassion26for26e
ach26other.
4. A26nurse26assesses26a26newly26admitted26patient26diagnosed26with26major26depressive26disorder
.26Which26statement26is26an26example26of26attending?
a. We26 all26 have26 stress26 in26 life.26 Being26 in26 a26 psychiatric26 hospital26 isnt26 the26 end26 of26 the26 worl
d.
b. Tell26 me26 why26 you26 felt26 you26 had26 to26 be26 hospitalized26 to26 receive26 treatment26 for26 your26 dep
ression.
c. You26 will26 feel26 better26 after26 we26 get26 some26 antidepressant26 medication26 started26 for26 you.
d. Id26like26to26sit26with26you26a26while26so26you26may26feel26more26comfortable26talki
ng26with26me.26ANS:26D
Attending26is26a26technique26that26demonstrates26the26nurses26commitment26to26the26relationship26
and26reduces26feelings26of26isolation.26This26technique26shows26respect26for26the26patient26and26de
monstrates26caring.26Generalizations,26probing,26and26false26reassurances26are26non-therapeutic.
5. A26patient26shows26the26nurse26an26article26from26the26Internet26about26a26health26problem.26
Which26characteristic26of26the26web26sites26address26most26alerts26the26nurse26that26the26site26ma
y26have26biased26and26prejudiced26information?
a. Address26 ends26 in26 .org.
b. Address26 ends26 in26 .com.
c. Address26 ends26 in26 .gov.
d. Address26ends26in26.n
et.26ANS:26B
Financial26influences26on26a26site26are26a26clue26that26the26information26may26be26biased.26.com26at
26 the26end26of26the26address26indicates26that26the26site26is26a26commercial26one.26.gov26indicates26th
at26the26site26is26maintained26by26a26government26entity.26.org26indicates26that26the26site26is26nonpr
oprietary;26the26site26may26or26may26not26have26reliable26information,26but26it26does26not26profit26f
, rom26its26activities.26.net26can26have26multiple
(Chapter261-
Chapter263)The26Initial26Interview:26A26Preview26Chapter262:26Logistic26Preparations:26What26to26
Do26Before26the26Interview
Chapter263:26The26Therapeutic26Alliance:26What26It26Is,26Why26It's26Important,26and26How26to26Establ
ish26It26MULTIPLE26CHOICE
1. Which26outcome,26focused26on26recovery,26would26be26expected26in26the26plan26of26care26fo
r26a26patient26living26in26the26community26and26diagnosed26with26serious26and26persistent26me
ntal26illness?26Within26326months,26the26patient26will:
a. deny2 6 suicidal26 ideation.
b. report26 a26 sense26 of26 well-being.
c. take26 medications26 as26 prescribed.
d. attend26clinic26appointments26on26ti
me.26ANS:26B
Recovery26emphasizes26managing26symptoms,26reducing26psychosocial26disability,26and26improvi
ng26role26performance.26The26goal26of26recovery26is26to26empower26the26individual26with26mental26
illness26to26achieve26a26sense26of26meaning26and26satisfaction26in26life26and26to26function26at26the26h
ighest26possible26level26of26wellness.26The26incorrect26options26focus26on26the26classic26medical26m
odel26rather26than26recovery.
,2. A26patient26is26hospitalized26for26depression26and26suicidal26ideation26after26their26spouse26
asks26for26a26divorce.26Select26the26nurses26most26caring26comment.
a. Lets26 discuss26 some26 means26 of26 coping26 other26 than26 suicide26 when26 you26 have26 these26 feelings
.
b. I26 understand26 why26 youre26 so26 depressed.26 When26 I26 got26 divorced,26 I26 was26 devastated26 too.
c. You26 should26 forget26 about26 your26 marriage26 and26 move26 on26 with26 your26 life.
d. How26did26you26get26so26depressed26that26hospitalization26was26nec
essary?26ANS:26A
The26nurses26communication26should26evidence26caring26and26a26commitment26to26work26with26the
26patient.26This26commitment26lets26the26patient26know26the26nurse26will26help.26Probing26and26advi
ce26are26not26helpful26or26therapeutic26interventions.
3. In26the26shift-change26report,26an26off-
going26nurse26criticizes26a26patient26who26wears26heavy26makeup.26Which26comment26by26the26n
urse26who26receives26the26report26best26demonstrates26advocacy?
a. This26 is26 a26 psychiatric26 hospital.26 Craziness26 is26 what26 we26 are26 all26 about.
b. Lets26 all26 show26 acceptance26 of26 this26 patient26 by26 wearing26 lots26 of26 makeup26 too.
,c. Your26 comments26 are26 inconsiderate26 and2 6 inappropriate.26 Keep26 the26 report2 6 objective.
d. Our26patients26need26our26help26to26learn26behaviors26that26will26help26them26get26along2
6in26society.26ANS:26D
Accepting26patients26needs26for26self-
expression26and26seeking26to26teach26skills26that26will26contribute26to26their26well-
being26demonstrate26respect26and26are26important26parts26of26advocacy.26The26on-
coming26nurse26needs26to26take26action26to26ensure26that26others26are26not26prejudiced26against26th
e26patient.26Humor26can26be26appropriate26within26the26privacy26of26a26shift26report26but26not26at26t
he26expense26of26respect26for26patients.
Judging26the26off-
going26nurse26in26a26critical26way26will26create26conflict.26Nurses26must26show26compassion26for26e
ach26other.
4. A26nurse26assesses26a26newly26admitted26patient26diagnosed26with26major26depressive26disorder
.26Which26statement26is26an26example26of26attending?
a. We26 all26 have26 stress26 in26 life.26 Being26 in26 a26 psychiatric26 hospital26 isnt26 the26 end26 of26 the26 worl
d.
b. Tell26 me26 why26 you26 felt26 you26 had26 to26 be26 hospitalized26 to26 receive26 treatment26 for26 your26 dep
ression.
c. You26 will26 feel26 better26 after26 we26 get26 some26 antidepressant26 medication26 started26 for26 you.
d. Id26like26to26sit26with26you26a26while26so26you26may26feel26more26comfortable26talki
ng26with26me.26ANS:26D
Attending26is26a26technique26that26demonstrates26the26nurses26commitment26to26the26relationship26
and26reduces26feelings26of26isolation.26This26technique26shows26respect26for26the26patient26and26de
monstrates26caring.26Generalizations,26probing,26and26false26reassurances26are26non-therapeutic.
5. A26patient26shows26the26nurse26an26article26from26the26Internet26about26a26health26problem.26
Which26characteristic26of26the26web26sites26address26most26alerts26the26nurse26that26the26site26ma
y26have26biased26and26prejudiced26information?
a. Address26 ends26 in26 .org.
b. Address26 ends26 in26 .com.
c. Address26 ends26 in26 .gov.
d. Address26ends26in26.n
et.26ANS:26B
Financial26influences26on26a26site26are26a26clue26that26the26information26may26be26biased.26.com26at
26 the26end26of26the26address26indicates26that26the26site26is26a26commercial26one.26.gov26indicates26th
at26the26site26is26maintained26by26a26government26entity.26.org26indicates26that26the26site26is26nonpr
oprietary;26the26site26may26or26may26not26have26reliable26information,26but26it26does26not26profit26f
, rom26its26activities.26.net26can26have26multiple
