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Test Bank For The PSYCHIATRIC Interview

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Test Bank For The PSYCHIATRIC Interview 4th Edition Carlat Test Bank


Test Bank For The PSYCHIATRIC Interview
(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations: What to
Do 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
suffering living in the community and diagnosed with serious and persistent mental ailment?
Within 3 months, the suffering 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 ailment 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 suffering is medical centerized for depression and suicidal ideation after their spouse
asks for a divorce. Select the caregivers most tender comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why you are 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 medical centerization was
necessary? ANS: A
The caregivers conveying should evidence tender and a commitment to work with the suffering.
This commitment lets the suffering know the caregiver will help. Probing and advice are not
helpful or therapeutic interventions.

3. In the shift-change report, an off-going caregiver criticizes a suffering who wears heavy
makeup. Which comment by the caregiver who receives the report best demonstrates
advocacy?
a. This is a PSYCHIATRIC medical center. Craziness is what we are all about.
b. Lets all show acceptance of this suffering by wearing lots of makeup too.

, Test Bank For The PSYCHIATRIC Interview 4th Edition Carlat Test Bank


c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our sufferings need our help to learn behaviors that will help them get along in
society.
ANS: D
Accepting sufferings 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
caregiver needs to take action to ensure that others are not prejudiced against the suffering.
Humor can be appropriate within the privacy of a shift report but not at the expense of respect
for sufferings.
Judging the off-going caregiver in a critical way will create conflict. Caregivers must show
compassion for each other.
4. A caregiver assesses a newly admitted suffering diagnosed with major depressive disorder.
Which statement is an example of attending?
a. We all have stress in life. Being in a PSYCHIATRIC medical center isnt the end of the world.
b. Tell me why you felt you had to be medical centerized 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 caregivers commitment to the relationship and
reduces feelings of isolation. This technique shows respect for the suffering and demonstrates
tender. Generalizations, probing, and false reassurances are non-therapeutic.
5. A suffering shows the caregiver an article from the Internet about a health problem. Which
characteristic of the web sites address most alerts the caregiver 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
Financial influences on a site are a clue that the information may be biased. .com at the end of
the address indicates that the site is a commercial one. .gov indicates that the site is maintained
by a government entity. .org indicates that the site is nonproprietary; the site may or may not
have reliable information, but it does not profit from its activities. .net can have multiple
meanings.

6. A caregiver says, When I was in school, I learned to call upset sufferings by name to get their
attention; however, I read a descriptive research study that says that this approach does not work.
I plan to stop calling sufferings by name. Which statement is the best appraisal of this caregivers
comment?
a. One descriptive research study rarely provides enough evidence to change practice.

, Test Bank For The PSYCHIATRIC Interview 4th Edition Carlat Test Bank


b. Staff caregivers apply new research findings only with the help from clinical caregiver
specialists.
c. New research findings should be incorporated into clinical algorithms before using them in
practice.
d. The caregiver misinterpreted the results of the study. Classic tenets of practice do not
change. ANS: A
Descriptive research findings provide evidence for practice but must be viewed in relation to
other studies before practice changes. One study is not enough. Descriptive studies are low on
the hierarchy of evidence. Clinical algorithms use flow charts to manage problems and do not
specify one response to a clinical problem. Classic tenets of practice should change as research
findings provide evidence for change.
7. Two taking care of students discuss career plans after graduation. One student wants to enter
PSYCHIATRIC taking care of. The other student asks, Why would you want to be a
PSYCHIATRIC caregiver? All they do is talk. You will lose your skills. Select the best
response by the student interested in PSYCHIATRIC taking care of.
a. PSYCHIATRIC caregivers practice in safer environments than other specialties. Caregiver-to-
suffering ratios must be better because of the nature of sufferings problems.
b. PSYCHIATRIC caregivers use complex conveying skills, as well as critical thinking, to
solve multidimensional problems. Im challenged by those situations.
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so I
do not want to continue them after I graduate.
d. PSYCHIATRIC caregivers do not have to deal with as much pain and suffering as medical
surgical caregivers. That appeals to me.
ANS: B
The practice of PSYCHIATRIC taking care of requires a different set of skills than medical
surgical taking care of, although substantial overlap does exist. PSYCHIATRIC caregivers must
be able to help sufferings with medical and mental health problems, reflecting the holistic
perspective these caregivers must have.
Caregiver-suffering ratios and workloads in PSYCHIATRIC settings have increased, similar to
other specialties. PSYCHIATRIC taking care of involves clinical practice, not simply
documentation.
Psychosocial pain is real and can cause as much suffering as physical pain.
8. Which research evidence would most influence a group of caregivers to change their practice?
a. Expert committee report of recommendations for practice
b. Systematic review of randomized controlled trials
c. Non-experimental descriptive study
d. Critical pathway
ANS: B
Research findings are graded using a hierarchy of evidence. A systematic review of randomized
controlled trials is Level A and provides the strongest evidence for changing practice. Expert

, Test Bank For The PSYCHIATRIC Interview 4th Edition Carlat Test Bank


committee recommendations and descriptive studies lend less powerful and influential evidence.
A critical pathway is not evidence; it incorporates research findings after they have been
analyzed.




9. A bill introduced in Congress would reduce funding for the care of people diagnosed with
mental ailmentes. A group of caregivers write letters to their elected representatives in
opposition to the legislation. Which role have the caregivers fulfilled?
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based practice
ANS: A
An advocate defends or asserts another’s cause, particularly when the other person lacks the
ability to do that for himself or herself. Examples of individual advocacy include helping
sufferings understand their rights or make decisions. On a community scale, advocacy includes
political activity, public speaking, and publication in the interest of improving the individuals
with mental ailment; the letter-writing campaign advocates for that cause on behalf of sufferings
who are unable to articulate their own needs.
10. An informal group of sufferings discuss their perceptions of taking care of care. Which
comment best
indicates a sufferings perception that his or her caregiver is tender?
a. My caregiver always asks me which type of juice I want to help me swallow my medication.
b. My caregiver explained my treatment plan to me and asked for my ideas about how to make
it better.
c. My caregiver told me that if I take all the medicines the doctor prescribes I will get
discharged soon.
d. My caregiver spends time listening to me talk about my problems. That helps me feel like Im
not alone.
ANS: D
Tender evidences empathic understanding, as well as competency. It helps change pain and
suffering into a shared experience, creating a human connection that alleviates feelings of
isolation. The incorrect options give examples of statements that demonstrate advocacy or giving
advice.
11. A suffering who immigrated to the United States from Honduras was diagnosed with
schizophrenia. The suffering took an antipsychotic medication for 3 weeks but showed no
improvement. Which resource should the treatment team consult for information on more
effective medications for this suffering?
a. Clinical algorithm
b. Clinical pathway
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