The Psychiatric Interview – 4th Edition
ST
TEST BANK
UV
IA
_A
James M. Carlat
PP
Comprehensive Test Bank for Instructors
RO
and Students
VE
© James M. Carlat
All rights reserved. Reproduction or distribution without permission is prohibited.
D?
??
©STUDYSTREAM
, The Psychiatric Interview 4th Edition Carlat Test Bank
(Chapter 1-Chapter 3)
ST
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
SUT
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
UV
living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the patient will:
VIAI
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
A__A
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
APP
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.
PPR
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
RO
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.
VEE
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.
DD?
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.
ST
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
SUT
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
UV
for each other.
VIAI
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
statement is an example of attending?
A__A
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.
APP
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
PPR
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
caring. Generalizations, probing, and false reassurances are non-therapeutic.
RO
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
VEE
prejudiced information?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
DD?
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.
ST
6. Aqnurseq says,q Whenq Iq wasq in qschool,q Iq learnedq toqcallq upsetq patientsq byqnameq toq getq their
attention;q however, q Iq read q aq descriptiveq researchq studyq thatq saysq thatq thisq approachq doesq notq work.
SUT
Iq planq toqstopq callingq patientsq byqname.q Whichq statementq isq theq bestq appraisalq ofq thisq nurses
comment?
a.qOneq descriptiveq researchq studyq rarelyq provides q enoughq evidenceq toq changeq practice.
UV
b.q Staffq nursesq applyqnewq researchq findingsq onlyq withq theq help q fromq clinicalq nurseq specialists.
c.qNewq researchq findingsq shouldq beq incorporatedq intoq clinical q algorithms q beforeq usingq themq in
VIAI
practice.
d.q Theq nurseq misinterpretedq theq resultsq of q theq study. q Classic q tenetsq of q practiceq doq not q change.
ANS:qA
A__A
Descriptiveq researchq findingsq provideq evidenceq forq practiceq butq mustq beq viewedq inq relationq to
otherq studiesq beforeq practiceq changes.q Oneq studyq isq notq enough.q Descriptiveq studiesq areq lowq on
theq hierarchyq ofq evidence.q Clinicalq algorithms q useq flowq chartsq toq manageq problemsq andq doq not
APP
specifyq oneq responseq toq a q clinical q problem.q Classicq tenetsq ofq practiceq shouldq changeq asq research
findingsqprovideqevidenceqforqchange.
PPR
7.q Twoq nursingq studentsq discussqcareerq plansq afterq graduation.q Oneq studentq wantsq toq enter
RO
psychiatricq nursing.q Theq otherq studentq asks,q Whyq would q youq wantq toq beq a q psychiatricq nurse?q All
theyq doq isq talk.q Youq willq loseq yourq skills.q Selectq theq bestq responseq byq theq studentq interestedq in
psychiatricqnursing.
a.qPsychiatricq nursesq practiceq inq saferq environmentsq thanq otherq specialties. q Nurse-to-patientq ratios
VEE
mustqbeq betterqbecauseq ofqtheqnatureq ofqpatientsqproblems.
b.q Psychiatricq nursesq useq complex q communicationq skills,q as q wellq asq criticalq thinking, q toq solve
multidimensionalq problems.qImq challengedqbyqthoseq situations.
c.qIq thinkq Iq willq beq goodq inq theq mentalq healthq field.q Iq doq notq likeq clinicalq rotationsq inq school,q soq I
DD?
doqnotqwantqtoqcontinueqthem qafterqIqgraduate.
d.q Psychiatricq nursesq doq notq haveq toq dealq withq asq muchq painq andq sufferingq asq medical q surgical
???
nurses.qThatqappealsqtoqme.
ANS:q B
Theq practiceq ofq psychiatricq nursingq requiresq aq differentq setq ofq skills q thanq medicalq surgicalq nursing,
althoughq substantialq overlapq doesq exist.q Psychiatricq nursesq mustq beq ableq toqhelpq patientsq with
?
medicalq andq mentalq healthq problems,q reflectingq theq holisticq perspectiveq theseq nursesq mustq have.
ST
TEST BANK
UV
IA
_A
James M. Carlat
PP
Comprehensive Test Bank for Instructors
RO
and Students
VE
© James M. Carlat
All rights reserved. Reproduction or distribution without permission is prohibited.
D?
??
©STUDYSTREAM
, The Psychiatric Interview 4th Edition Carlat Test Bank
(Chapter 1-Chapter 3)
ST
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
SUT
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
UV
living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the patient will:
VIAI
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
A__A
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
APP
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.
PPR
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
RO
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.
VEE
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.
DD?
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.
ST
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
SUT
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
UV
for each other.
VIAI
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
statement is an example of attending?
A__A
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.
APP
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
PPR
reduces feelings of isolation. This technique shows respect for the patient and demonstrates
caring. Generalizations, probing, and false reassurances are non-therapeutic.
RO
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
VEE
prejudiced information?
a. Address ends in .org.
b. Address ends in .com.
c. Address ends in .gov.
DD?
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.
ST
6. Aqnurseq says,q Whenq Iq wasq in qschool,q Iq learnedq toqcallq upsetq patientsq byqnameq toq getq their
attention;q however, q Iq read q aq descriptiveq researchq studyq thatq saysq thatq thisq approachq doesq notq work.
SUT
Iq planq toqstopq callingq patientsq byqname.q Whichq statementq isq theq bestq appraisalq ofq thisq nurses
comment?
a.qOneq descriptiveq researchq studyq rarelyq provides q enoughq evidenceq toq changeq practice.
UV
b.q Staffq nursesq applyqnewq researchq findingsq onlyq withq theq help q fromq clinicalq nurseq specialists.
c.qNewq researchq findingsq shouldq beq incorporatedq intoq clinical q algorithms q beforeq usingq themq in
VIAI
practice.
d.q Theq nurseq misinterpretedq theq resultsq of q theq study. q Classic q tenetsq of q practiceq doq not q change.
ANS:qA
A__A
Descriptiveq researchq findingsq provideq evidenceq forq practiceq butq mustq beq viewedq inq relationq to
otherq studiesq beforeq practiceq changes.q Oneq studyq isq notq enough.q Descriptiveq studiesq areq lowq on
theq hierarchyq ofq evidence.q Clinicalq algorithms q useq flowq chartsq toq manageq problemsq andq doq not
APP
specifyq oneq responseq toq a q clinical q problem.q Classicq tenetsq ofq practiceq shouldq changeq asq research
findingsqprovideqevidenceqforqchange.
PPR
7.q Twoq nursingq studentsq discussqcareerq plansq afterq graduation.q Oneq studentq wantsq toq enter
RO
psychiatricq nursing.q Theq otherq studentq asks,q Whyq would q youq wantq toq beq a q psychiatricq nurse?q All
theyq doq isq talk.q Youq willq loseq yourq skills.q Selectq theq bestq responseq byq theq studentq interestedq in
psychiatricqnursing.
a.qPsychiatricq nursesq practiceq inq saferq environmentsq thanq otherq specialties. q Nurse-to-patientq ratios
VEE
mustqbeq betterqbecauseq ofqtheqnatureq ofqpatientsqproblems.
b.q Psychiatricq nursesq useq complex q communicationq skills,q as q wellq asq criticalq thinking, q toq solve
multidimensionalq problems.qImq challengedqbyqthoseq situations.
c.qIq thinkq Iq willq beq goodq inq theq mentalq healthq field.q Iq doq notq likeq clinicalq rotationsq inq school,q soq I
DD?
doqnotqwantqtoqcontinueqthem qafterqIqgraduate.
d.q Psychiatricq nursesq doq notq haveq toq dealq withq asq muchq painq andq sufferingq asq medical q surgical
???
nurses.qThatqappealsqtoqme.
ANS:q B
Theq practiceq ofq psychiatricq nursingq requiresq aq differentq setq ofq skills q thanq medicalq surgicalq nursing,
althoughq substantialq overlapq doesq exist.q Psychiatricq nursesq mustq beq ableq toqhelpq patientsq with
?
medicalq andq mentalq healthq problems,q reflectingq theq holisticq perspectiveq theseq nursesq mustq have.
