THE PSYCHIATRIC INTERVIEW
4th Edition by Daniel J. Carlat
All chapters 1-34
,TheG PsychiatricG InterviewG 4thGEditionGCarlatGTestG BankG (Ch
apterG 1-ChapterG 3)
ChapterG1:GTheG InitialG Interview:G AG Preview
ChapterG 2:G LogisticG Preparations:G WhatG toDoGBeforeGtheGInterview
ChapterG 3:G TheG TherapeuticG Alliance:G WhatG ItG Is,G WhyGIt'sG Important,G andG HowG toG EstablishG It
MULTIPLEGCHOICE
1. WhichG outcome,G focusedG onG recovery,G wouldG beG expectedG inG theG planG ofG careG fo
rG aG patientG livingG inG theG communityG andG diagnosedG withG seriousG andG persistentG me
ntalG illness?G WithinG 3G months,GtheGpatientGwill:
a. denyGsuicidalG ideation.
b. reportGaGsenseGofGwell-being.
c. takeG medicationsG asG prescribed.
d. attendG clinicG appointmentsG onG t
ime.G ANS:GB
RecoveryG emphasizesG managingG symptoms,G reducingG psychosocialG disability,G andG improv
ingG roleG performance.G TheG goalG ofGrecoveryGisG toG empowerG theG individualG withG mentalG ill
nessG toG achieveG aG senseG ofGmeaningGandG satisfactionG inG lifeG andG toGfunctionGatG theG high
estG possibleG levelG ofGwellness.G TheGincorrectGoptionsGfocusGonGtheGclassicGmedicalGmodel
G ratherGthanGrecovery.
2. AG patientG isGhospitalizedG forG depressionG andG suicidalG ideationG afterG theirG spouse
G asksG forG aG divorce.GSelectGtheGnursesGmostGcaringGcomment.
a. LetsG discussG someG meansG ofGcopingG otherG thanG suicideG whenG youG haveG theseG feelings.
b. IGunderstandG whyG youreG soG depressed.G WhenG IG gotG divorced,G IGwasG devastatedG too.
c. YouGshouldG forgetG aboutG yourG marriageG andGmoveG onG withG yourG life.
d. HowG didG youG getG soG depressedG thatG hospitalizationG wasG ne
cessary?G ANS:GA
TheG nursesG communicationG shouldGevidenceG caringGandG aG commitmentG toG workG withG theG
patient.G ThisG commitmentG letsG theGpatientG knowGtheG nurseG willG help.G ProbingG andG advice
G areG notG helpfulG orG therapeuticGinterventions.
3. InG theG shift-changeG report,G anG off-
goingG nurseG criticizesG aG patientG whoG wearsG heavyGmakeup.G WhichGcommentGbyGtheG
nurseGwhoGreceivesGtheGreportGbestGdemonstratesGadvocacy?
a. ThisG isGaG psychiatricG hospital.G CrazinessG isGwhatG weG areG allG about.
b. LetsG allG showG acceptanceG ofGthisGpatientG byGwearingG lotsG ofGmakeupGtoo.
,c. YourG commentsG areG inconsiderateG andG inappropriate.G KeepG theG reportG objective.
d. OurGpatientsGneedG ourGhelpG toG learnG behaviorsG thatGwillG helpG themG getG alongG
inG society.G ANS:GD
AcceptingGpatientsG needsGforGself-
expressionG andGseekingGtoGteachGskillsG thatGwillGcontributeG toG theirG well-
beingG demonstrateG respectG andG areG importantG partsG ofG advocacy.G TheG on-
comingG nurseG needsG toG takeGactionGtoGensureG thatG othersG areG notG prejudicedGagainstG t
heG patient.G HumorGcanG beG appropriateGwithinGtheGprivacyGofGaGshiftGreportGbutGnotGatGt
heGexpenseGofGrespectGforGpatients.
JudgingGtheG off-
goingG nurseG inG aG criticalG wayGwillG createG conflict.G NursesGmustGshowG compassionG forG
eachGother.
4. AG nurseG assessesG aG newlyG admittedG patientG diagnosedG withG majorG depressiveG disor
der.G WhichG statementGisGanGexampleGofGattending?
a. WeGallG haveGstressG inGlife.GBeingGinGaGpsychiatricG hospitalG isntGtheGendGofGtheG world.
b. TellG meG whyGyouG feltG youG hadG toG beG hospitalizedG toG receiveG treatmentG forG yourG depres
sion.
c. YouG willG feelG betterG afterGweG getG someG antidepressantG medicationG startedG forG you.
d. IdGlikeG toG sitG withG youG aG whileGsoG youG mayGfeelG moreGcomfortableG talkingG
withGme.G ANS:GD
AttendingG isG aG techniqueG thatG demonstratesG theG nursesG commitmentG toG theG relationshi
pG andG reducesG feelingsG ofG isolation.G ThisG techniqueG showsG respectG forG theG patientG and
G demonstratesG caring.GGeneralizations,Gprobing,GandGfalseGreassurancesGareGnon-
therapeutic.
5. AGpatientGshowsGtheGnurseGanGarticleGfromGtheGInternetG aboutGaGhealthGproblem.G
WhichG characteristicG ofG theG webG sitesGaddressG mostGalertsGtheG nurseG thatGtheG siteG
mayGhaveG biasedG andG prejudicedGinformation?
a. AddressGendsG inG.org.
b. AddressGendsG inG .com.
c. AddressGendsG inG .gov.
d. AddressG endsG inG .n
et.G ANS:GB
FinancialG influencesGonGaGsiteGareGaGclueGthatGtheGinformationGmayGbeGbiased.G.comGat
, G theGendGofG theG addressG indicatesG thatG theG siteG isGaG commercialG one.G .govGindicatesG t
hatG theG siteG isGmaintainedG byGaG governmentGentity.G .orgGindicatesG thatGtheG siteG isGnonp
roprietary;G theGsiteGmayGorG mayGnotG haveGreliableGinformation,GbutGitGdoesGnotGprofitGfr
omGitsGactivities.G.netGcanGhaveGmultiple