TEST BANK
THE PSYCHIATRIC
INTERVIEW
4th Edition Daniel J. Carlat
TEST BANK
,The Psychiatric Interview 4th Edition Carlat Test Bank
(Chapter 1-Chapter 3)
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
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the patient 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 illness 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 patient is hospitalized for depression and suicidal ideation after their spouse asks for a
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.
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.
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.-
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-
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-
for-each-other.
4. A-nurse-assesses-a-newly-admitted-patient-diagnosed-with-major-depressive-disorder.-Which-
statement-is-an-example-of-attending?
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.
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-
reduces-feelings-of-isolation.-This-technique-shows-respect-for-the-patient-and-demonstrates-
caring.-Generalizations,-probing,-and-false-reassurances-are-non-therapeutic.
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-
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-nurse-says,-When-I-was-in-school,-I-learned-to-call-upset-patients-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-patients-by-name.-Which-statement-is-the-best-appraisal-of-this-nurses-
comment?
a. One- descriptive- research- study-rarely-provides- enough- evidence- to- change- practice.
b. Staff-nurses-apply-new- research- findings-only-with-the- help-from- clinical-nurse- specialists.
c. New-research-findings-should-be-incorporated-into-clinical-algorithms-before-using-them-in-
practice.
d. The-nurse-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-nursing-students-discuss-career-plans-after-graduation.-One-student-wants-to-enter-
psychiatric-nursing.-The-other-student-asks,-Why-would-you-want-to-be-a-psychiatric-nurse?-All-
they-do-is-talk.-You-will-lose-your-skills.-Select-the-best-response-by-the-student-interested-in-
psychiatric-nursing.
a. Psychiatric-nurses-practice-in-safer-environments-than-other-specialties.-Nurse-to-patient-ratios-
must-be-better-because-of-the-nature-of-patients-problems.
b. Psychiatric-nurses-use-complex-communication-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-nurses-do-not-have-to-deal-with-as-much-pain-and-suffering-as-medical-surgical-
nurses.-That-appeals-to-me.
ANS:-B
The-practice-of-psychiatric-nursing-requires-a-different-set-of-skills-than-medical-surgical-nursing,-
although-substantial-overlap-does-exist.-Psychiatric-nurses-must-be-able-to-help-patients-with-
medical-and-mental-health-problems,-reflecting-the-holistic-perspective-these-nurses-must-have.
THE PSYCHIATRIC
INTERVIEW
4th Edition Daniel J. Carlat
TEST BANK
,The Psychiatric Interview 4th Edition Carlat Test Bank
(Chapter 1-Chapter 3)
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
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
living in the community and diagnosed with serious and persistent mental illness? Within 3
months, the patient 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 illness 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 patient is hospitalized for depression and suicidal ideation after their spouse asks for a
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.
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.
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.-
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-
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-
for-each-other.
4. A-nurse-assesses-a-newly-admitted-patient-diagnosed-with-major-depressive-disorder.-Which-
statement-is-an-example-of-attending?
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.
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-
reduces-feelings-of-isolation.-This-technique-shows-respect-for-the-patient-and-demonstrates-
caring.-Generalizations,-probing,-and-false-reassurances-are-non-therapeutic.
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-
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-nurse-says,-When-I-was-in-school,-I-learned-to-call-upset-patients-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-patients-by-name.-Which-statement-is-the-best-appraisal-of-this-nurses-
comment?
a. One- descriptive- research- study-rarely-provides- enough- evidence- to- change- practice.
b. Staff-nurses-apply-new- research- findings-only-with-the- help-from- clinical-nurse- specialists.
c. New-research-findings-should-be-incorporated-into-clinical-algorithms-before-using-them-in-
practice.
d. The-nurse-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-nursing-students-discuss-career-plans-after-graduation.-One-student-wants-to-enter-
psychiatric-nursing.-The-other-student-asks,-Why-would-you-want-to-be-a-psychiatric-nurse?-All-
they-do-is-talk.-You-will-lose-your-skills.-Select-the-best-response-by-the-student-interested-in-
psychiatric-nursing.
a. Psychiatric-nurses-practice-in-safer-environments-than-other-specialties.-Nurse-to-patient-ratios-
must-be-better-because-of-the-nature-of-patients-problems.
b. Psychiatric-nurses-use-complex-communication-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-nurses-do-not-have-to-deal-with-as-much-pain-and-suffering-as-medical-surgical-
nurses.-That-appeals-to-me.
ANS:-B
The-practice-of-psychiatric-nursing-requires-a-different-set-of-skills-than-medical-surgical-nursing,-
although-substantial-overlap-does-exist.-Psychiatric-nurses-must-be-able-to-help-patients-with-
medical-and-mental-health-problems,-reflecting-the-holistic-perspective-these-nurses-must-have.
