test bank for the psychiatric interview 4th edition daniel_j._carlat.

TESTBANK W
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THE PSYCHIATRIC I
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NTERVIEW
4th Edition Daniel J. Carlat
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TESTBANK W
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,TheWPsychiatricWInterviewW4thWEditionWCarlatWTestWBankW(Ch
apterW1-ChapterW3)

ChapterW1:WTheW InitialW Interview:W AW Preview
ChapterW 2:W LogisticW Preparations:W WhatW toDoWBeforeWtheWInterview
ChapterW3:W TheWTherapeuticW Alliance:W WhatW ItW Is,W WhyWIt'sW Important,WandW HowWtoW EstablishW It

MULTIPLEWCHOICE

1. WhichWoutcome,WfocusedWonWrecovery,WwouldWbeWexpectedWinWtheWplanWofWcareWforWaWpa
tientWlivingWinWtheWcommunityWandWdiagnosedWwithWseriousWandWpersistentWmentalWillness?W
WithinW3Wmonths,WtheWpatientWwill:
a. denyWsuicidalW ideation.
b. reportWaWsenseWofWwell-being.
c. takeW medicationsW asW prescribed.
d. attendWclinicWappointmentsWonWtim
e.WANS:WB
RecoveryWemphasizesWmanagingWsymptoms,WreducingWpsychosocialWdisability,WandWimprovingWr
oleWperformance.WTheWgoalWofWrecoveryWisWtoWempowerWtheWindividualWwithWmentalWillnessWtoWa
chieveWaWsenseWofWmeaningWandWsatisfactionWinWlifeWandWtoWfunctionWatWtheWhighestWpossibleWlev
elWofWwellness.WTheWincorrectWoptionsWfocusWonWtheWclassicWmedicalWmodelWratherWthanWrecover
y.



2. AWpatientWisWhospitalizedWforWdepressionWandWsuicidalWideationWafterWtheirWspouseWasksWf
orWaWdivorce.WSelectWtheWnursesWmostWcaringWcomment.
a. LetsWdiscussW someW meansWofWcopingWotherWthanWsuicideW whenW youW haveW theseW feelings.
b. IWunderstandW whyW youreW soW depressed.W WhenW IW gotW divorced,W IWwasW devastatedWtoo.
c. YouWshouldWforgetWaboutW yourWmarriageW andWmoveWonWwithW yourWlife.
d. HowWdidWyouWgetWsoWdepressedWthatWhospitalizationWwasWnecessar
y?WANS:WA
TheWnursesWcommunicationWshouldWevidenceWcaringWandWaWcommitmentWtoWworkWwithWtheWpati
ent.WThisWcommitmentWletsWtheWpatientWknowWtheWnurseWwillWhelp.WProbingWandWadviceWareWnotW
helpfulWorWtherapeuticWinterventions.

3. InWtheWshift-changeWreport,WanWoff-
goingWnurseWcriticizesWaWpatientWwhoWwearsWheavyWmakeup.WWhichWcommentWbyWtheWnurseW
whoWreceivesWtheWreportWbestWdemonstratesWadvocacy?
a. ThisWisWaWpsychiatricW hospital.WCrazinessWisWwhatWweWareWallWabout.
b. LetsWallW showWacceptanceWofWthisWpatientW byWwearingW lotsWofWmakeupWtoo.

,c. YourW commentsW areW inconsiderateW andW inappropriate.W KeepW theW reportW objective.
d. OurWpatientsWneedWourWhelpWtoWlearnWbehaviorsWthatWwillWhelpWthemWgetWalongWinWsoc
iety.WANS:WD
AcceptingWpatientsWneedsWforWself-
expressionWandWseekingWtoWteachWskillsWthatWwillWcontributeWtoWtheirWwell-
beingWdemonstrateWrespectWandWareWimportantWpartsWofWadvocacy.WTheWon-
comingWnurseWneedsWtoWtakeWactionWtoWensureWthatWothersWareWnotWprejudicedWagainstWtheWpatie
nt.WHumorWcanWbeWappropriateWwithinWtheWprivacyWofWaWshiftWreportWbutWnotWatWtheWexpenseWof
WrespectWforWpatients.
JudgingWtheWoff-
goingWnurseWinWaWcriticalWwayWwillWcreateWconflict.WNursesWmustWshowWcompassionWforWeachWot
her.




4. AWnurseWassessesWaWnewlyWadmittedWpatientWdiagnosedWwithWmajorWdepressiveWdisorder.WWh
ichWstatementWisWanWexampleWofWattending?
a. WeWallWhaveWstressWinWlife.WBeingWinWaWpsychiatricW hospitalW isntWtheWendWofWtheW world.
b. TellWmeWwhyWyouW feltW youWhadW toWbeW hospitalizedWtoWreceiveW treatmentWforW yourW depression.
c. YouWwillW feelW betterWafterWweW getW someWantidepressantWmedicationW startedWforW you.
d. IdWlikeWtoWsitWwithWyouWaWwhileWsoWyouWmayWfeelWmoreWcomfortableWtalkingWwit
hWme.WANS:WD
AttendingWisWaWtechniqueWthatWdemonstratesWtheWnursesWcommitmentWtoWtheWrelationshipWandWr
educesWfeelingsWofWisolation.WThisWtechniqueWshowsWrespectWforWtheWpatientWandWdemonstratesW
caring.WGeneralizations,Wprobing,WandWfalseWreassurancesWareWnon-therapeutic.



5. AWpatientWshowsWtheWnurseWanWarticleWfromWtheWInternetWaboutWaWhealthWproblem.WWhichW
characteristicWofWtheWwebWsitesWaddressWmostWalertsWtheWnurseWthatWtheWsiteWmayWhaveWbiased
WandWprejudicedWinformation?
a. AddressWendsWinW.org.
b. AddressWendsWinW .com.
c. AddressWendsWinW .gov.
d. AddressWendsWinW.ne
t.WANS:WB
FinancialWinfluencesWonWaWsiteWareWaWclueWthatWtheWinformationWmayWbeWbiased.W.comWatWtheWe
ndWofWtheWaddressWindicatesWthatWtheWsiteWisWaWcommercialWone.W.govWindicatesWthatWtheWsiteWisW
maintainedWbyWaWgovernmentWentity.W.orgWindicatesWthatWtheWsiteWisWnonproprietary;WtheWsiteWm
ayWorWmayWnotWhaveWreliableWinformation,WbutWitWdoesWnotWprofitWfromWitsWactivities.W.netWcanW
haveWmultiple

, meanings.




6. AWnurseWsays,WWhenWIWwasWinWschool,WIWlearnedWtoWcallWupsetWpatientsWbyWnameWtoWgetWtheirW
attention;Whowever,WIWreadWaW descriptiveW researchWstudyWthatW saysWthatW thisWapproachWdoesWnotW
work.W IWplanWtoWstopWcallingWpatientsWbyWname.WWhichWstatementWisWtheWbestWappraisalWofWthisW
nursesWcomment?
a. OneW descriptiveW researchW studyWrarelyWprovidesW enoughW evidenceW toW changeW practice.
b. StaffWnursesWapplyWnewWresearchW findingsWonlyWwithWtheW helpWfromW clinicalWnurseW specialists.
c. NewWresearchWfindingsWshouldWbeWincorporatedWintoWclinicalWalgorithmsWbeforeWusingWthe
mWinWpractice.
d. TheWnurseWmisinterpretedWtheWresultsWofWtheWstudy.WClassicWtenetsWofWpracticeWdoWnotWcha
nge.WANS:WA
DescriptiveWresearchWfindingsWprovideWevidenceWforWpracticeWbutWmustWbeWviewedWinWrelationWt
oWotherWstudiesWbeforeWpracticeWchanges.WOneWstudyWisWnotWenough.WDescriptiveWstudiesWareWlo
wWonWtheWhierarchyWofWevidence.WClinicalWalgorithmsWuseWflowWchartsWtoWmanageWproblemsWan
dWdoWnotWspecifyWoneWresponseWtoWaWclinicalWproblem.WClassicWtenetsWofWpracticeWshouldWchan
geWasWresearchWfindingsWprovideWevidenceWforWchange.




7. TwoWnursingWstudentsWdiscussWcareerWplansWafterWgraduation.WOneWstudentWwantsWtoWenterWps
ychiatricWnursing.WTheWotherWstudentWasks,WWhyWwouldWyouWwantWtoWbeWaWpsychiatricWnurse?W
AllWtheyWdoWisWtalk.WYouWwillWloseWyourWskills.WSelectWtheWbestWresponseWbyWtheWstudentWintere
stedWinWpsychiatricWnursing.
a. PsychiatricWnursesWpracticeWinWsaferWenvironmentsWthanWotherWspecialties.WNurse-to-
patientWratiosWmustWbeWbetterWbecauseWofWtheWnatureWofWpatientsWproblems.
b. PsychiatricWnursesWuseWcomplexWcommunicationWskills,WasWwellWasWcriticalWthinking,WtoWs
olveWmultidimensionalWproblems.WImWchallengedWbyWthoseWsituations.
c. IWthinkWIWwillWbeWgoodWinWtheWmentalWhealthWfield.WIWdoWnotWlikeWclinicalWrotationsWinWschoo
l,WsoWIWdoWnotWwantWtoWcontinueWthemWafterWIWgraduate.
d. PsychiatricWnursesWdoWnotWhaveWtoWdealWwithWasWmuchWpainWandWsufferingWasWmedicalWsur
gicalWnurses.WThatWappealsWtoWme.
ANS:WB
TheWpracticeWofWpsychiatricWnursingWrequiresWaWdifferentWsetWofWskillsWthanWmedicalWsurgicalWnu
rsing,WalthoughWsubstantialWoverlapWdoesWexist.WPsychiatricWnursesWmustWbeWableWtoWhelpWpatien
tsWwithWmedicalWandWmentalWhealthWproblems,WreflectingWtheWholisticWperspectiveWtheseWnursesW
mustWhave.