TESTBANK @
THE PSYCHIATRIC I
@ @
NTERVIEW
4th Edition Daniel J. Carlat
@ @ @ @
TESTBANK @
,The@Psychiatric@Interview@4th@Edition@Carlat@Test@Bank@(Cha
pter@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@pat
ient@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@tim
e.@ANS:@B
Recovery@emphasizes@managing@symptoms,@reducing@psychosocial@disability,@and@improving@r
ole@performance.@The@goal@of@recovery@is@to@empower@the@individual@with@mental@illness@to@a
chieve@a@sense@of@meaning@and@satisfaction@in@life@and@to@function@at@the@highest@possible@lev
el@of@wellness.@The@incorrect@options@focus@on@the@classic@medical@model@rather@than@recover
y.
2. A@patient@is@hospitalized@for@depression@and@suicidal@ideation@after@their@spouse@asks@f
or@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@necessar
y?@ANS:@A
The@nurses@communication@should@evidence@caring@and@a@commitment@to@work@with@the@patie
nt.@This@commitment@lets@the@patient@know@the@nurse@will@help.@Probing@and@advice@are@not@h
elpful@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@soc
iety.@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@patie
nt.@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@ot
her.
4. A@nurse@assesses@a@newly@admitted@patient@diagnosed@with@major@depressive@disorder.@Wh
ich@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@r
educes@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@.ne
t.@ANS:@B
Financial@influences@on@a@site@are@a@clue@that@the@information@may@be@biased.@.com@at@the@en
d@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@m
ay@or@may@not@have@reliable@information,@but@it@does@not@profit@from@its@activities.@.net@can@h
ave@multiple
, meanings.
6. A@nurse@says,@When@I@was@in@school,@I@learned@to@call@upset@patients@by@name@to@get@their@a
ttention;@however,@I@read@a@ descriptive@ research@study@that@ says@that@ this@approach@does@not@w
ork.@ I@plan@to@stop@calling@patients@by@name.@Which@statement@is@the@best@appraisal@of@this@nu
rses@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@cha
nge.@ANS:@A
Descriptive@research@findings@provide@evidence@for@practice@but@must@be@viewed@in@relation@t
o@other@studies@before@practice@changes.@One@study@is@not@enough.@Descriptive@studies@are@lo
w@on@the@hierarchy@of@evidence.@Clinical@algorithms@use@flow@charts@to@manage@problems@an
d@do@not@specify@one@response@to@a@clinical@problem.@Classic@tenets@of@practice@should@chang
e@as@research@findings@provide@evidence@for@change.
7. Two@nursing@students@discuss@career@plans@after@graduation.@One@student@wants@to@enter@ps
ychiatric@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@interes
ted@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@so
lve@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@schoo
l,@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@sur
gical@nurses.@That@appeals@to@me.
ANS:@B
The@practice@of@psychiatric@nursing@requires@a@different@set@of@skills@than@medical@surgical@nur
sing,@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@m
ust@have.
THE PSYCHIATRIC I
@ @
NTERVIEW
4th Edition Daniel J. Carlat
@ @ @ @
TESTBANK @
,The@Psychiatric@Interview@4th@Edition@Carlat@Test@Bank@(Cha
pter@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@pat
ient@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@tim
e.@ANS:@B
Recovery@emphasizes@managing@symptoms,@reducing@psychosocial@disability,@and@improving@r
ole@performance.@The@goal@of@recovery@is@to@empower@the@individual@with@mental@illness@to@a
chieve@a@sense@of@meaning@and@satisfaction@in@life@and@to@function@at@the@highest@possible@lev
el@of@wellness.@The@incorrect@options@focus@on@the@classic@medical@model@rather@than@recover
y.
2. A@patient@is@hospitalized@for@depression@and@suicidal@ideation@after@their@spouse@asks@f
or@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@necessar
y?@ANS:@A
The@nurses@communication@should@evidence@caring@and@a@commitment@to@work@with@the@patie
nt.@This@commitment@lets@the@patient@know@the@nurse@will@help.@Probing@and@advice@are@not@h
elpful@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@soc
iety.@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@patie
nt.@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@ot
her.
4. A@nurse@assesses@a@newly@admitted@patient@diagnosed@with@major@depressive@disorder.@Wh
ich@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@r
educes@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@.ne
t.@ANS:@B
Financial@influences@on@a@site@are@a@clue@that@the@information@may@be@biased.@.com@at@the@en
d@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@m
ay@or@may@not@have@reliable@information,@but@it@does@not@profit@from@its@activities.@.net@can@h
ave@multiple
, meanings.
6. A@nurse@says,@When@I@was@in@school,@I@learned@to@call@upset@patients@by@name@to@get@their@a
ttention;@however,@I@read@a@ descriptive@ research@study@that@ says@that@ this@approach@does@not@w
ork.@ I@plan@to@stop@calling@patients@by@name.@Which@statement@is@the@best@appraisal@of@this@nu
rses@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@cha
nge.@ANS:@A
Descriptive@research@findings@provide@evidence@for@practice@but@must@be@viewed@in@relation@t
o@other@studies@before@practice@changes.@One@study@is@not@enough.@Descriptive@studies@are@lo
w@on@the@hierarchy@of@evidence.@Clinical@algorithms@use@flow@charts@to@manage@problems@an
d@do@not@specify@one@response@to@a@clinical@problem.@Classic@tenets@of@practice@should@chang
e@as@research@findings@provide@evidence@for@change.
7. Two@nursing@students@discuss@career@plans@after@graduation.@One@student@wants@to@enter@ps
ychiatric@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@interes
ted@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@so
lve@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@schoo
l,@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@sur
gical@nurses.@That@appeals@to@me.
ANS:@B
The@practice@of@psychiatric@nursing@requires@a@different@set@of@skills@than@medical@surgical@nur
sing,@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@m
ust@have.
