,Thej Psychiatricj Interviewj 4thj Editionj Carlatj Testj Bankj
(Chapterj 1-Chapterj 3)
Chapterj 1:j Thej Initialj Interview:j Aj Preview
Chapterj 2:j Logisticj Preparations:j Whatj toDoj Beforej thej Interview
Chapterj 3:j Thej Therapeuticj Alliance:j Whatj Itj Is,j Whyj It'sj Important,j andj Howj toj EstablishjIt
MULTIPLEj CHOICE
1. Whichj outcome,j focusedj onj recovery,j wouldj bej expectedj inj thej planj ofj carej forjaj pa
tientj livingj inj thej communityj andj diagnosedj withj seriousj andj persistentj mentaljillness?j Wit
hinj 3j months,j thej patientj will:
a. denyj suicidalj ideation.
b. reportj aj sensej ofj well-being.
c. takej medicationsj asj prescribed.
d. attendj clinicj appointmentsj onjti
me.jANS:j B
Recoveryj emphasizesj managingj symptoms,j reducingj psychosocialj disability,j andj improvingj r
oleperformance.j Thej goalj ofj recoveryj isj toj empowerj thej individualj withjmentalj illnessj toj a
chievej aj sensej ofj meaningj andj satisfactionj inj lifej andj toj functionj atjthej highestj possiblej le
velj ofj wellness.j Thej incorrectj optionsj focusj onj thej classic
medicalj modelj ratherj thanj recovery.
2. Aj patientj isj hospitalizedj forj depressionj andj suicidalj ideationj afterj theirj spousejask
sj forj adivorce.j Selectj thej nursesj mostj caringj comment.
a. Letsj discussj somej meansj ofj copingj otherj thanj suicidej whenj youj havej thesej feelings.
b. Ij understandj whyj yourej soj depressed.j Whenj Ij gotj divorced,j Ij wasj devastatedj too.
c. Youj shouldj forgetj aboutj yourj marriagej andj movej onj withj yourj life.
d. Howj didj youj getj soj depressedj thatj hospitalizationj wasjne
cessary?jANS:j A
Thej nursesj communicationj shouldj evidencej caringj andj aj commitmentj toj workj withj thejpati
ent.j Thisj commitmentj letsj thej patientj knowj thej nursej willj help.j Probingj andj advicejarej notj
helpfulj ortherapeuticj interventions.
3. Inj thej shift-changej report,j anj off-
goingj nursej criticizesj aj patientj whoj wearsj heavyjmakeup.jWhichj commentj byj thej nursej
whoj receivesj thej reportj bestj demonstratesjadvocacy?
a. Thisj isj aj psychiatricj hospital.j Crazinessj isj whatj wej arej allj about.
b. Letsj allj showj acceptancej ofj thisj patientj byj wearingj lotsj ofj makeupj too.
, c. Yourj commentsj arej inconsideratej andj inappropriate.j Keepj thej reportj objective.
d. Ourj patientsj needj ourj helpj toj learnj behaviorsj thatj willj helpj themj getj alongjinj s
ociety.jANS:j D
Acceptingj patientsj needsj forj self-
expressionj andj seekingj toj teachj skillsj thatj willjcontributej toj theirj well-
beingj demonstratej respectj andj arej importantj partsj ofj advocacy.jThej on-
comingj nurseneedsj toj takej actionj toj ensurej thatj othersj arej notj prejudicedjagainstj thej patie
nt.j Humorj canj bej appropriatej withinj thej privacyj ofj aj shiftj reportj butjnotj atj thej expensej of
j respectj forj patients.
Judgingj thej off-
goingj nursej inj aj criticalj wayj willj createj conflict.j Nursesj mustj showjcompassionforj eachj other.
4. Aj nursej assessesj aj newlyj admittedj patientj diagnosedj withj majorj depressivejdis
order.j Whichstatementj isj anj examplej ofj attending?
a. Wej allj havej stressj inj life.j Beingj inj aj psychiatricj hospitalj isntj thej endj ofj thej world.
b. Tellj mej whyj youj feltj youj hadj toj bej hospitalizedj toj receivej treatmentj forj yourjdepr
ession.
c. Youj willj feelj betterj afterj wej getj somej antidepressantj medicationj startedj forj you.
d. Idj likej toj sitj withj youj aj whilej soj youj mayj feelj morej comfortablejtalki
ngj withj me.jANS:j D
Attendingj isj aj techniquej thatj demonstratesj thej nursesj commitmentj toj thej relationshipjandj re
ducesj feelingsj ofj isolation.j Thisj techniquej showsj respectj forj thej patientj andjdemonstratesc
aring.j Generalizations,j probing,j andj falsej reassurancesj arej non-therapeutic.
5. Aj patientj showsj thej nursej anj articlej fromj thej Internetj aboutj aj healthj problem.jWhichj c
haracteristicj ofj thej webj sitesj addressj mostj alertsj thej nursej thatj thej sitejmayj havej bia
sedj andprejudicedj information?
a. Addressj endsj inj .org.
b. Addressj endsj inj .com.
c. Addressj endsj inj .gov.
d. Addressj endsj in
.net.jANS:j B
Financialj influencesj onj aj sitej arej aj cluej thatj thej informationj mayj bej biased.j .comj atjthej en
dj ofj thej addressj indicatesj thatj thej sitej isj aj commercialj one.j .govj indicatesj thatjthej sitej isj
maintainedjbyj aj governmentj entity.j .orgj indicatesj thatj thej sitej isjnonproprietary;j thej sitej ma
yj orj mayj notj havej reliablej information,j butj itj doesj notjprofitj fromj itsj activities.j .netj canj h
avej multiple