Test Bank For
The Psychiatric Interview
4th Edition
Daniel J. Carlat
,(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.
,nurse-patient ratios and workloads in psychiatric settings have increased, similar to other
specialties. psychiatric nursing involves clinical practice, not simply documentation.
psychosocial pain is real and can cause as much suffering as physical pain.
8. which research evidence would most influence a group of nurses to change their practice?
a. expert committee report of recommendations for practice
b. systematic review of randomized controlled trials
c. nonexperimental descriptive study
d. critical pathway
ans: b
research findings are graded using a hierarchy of evidence. a systematic review of randomized
controlled trials is level a and provides the strongest evidence for changing practice. expert
committee recommendations and descriptive studies lend less powerful and influential
evidence. a critical pathway is not evidence; it incorporates research findings after they have
been analyzed.
9. a bill introduced in congress would reduce funding for the care of people diagnosed with
mental illnesses. a group of nurses write letters to their elected representatives in opposition to
the legislation. which role have the nurses fulfilled?
a. advocacy
b. attending
c. recovery
d. evidence-based practice
ans: a
an advocate defends or asserts anothers cause, particularly when the other person lacks the
ability to do that for himself or herself. examples of individual advocacy include helping
patients understand their rights or make decisions. on a community scale, advocacy includes
political activity, public speaking, and publication in the interest of improving the individuals
with mental illness; the letter-writing campaign advocates for that cause on behalf of patients
who are unable to articulate their own needs.
10. an informal group of patients discuss their perceptions of nursing care. which comment best
, indicates a patients perception that his or her nurse is caring?
a. my nurse always asks me which type of juice i want to help me swallow my medication.
b. my nurse explained my treatment plan to me and asked for my ideas about how to make it
better.
c. my nurse told me that if i take all the medicines the doctor prescribes i will get discharged
soon.
d. my nurse spends time listening to me talk about my problems. that helps me feel like im not
alone.
ans: d
caring evidences empathic understanding, as well as competency. it helps change pain and
suffering into a shared experience, creating a human connection that alleviates feelings of
isolation. the incorrect options give examples of statements that demonstrate advocacy or
giving advice.
11. a patient who immigrated to the united states from honduras was diagnosed with
schizophrenia. the patient took an antipsychotic medication for 3 weeks but showed no
improvement. which resource should the treatment team consult for information on
more effective medications for this patient?
a. clinical algorithm
b. clinical pathway
c. clinical practice guideline
d. international statistical classification of diseases and related health problems (icd)
ans: a
a clinical algorithm is a guideline that describes diagnostic and/or treatment approaches
drawn from large databases of information. these guidelines help the treatment team make
decisions cognizant of an individual patients needs, such as ethnic origin, age, or gender. a
clinical pathway is a map of interventions and treatments related to a specific disorder.
clinical practice guidelines summarize best practices about specific health problems. the icd
classifies diseases.
12. which historical nursing leader helped focus practice to recognize the importance of
science in psychiatric nursing?
a. abraham maslow
b. hildegard peplau
c. kris martinsen
The Psychiatric Interview
4th Edition
Daniel J. Carlat
,(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.
,nurse-patient ratios and workloads in psychiatric settings have increased, similar to other
specialties. psychiatric nursing involves clinical practice, not simply documentation.
psychosocial pain is real and can cause as much suffering as physical pain.
8. which research evidence would most influence a group of nurses to change their practice?
a. expert committee report of recommendations for practice
b. systematic review of randomized controlled trials
c. nonexperimental descriptive study
d. critical pathway
ans: b
research findings are graded using a hierarchy of evidence. a systematic review of randomized
controlled trials is level a and provides the strongest evidence for changing practice. expert
committee recommendations and descriptive studies lend less powerful and influential
evidence. a critical pathway is not evidence; it incorporates research findings after they have
been analyzed.
9. a bill introduced in congress would reduce funding for the care of people diagnosed with
mental illnesses. a group of nurses write letters to their elected representatives in opposition to
the legislation. which role have the nurses fulfilled?
a. advocacy
b. attending
c. recovery
d. evidence-based practice
ans: a
an advocate defends or asserts anothers cause, particularly when the other person lacks the
ability to do that for himself or herself. examples of individual advocacy include helping
patients understand their rights or make decisions. on a community scale, advocacy includes
political activity, public speaking, and publication in the interest of improving the individuals
with mental illness; the letter-writing campaign advocates for that cause on behalf of patients
who are unable to articulate their own needs.
10. an informal group of patients discuss their perceptions of nursing care. which comment best
, indicates a patients perception that his or her nurse is caring?
a. my nurse always asks me which type of juice i want to help me swallow my medication.
b. my nurse explained my treatment plan to me and asked for my ideas about how to make it
better.
c. my nurse told me that if i take all the medicines the doctor prescribes i will get discharged
soon.
d. my nurse spends time listening to me talk about my problems. that helps me feel like im not
alone.
ans: d
caring evidences empathic understanding, as well as competency. it helps change pain and
suffering into a shared experience, creating a human connection that alleviates feelings of
isolation. the incorrect options give examples of statements that demonstrate advocacy or
giving advice.
11. a patient who immigrated to the united states from honduras was diagnosed with
schizophrenia. the patient took an antipsychotic medication for 3 weeks but showed no
improvement. which resource should the treatment team consult for information on
more effective medications for this patient?
a. clinical algorithm
b. clinical pathway
c. clinical practice guideline
d. international statistical classification of diseases and related health problems (icd)
ans: a
a clinical algorithm is a guideline that describes diagnostic and/or treatment approaches
drawn from large databases of information. these guidelines help the treatment team make
decisions cognizant of an individual patients needs, such as ethnic origin, age, or gender. a
clinical pathway is a map of interventions and treatments related to a specific disorder.
clinical practice guidelines summarize best practices about specific health problems. the icd
classifies diseases.
12. which historical nursing leader helped focus practice to recognize the importance of
science in psychiatric nursing?
a. abraham maslow
b. hildegard peplau
c. kris martinsen
