Psychiatric Interview 5th Edition
Carlat TEST BANK ||Verified Answers
And Rationales Fully Covered
,(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations: What
to Do Before the Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Critical, and How to Establish It
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be eẋpected in the plan of care for a
client living in the community and diagnosed with serious and persistent mental illness?
Within 3 months, the client will:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on
time. CORRECT ANSWER: B
Recovery emphasiẓes 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 client is hospitaliẓed 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 hospitaliẓation was
necessary? CORRECT ANSWER: A
The nurses communication should evidence caring and a commitment to work with the
client. This commitment lets the client know the nurse will help. Probing and advice are not
helpful or therapeutic interventions.
3. In the shift-change report, an off-going nurse criticiẓes a client who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
,a. This is a psychiatric hospital. Craẓiness is what we are all about.
b. Lets all show acceptance of this client by wearing lots of makeup too.
, c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our clients need our help to learn behaviors that will help them get along in
society. CORRECT ANSWER: D
Accepting clients needs for self-eẋpression and seeking to teach skills that will contribute
to their well-being demonstrate respect and are critical parts of advocacy. The on-coming
nurse needs to take action to ensure that others are not prejudiced against the client.
Humor can be appropriate within the privacy of a shift report but not at the eẋpense of
respect for clients.
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 client diagnosed with major depressive disorder.
Which statement is an eẋample 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 hospitaliẓed 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. CORRECT ANSWER: D
Attending is a technique that demonstrates the nurses commitment to the relationship
and reduces feelings of isolation. This technique shows respect for the client and
demonstrates caring. Generaliẓations, probing, and false reassurances are non-
therapeutic.
5. A client 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. CORRECT
ANSWER: 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
Carlat TEST BANK ||Verified Answers
And Rationales Fully Covered
,(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations: What
to Do Before the Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Critical, and How to Establish It
MULTIPLE CHOICE
1. Which outcome, focused on recovery, would be eẋpected in the plan of care for a
client living in the community and diagnosed with serious and persistent mental illness?
Within 3 months, the client will:
a. deny suicidal ideation.
b. report a sense of well-being.
c. take medications as prescribed.
d. attend clinic appointments on
time. CORRECT ANSWER: B
Recovery emphasiẓes 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 client is hospitaliẓed 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 hospitaliẓation was
necessary? CORRECT ANSWER: A
The nurses communication should evidence caring and a commitment to work with the
client. This commitment lets the client know the nurse will help. Probing and advice are not
helpful or therapeutic interventions.
3. In the shift-change report, an off-going nurse criticiẓes a client who wears heavy
makeup. Which comment by the nurse who receives the report best demonstrates
advocacy?
,a. This is a psychiatric hospital. Craẓiness is what we are all about.
b. Lets all show acceptance of this client by wearing lots of makeup too.
, c. Your comments are inconsiderate and inappropriate. Keep the report objective.
d. Our clients need our help to learn behaviors that will help them get along in
society. CORRECT ANSWER: D
Accepting clients needs for self-eẋpression and seeking to teach skills that will contribute
to their well-being demonstrate respect and are critical parts of advocacy. The on-coming
nurse needs to take action to ensure that others are not prejudiced against the client.
Humor can be appropriate within the privacy of a shift report but not at the eẋpense of
respect for clients.
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 client diagnosed with major depressive disorder.
Which statement is an eẋample 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 hospitaliẓed 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. CORRECT ANSWER: D
Attending is a technique that demonstrates the nurses commitment to the relationship
and reduces feelings of isolation. This technique shows respect for the client and
demonstrates caring. Generaliẓations, probing, and false reassurances are non-
therapeutic.
5. A client 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. CORRECT
ANSWER: 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
