The Psychiatric Interview 4th Edition Carlat Test Bank
f f f f f f f
(Chapter f1-Chapter f3)The fInitial fInterview: fA fPreview fChapter f2: fLogistic fPreparations: fWhat fto
fDo fBefore fthe fInterview
Chapter f3: fThe fTherapeutic fAlliance: fWhat fIt fIs, fWhy fIt's fImportant, fand fHow fto fEstablish fIt
MULTIPLE fCHOICE
f
1. Which foutcome, ffocused fon frecovery, fwould fbe fexpected fin fthe fplan fof fcare ffor fa fpatient
living fin fthe fcommunity fand fdiagnosed fwith fserious fand fpersistent fmental fillness? fWithin f3
f
months, fthe fpatient fwill:
f
a. deny f suicidal f ideation.
b. report f a f sense f of f well-being.
c. take fmedications f as fprescribed.
d. attend fclinic fappointments fon ftime.
ANS: fB
f
Recovery femphasizes fmanaging fsymptoms, freducing fpsychosocial fdisability, fand fimproving frole
performance. fThe fgoal fof frecovery fis fto fempower fthe findividual fwith fmental fillness fto fachieve fa
f
sense fof fmeaning fand fsatisfaction fin flife fand fto ffunction fat fthe fhighest fpossible flevel fof fwellness.
f
The fincorrect foptions ffocus fon fthe fclassic fmedical fmodel frather fthan frecovery.
f
2. A fpatient fis fhospitalized ffor fdepression fand fsuicidal fideation fafter ftheir fspouse fasks ffor fa
divorce. fSelect fthe fnurses fmost fcaring fcomment.
f
a. Lets f discuss f some f means f of f coping f other f than f suicide f when f you f have f these f feelings.
b. I f understand f why f youre f so f depressed. f When f I f got f divorced, f I f was f devastated f too.
c. You f should f forget f about f your f marriage f and f move f on f with f your f life.
d. How fdid fyou fget fso fdepressed fthat fhospitalization fwas fnecessary?
ANS: fA
f
The fnurses fcommunication fshould fevidence fcaring fand fa fcommitment fto fwork fwith fthe fpatient.
This fcommitment flets fthe fpatient fknow fthe fnurse fwill fhelp. fProbing fand fadvice fare fnot fhelpful for
f
therapeutic finterventions.
f
3. In fthe fshift-change freport, fan foff-going fnurse fcriticizes fa fpatient fwho fwears fheavy fmakeup.
f Which fcomment fby fthe fnurse fwho freceives fthe freport fbest fdemonstrates fadvocacy?
a. This fis fa f psychiatric fhospital. f Craziness fis fwhat f we fare f all fabout.
b. Lets f all f show f acceptance f of f this f patient f by f wearing f lots f of f makeup f too.
,c. Your f comments f are f inconsiderate f and f inappropriate. f Keep f the f report f objective.
d. Our fpatients fneed four fhelp fto flearn fbehaviors fthat fwill fhelp fthem fget falong fin fsociety.
ANS: fD
f
Accepting fpatients fneeds ffor fself-expression fand fseeking fto fteach fskills fthat fwill fcontribute fto
their fwell-being fdemonstrate frespect fand fare fimportant fparts fof fadvocacy. fThe fon-coming fnurse
f
needs fto ftake faction fto fensure fthat fothers fare fnot fprejudiced fagainst fthe fpatient. fHumor fcan fbe
f
appropriate fwithin fthe fprivacy fof fa fshift freport fbut fnot fat fthe fexpense fof frespect ffor fpatients.
f
Judging fthe foff-going fnurse fin fa fcritical fway fwill fcreate fconflict. fNurses fmust fshow fcompassion
f for feach fother.
4. A fnurse fassesses fa fnewly fadmitted fpatient fdiagnosed fwith fmajor fdepressive fdisorder. fWhich
statement fis fan fexample fof fattending?
f
a. We fall fhave fstress fin f life. fBeing fin fa fpsychiatric f hospital fisnt fthe fend f of fthe f world.
b. Tell f me f why f you f felt f you f had f to f be f hospitalized f to f receive f treatment f for f your f depression.
c. You f will f feel f better f after f we f get f some f antidepressant f medication f started f for f you.
d. Id flike fto fsit fwith fyou fa fwhile fso fyou fmay ffeel fmore fcomfortable ftalking fwith fme.
ANS: fD
f
Attending fis fa ftechnique fthat fdemonstrates fthe fnurses fcommitment fto fthe frelationship fand
reduces ffeelings fof fisolation. fThis ftechnique fshows frespect ffor fthe fpatient fand fdemonstrates
f
caring. fGeneralizations, fprobing, fand ffalse freassurances fare fnon-therapeutic.
f
5. A fpatient fshows fthe fnurse fan farticle ffrom fthe fInternet fabout fa fhealth fproblem. fWhich
characteristic fof fthe fweb fsites faddress fmost falerts fthe fnurse fthat fthe fsite fmay fhave fbiased fand
f
prejudiced finformation?
f
a. Address fends fin f.org.
b. Address fends fin f.com.
c. Address fends fin f.gov.
d. Address fends fin f.net.
ANS: fB
f
Financial finfluences fon fa fsite fare fa fclue fthat fthe finformation fmay fbe fbiased. f.com fat fthe fend fof
the faddress findicates fthat fthe fsite fis fa fcommercial fone. f.gov findicates fthat fthe fsite fis fmaintained
f
by fa fgovernment fentity. f.org findicates fthat fthe fsite fis fnonproprietary; fthe fsite fmay for fmay fnot
f
have freliable finformation, fbut fit fdoes fnot fprofit ffrom fits factivities. f.net fcan fhave fmultiple
f
,meanings.
6. A fnurse fsays, fWhen fI fwas fin fschool, fI flearned fto fcall fupset fpatients fby fname fto fget ftheir
attention; f however, f I f read f a f descriptive f research f study f that f says f that f this f approach f does f not
f
f work. fI fplan fto fstop fcalling fpatients fby fname. fWhich fstatement fis fthe fbest fappraisal fof fthis fnurses
comment?
f
a. One f descriptive f research f study f rarely f provides f enough f evidence f to f change f practice.
b. Staff fnurses f apply f new f research f findings f only f with fthe f help f from f clinical f nurse f specialists.
c. New fresearch ffindings fshould fbe fincorporated finto fclinical falgorithms fbefore fusing fthem fin
practice.
f
d. The fnurse fmisinterpreted fthe fresults fof fthe fstudy. fClassic ftenets fof fpractice fdo fnot fchange.
ANS: fA
f
Descriptive fresearch ffindings fprovide fevidence ffor fpractice fbut fmust fbe fviewed fin frelation fto
other fstudies fbefore fpractice fchanges. fOne fstudy fis fnot fenough. fDescriptive fstudies fare flow fon
f
the fhierarchy fof fevidence. fClinical falgorithms fuse fflow fcharts fto fmanage fproblems fand fdo fnot
f
specify fone fresponse fto fa fclinical fproblem. fClassic ftenets fof fpractice fshould fchange fas fresearch
f
f findings fprovide fevidence ffor fchange.
7. Two fnursing fstudents fdiscuss fcareer fplans fafter fgraduation. fOne fstudent fwants fto fenter
psychiatric fnursing. fThe fother fstudent fasks, fWhy fwould fyou fwant fto fbe fa fpsychiatric fnurse? fAll
f
they fdo fis ftalk. fYou fwill flose fyour fskills. fSelect fthe fbest fresponse fby fthe fstudent finterested fin
f
psychiatric fnursing.
f
a. Psychiatric fnurses fpractice fin fsafer fenvironments fthan fother fspecialties. fNurse-to-patient fratios
must fbe fbetter fbecause fof fthe fnature fof fpatients fproblems.
f
b. Psychiatric fnurses fuse fcomplex fcommunication fskills, fas fwell fas fcritical fthinking, fto fsolve
multidimensional fproblems. fIm fchallenged fby fthose fsituations.
f
c. I fthink fI fwill fbe fgood fin fthe fmental fhealth ffield. fI fdo fnot flike fclinical frotations fin fschool, fso fI
do fnot fwant fto fcontinue fthem fafter fI fgraduate.
f
d. Psychiatric fnurses fdo fnot fhave fto fdeal fwith fas fmuch fpain fand fsuffering fas fmedical fsurgical
nurses. fThat fappeals fto fme.
f
ANS: f B
The fpractice fof fpsychiatric fnursing frequires fa fdifferent fset fof fskills fthan fmedical fsurgical fnursing,
although fsubstantial foverlap fdoes fexist. fPsychiatric fnurses fmust fbe fable fto fhelp fpatients fwith
f
medical fand fmental fhealth fproblems, freflecting fthe fholistic fperspective fthese fnurses fmust fhave.
f
, Nurse-patient fratios fand fworkloads fin fpsychiatric fsettings fhave fincreased, fsimilar fto fother
specialties. fPsychiatric fnursing finvolves fclinical fpractice, fnot fsimply fdocumentation.
f
Psychosocial f pain f is f real f and f can f cause f as f much f suffering f as f physical f pain.
8. Which f research f evidence f would f most f influence f a f group f of f nurses f to f change f their f practice?
a. Expert f committee f report f of f recommendations f for f practice
b. Systematic f review f of f randomized f controlled f trials
c. Nonexperimental f descriptive f study
d. Critical fpathway
ANS: fB
f
Research ffindings fare fgraded fusing fa fhierarchy fof fevidence. fA fsystematic freview fof frandomized
controlled ftrials fis fLevel fA fand fprovides fthe fstrongest fevidence ffor fchanging fpractice. fExpert
f
committee frecommendations fand fdescriptive fstudies flend fless fpowerful fand finfluential fevidence.
f
f A fcritical fpathway fis fnot fevidence; fit fincorporates fresearch ffindings fafter fthey fhave fbeen
f analyzed.
9. A fbill fintroduced fin fCongress fwould freduce ffunding ffor fthe fcare fof fpeople fdiagnosed fwith
mental fillnesses. fA fgroup fof fnurses fwrite fletters fto ftheir felected frepresentatives fin fopposition fto
f
the flegislation. fWhich frole fhave fthe fnurses ffulfilled?
f
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based fpractice
ANS: fA
f
An f advocate f defends f or f asserts f anothers f cause, f particularly f when f the f other f person f lacks f the
ability fto fdo fthat ffor fhimself for fherself. fExamples fof findividual fadvocacy finclude fhelping fpatients
f
understand ftheir frights for fmake fdecisions. fOn fa fcommunity fscale, fadvocacy fincludes fpolitical
f
activity, fpublic fspeaking, fand fpublication fin fthe finterest fof fimproving fthe findividuals fwith fmental
f
illness; fthe fletter-writing fcampaign fadvocates ffor fthat fcause fon fbehalf fof fpatients fwho fare funable
f
f to farticulate ftheir fown fneeds.
10. An f informal f group f of f patients f discuss f their f perceptions f of f nursing f care. f Which f comment f best
f f f f f f f
(Chapter f1-Chapter f3)The fInitial fInterview: fA fPreview fChapter f2: fLogistic fPreparations: fWhat fto
fDo fBefore fthe fInterview
Chapter f3: fThe fTherapeutic fAlliance: fWhat fIt fIs, fWhy fIt's fImportant, fand fHow fto fEstablish fIt
MULTIPLE fCHOICE
f
1. Which foutcome, ffocused fon frecovery, fwould fbe fexpected fin fthe fplan fof fcare ffor fa fpatient
living fin fthe fcommunity fand fdiagnosed fwith fserious fand fpersistent fmental fillness? fWithin f3
f
months, fthe fpatient fwill:
f
a. deny f suicidal f ideation.
b. report f a f sense f of f well-being.
c. take fmedications f as fprescribed.
d. attend fclinic fappointments fon ftime.
ANS: fB
f
Recovery femphasizes fmanaging fsymptoms, freducing fpsychosocial fdisability, fand fimproving frole
performance. fThe fgoal fof frecovery fis fto fempower fthe findividual fwith fmental fillness fto fachieve fa
f
sense fof fmeaning fand fsatisfaction fin flife fand fto ffunction fat fthe fhighest fpossible flevel fof fwellness.
f
The fincorrect foptions ffocus fon fthe fclassic fmedical fmodel frather fthan frecovery.
f
2. A fpatient fis fhospitalized ffor fdepression fand fsuicidal fideation fafter ftheir fspouse fasks ffor fa
divorce. fSelect fthe fnurses fmost fcaring fcomment.
f
a. Lets f discuss f some f means f of f coping f other f than f suicide f when f you f have f these f feelings.
b. I f understand f why f youre f so f depressed. f When f I f got f divorced, f I f was f devastated f too.
c. You f should f forget f about f your f marriage f and f move f on f with f your f life.
d. How fdid fyou fget fso fdepressed fthat fhospitalization fwas fnecessary?
ANS: fA
f
The fnurses fcommunication fshould fevidence fcaring fand fa fcommitment fto fwork fwith fthe fpatient.
This fcommitment flets fthe fpatient fknow fthe fnurse fwill fhelp. fProbing fand fadvice fare fnot fhelpful for
f
therapeutic finterventions.
f
3. In fthe fshift-change freport, fan foff-going fnurse fcriticizes fa fpatient fwho fwears fheavy fmakeup.
f Which fcomment fby fthe fnurse fwho freceives fthe freport fbest fdemonstrates fadvocacy?
a. This fis fa f psychiatric fhospital. f Craziness fis fwhat f we fare f all fabout.
b. Lets f all f show f acceptance f of f this f patient f by f wearing f lots f of f makeup f too.
,c. Your f comments f are f inconsiderate f and f inappropriate. f Keep f the f report f objective.
d. Our fpatients fneed four fhelp fto flearn fbehaviors fthat fwill fhelp fthem fget falong fin fsociety.
ANS: fD
f
Accepting fpatients fneeds ffor fself-expression fand fseeking fto fteach fskills fthat fwill fcontribute fto
their fwell-being fdemonstrate frespect fand fare fimportant fparts fof fadvocacy. fThe fon-coming fnurse
f
needs fto ftake faction fto fensure fthat fothers fare fnot fprejudiced fagainst fthe fpatient. fHumor fcan fbe
f
appropriate fwithin fthe fprivacy fof fa fshift freport fbut fnot fat fthe fexpense fof frespect ffor fpatients.
f
Judging fthe foff-going fnurse fin fa fcritical fway fwill fcreate fconflict. fNurses fmust fshow fcompassion
f for feach fother.
4. A fnurse fassesses fa fnewly fadmitted fpatient fdiagnosed fwith fmajor fdepressive fdisorder. fWhich
statement fis fan fexample fof fattending?
f
a. We fall fhave fstress fin f life. fBeing fin fa fpsychiatric f hospital fisnt fthe fend f of fthe f world.
b. Tell f me f why f you f felt f you f had f to f be f hospitalized f to f receive f treatment f for f your f depression.
c. You f will f feel f better f after f we f get f some f antidepressant f medication f started f for f you.
d. Id flike fto fsit fwith fyou fa fwhile fso fyou fmay ffeel fmore fcomfortable ftalking fwith fme.
ANS: fD
f
Attending fis fa ftechnique fthat fdemonstrates fthe fnurses fcommitment fto fthe frelationship fand
reduces ffeelings fof fisolation. fThis ftechnique fshows frespect ffor fthe fpatient fand fdemonstrates
f
caring. fGeneralizations, fprobing, fand ffalse freassurances fare fnon-therapeutic.
f
5. A fpatient fshows fthe fnurse fan farticle ffrom fthe fInternet fabout fa fhealth fproblem. fWhich
characteristic fof fthe fweb fsites faddress fmost falerts fthe fnurse fthat fthe fsite fmay fhave fbiased fand
f
prejudiced finformation?
f
a. Address fends fin f.org.
b. Address fends fin f.com.
c. Address fends fin f.gov.
d. Address fends fin f.net.
ANS: fB
f
Financial finfluences fon fa fsite fare fa fclue fthat fthe finformation fmay fbe fbiased. f.com fat fthe fend fof
the faddress findicates fthat fthe fsite fis fa fcommercial fone. f.gov findicates fthat fthe fsite fis fmaintained
f
by fa fgovernment fentity. f.org findicates fthat fthe fsite fis fnonproprietary; fthe fsite fmay for fmay fnot
f
have freliable finformation, fbut fit fdoes fnot fprofit ffrom fits factivities. f.net fcan fhave fmultiple
f
,meanings.
6. A fnurse fsays, fWhen fI fwas fin fschool, fI flearned fto fcall fupset fpatients fby fname fto fget ftheir
attention; f however, f I f read f a f descriptive f research f study f that f says f that f this f approach f does f not
f
f work. fI fplan fto fstop fcalling fpatients fby fname. fWhich fstatement fis fthe fbest fappraisal fof fthis fnurses
comment?
f
a. One f descriptive f research f study f rarely f provides f enough f evidence f to f change f practice.
b. Staff fnurses f apply f new f research f findings f only f with fthe f help f from f clinical f nurse f specialists.
c. New fresearch ffindings fshould fbe fincorporated finto fclinical falgorithms fbefore fusing fthem fin
practice.
f
d. The fnurse fmisinterpreted fthe fresults fof fthe fstudy. fClassic ftenets fof fpractice fdo fnot fchange.
ANS: fA
f
Descriptive fresearch ffindings fprovide fevidence ffor fpractice fbut fmust fbe fviewed fin frelation fto
other fstudies fbefore fpractice fchanges. fOne fstudy fis fnot fenough. fDescriptive fstudies fare flow fon
f
the fhierarchy fof fevidence. fClinical falgorithms fuse fflow fcharts fto fmanage fproblems fand fdo fnot
f
specify fone fresponse fto fa fclinical fproblem. fClassic ftenets fof fpractice fshould fchange fas fresearch
f
f findings fprovide fevidence ffor fchange.
7. Two fnursing fstudents fdiscuss fcareer fplans fafter fgraduation. fOne fstudent fwants fto fenter
psychiatric fnursing. fThe fother fstudent fasks, fWhy fwould fyou fwant fto fbe fa fpsychiatric fnurse? fAll
f
they fdo fis ftalk. fYou fwill flose fyour fskills. fSelect fthe fbest fresponse fby fthe fstudent finterested fin
f
psychiatric fnursing.
f
a. Psychiatric fnurses fpractice fin fsafer fenvironments fthan fother fspecialties. fNurse-to-patient fratios
must fbe fbetter fbecause fof fthe fnature fof fpatients fproblems.
f
b. Psychiatric fnurses fuse fcomplex fcommunication fskills, fas fwell fas fcritical fthinking, fto fsolve
multidimensional fproblems. fIm fchallenged fby fthose fsituations.
f
c. I fthink fI fwill fbe fgood fin fthe fmental fhealth ffield. fI fdo fnot flike fclinical frotations fin fschool, fso fI
do fnot fwant fto fcontinue fthem fafter fI fgraduate.
f
d. Psychiatric fnurses fdo fnot fhave fto fdeal fwith fas fmuch fpain fand fsuffering fas fmedical fsurgical
nurses. fThat fappeals fto fme.
f
ANS: f B
The fpractice fof fpsychiatric fnursing frequires fa fdifferent fset fof fskills fthan fmedical fsurgical fnursing,
although fsubstantial foverlap fdoes fexist. fPsychiatric fnurses fmust fbe fable fto fhelp fpatients fwith
f
medical fand fmental fhealth fproblems, freflecting fthe fholistic fperspective fthese fnurses fmust fhave.
f
, Nurse-patient fratios fand fworkloads fin fpsychiatric fsettings fhave fincreased, fsimilar fto fother
specialties. fPsychiatric fnursing finvolves fclinical fpractice, fnot fsimply fdocumentation.
f
Psychosocial f pain f is f real f and f can f cause f as f much f suffering f as f physical f pain.
8. Which f research f evidence f would f most f influence f a f group f of f nurses f to f change f their f practice?
a. Expert f committee f report f of f recommendations f for f practice
b. Systematic f review f of f randomized f controlled f trials
c. Nonexperimental f descriptive f study
d. Critical fpathway
ANS: fB
f
Research ffindings fare fgraded fusing fa fhierarchy fof fevidence. fA fsystematic freview fof frandomized
controlled ftrials fis fLevel fA fand fprovides fthe fstrongest fevidence ffor fchanging fpractice. fExpert
f
committee frecommendations fand fdescriptive fstudies flend fless fpowerful fand finfluential fevidence.
f
f A fcritical fpathway fis fnot fevidence; fit fincorporates fresearch ffindings fafter fthey fhave fbeen
f analyzed.
9. A fbill fintroduced fin fCongress fwould freduce ffunding ffor fthe fcare fof fpeople fdiagnosed fwith
mental fillnesses. fA fgroup fof fnurses fwrite fletters fto ftheir felected frepresentatives fin fopposition fto
f
the flegislation. fWhich frole fhave fthe fnurses ffulfilled?
f
a. Advocacy
b. Attending
c. Recovery
d. Evidence-based fpractice
ANS: fA
f
An f advocate f defends f or f asserts f anothers f cause, f particularly f when f the f other f person f lacks f the
ability fto fdo fthat ffor fhimself for fherself. fExamples fof findividual fadvocacy finclude fhelping fpatients
f
understand ftheir frights for fmake fdecisions. fOn fa fcommunity fscale, fadvocacy fincludes fpolitical
f
activity, fpublic fspeaking, fand fpublication fin fthe finterest fof fimproving fthe findividuals fwith fmental
f
illness; fthe fletter-writing fcampaign fadvocates ffor fthat fcause fon fbehalf fof fpatients fwho fare funable
f
f to farticulate ftheir fown fneeds.
10. An f informal f group f of f patients f discuss f their f perceptions f of f nursing f care. f Which f comment f best
