Test Bank The Psychiatric Interview 4th Edition Carlat
1-Chapter 3) The Initial Interview: A Preview Chapter 2: Logistic Preparations: What to Do Before the Interview ............................................................................................................ 2
Chapter 3: The Ther...
Test Bank The Psychiatric Interview 4th Edition By Carlat
Table of Contents
(Chapter 1-Chapter 3) The Initial Interview: A Preview Chapter 2: Logistic Preparations: What
to Do Before the Interview ............................................................................................................ 2
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It ... 2
Chapter 4-Chapter 5 : Asking Questions I: How to Approach Threatening Topics Chapter 5:
Asking Questions II: Tricks for Improving Patient Recall Chapter 6: Asking ............................. 19
Chapter 7-Chapter 9 : Techniques for the Reluctant Patient Chapter 8: Techniques for the
Overly Talkative Patient Chapter 9: Techniques for the Malingering Patient .............................. 33
Chapter 10: Techniques for the Adolescent Patient1 ................................................................ 40
Chapter 11-Chapter 12 : Interviewing Family Members and Other Informants Chapter 12:
Techniques for Other Challenging Situations ............................................................................ 46
Chapter 13-Chapter 17 : Practical Psychodynamics in the Diagnostic Interview ...................... 52
Chapter 14: Obtaining the History of Present Illness Chapter 15: Obtaining the Psychiatric
History ....................................................................................................................................... 52
Chapter 16: Screening for General Medical Conditions Chapter 17: Family Psychiatric History
.................................................................................................................................................. 53
Chapter 18: Obtaining the Social and Developmental History Section III: Interviewing for
Diagnosis: The Psychiatric Review of Symptoms ...................................................................... 63
Chapter 19- Chaprter 22: How to Memorize the DSM-5 Criteria Chapter 20: Interviewing for
Diagnosis: The Art of Hypothesis Testing Chapter 21: Mental Status Examination ................... 68
Chapter 22: Assessing Suicidal and Homicidal Ideation ........................................................... 68
Chapter 23: Assessing Mood Disorders I: Depressive Disorders.............................................. 75
Chapter 24: Assessing Mood Disorders II: Bipolar Disorder ..................................................... 82
Chapter 25: Assessing Anxiety, Obsessive, and Trauma Disorders ......................................... 88
Chapter 26: Assessing Alcohol Use Disorder ........................................................................... 97
Chapter 27: Assessing Psychotic Disorders ........................................................................... 104
Chapter 28: Assessing Neurocognitive Disorders (Dementia and Delirium) ........................... 113
Chapter 29: Assessing Eating Disorders and Somatic Symptom Disorder ............................. 120
Chapter 30: Assessing Attention Deficit Hyperactivity Disorder .............................................. 126
Chapter 31: Assessing Personality Disorders Section ............................................................ 130
Chapter 32-Chapter 34: How to Educate Your Patient Chapter 33: Negotiating a Treatment
PlanChapter 34: Writing Up the Results of the Interview ......................................................... 136
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,(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 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 ortherapeutic 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
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,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 nurseneeds 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
compassionfor 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.
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, 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 researchfindings 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? Allthey 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
ratiosmust 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
surgicalnurses. 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.
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