Test Bank - for The Psychiatric Interview Fifth Edition(
,Author: DANIEL J. CARLAT, 2024) Latest Edition|| All
Chapters
(Chapter 1-Chapter 3)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 ItMULTIPLE 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 apsychosocial disability, and improving
roleperformance. The goal of recovery is to empower the individual with mental illness
to achieve a sense of meaning and satisfaction ain life and to function at the highest
possible level of wellness. The incorrect aoptions focus on the classic medical model rather
than recovery.
2. A patient is hospitalized afor adepression and suicidal ideation after their spouse
asks for adivorce. Select athe nurses most caring comment.
a. Lets discuss some ameans of coping other than suicide when you have these feelings.
b. I understand awhy ayoure so depressed. When I got divorced, I was devastated too.
c. You should aforget 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 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 adepressive
disorder. Whichstatement is an example of attending?
a. We all have stress in life. Being in a psychiatric hospital aisnt athe end of the world.
b. Tell me why you felt you had to be hospitalized to areceive treatment for your
depression.
c. You will feel better after we get some antidepressant amedication started for you.
d. Id like to sit with you a while so you may afeel amore comfortable talking
with me.ANS: D
Attending is a technique that demonstrates athe anurses commitment to the
relationship and reduces feelings of aisolation. This technique shows respect for the
patient and demonstratescaring. Generalizations, probing, and false reassurances are non-
therapeutic.
5. A patient shows the anurse 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 abiased andprejudiced 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 maintainedby 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
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