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The Psychiatric Interview 4th Edition Carlat Test Bank
The Psychiatric Interview 4th Edition Carlat Test Bank (Comprehensive Guide for your Exam)
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The Psychiatric Interview 4th Edition Carlat Test Bankj j j j j j j
(Chapter 1-Chapter 3)The Initial Interview: A Preview Chapter 2: Logistic Preparations:
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j What to Do Before the Interview
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Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
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j MULTIPLE CHOICE j
1. Which outcome, focused on recovery, would be expected in the plan of care for a
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j patient living in the community and diagnosed with serious and persistent mental
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j illness? Within 3 months, the patient will:
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a. deny suicidal ideation.j j
b. report a sense of well-being. j j j j
c. take medications as prescribed.
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d. attend clinic appointments on j j j
j time. ANS: B
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Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving
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j role performance. The goal of recovery is to empower the individual with mental illness to
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j achieve a sense of meaning and satisfaction in life and to function at the highest possible level
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j of wellness. The incorrect options focus on the classic medical model rather than recovery.
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,2. A patient is hospitalized for depression and suicidal ideation after their spouse asks
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j for a divorce. Select the nurses most caring comment.
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a. Lets discuss some means of coping other than suicide when you have these feelings.
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b. I understand why youre so depressed. When I got divorced, I was devastated too.
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c. You should forget about your marriage and move on with your life.
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d. How did you get so depressed that hospitalization was
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j necessary? ANS: A j j
The nurses communication should evidence caring and a commitment to work with the
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j patient. This commitment lets the patient know the nurse will help. Probing and advice are
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j not helpful or therapeutic interventions.
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3. In the shift-change report, an off-going nurse criticizes a patient who wears heavy
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j makeup. Which comment by the nurse who receives the report best demonstrates
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j advocacy?
a. This is a psychiatric hospital. Craziness is what we are all about.
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b. Lets all show acceptance of this patient by wearing lots of makeup too.
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,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
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d. Our patients need our help to learn behaviors that will help them get along in
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j society. ANS: D j j
Accepting patients needs for self-expression and seeking to teach skills that will contribute
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j to their well-being demonstrate respect and are important parts of advocacy. The on-
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coming nurse needs to take action to ensure that others are not prejudiced against the
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j patient. Humor can be appropriate within the privacy of a shift report but not at the expense
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j of respect for patients.
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Judging the off-going nurse in a critical way will create conflict. Nurses must show
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j compassion for each other. j j j
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder.
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j Which statement is an example of attending?
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a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
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b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
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c. You will feel better after we get some antidepressant medication started for you.
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d. Id like to sit with you a while so you may feel more comfortable talking with
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j me. ANS: D
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, Attending is a technique that demonstrates the nurses commitment to the relationship and
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j reduces feelings of isolation. This technique shows respect for the patient and demonstrates
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j caring. Generalizations, probing, and false reassurances are non-therapeutic.
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5. A patient shows the nurse an article from the Internet about a health problem. Which
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j characteristic of the web sites address most alerts the nurse that the site may have biased
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j and prejudiced information?
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a. Address ends in .org. j j j
b. Address ends in .com. j j j
c. Address ends in .gov. j j j
d. Address ends in j j
j .net. ANS: B
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Financial influences on a site are a clue that the information may be biased. .com at the end
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j of the address indicates that the site is a commercial one. .gov indicates that the site is
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j maintained by a government entity. .org indicates that the site is nonproprietary; the site
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j may or may not have reliable information, but it does not profit from its activities. .net can
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j have multiple j
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