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Test Bank for The Psychiatric Interview 4th Edition by Daniel Carlat
Test Bank for The Psychiatric Interview 4th Edition by Daniel Carlat
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iTEST BANK i
THE PSYCHIATRIC
i
INTERVIEW
4th Edition Daniel J. Carlat
i i i i
TEST BANK i
,i
Thei Psychiatrici Interviewi 4thi Editioni CarlatiTesti Bank
(Chapteri 1-Chapteri 3)
Chapteri1:iThei Initiali Interview:i Ai Preview
Chapteri 2:i Logistici Preparations:i Whati toDoiBeforeitheiInterview
Chapteri 3:i Thei Therapeutici Alliance:i Whati Iti Is,i Whyi It'si Important,i andi Howi toi Establishi It
MULTIPLEiCHOICE
1.iWhichi outcome,i focusedi oni recovery,i wouldi bei expectedi ini thei plani ofi carei fori ai patient
livingi ini thei communityi andi diagnosedi withi seriousi andi persistenti mentali illness?i Withini 3
months,itheipatientiwill:
a.idenyi suicidali ideation.
b.i reporti ai sensei ofiwell-being.
c.itakei medicationsi asi prescribed.
d.iattendi clinici appointmentsi oni time.
ANS:iB
Recoveryi emphasizesi managingi symptoms,i reducingi psychosociali disability,i andi improvingi role
performance.i Thei goali ofirecoveryi isi toi empoweri thei individuali withi mentali illnessi toi achievei a
sensei ofi meaningi andi satisfactioni ini lifei andi toi functioni ati thei highesti possiblei leveli ofi wellness.
Theiincorrecti optionsifocusi onitheiclassici medicali modeli ratherithani recovery.
2.iAi patienti isi hospitalizedi fori depressioni andi suicidali ideationi afteri theiri spousei asksi fori a
divorce.iSelectitheinursesimosticaringicomment.
a.iLetsi discussi somei meansi ofi copingi otheri thani suicidei wheni youi havei thesei feelings.
b.i Ii understandi whyi yourei soi depressed.i Wheni Ii goti divorced,i Ii wasi devastatedi too.
c.iYoui shouldi forgeti abouti youri marriagei andi movei oni withi youri life.
d.iHowi didi youi geti soi depressedi thati hospitalizationi wasi necessary?
ANS:iA
Thei nursesi communicationi shouldi evidencei caringi andi ai commitmenti toi worki withi thei patient.
Thisi commitmenti letsi thei patienti knowi thei nursei willi help.i Probingi andi advicei arei noti helpfuli or
therapeuticiinterventions.
3.iIni thei shift-changei report,i ani off-goingi nursei criticizesi ai patienti whoi wearsi heavyi makeup.
Whichi commenti byitheinursei whoi receivesi thei reporti besti demonstratesiadvocacy?
a.iThisi isi ai psychiatrici hospital.i Crazinessi isi whati wei arei alli about.
b.iLetsi alli showi acceptancei ofithisi patienti byiwearingi lotsi ofi makeupi too.
,i
c.iYouri commentsi arei inconsideratei andi inappropriate.i Keepi thei reporti objective.
d.iOuri patientsi needi ouri helpi toi learni behaviorsi thatiwilli helpi themi geti alongi ini society.
ANS:iD
Acceptingi patientsi needsifori self-expressioni andi seekingi toi teachi skillsi thati willi contributei to
theiri well-beingi demonstratei respecti andi arei importanti partsi ofi advocacy.i Thei on-comingi nurse
needsi toi takei actioni toi ensurei thati othersi arei noti prejudicedi againsti thei patient.i Humori cani be
appropriatei withini thei privacyiofiai shifti reporti buti noti atithei expensei ofirespecti fori patients.
Judgingi thei off-goingi nursei ini ai criticali wayi willi createi conflict.i Nursesi musti showi compassion
forieachiother.
4.iAi nursei assessesi ai newlyi admittedi patienti diagnosedi withi majori depressivei disorder.i Which
statementiisianiexampleiofiattending?
a.iWei alli havei stressi ini life.i Beingi ini ai psychiatrici hospitali isntithei endi ofi thei world.
b.i Telli mei whyi youi felti youi hadi toi bei hospitalizedi toi receivei treatmenti fori youri depression.
c.iYoui willi feeli betteri afteri wei geti somei antidepressanti medicationi startedi fori you.
d.iIdi likei toi siti withi youi ai whilei soi youi mayi feeli morei comfortablei talkingi withime.
ANS:iD
Attendingi isi ai techniquei thati demonstratesi thei nursesi commitmenti toi thei relationshipi and
reducesi feelingsi ofi isolation.i Thisi techniquei showsi respecti fori thei patienti andi demonstrates
caring.iGeneralizations,iprobing,i andifalsei reassurancesi arei non-therapeutic.
5.iAi patienti showsi thei nursei aniarticlei fromi thei Interneti abouti ai healthi problem.iWhich
characteristici ofi thei webi sitesi addressi mosti alertsi thei nursei thati thei sitei mayi havei biasedi and
prejudicediinformation?
a.iAddressi endsi ini .org.
b.i Addressiendsi ini .com.
c.iAddressi endsi ini .gov.
d.iAddressi endsi ini .net.
ANS:iB
Financiali influencesi oniai sitei arei ai cluei thati thei informationi mayibei biased.i .comi ati thei endi of
thei addressi indicatesi thati thei sitei isi ai commerciali one.i .govi indicatesi thati thei sitei isi maintained
byiai governmenti entity.i .orgi indicatesi thati thei sitei isinonproprietary;i thei sitei mayiori mayinot
havei reliablei information,ibuti iti doesi noti profiti fromi itsi activities.i .neti cani havei multiple
,i
meanings.
6.iAinursei says,i Wheni Iiwasi inischool,i Iilearnedi toicalli upseti patientsi byinamei toi geti their
attention;i however,i Ii readi ai descriptivei researchi studyi thati saysi thati thisi approachi doesi noti work.
Iiplani toistopicallingi patientsi byiname.iWhichi statementi isithei besti appraisaliofithisi nurses
comment?
a.iOnei descriptivei researchi studyi rarelyi providesi enoughi evidencei toi changei practice.
b.i Staffi nursesi applyinewi researchi findingsi onlyiwithi thei helpi fromi clinicali nursei specialists.
c.iNewi researchi findingsi shouldi bei incorporatedi intoi clinicali algorithmsi beforei usingi themi in
practice.
d.iThei nursei misinterpretedi thei resultsi ofi thei study.i Classici tenetsi ofi practicei doi noti change.
ANS:iA
Descriptivei researchi findingsi providei evidencei fori practicei buti musti bei viewedi ini relationi to
otheri studiesi beforei practicei changes.i Onei studyiisi noti enough.i Descriptivei studiesi arei lowi on
thei hierarchyi ofievidence.i Clinicali algorithmsi usei flowi chartsi toi managei problemsi andi doi not
specifyi onei responsei toi ai clinicali problem.i Classici tenetsi ofi practicei shouldi changei asi research
findingsiprovideievidenceiforichange.
7.iTwoi nursingistudentsi discussi careeri plansiafteri graduation.i Onei studenti wantsi toi enter
psychiatrici nursing.i Thei otheri studenti asks,i Whyi wouldi youi wanti toi bei ai psychiatrici nurse?i All
theyidoi isi talk.i Youi willi losei youri skills.i Selecti thei besti responsei byithei studenti interestedi in
psychiatricinursing.
a.iPsychiatrici nursesi practicei ini saferi environmentsi thani otheri specialties.i Nurse-to-patienti ratios
mustibeibetteribecauseiofitheinatureiofipatientsiproblems.
b.iPsychiatrici nursesi usei complexi communicationi skills,i asi welli asi criticali thinking,i toi solve
multidimensionaliproblems.iImi challengedibyithosei situations.
c.iIithinki Iiwilli beigoodi inithei mentali healthi field.i Iidoi noti likei clinicalirotationsi ini school,i soi I
doinotiwantitoicontinueithemiafteriIigraduate.
d.iPsychiatrici nursesi doi noti havei toi deali withi asi muchi paini andi sufferingi asi medicali surgical
nurses.iThatiappealsitoime.
ANS:iB
Thei practicei ofi psychiatrici nursingi requiresi ai differenti seti ofi skillsi thani medicali surgicali nursing,
althoughi substantiali overlapi doesi exist.i Psychiatrici nursesi musti bei ablei toihelpi patientsi with
medicali andi mentali healthi problems,i reflectingi thei holistici perspectivei thesei nursesi musti have.
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