,The Psychiatric Interview 4th Edition Carlat Test Bank (Chapt
gi gi gi gi gi gi gi gi
er 1-Chapter 3)
gi gi
Chapter 1: The Initial Interview: A Preview
gi gi gi gi gi gi
Chapter 2: Logistic Preparations: What toDo Before the Interview
gi gi gi gi gi gi gi gi
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
MULTIPLE CHOICE gi
1. Which outcome, focused on recovery, would be expected in the plan of care for a patient
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
living in the community and diagnosed with serious and persistent mental illness? Within 3
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
months, the patient will: gi gi gi
a. deny suicidal ideation. gi gi
b. report a sense of well-being. gi gi gi gi
c. take medications as prescribed.
gi gi gi
d. attend clinic appointments on time. gi gi gi gi g
ANS: B
i gi
Recovery emphasizes managing symptoms, reducing psychosocial disability, and improving role
gi gi gi gi gi gi gi gi gi
gi performance. The goal of recovery is to empower the individual with mental illness to achieve a
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
gi sense of meaning and satisfaction in life and to function at the highest possible level of wellness
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
. The incorrect options focus on the classic medical model rather than recovery.
gi gi gi gi gi gi gi gi gi gi gi gi
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
divorce. Select the nurses most caring comment.
gi gi gi gi gi gi
a. Lets discuss some means of coping other than suicide when you have these feelings.
gi gi gi gi gi gi gi gi gi gi gi gi gi
b. I understand why youre so depressed. When I got divorced, I was devastated too.
gi gi gi gi gi gi gi gi gi gi gi gi gi
c. You should forget about your marriage and move on with your life.
gi gi gi gi gi gi gi gi gi gi gi
d. How did you get so depressed that hospitalization was necessary?
gi gi gi gi gi gi gi gi gi gi
ANS: A gi
The nurses communication should evidence caring and a commitment to work with the patient.
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
This commitment lets the patient know the nurse will help. Probing and advice are not helpful or
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
gi therapeutic interventions. gi
3. In the shift-change report, an off-
gi gi gi gi gi
going nurse criticizes a patient who wears heavy makeup. Which comment by the nurse who r
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
eceives the report best demonstrates advocacy?
gi gi gi gi gi
a. This is a psychiatric hospital. Craziness is what we are all about.
gi gi gi gi gi gi gi gi gi gi gi
b. Lets all show acceptance of this patient by wearing lots of makeup too.
gi gi gi gi gi gi gi gi gi gi gi gi
,c. Your comments are inconsiderate and inappropriate. Keep the report objective.
gi gi gi gi gi gi gi gi gi
d. Our patients need our help to learn behaviors that will help them get along in society.
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
ANS: D gi
Accepting patients needs for self- gi gi gi gi
expression and seeking to teach skills that will contribute to their well-
gi gi gi gi gi gi gi gi gi gi gi
being demonstrate respect and are important parts of advocacy. The on-
gi gi gi gi gi gi gi gi gi gi
coming nurse needs to take action to ensure that others are not prejudiced against the patient. H
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
umor can be appropriate within the privacy of a shift report but not at the expense of respect for
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
patients.
gi
Judging the off- gi gi
going nurse in a critical way will create conflict. Nurses must show compassion for each other.
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
4. A nurse assesses a newly admitted patient diagnosed with major depressive disorder. Which
gi gi gi gi gi gi gi gi gi gi gi gi gi
statement is an example of attending?
gi gi gi gi gi
a. We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
b. Tell me why you felt you had to be hospitalized to receive treatment for your depression.
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
c. You will feel better after we get some antidepressant medication started for you.
gi gi gi gi gi gi gi gi gi gi gi gi
d. Id like to sit with you a while so you may feel more comfortable talking with me.
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
ANS: D gi
Attending is a technique that demonstrates the nurses commitment to the relationship and reduc
gi gi gi gi gi gi gi gi gi gi gi gi gi
es feelings of isolation. This technique shows respect for the patient and demonstrates caring. G
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
eneralizations, probing, and false reassurances are non-therapeutic.
gi gi gi gi gi gi
5. A patient shows the nurse an article from the Internet about a health problem. Which chara
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
cteristic of the web sites address most alerts the nurse that the site may have biased and preju
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
diced information?
gi
a. Address ends in .org. gi gi gi
b. Address ends in .com. gi gi gi
c. Address ends in .gov. gi gi gi
d. Address ends in .net. gi gi gi
ANS: B
gi gi
Financial influences on a site are a clue that the information may be biased. .com at the end of t
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
he address indicates that the site is a commercial one. .gov indicates that the site is maintained
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
by a government entity. .org indicates that the site is nonproprietary; the site may or may not ha
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
ve reliable information, but it does not profit from its activities. .net can have multiple
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
, meanings.
6. A nurse says, When I was in school, I learned to call upset patients by name to get their attenti
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
on; however, I read a descriptive research study that says that this approach does not work. I pl
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi g i gi
an to stop calling patients by name. Which statement is the best appraisal of this nurses comment?
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
a. One descriptive research study rarely provides enough evidence to change practice.
gi gi gi gi gi gi gi gi gi gi
b. Staff nurses apply new research findings only with the help from clinical nurse specialists.
gi gi gi gi gi gi gi gi gi gi gi gi gi
c. New research findings should be incorporated into clinical algorithms before using them in
gi gi gi gi gi gi gi gi gi gi gi gi gi
practice.
d. The nurse misinterpreted the results of the study. Classic tenets of practice do not change.
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
ANS: A gi
Descriptive research findings provide evidence for practice but must be viewed in relation to ot
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
her studies before practice changes. One study is not enough. Descriptive studies are low on the
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
hierarchy of evidence. Clinical algorithms use flow charts to manage problems and do not spec
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
ify one response to a clinical problem. Classic tenets of practice should change as research findi
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
ngs provide evidence for change.
gi gi gi gi
7. Two nursing students discuss career plans after graduation. One student wants to enter psychi
gi gi gi gi gi gi gi gi gi gi gi gi gi
atric nursing. The other student asks, Why would you want to be a psychiatric nurse? All they d
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
o is talk. You will lose your skills. Select the best response by the student interested in psychiatr
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
ic nursing.
gi
a. Psychiatric nurses practice in safer environments than other specialties. Nurse-to-
gi gi gi gi gi gi gi gi gi
patient ratios must be better because of the nature of patients problems.
gi gi gi gi gi gi gi gi gi gi gi
b. Psychiatric nurses use complex communication skills, as well as critical thinking, to solve
gi gi gi gi gi gi gi gi gi gi gi gi gi
multidimensional problems. Im challenged by those situations. gi gi gi gi gi gi
c. I think I will be good in the mental health field. I do not like clinical rotations in school, so I
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
do not want to continue them after I graduate.
gi gi gi gi gi gi gi gi
d. Psychiatric nurses do not have to deal with as much pain and suffering as medical surgical
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
nurses. That appeals to me. gi gi gi gi
ANS: B gi
The practice of psychiatric nursing requires a different set of skills than medical surgical nursing
gi gi gi gi gi gi gi gi gi gi gi gi gi gi
, although substantial overlap does exist. Psychiatric nurses must be able to help patients with m
gi gi gi gi gi gi gi gi gi gi gi gi gi gi gi
edical and mental health problems, reflecting the holistic perspective these nurses must have.
gi gi gi gi gi gi gi gi gi gi gi gi
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Passonly. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $12.99. You're not tied to anything after your purchase.
