THE PSYCHIATRIC INTERVIEW

THE PSYCHIATRIC INTERVIEW

5TH EDITION DANIEL J. CARLAT/ULTIMATE GUIDE

2024-2025

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The Psychiatric Interview 5th Edition Carlat Test Bank (Chapter 1-Chapter 3)

Chapter 1: 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 It

MULTIPLE CHOICE

• Which outcome, focused on recovery, would be expected in the plan of care for a client

living in the community and diagnosed with serious and persistent mental illness? Within 3

months, the client will:

• deny suicidal ideation.
• report a sense of well-being.
• take medications as prescribed.
• attend clinic appointments on time.

CORRECT ANSWER:- B

Explanation :->>> 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.

• A client is hospitalized for depression and suicidal ideation after their spouse asks for a

divorce. Choose the professional nurses most caring comment.

• Lets discuss some means of coping other than suicide when you have these feelings.
• I understand why youre so depressed. When I got divorced, I was devastated too.
• You should forget about your marriage and move on with your life.
• How did you get so depressed that hospitalization was necessary?

CORRECT ANSWER:- A

Explanation :->>> The professional nurses communication should evidence caring and a commitment to work with the client. This commitment lets the client know the professional nurse will help. Probing and advice are not helpful or therapeutic interventions.

• In the shift-change report, an off-going professional nurse criticizes a client who wears

heavy makeup. Which comment by the professional nurse who receives the report best demonstrates advocacy?

• This is a psychiatric hospital. Craziness is what we are all about.
• Lets all show acceptance of this client by wearing lots of makeup too. 2 / 4

• Your comments are inconsiderate and inappropriate. Keep the report objective.
• Our clients need our help to learn behaviors that will help them get along in society.

CORRECT ANSWER:- D

Explanation :->>> Accepting clients 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 professional nurse needs to take action to ensure that others are not prejudiced against the client. Humor can be appropriate within the privacy of a shift report but not at the expense of respect for clients.Judging the off-going professional nurse in a critical way will create conflict. Professional nurses must show compassion for each other.

• A professional nurse assesses a newly admitted client diagnosed with major depressive

disorder. Which statement is an example of attending?

• We all have stress in life. Being in a psychiatric hospital isnt the end of the world.
• Tell me why you felt you had to be hospitalized to receive treatment for your depression.
• You will feel better after we get some antidepressant medication started for you.
• Id like to sit with you a while so you may feel more comfortable talking with me.

CORRECT ANSWER:- D

Explanation :->>> Attending is a technique that demonstrates the professional nurses commitment to the relationship and reduces feelings of isolation. This technique shows respect for the client and demonstrates caring. Generalizations, probing, and false reassurances are non- therapeutic.

• A client shows the professional nurse an article from the Internet about a health problem.

Which characteristic of the web sites address most alerts the professional nurse that the site may have biased and prejudiced information?

• Address ends in .org.
• Address ends in .com.
• Address ends in .gov.
• Address ends in .net.

CORRECT

ANSWER:- B

Explanation :->>> 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 3 / 4

meanings.

• A professional nurse says, When I was in school, I learned to call upset clients 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 clients by name. Which statement is the best appraisal of this professional nurses comment?

• One descriptive research study rarely provides enough evidence to change practice.
• Staff professional nurses apply new research findings only with the help from clinical professional

nurse specialists.

• New research findings should be incorporated into clinical algorithms before using them in

practice.

• The professional nurse misinterpreted the results of the study. Classic tenets of practice

do not change.

CORRECT ANSWER:- A

Explanation :->>> 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 research findings provide evidence for change.

• 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 professional nurse? All they do is talk. You will lose your skills. Choose the best response by the student interested in psychiatric nursing.

• Psychiatric professional nurses practice in safer environments than other specialties.

Professional nurse-to-client ratios must be better because of the nature of clients problems.

• Psychiatric professional nurses use complex communication skills, as well as critical

thinking, to solve multidimensional problems. Im challenged by those situations.

• 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.

• Psychiatric professional nurses do not have to deal with as much pain and suffering as

medical surgical professional nurses. That appeals to me.

CORRECT ANSWER:- B

Explanation :->>> The practice of psychiatric nursing requires a different set of skills than medical surgical nursing, although substantial overlap does exist. Psychiatric professional nurses must be able to help clients with medical and mental health problems, reflecting the holistic perspective these professional nurses must have.

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