TEST BANK THE PSYCHIATRIC INTERVIEW 4th Edition Daniel J. Carlat

The Psychiatric Interview 4th Edition Carlat Test Bank
(Chapter 1-Chapter 3)
Chapter 1: The Initial Interview: A Preview
Chapter 2: Logistic Preparations: What to Do Before the Interview
Chapter 3: The Therapeutic Alliance: What It Is, Why It's Important, and How to Establish It
MULTIPLE 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 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.
2. A patient is hospitalized for depression and suicidal ideation after their spouse asks for a
divorce. Select the nurses most caring comment.
a. Lets discuss some means of coping other than suicide when you have these feelings.
b. I understand why youre so depressed. When I got divorced, I was devastated too.
c. You should forget 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 or
therapeutic 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.