Question 1

Open-ended questions&#10;A)Are useful in obtaining direct responses&#10;B)Define the focus of interest&#10;C)Are useful in the beginning of an interview&#10;D)Define the boundaries of the therapeutic alliance

Accepted Answer

Are useful in the beginning of an interview

Question 2

During an initial assessment,the relevant features of communication are its ability to&#10;A)Promote a therapeutic alliance and increase understanding.&#10;B)Prompt a disclosure of past successes and failures.&#10;C)Bring about changes in behavior.&#10;D)Educate the patient about what is important to disclose.

Accepted Answer

Communication plays a crucial role in establishing a therapeutic alliance between the patient and the healthcare provider. Effective communication helps to increase understanding between the two parties, which is important for the success of any treatment. The other options are not necessarily the primary functions of communication during an initial assessment.

Question 3

In a biopsychosocial assessment,which of the following questions might be used to assess the social domain?&#10;A)Did any medical conditions precipitate the psychiatric symptoms?&#10;B)Did the patient have any childhood attentional problems or school phobia?&#10;C)Has the patient ever attempted suicide or harmed himself?&#10;D)Have the symptoms affected the patient's social and work functioning?

Accepted Answer

Asking about the patient's social and work functioning can provide insight into their social domain, which assesses their relationships, support systems, and ability to function in society. The other options assess the biological and psychological domains.

Question 4

Patients' perceptual difficulties may have an adverse effect on the therapeutic alliance.Which of the following is likely to have the greatest negative effect?&#10;A)The patient perceives the office seating arrangement as belittling.&#10;B)The patient perceives the clinician as being part of her delusional system.&#10;C)The patient perceives the sound in the hall as messages for the patient.&#10;D)The patient perceives the clinician's glancing at his watch as nonvalidating.

Accepted Answer

If the patient perceives the clinician as being part of her delusional system, it may be difficult to establish a therapeutic alliance as the patient may be distrustful of the clinician's motives and intentions. This could lead to resistance or noncompliance with treatment. The other options may also have an effect on the therapeutic alliance, but not to the same extent as a perceived challenge to the patient's beliefs or delusions.

Question 5

During the initial assessment of a patient with schizophrenia,in response to the question &#34;What brought you to the clinic today?&#34; a patient's response of &#34;the van&#34; is an example of&#10;A)Poverty of speech&#10;B)Concrete thinking&#10;C)Oppositional behavior&#10;D)Tangentiality

Accepted Answer

The patient's response of "the van" is an example of concrete thinking, which is a common symptom of schizophrenia where the patient has difficulty in abstract thinking and expressing themselves in a broader sense. The patient may interpret the question literally and respond with only simple, concrete answers. Poverty of speech refers to a general reduction in the amount and quality of spontaneous speech. Oppositional behavior is characterized by resistance to instructions and rules, while tangentiality refers to the patient's inability to answer the question directly and instead going off on unrelated tangents.

Question 6

To encourage the patient to talk freely during the interview,the clinician&#10;A)Uses direct questioning&#10;B)Explains behavior/brain interaction theory&#10;C)Takes notes conscientiously&#10;D)Provides empathetic response.

Accepted Answer

Providing empathetic response helps to build rapport with the patient and creates a safe and non-judgmental environment, which in turn encourages the patient to talk freely and share their experiences. Direct questioning may feel intrusive and may cause the patient to feel defensive or guarded. Explaining behavior/brain interaction theory or taking notes may distract the patient or make them feel like they are being analyzed or studied.

Question 7

The purposes of the psychiatric interview include all except&#10;A)Gaining an understanding of the patient's illness&#10;B)Obtaining information efficiently&#10;C)Providing education about psychiatric disorders&#10;D)Establishing a therapeutic alliance

Accepted Answer

The primary purposes of a psychiatric interview are to understand the patient's illness, obtain information efficiently, and establish a therapeutic alliance. Providing education about psychiatric disorders, while important, is not a primary purpose of the initial psychiatric interview; it may be a component of ongoing treatment.

Question 8

Closed-ended questions&#10;A)Are used to gather specific information&#10;B)Allow the patient to talk without interruption&#10;C)Are characterized by the use of reflection&#10;D)Are used to obtain difficult or emotionally laden material

Accepted Answer

Closed-ended questions are used to gather specific information and usually require a brief response, such as a yes or no. They are useful for gathering factual information and can be helpful in narrowing down a diagnosis or treatment plan.

Question 9

Validation is a communication strategy used to&#10;A)Let the patient know that his or her feelings are reasonable.&#10;B)Evaluate change in symptoms or behaviors.&#10;C)Prompt the patient to continue talking.&#10;D)Elicit more information about a response.

Accepted Answer

The answer of Validation is a communication strategy used to&#10;A)Let...

Question 10

In using the communication technique of reflection,the clinician&#10;A)Interprets the difference between a patient's thoughts and his or her behaviors&#10;B)Repeats something that the patient has said to encourage the patient to give more information&#10;C)Provides prompts such as &#34;tell me more&#34;&#10;D)Seeks more information in order to have a more clear understanding

Accepted Answer

Reflection involves restating or paraphrasing what the patient has said to encourage them to provide more information. This helps to clarify and validate the patient's thoughts and feelings. Therefore, repeating something the patient has said is the best choice from the given options. Option A describes interpretation, option C describes prompting, and option D describes seeking more information, which are not reflective techniques.

Question 11

For a patient who is overinclusive or rambling,the clinician&#10;A)Asks the patient to tell his story&#10;B)Uses direction and redirection&#10;C)Increases the amount of eye contact&#10;D)Interviews the person accompanying the patient

Accepted Answer

The answer of For a patient who is overinclusive or...

Deck 4: Communicating,interviewing and Assessing