Question 1

In a biopsychosocial assessment, which of the following questions might be used to assess the social domain?

Accepted Answer

A)  Did any medical conditions precipitate the psychiatric symptoms? 
B)  Did the patient have any childhood attentional problems or school phobia? 
C)  Has the patient ever attempted suicide or harmed himself? 
D)  Have the symptoms affected the patient's social and work functioning? 
A)  Did any medical conditions precipitate the psychiatric symptoms? 
B)  Did the patient have any childhood attentional problems or school phobia? 
C)  Has the patient ever attempted suicide or harmed himself? 
D)  Have the symptoms affected the patient's social and work functioning? D

Question 2

Validation is a communication strategy used to

Accepted Answer

A)  Let the patient know that his or her feelings are reasonable. 
B)  Evaluate change in symptoms or behaviors. 
C)  Prompt the patient to continue talking. 
D)  Elicit more information about a response. 
A)  Let the patient know that his or her feelings are reasonable. 
B)  Evaluate change in symptoms or behaviors. 
C)  Prompt the patient to continue talking. 
D)  Elicit more information about a response. A

Question 3

During the initial assessment of a patient with schizophrenia, in response to the question "What brought you to the clinic today?" a patient's response of "the van" is an example of

Accepted Answer

A)  Poverty of speech 
B)  Concrete thinking 
C)  Oppositional behavior 
D)  Tangentiality 
A)  Poverty of speech 
B)  Concrete thinking 
C)  Oppositional behavior 
D)  Tangentiality B

Question 4

During an initial assessment, the relevant features of communication are its ability to

Accepted Answer

A)  Promote a therapeutic alliance and increase understanding. 
B)  Prompt a disclosure of past successes and failures. 
C)  Bring about changes in behavior. 
D)  Educate the patient about what is important to disclose. 
A)  Promote a therapeutic alliance and increase understanding. 
B)  Prompt a disclosure of past successes and failures. 
C)  Bring about changes in behavior. 
D)  Educate the patient about what is important to disclose.

Question 5

The purposes of the psychiatric interview include all except

Accepted Answer

A)  Gaining an understanding of the patient's illness 
B)  Obtaining information efficiently 
C)  Providing education about psychiatric disorders 
D)  Establishing a therapeutic alliance 
A)  Gaining an understanding of the patient's illness 
B)  Obtaining information efficiently 
C)  Providing education about psychiatric disorders 
D)  Establishing a therapeutic alliance

Question 6

Patients' perceptual difficulties may have an adverse effect on the therapeutic alliance. Which of the following is likely to have the greatest negative effect?

Accepted Answer

A)  The patient perceives the office seating arrangement as belittling. 
B)  The patient perceives the clinician as being part of her delusional system. 
C)  The patient perceives the sound in the hall as messages for the patient. 
D)  The patient perceives the clinician's glancing at his watch as nonvalidating. 
A)  The patient perceives the office seating arrangement as belittling. 
B)  The patient perceives the clinician as being part of her delusional system. 
C)  The patient perceives the sound in the hall as messages for the patient. 
D)  The patient perceives the clinician's glancing at his watch as nonvalidating.

Question 7

For a patient who is overinclusive or rambling, the clinician

Accepted Answer

A)  Asks the patient to tell his story 
B)  Uses direction and redirection 
C)  Increases the amount of eye contact 
D)  Interviews the person accompanying the patient 
A)  Asks the patient to tell his story 
B)  Uses direction and redirection 
C)  Increases the amount of eye contact 
D)  Interviews the person accompanying the patient

Question 8

Open-ended questions

Accepted Answer

A)  Are useful in obtaining direct responses 
B)  Define the focus of interest 
C)  Are useful in the beginning of an interview 
D)  Define the boundaries of the therapeutic alliance 
A)  Are useful in obtaining direct responses 
B)  Define the focus of interest 
C)  Are useful in the beginning of an interview 
D)  Define the boundaries of the therapeutic alliance

Question 9

Closed-ended questions

Accepted Answer

A)  Are used to gather specific information 
B)  Allow the patient to talk without interruption 
C)  Are characterized by the use of reflection 
D)  Are used to obtain difficult or emotionally laden material 
A)  Are used to gather specific information 
B)  Allow the patient to talk without interruption 
C)  Are characterized by the use of reflection 
D)  Are used to obtain difficult or emotionally laden material

Question 10

To encourage the patient to talk freely during the interview, the clinician

Accepted Answer

A)  Uses direct questioning 
B)  Explains behavior/brain interaction theory 
C)  Takes notes conscientiously 
D)  Provides empathetic response. 
A)  Uses direct questioning 
B)  Explains behavior/brain interaction theory 
C)  Takes notes conscientiously 
D)  Provides empathetic response.

Question 11

In using the communication technique of reflection, the clinician

Accepted Answer

A)  Interprets the difference between a patient's thoughts and his or her behaviors 
B)  Repeats something that the patient has said to encourage the patient to give more information 
C)  Provides prompts such as "tell me more" 
D)  Seeks more information in order to have a more clear understanding 
A)  Interprets the difference between a patient's thoughts and his or her behaviors 
B)  Repeats something that the patient has said to encourage the patient to give more information 
C)  Provides prompts such as "tell me more" 
D)  Seeks more information in order to have a more clear understanding

In a biopsychosocial assessment, which of the following questions might be used to assess the social domain?

Validation is a communication strategy used to

During the initial assessment of a patient with schizophrenia, in response to the question "What brought you to the clinic today?" a patient's response of "the van" is an example of

During an initial assessment, the relevant features of communication are its ability to

The purposes of the psychiatric interview include all except

Patients' perceptual difficulties may have an adverse effect on the therapeutic alliance. Which of the following is likely to have the greatest negative effect?

For a patient who is overinclusive or rambling, the clinician

Open-ended questions

Closed-ended questions

To encourage the patient to talk freely during the interview, the clinician

In using the communication technique of reflection, the clinician

Theoretical Framework of Practice

Neurobiological Theory of Psychiatric Disorders: Brain Functioning, Brain Development and Prenatal and Perinatal Factors Disrupting Brain Development

Postnatal Influences on Development of Psychopathology

Case Formulation and Diagnosis, Differential Diagnoses and Developing a Biopsychosocial Plan of Care

Psychopharmacotherapy

Psychotherapies

Psychosocial Interventions

Response to Stressors: Bridging Normal Responses and Psychiatric Disorders

Phobias, Generalized Anxiety Disorder, Social Anxiety Disorder and Panic Disorder

Acute Stress Disorder and Posttraumatic Stress Disorder

Obsessive-Compulsive Disorder and Obsessive-Compulsive Spectrum Disorders

Depressive Disorders

Bipolar Disorder

Schizophrenia and Schizoaffective Disorder

Delirium and Dementia

Dual Diagnosis

Personality Disorders

Prevention of Psychiatric Disorders

Filters

Exam 4: Communicating, Interviewing and Assessing

In a biopsychosocial assessment, which of the following questions might be used to assess the social domain?

Validation is a communication strategy used to

During the initial assessment of a patient with schizophrenia, in response to the question "What brought you to the clinic today?" a patient's response of "the van" is an example of

During an initial assessment, the relevant features of communication are its ability to

The purposes of the psychiatric interview include all except

Patients' perceptual difficulties may have an adverse effect on the therapeutic alliance. Which of the following is likely to have the greatest negative effect?

For a patient who is overinclusive or rambling, the clinician

Open-ended questions

Closed-ended questions

To encourage the patient to talk freely during the interview, the clinician

In using the communication technique of reflection, the clinician

Theoretical Framework of Practice

Neurobiological Theory of Psychiatric Disorders: Brain Functioning, Brain Development and Prenatal and Perinatal Factors Disrupting Brain Development

Postnatal Influences on Development of Psychopathology

Case Formulation and Diagnosis, Differential Diagnoses and Developing a Biopsychosocial Plan of Care

Psychopharmacotherapy

Psychotherapies

Psychosocial Interventions

Response to Stressors: Bridging Normal Responses and Psychiatric Disorders

Phobias, Generalized Anxiety Disorder, Social Anxiety Disorder and Panic Disorder

Acute Stress Disorder and Posttraumatic Stress Disorder

Obsessive-Compulsive Disorder and Obsessive-Compulsive Spectrum Disorders

Depressive Disorders

Bipolar Disorder

Schizophrenia and Schizoaffective Disorder

Delirium and Dementia

Dual Diagnosis

Personality Disorders

Prevention of Psychiatric Disorders

Filters