Registered Practical Nurse (RPN) Practice Test

What should be a primary focus during the initial interview with a psychiatric client?

1. Gathering extensive historical data

2. Building rapport with the client

3. Administering standardized questionnaires

4. Diagnosing based on symptoms

The correct answer is: Building rapport with the client

Building rapport with the client is crucial during the initial interview in a psychiatric setting. Establishing a trusting relationship creates an environment where the client feels safe and comfortable to express their thoughts, feelings, and concerns. This foundational rapport can significantly enhance communication and facilitate more open discussions, which are vital for accurate assessment and understanding of the client's mental health. While gathering historical data is important, it tends to follow the initial rapport-building stage. Jumping straight into collecting extensive information without a solid relationship may lead to defensiveness or reluctance on the client's part. Administering standardized questionnaires is also a structured way to gather data, but it can seem impersonal and may not yield the comprehensive insights that come from a trusting dialogue. Diagnosing based on symptoms can occur later in the process once enough information has been gathered and rapport has been established; imposing a diagnosis too early can alienate clients and hinder open communication. In summary, the focus on building rapport lays the groundwork for an effective therapeutic relationship and facilitates a more comprehensive understanding of the client's needs and concerns.