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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
v$ v$ v$ v$ v$ v$ v$ v$
Table of Contents:
v$ v$
Chapter 1. The Primary Care Psychiatric Interview
v$ v$ v$ v$ v$ v$
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
Chapter 3. Preventive Medicine and Behavioral Health
v$ v$ v$ v$ v$ v$
Chapter 4. The Patient and You: Psychological and Cultural Consideration
v$ v$ v$ v$ v$ v$ v$ v$ v$
Chapter 5. Anxiety Disorders
v$ v$ v$
Chapter 6. Obsessive–Compulsive and Related Disorders
v$ v$ v$ v$ v$
Chapter 7. Trauma-Related Disorders
v$ v$ v$
Chapter 8. Mood Disorders—Depression
v$ v$ v$
Chapter 9. Treatment-Resistant Depression
v$ v$ v$
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
v$ v$ v$ v$ v$ v$ v$
Chapter 11. Psychotic Disorders
v$ v$ v$
Chapter 12. Neurocognitive Disorders
v$ v$ v$
Chapter 13. Substance Use Disorders—Alcohol
v$ v$ v$ v$
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
v$ v$ v$ v$ v$ v$ v$
Chapter 15. Personality Disorders
v$ v$ v$
Chapter 16. Cognitive Behavioral Therapy
v$ v$ v$ v$
Chapter 17. Supportive Psychotherapy in Primary Care
v$ v$ v$ v$ v$ v$
Chapter 18. Motivational Interviewing
v$ v$ v$
Chapter 19. Fundamentals of Psychopharmacology
v$ v$ v$ v$
Chapter 20. Geriatric Behavioral Health
v$ v$ v$ v$
Chapter 21. Child and Adolescent Behavioral Health
v$ v$ v$ v$ v$ v$
Chapter 22. Suicide and Violence Risk Assessment
v$ v$ v$ v$ v$ v$
Chapter 23. Somatic Symptom and Related Disorders
v$ v$ v$ v$ v$ v$
Chapter 24. Insomnia
v$ v$
Chapter 25. Sexual Dysfunction
v$ v$ v$
Chapter 26. Eating Disorders
v$ v$ v$
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v$Thev$Marketplacev$tov$Buyv$andv$Sell v$yourv$Studyv$Material
Chapter 1: The Primary Care Psychiatric Interview
v$ v$ v$ v$ v$ v$
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
v$ v$ v$ v$ v$ v$ v$ v$
MULTIPLE CHOICE v$
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotiona
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
lly drained, as though I hadnt rested well. Which response should the nurse use to clari
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
fy the patients comment?
v$ v$ v$
a. It sounds as though you were uncomfortable with the content of your dream.
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
c. So you feel as though you did not get enough quality sleep last night?
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
d. Can you give me an example of what you mean by stoned?
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
ANS: D v$
The technique of clarification is therapeutic and helps the nurse examine the meaning of the p
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
atients statement. Asking for a definition of stoned directly asks for clarification. Restating that
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
v$ the patient is uncomfortable with the dreams content is parroting, a non-
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
therapeutic technique. v$
The other responses fail to clarify the meaning of the patients comment.
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
v$ PTS: 1 DIF: Cognitive Level: Apply (Application)
v$ v$ v$ v$ v$ v$
REF: mcs 154 (dm 9- v$ v$ v$ v$
2) TOP: Nursing Process: Implementation MSC: Client Needs
v$ v$ v$ v$ v$ v$ v$
: Psychosocial Integrity
v$ v$
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through t
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
he fluorescent lights in this room. Be careful what you say. Which response by the nurse wo
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
uld be most therapeutic?
v$ v$ v$
a. Lets talk about something other than the CIA.
v$ v$ v$ v$ v$ v$ v$
b. It sounds like youre concerned about your privacy.
v$ v$ v$ v$ v$ v$ v$
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c. The CIA is prohibited from operating in health care facilities.
v$ v$ v$ v$ v$ v$ v$ v$ v$
d. You have lost touch with reality, which is a symptom of your illness.
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
ANS: B v$
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging u
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
ndermines the patients trust in the nurse. The nurse should try to understand the underlying fe
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
elings or thoughts the patients message conveys. The correct response uses the therapeutic tec
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
hnique of reflection. The other comments are non-
v$ v$ v$ v$ v$ v$ v$
therapeutic. Asking to talk about something other than the concern at hand is changing the su
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
bject. Saying that the CIA is prohibited from operating in health care facilities gives false reas
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
surance. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
PTS: 1 DIF: Cognitive Level: Apply (Application)
v$ v$ v$ v$ v$ v$
REF: mcs 154 (dm 9- v$ v$ v$ v$
2) TOP: Nursing Process: Implementation MSC: Client Needs
v$ v$ v$ v$ v$ v$ v$
: Psychosocial Integrity
v$ v$
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse obser
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
ves the patients foot moving continuously as the patient twirls a shirt button. The conclusion t
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
he nurse can draw is that the patients communication is:
v$ v$ v$ v$ v$ v$ v$ v$ v$
a. clear. c. precise.
v $
b. mixed. d. inadequate.
v $
ANS: B v$
Mixed messages involve the transmission of conflicting or incongruent messages by the speake
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
r. The patients verbal message that all was well in the relationship was modified by the nonve
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
rbal behaviors denoting anxiety. Data are not present to support the choice of the verbal mess
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
age being clear, explicit, or inadequate.
v$ v$ v$ v$ v$
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) R
v$ v$ v$ v$ v$ v$ v$
EF: mcs 150-151 TOP: Nursing Process: Assessment
v$ v$ v$ v$ v$ v$
v$Thev$Marketplacev$tov$Buyv$andv$Sell v$yourv$Studyv$Material
, Stuvia.comv$-
v$Thev$Marketplacev$tov$Buyv$andv$Sell v$yourv$Studyv$Material
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
v$ v$ v$ v$ v$ v$ v$ v$
Table of Contents:
v$ v$
Chapter 1. The Primary Care Psychiatric Interview
v$ v$ v$ v$ v$ v$
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
Chapter 3. Preventive Medicine and Behavioral Health
v$ v$ v$ v$ v$ v$
Chapter 4. The Patient and You: Psychological and Cultural Consideration
v$ v$ v$ v$ v$ v$ v$ v$ v$
Chapter 5. Anxiety Disorders
v$ v$ v$
Chapter 6. Obsessive–Compulsive and Related Disorders
v$ v$ v$ v$ v$
Chapter 7. Trauma-Related Disorders
v$ v$ v$
Chapter 8. Mood Disorders—Depression
v$ v$ v$
Chapter 9. Treatment-Resistant Depression
v$ v$ v$
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
v$ v$ v$ v$ v$ v$ v$
Chapter 11. Psychotic Disorders
v$ v$ v$
Chapter 12. Neurocognitive Disorders
v$ v$ v$
Chapter 13. Substance Use Disorders—Alcohol
v$ v$ v$ v$
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
v$ v$ v$ v$ v$ v$ v$
Chapter 15. Personality Disorders
v$ v$ v$
Chapter 16. Cognitive Behavioral Therapy
v$ v$ v$ v$
Chapter 17. Supportive Psychotherapy in Primary Care
v$ v$ v$ v$ v$ v$
Chapter 18. Motivational Interviewing
v$ v$ v$
Chapter 19. Fundamentals of Psychopharmacology
v$ v$ v$ v$
Chapter 20. Geriatric Behavioral Health
v$ v$ v$ v$
Chapter 21. Child and Adolescent Behavioral Health
v$ v$ v$ v$ v$ v$
Chapter 22. Suicide and Violence Risk Assessment
v$ v$ v$ v$ v$ v$
Chapter 23. Somatic Symptom and Related Disorders
v$ v$ v$ v$ v$ v$
Chapter 24. Insomnia
v$ v$
Chapter 25. Sexual Dysfunction
v$ v$ v$
Chapter 26. Eating Disorders
v$ v$ v$
, Stuvia.comv$-
v$Thev$Marketplacev$tov$Buyv$andv$Sell v$yourv$Studyv$Material
Chapter 1: The Primary Care Psychiatric Interview
v$ v$ v$ v$ v$ v$
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
v$ v$ v$ v$ v$ v$ v$ v$
MULTIPLE CHOICE v$
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotiona
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
lly drained, as though I hadnt rested well. Which response should the nurse use to clari
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
fy the patients comment?
v$ v$ v$
a. It sounds as though you were uncomfortable with the content of your dream.
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
c. So you feel as though you did not get enough quality sleep last night?
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
d. Can you give me an example of what you mean by stoned?
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
ANS: D v$
The technique of clarification is therapeutic and helps the nurse examine the meaning of the p
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
atients statement. Asking for a definition of stoned directly asks for clarification. Restating that
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
v$ the patient is uncomfortable with the dreams content is parroting, a non-
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
therapeutic technique. v$
The other responses fail to clarify the meaning of the patients comment.
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
v$ PTS: 1 DIF: Cognitive Level: Apply (Application)
v$ v$ v$ v$ v$ v$
REF: mcs 154 (dm 9- v$ v$ v$ v$
2) TOP: Nursing Process: Implementation MSC: Client Needs
v$ v$ v$ v$ v$ v$ v$
: Psychosocial Integrity
v$ v$
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through t
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
he fluorescent lights in this room. Be careful what you say. Which response by the nurse wo
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
uld be most therapeutic?
v$ v$ v$
a. Lets talk about something other than the CIA.
v$ v$ v$ v$ v$ v$ v$
b. It sounds like youre concerned about your privacy.
v$ v$ v$ v$ v$ v$ v$
, Stuvia.comv$-
v$Thev$Marketplacev$tov$Buyv$andv$Sell v$yourv$Studyv$Material
c. The CIA is prohibited from operating in health care facilities.
v$ v$ v$ v$ v$ v$ v$ v$ v$
d. You have lost touch with reality, which is a symptom of your illness.
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
ANS: B v$
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging u
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
ndermines the patients trust in the nurse. The nurse should try to understand the underlying fe
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
elings or thoughts the patients message conveys. The correct response uses the therapeutic tec
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
hnique of reflection. The other comments are non-
v$ v$ v$ v$ v$ v$ v$
therapeutic. Asking to talk about something other than the concern at hand is changing the su
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
bject. Saying that the CIA is prohibited from operating in health care facilities gives false reas
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
surance. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
PTS: 1 DIF: Cognitive Level: Apply (Application)
v$ v$ v$ v$ v$ v$
REF: mcs 154 (dm 9- v$ v$ v$ v$
2) TOP: Nursing Process: Implementation MSC: Client Needs
v$ v$ v$ v$ v$ v$ v$
: Psychosocial Integrity
v$ v$
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse obser
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
ves the patients foot moving continuously as the patient twirls a shirt button. The conclusion t
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
he nurse can draw is that the patients communication is:
v$ v$ v$ v$ v$ v$ v$ v$ v$
a. clear. c. precise.
v $
b. mixed. d. inadequate.
v $
ANS: B v$
Mixed messages involve the transmission of conflicting or incongruent messages by the speake
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
r. The patients verbal message that all was well in the relationship was modified by the nonve
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
rbal behaviors denoting anxiety. Data are not present to support the choice of the verbal mess
v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$ v$
age being clear, explicit, or inadequate.
v$ v$ v$ v$ v$
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) R
v$ v$ v$ v$ v$ v$ v$
EF: mcs 150-151 TOP: Nursing Process: Assessment
v$ v$ v$ v$ v$ v$
