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