TEST BANK for Primary Care Psychiatry, Third
Edition by ROBERT M. MCCARRON DO
All Chapters Included 1-26| Verified Questions &
Accurate Answers + Rationales| A+ Grade
Guaranteed
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, Table of Contents:
Chapter 1. The Primary Care Psychiatric Interview
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
Chapter 3. Preventive Medicine and Behavioral Health
Chapter 4. The Patient and You: Psychological and Cultural Consideration
Chapter 5. Anxiety Disorders
Chapter 6. Obsessive–Compulsive and Related Disorders
Chapter 7. Trauma-Related Disorders
Chapter 8. Mood Disorders—Depression
Chapter 9. Treatment-Resistant Depression
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
Chapter 11. Psychotic Disorders
Chapter 12. Neurocognitive Disorders
Chapter 13. Substance Use Disorders—Alcohol
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
Chapter 15. Personality Disorders
Chapter 16. Cognitive Behavioral Therapy
Chapter 17. Supportive Psychotherapy in Primary Care
Chapter 18. Motivational Interviewing
Chapter 19. Fundamentals of Psychopharmacology
Chapter 20. Geriatric Behavioral Health
Chapter 21. Child and Adolescent Behavioral Health
Chapter 22. Suicide and Violence Risk Assessment
Chapter 23. Somatic Symptom and Related Disorders
Chapter 24. Insomnia
Chapter 25. Sexual Dysfunction
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Chapter 26. Eating Disorders
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, Chapter 1: The Primary Care Psychiatric Interview
MULTIPLE CHOICE
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally drained, as
though I hadn’t rested well. Which response should the nurse use to clarify the patients comment?
a. It sounds as though you were uncomfortable with the content of your dream.
b. I understand what you’re saying. Bad dreams leave me feeling tired, too.
c. So you feel as though you did not get enough quality sleep last night?
d. Can you give me an example of what you mean by stoned?
ACCURATE ANSWER: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patients
statement. Asking for a definition of stoned directly asks for clarification. Restating that the patient is
uncomfortable with the dreams content is parroting, a non-therapeutic technique.
The other responses fail to clarify the meaning of the patients comment. PTS: 1 DIF: Cognitive
Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial
Integrity
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
fluorescent lights in this room. Be careful what you say. Which response by the nurse would be most
therapeutic?
a. Let’s talk about something other than the CIA.
b. It sounds like you’re concerned about your privacy.
c. The CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your illness.
ACCURATE ANSWER: B
It is important not to challenge the patient’s beliefs, even if they are unrealistic. Challenging
undermines the patients trust in the nurse. The nurse should try to understand the underlying feelings
or thoughts the patient’s message conveys. The correct response uses the therapeutic technique of
reflection. The other comments are non-therapeutic. Asking to talk about something other than the
concern at hand is changing the subject. Saying that the CIA is prohibited from operating in health
care facilities gives false reassurance. Stating that the patient has lost touch with reality is truthful,
but uncompassionate.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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, REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial
Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the
patient’s foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can
draw is that the patient’s communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
ACCURATE ANSWER: B
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The
patients verbal message that all was well in the relationship was modified by the nonverbal behaviors
denoting anxiety. Data are not present to support the choice of the verbal message being clear,
explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mcs 150-151 TOP: Nursing
Process: Assessment
MSC: Client Needs: Psychosocial Integrity
4. A nurse interacts with a newly hospitalized patient. Select the nurse’s comment that applies the
communication technique of offering self.
a. I’ve also had traumatic life experiences. Maybe it would help if I told you about them.
b. Why do you think you had so much difficulty adjusting to this change in your life?
c. I hope you will feel better after getting accustomed to how this unit operates.
d. I’d like to sit with you for a while to help you get comfortable talking to me.
ACCURATE ANSWER: D
Offering self is a technique that should be used in the orientation phase of the nurse-patient
relationship. Sitting with the patient, an example of offering self, helps to build trust and convey that
the nurse cares about the patient. Two incorrect responses are ineffective and non- therapeutic. The
other incorrect response is therapeutic but is an example of offering hope.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial
Integrity
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Edition by ROBERT M. MCCARRON DO
All Chapters Included 1-26| Verified Questions &
Accurate Answers + Rationales| A+ Grade
Guaranteed
Ar
ch
Page 1 of 544
Do
c
, Table of Contents:
Chapter 1. The Primary Care Psychiatric Interview
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
Chapter 3. Preventive Medicine and Behavioral Health
Chapter 4. The Patient and You: Psychological and Cultural Consideration
Chapter 5. Anxiety Disorders
Chapter 6. Obsessive–Compulsive and Related Disorders
Chapter 7. Trauma-Related Disorders
Chapter 8. Mood Disorders—Depression
Chapter 9. Treatment-Resistant Depression
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
Chapter 11. Psychotic Disorders
Chapter 12. Neurocognitive Disorders
Chapter 13. Substance Use Disorders—Alcohol
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
Chapter 15. Personality Disorders
Chapter 16. Cognitive Behavioral Therapy
Chapter 17. Supportive Psychotherapy in Primary Care
Chapter 18. Motivational Interviewing
Chapter 19. Fundamentals of Psychopharmacology
Chapter 20. Geriatric Behavioral Health
Chapter 21. Child and Adolescent Behavioral Health
Chapter 22. Suicide and Violence Risk Assessment
Chapter 23. Somatic Symptom and Related Disorders
Chapter 24. Insomnia
Chapter 25. Sexual Dysfunction
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Chapter 26. Eating Disorders
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Page 2 of 544
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, Chapter 1: The Primary Care Psychiatric Interview
MULTIPLE CHOICE
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally drained, as
though I hadn’t rested well. Which response should the nurse use to clarify the patients comment?
a. It sounds as though you were uncomfortable with the content of your dream.
b. I understand what you’re saying. Bad dreams leave me feeling tired, too.
c. So you feel as though you did not get enough quality sleep last night?
d. Can you give me an example of what you mean by stoned?
ACCURATE ANSWER: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patients
statement. Asking for a definition of stoned directly asks for clarification. Restating that the patient is
uncomfortable with the dreams content is parroting, a non-therapeutic technique.
The other responses fail to clarify the meaning of the patients comment. PTS: 1 DIF: Cognitive
Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial
Integrity
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
fluorescent lights in this room. Be careful what you say. Which response by the nurse would be most
therapeutic?
a. Let’s talk about something other than the CIA.
b. It sounds like you’re concerned about your privacy.
c. The CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your illness.
ACCURATE ANSWER: B
It is important not to challenge the patient’s beliefs, even if they are unrealistic. Challenging
undermines the patients trust in the nurse. The nurse should try to understand the underlying feelings
or thoughts the patient’s message conveys. The correct response uses the therapeutic technique of
reflection. The other comments are non-therapeutic. Asking to talk about something other than the
concern at hand is changing the subject. Saying that the CIA is prohibited from operating in health
care facilities gives false reassurance. Stating that the patient has lost touch with reality is truthful,
but uncompassionate.
Ar
PTS: 1 DIF: Cognitive Level: Apply (Application)
ch
Page 3 of 544
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c
, REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial
Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the
patient’s foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can
draw is that the patient’s communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
ACCURATE ANSWER: B
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The
patients verbal message that all was well in the relationship was modified by the nonverbal behaviors
denoting anxiety. Data are not present to support the choice of the verbal message being clear,
explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mcs 150-151 TOP: Nursing
Process: Assessment
MSC: Client Needs: Psychosocial Integrity
4. A nurse interacts with a newly hospitalized patient. Select the nurse’s comment that applies the
communication technique of offering self.
a. I’ve also had traumatic life experiences. Maybe it would help if I told you about them.
b. Why do you think you had so much difficulty adjusting to this change in your life?
c. I hope you will feel better after getting accustomed to how this unit operates.
d. I’d like to sit with you for a while to help you get comfortable talking to me.
ACCURATE ANSWER: D
Offering self is a technique that should be used in the orientation phase of the nurse-patient
relationship. Sitting with the patient, an example of offering self, helps to build trust and convey that
the nurse cares about the patient. Two incorrect responses are ineffective and non- therapeutic. The
other incorrect response is therapeutic but is an example of offering hope.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation MSC: Client Needs: Psychosocial
Integrity
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