Test Bank For Primary Care Psychiatry
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2nd Edition by Robert McCarron, Glen Xiong Ch
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apter 1 - 26 c c c
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PrimarycCarecPsychiatryc2ndcEditioncMcCarroncXiongcTestcBank
TablecofcContents:
Chapterc1.cThecPrimarycCarecPsychiatriccInterview
Chapterc2.cPrimarycCarecandcPsychiatry:cAncOverviewcofcthecCollaborativecCarecModel
Chapterc3.cPreventivecMedicinecandcBehavioralcHealth
Chapterc4.cThecPatientcandcYou:cPsychologicalcandcCulturalcConsideration
Chapterc5.cAnxietycDisorders
Chapterc6.cObsessive–CompulsivecandcRelatedcDisorders
Chapterc7.cTrauma-RelatedcDisorders
Chapterc8.cMoodcDisorders—Depression
Chapterc9.cTreatment-ResistantcDepression
Chapterc10.cPsychiatriccDisorders:cBipolarcandcRelatedcDisorders
Chapterc11.cPsychoticcDisorders
Chapterc12.cNeurocognitivecDisorders
Chapterc13.cSubstancecUsecDisorders—Alcohol
Chapterc14.cSubstancecUsecDisorders—IllicitcandcPrescriptioncDrugs
Chapterc15.cPersonalitycDisorders
Chapterc16.cCognitivecBehavioralcTherapy
Chapterc17.cSupportivecPsychotherapycincPrimarycCare
Chapterc18.cMotivationalcInterviewing
Chapterc19.cFundamentalscofcPsychopharmacology
Chapterc20.cGeriatriccBehavioralcHealth
Chapterc21.cChildcandcAdolescentcBehavioralcHealth
Chapterc22.cSuicidecandcViolencecRiskcAssessment
Chapterc23.cSomaticcSymptomcandcRelatedcDisorders
Chapterc24.cInsomnia
Chapterc25.cSexualcDysfunction
Chapterc26.cEatingcDisorders
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Chapter 1: The Primary Care Psychiatric Interview
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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MULTIPLEcCHOICE
1. Acpatientcsaysctocthecnurse,cIcdreamedcIcwascstoned.cWhencIcwokecup,cIcfeltcemotionallycdr
ained,cascthoughcIchadntcrestedcwell.cWhichcresponsecshouldcthecnursecusectocclarifycthecpatie
ntsccomment?
a. Itcsoundscascthoughcyoucwerecuncomfortablecwithctheccontentcofcyourcdream.
b. Icunderstandcwhatcyourecsaying.cBadcdreamscleavecmecfeelingctired,ctoo.
c. Socyoucfeelcascthoughc youcdidcnotcgetcenoughcqualitycsleepclastcnight?
d. Cancyoucgivecmecancexamplecofcwhatcyoucmeancbycstoned?
ANSWER:cD
Thectechniquecofcclarificationcisctherapeuticcandchelpscthecnursecexaminecthecmeaningcofcthecpatient
scstatement.cAskingcforcacdefinitioncofcstonedcdirectlycaskscforcclarification.cRestatingcthatcthecpatie
ntciscuncomfortablecwithcthecdreamsccontentciscparroting,cacnon-therapeuticctechnique.
Thecothercresponsescfailctocclarifycthecmeaningcofcthecpatientsccomment.cPT
S:c1cDIF:cCognitivecLevel:cApplyc(Application)
REF:cmcsc154c(dmc9-
2)cTOP:cNursingcProcess:cImplementationcMSC:cClientcNeeds:cP
sychosocialcIntegrity
2. Acpatientcdiagnosedcwithcschizophreniactellscthecnurse,cThecCIAciscmonitoringcuscthroughcthecfl
uorescentclightscincthiscroom.cBeccarefulcwhatcyoucsay.cWhichcresponsecbycthecnursecwouldcbecmos
tctherapeutic?
a. LetsctalkcaboutcsomethingcothercthancthecCIA.
b. Itcsoundsclikecyourecconcernedcaboutcyourcprivacy.
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c. ThecCIAciscprohibitedcfromcoperatingcinchealthccarecfacilities.
d. Youchaveclostctouchcwithcreality,cwhichciscacsymptomcofcyourcillness.
ANSWER:cB
Itciscimportantcnotctocchallengecthecpatientscbeliefs,cevencifctheycarecunrealistic.cChallengingcunder
minescthecpatientsctrustcincthecnurse.cThecnursecshouldctryctocunderstandcthecunderlyingcfeelingscorct
houghtscthecpatientscmessagecconveys.cTheccorrectcresponsecusescthectherapeuticctechniquecofcrefle
ction.cThecotherccommentscarecnon-
therapeutic.cAskingctoctalkcaboutcsomethingcothercthancthecconcerncatchandciscchangingcthecsubject.c
SayingcthatcthecCIAciscprohibitedcfromcoperatingcinchealthccarecfacilitiescgivescfalsecreassurance.cSt
atingcthatcthecpatientchasclostctouchcwithcrealitycisctruthful,cbutcuncompassionate.
PTS:c1cDIF:cCognitivecLevel:cApplyc(Application)
REF:cmcsc154c(dmc9-
2)cTOP:cNursingcProcess:cImplementationcMSC:cClientcNeeds:cP
sychosocialcIntegrity
3. Thecpatientcsays,cMycmarriageciscjustcgreat.cMycspousecandcIcalwayscagree.cThecnursecobservescth
ecpatientscfootcmovingccontinuouslycascthecpatientctwirlscacshirtcbutton.cThecconclusioncthecnursecca
ncdrawciscthatcthecpatientsccommunicationcis:
a. clear. c.c precise.
b. mixed. d.c inadequate.
ANSWER:cB
Mixedcmessagescinvolvecthectransmissioncofcconflictingcorcincongruentcmessagescbycthecspeaker.cT
hecpatientscverbalcmessagecthatcallcwascwellcincthecrelationshipcwascmodifiedcbycthecnonverbalcbeha
viorscdenotingcanxiety.cDatacarecnotcpresentctocsupportcthecchoicecofcthecverbalcmessagecbeingcclear
,cexplicit,corcinadequate.
PTS:c1cDIF:cCognitivecLevel:cUnderstandc(Comprehension)cREF
:cmcsc150-151cTOP:cNursingcProcess:cAssessment