Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
TEST BANK n
PRIMARY CAREPS n n
YCHIATRY
2nd Edition McC
n n
arron Xiong n
TEST BANK n
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
PrimarynCarenPsychiatryn2ndnEditionnMcCarronnXiongnTestnBank
TablenofnContents:
Chaptern1.nThenPrimarynCarenPsychiatricnInterview
Chaptern2.nPrimarynCarenandnPsychiatry:nAnnOverviewnofnthenCollaborativenCarenModel
Chaptern3.nPreventivenMedicinenandnBehavioralnHealth
Chaptern4.nThenPatientnandnYou:nPsychologicalnandnCulturalnConsideration
Chaptern5.nAnxietynDisorders
Chaptern6.nObsessive–CompulsivenandnRelatednDisorders
Chaptern7.nTrauma-RelatednDisorders
Chaptern8.nMoodnDisorders—Depression
Chaptern9.nTreatment-ResistantnDepression
Chaptern10.nPsychiatricnDisorders:nBipolarnandnRelatednDisorders
Chaptern11.nPsychoticnDisorders
Chaptern12.nNeurocognitivenDisorders
Chaptern13.nSubstancenUsenDisorders—Alcohol
Chaptern14.nSubstancenUsenDisorders—IllicitnandnPrescriptionnDrugs
Chaptern15.nPersonalitynDisorders
Chaptern16.nCognitivenBehavioralnTherapy
Chaptern17.nSupportivenPsychotherapyninnPrimarynCare
Chaptern18.nMotivationalnInterviewing
Chaptern19.nFundamentalsnofnPsychopharmacology
Chaptern20.nGeriatricnBehavioralnHealth
Chaptern21.nChildnandnAdolescentnBehavioralnHealth
Chaptern22.nSuicidenandnViolencenRisknAssessment
Chaptern23.nSomaticnSymptomnandnRelatednDisorders
Chaptern24.nInsomnia
Chaptern25.nSexualnDysfunction
Chaptern26.nEatingnDisorders
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
Chapter 1: The Primary Care Psychiatric Interview
n n n n n n
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
n n n n n n n n
MULTIPLEnCHOICE
1. Anpatientnsaysntonthennurse,nIndreamednInwasnstoned.nWhennInwokenup,nInfeltnemotionallynd
rained,nasnthoughnInhadntnrestednwell.nWhichnresponsenshouldnthennursenusentonclarifynthenpat
ientsncomment?
a. Itnsoundsnasnthoughnyounwerenuncomfortablenwithnthencontentnofnyourndream.
b. Inunderstandnwhatnyourensaying.nBadndreamsnleavenmenfeelingntired,ntoo.
c. Sonyounfeelnasnthoughn youndidnnotngetnenoughnqualitynsleepnlastnnight?
d. Cannyoungivenmenannexamplenofnwhatnyounmeannbynstoned?
ANS:nD
Thentechniquenofnclarificationnisntherapeuticnandnhelpsnthennursenexaminenthenmeaningnofnthenpatie
ntsnstatement.nAskingnfornandefinitionnofnstonedndirectlynasksnfornclarification.nRestatingnthatnthenpa
tientnisnuncomfortablenwithnthendreamsncontentnisnparroting,nannon-therapeuticntechnique.
Thenothernresponsesnfailntonclarifynthenmeaningnofnthenpatientsncomment.n
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)
REF:nmcsn154n(dmn9-
2)nTOP:nNursingnProcess:nImplementationnMSC:nClientnNeeds:nP
sychosocialn Integrity
2. Anpatientndiagnosednwithnschizophreniantellsnthennurse,nThenCIAnisnmonitoringnusnthroughnthenfl
uorescentnlightsninnthisnroom.nBencarefulnwhatnyounsay.nWhichnresponsenbynthennursenwouldnbenmo
stntherapeutic?
a. LetsntalknaboutnsomethingnothernthannthenCIA.
b. Itnsoundsnliken yourenconcernednaboutnyournprivacy.
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
c. ThenCIAnisnprohibitednfromnoperatingninnhealthncarenfacilities.
d. Younhavenlostntouchnwithnreality,nwhichnisnansymptomnofnyournillness.
ANS:nB
Itnisnimportantnnotntonchallengenthenpatientsnbeliefs,nevennifntheynarenunrealistic.nChallengingnunder
minesnthenpatientsntrustninnthennurse.nThennursenshouldntryntonunderstandnthenunderlyingnfeelingsnorn
thoughtsnthenpatientsnmessagenconveys.nThencorrectnresponsenusesnthentherapeuticntechniquenofnrefl
ection.nThenotherncommentsnarennon-
therapeutic.nAskingntontalknaboutnsomethingnothernthannthenconcernnatnhandnisnchangingnthensubject.n
SayingnthatnthenCIAnisnprohibitednfromnoperatingninnhealthncarenfacilitiesngivesnfalsenreassurance.nS
tatingnthatnthenpatientnhasnlostntouchnwithnrealitynisntruthful,nbutnuncompassionate.
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)
REF:nmcsn154n(dmn9-
2)nTOP:nNursingnProcess:nImplementationnMSC:nClientnNeeds:nP
sychosocialn Integrity
3. Thenpatientnsays,nMynmarriagenisnjustngreat.nMynspousenandnInalwaysnagree.nThennursenobservesnt
henpatientsnfootnmovingncontinuouslynasnthenpatientntwirlsnanshirtnbutton.nThenconclusionnthennursen
canndrawnisnthatnthenpatientsncommunicationnis:
a. clear. c.n precise.
b. mixed. d.ninadequate.
ANS:nB
Mixednmessagesninvolventhentransmissionnofnconflictingnornincongruentnmessagesnbynthenspeaker.n
Thenpatientsnverbalnmessagenthatnallnwasnwellninnthenrelationshipnwasnmodifiednbynthennonverbalnbe
haviorsndenotingnanxiety.nDatanarennotnpresentntonsupportnthenchoicenofnthenverbalnmessagenbeingncl
ear,nexplicit,norninadequate.
PTS:n1nDIF:nCognitivenLevel:nUnderstandn(Comprehension)n
REF:nmcsn150-151nTOP:nNursingnProcess:nAssessment
nThenMarketplacentonBuynandnSellnyournStudynMaterial
TEST BANK n
PRIMARY CAREPS n n
YCHIATRY
2nd Edition McC
n n
arron Xiong n
TEST BANK n
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
PrimarynCarenPsychiatryn2ndnEditionnMcCarronnXiongnTestnBank
TablenofnContents:
Chaptern1.nThenPrimarynCarenPsychiatricnInterview
Chaptern2.nPrimarynCarenandnPsychiatry:nAnnOverviewnofnthenCollaborativenCarenModel
Chaptern3.nPreventivenMedicinenandnBehavioralnHealth
Chaptern4.nThenPatientnandnYou:nPsychologicalnandnCulturalnConsideration
Chaptern5.nAnxietynDisorders
Chaptern6.nObsessive–CompulsivenandnRelatednDisorders
Chaptern7.nTrauma-RelatednDisorders
Chaptern8.nMoodnDisorders—Depression
Chaptern9.nTreatment-ResistantnDepression
Chaptern10.nPsychiatricnDisorders:nBipolarnandnRelatednDisorders
Chaptern11.nPsychoticnDisorders
Chaptern12.nNeurocognitivenDisorders
Chaptern13.nSubstancenUsenDisorders—Alcohol
Chaptern14.nSubstancenUsenDisorders—IllicitnandnPrescriptionnDrugs
Chaptern15.nPersonalitynDisorders
Chaptern16.nCognitivenBehavioralnTherapy
Chaptern17.nSupportivenPsychotherapyninnPrimarynCare
Chaptern18.nMotivationalnInterviewing
Chaptern19.nFundamentalsnofnPsychopharmacology
Chaptern20.nGeriatricnBehavioralnHealth
Chaptern21.nChildnandnAdolescentnBehavioralnHealth
Chaptern22.nSuicidenandnViolencenRisknAssessment
Chaptern23.nSomaticnSymptomnandnRelatednDisorders
Chaptern24.nInsomnia
Chaptern25.nSexualnDysfunction
Chaptern26.nEatingnDisorders
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
Chapter 1: The Primary Care Psychiatric Interview
n n n n n n
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
n n n n n n n n
MULTIPLEnCHOICE
1. Anpatientnsaysntonthennurse,nIndreamednInwasnstoned.nWhennInwokenup,nInfeltnemotionallynd
rained,nasnthoughnInhadntnrestednwell.nWhichnresponsenshouldnthennursenusentonclarifynthenpat
ientsncomment?
a. Itnsoundsnasnthoughnyounwerenuncomfortablenwithnthencontentnofnyourndream.
b. Inunderstandnwhatnyourensaying.nBadndreamsnleavenmenfeelingntired,ntoo.
c. Sonyounfeelnasnthoughn youndidnnotngetnenoughnqualitynsleepnlastnnight?
d. Cannyoungivenmenannexamplenofnwhatnyounmeannbynstoned?
ANS:nD
Thentechniquenofnclarificationnisntherapeuticnandnhelpsnthennursenexaminenthenmeaningnofnthenpatie
ntsnstatement.nAskingnfornandefinitionnofnstonedndirectlynasksnfornclarification.nRestatingnthatnthenpa
tientnisnuncomfortablenwithnthendreamsncontentnisnparroting,nannon-therapeuticntechnique.
Thenothernresponsesnfailntonclarifynthenmeaningnofnthenpatientsncomment.n
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)
REF:nmcsn154n(dmn9-
2)nTOP:nNursingnProcess:nImplementationnMSC:nClientnNeeds:nP
sychosocialn Integrity
2. Anpatientndiagnosednwithnschizophreniantellsnthennurse,nThenCIAnisnmonitoringnusnthroughnthenfl
uorescentnlightsninnthisnroom.nBencarefulnwhatnyounsay.nWhichnresponsenbynthennursenwouldnbenmo
stntherapeutic?
a. LetsntalknaboutnsomethingnothernthannthenCIA.
b. Itnsoundsnliken yourenconcernednaboutnyournprivacy.
, Stuvia.comn-
nThenMarketplacentonBuynandnSellnyournStudynMaterial
c. ThenCIAnisnprohibitednfromnoperatingninnhealthncarenfacilities.
d. Younhavenlostntouchnwithnreality,nwhichnisnansymptomnofnyournillness.
ANS:nB
Itnisnimportantnnotntonchallengenthenpatientsnbeliefs,nevennifntheynarenunrealistic.nChallengingnunder
minesnthenpatientsntrustninnthennurse.nThennursenshouldntryntonunderstandnthenunderlyingnfeelingsnorn
thoughtsnthenpatientsnmessagenconveys.nThencorrectnresponsenusesnthentherapeuticntechniquenofnrefl
ection.nThenotherncommentsnarennon-
therapeutic.nAskingntontalknaboutnsomethingnothernthannthenconcernnatnhandnisnchangingnthensubject.n
SayingnthatnthenCIAnisnprohibitednfromnoperatingninnhealthncarenfacilitiesngivesnfalsenreassurance.nS
tatingnthatnthenpatientnhasnlostntouchnwithnrealitynisntruthful,nbutnuncompassionate.
PTS:n1nDIF:nCognitivenLevel:nApplyn(Application)
REF:nmcsn154n(dmn9-
2)nTOP:nNursingnProcess:nImplementationnMSC:nClientnNeeds:nP
sychosocialn Integrity
3. Thenpatientnsays,nMynmarriagenisnjustngreat.nMynspousenandnInalwaysnagree.nThennursenobservesnt
henpatientsnfootnmovingncontinuouslynasnthenpatientntwirlsnanshirtnbutton.nThenconclusionnthennursen
canndrawnisnthatnthenpatientsncommunicationnis:
a. clear. c.n precise.
b. mixed. d.ninadequate.
ANS:nB
Mixednmessagesninvolventhentransmissionnofnconflictingnornincongruentnmessagesnbynthenspeaker.n
Thenpatientsnverbalnmessagenthatnallnwasnwellninnthenrelationshipnwasnmodifiednbynthennonverbalnbe
haviorsndenotingnanxiety.nDatanarennotnpresentntonsupportnthenchoicenofnthenverbalnmessagenbeingncl
ear,nexplicit,norninadequate.
PTS:n1nDIF:nCognitivenLevel:nUnderstandn(Comprehension)n
REF:nmcsn150-151nTOP:nNursingnProcess:nAssessment
