Stuvia.com-TheMarketplacetoBuyandSellyourStudyMaterial
TEST BANK g
PRIMARYCARE PSYC g
HIATRY
2nd Edition McC
g g
arronXiong
TEST BANK g
, Stuvia.com-TheMarketplacetoBuyandSellyourStudyMaterial
PrimaryCarePsychiatry2ndEditionMcCarronXiongTestBank
TablegofgContents:
Chapter1.gThePrimaryCarePsychiatricInterview
Chapter2.PrimaryCareandPsychiatry:AnOverviewoftheCollaborativeCareModel
Chapter3.PreventiveMedicineandBehavioralHealth
Chapter4.ThePatientandYou:PsychologicalandCulturalConsideration
Chapter5.AnxietyDisorders
Chapter6.Obsessive–CompulsiveandRelatedDisorders
Chapter7.Trauma-RelatedDisorders
Chapter8.MoodDisorders—Depression
Chapter9.Treatment-ResistantDepression
Chapter10.PsychiatricDisorders:BipolarandRelatedDisorders
Chapter11.PsychoticDisorders
Chapter12.NeurocognitiveDisorders
Chapter13.SubstanceUseDisorders—Alcohol
Chapter14.SubstanceUseDisorders—IllicitandPrescriptionDrugs
Chapter15.PersonalityDisorders
Chapter16.CognitiveBehavioralTherapy
Chapter17.SupportivePsychotherapyinPrimaryCare
Chapter18.MotivationalInterviewing
Chapter19.FundamentalsofPsychopharmacology
Chapter20.GeriatricBehavioralHealth
Chapter21.ChildandAdolescentBehavioralHealth
Chapter22.SuicideandViolenceRiskAssessment
Chapter23.SomaticSymptomandRelatedDisorders
Chapter24.gInsomnia
Chapter25.SexualDysfunction
Chapter26.EatingDisorders
, Stuvia.com-TheMarketplacetoBuyandSellyourStudyMaterial
Chapter1:ThePrimaryCarePsychiatricInterview
PrimaryCarePsychiatry2ndEditionMcCarronXiongTestBank
MULTIPLECHOICE
1. Apatientsaystothenurse,gIdreamedgIwasstoned.WhengIwokeup,gIfeltgemotionallygdraine
d,gasgthoughgIhadntgrestedgwell.gWhichgresponsegshouldgthegnursegusegtogclarifythegpatien
tsgcomment?
a. Itsoundsasthoughyougwereuncomfortablewiththecontentofyourdream.
b. Iunderstandwhatyouresaying.Baddreamsleavemefeelingtired,too.
c. Soyoufeelasthoughyoudidnotgetenoughqualitysleeplastnight?
d. Cangyougivemeanexampleofwhatgyoumeanbystoned?
ANS:D
Thegtechniquegofgclarificationgisgtherapeuticgandghelpsgthegnursegexaminegthegmeaninggofgthegpa
tientsstatement.Askingforadefinitionofstoneddirectlyasksforclarification.Restatingthatgthegpatien
tgisguncomfortablegwithgthegdreamsgcontentgisgparroting,gagnon-therapeuticgtechnique.
Theotherresponsesfailtoclarifythemeaningofthepatientscomment.gPTS:g1g
DIF:gCognitivegLevel:gApplyg(Application)
REF:mcs154(dm9-
2)TOP:NursingProcess:ImplementationgMSC:gClientgNeeds:gPs
ychosocialgIntegrity
2. Apatientdiagnosedgwithschizophreniatellsthenurse,TheCIAisgmonitoringusthroughthegfluore
scentglightsgingthisroom.gBecarefulwhatgyougsay.gWhichresponsebythenursewouldgbegmostgther
apeutic?
a. LetstalkaboutsomethingotherthanthegCIA.
b. Itsoundslikeyoureconcernedaboutgyourprivacy.
, Stuvia.com-TheMarketplacetoBuyandSellyourStudyMaterial
c. TheCIAisprohibitedfromoperatinginghealthcarefacilities.
d. Youhavelosttouchwithreality,whichisasymptomofyourillness.
ANS:B
Itgisgimportantgnotgtogchallengegthegpatientsgbeliefs,gevengifgtheygaregunrealistic.gChallenginggun
derminesgthegpatientsgtrustgingthegnurse.gThegnursegshouldgtrygtogunderstandgthegunderlyinggfeeli
ngsgorgthoughtsgthegpatientsgmessagegconveys.gThegcorrectgresponsegusesgthegtherapeuticgtechni
queofreflection.Theothercommentsarenon-
therapeutic.Askingtogtalkaboutsomethinggothergthangthegconcerngatghandgisgchanginggthegsubject
.gSayinggthatgthegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilitiesggivesgfalsegreassuran
ce.gStatinggthatgthegpatientghasglostgtouchgwithgrealitygisgtruthful,gbutguncompassionate.
PTS:1DIF:CognitiveLevel:Apply(Application)
REF:mcs154(dm9-
2)TOP:NursingProcess:ImplementationgMSC:gClientgNeeds:gPs
ychosocialgIntegrity
3. Thepatientsays,Mymarriageisjustgreat.MyspouseandgIalwaysagree.gThenurseobservesgthegpati
entsgfootgmovinggcontinuouslygasgthegpatientgtwirlsgagshirtgbutton.gThegconclusiongthegnursegcang
drawgisgthatgthegpatientsgcommunicationgis:
a. clear. c.precise.
b. mixed. d.inadequate.
ANS:B
Mixedmessagesinvolvethetransmissionofconflictingorincongruentmessagesbythespeaker.gThegpa
tientsgverbalgmessagegthatgallgwasgwellgingthegrelationshipgwasgmodifiedgbygthegnonverbalgbehav
iorsgdenotingganxiety.gDatagaregnotgpresentgtogsupportgthegchoicegofgthegverbalgmessagegbeinggcl
ear,gexplicit,gorginadequate.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)gREF:g
mcsg150-151gTOP:gNursinggProcess:gAssessment
TEST BANK g
PRIMARYCARE PSYC g
HIATRY
2nd Edition McC
g g
arronXiong
TEST BANK g
, Stuvia.com-TheMarketplacetoBuyandSellyourStudyMaterial
PrimaryCarePsychiatry2ndEditionMcCarronXiongTestBank
TablegofgContents:
Chapter1.gThePrimaryCarePsychiatricInterview
Chapter2.PrimaryCareandPsychiatry:AnOverviewoftheCollaborativeCareModel
Chapter3.PreventiveMedicineandBehavioralHealth
Chapter4.ThePatientandYou:PsychologicalandCulturalConsideration
Chapter5.AnxietyDisorders
Chapter6.Obsessive–CompulsiveandRelatedDisorders
Chapter7.Trauma-RelatedDisorders
Chapter8.MoodDisorders—Depression
Chapter9.Treatment-ResistantDepression
Chapter10.PsychiatricDisorders:BipolarandRelatedDisorders
Chapter11.PsychoticDisorders
Chapter12.NeurocognitiveDisorders
Chapter13.SubstanceUseDisorders—Alcohol
Chapter14.SubstanceUseDisorders—IllicitandPrescriptionDrugs
Chapter15.PersonalityDisorders
Chapter16.CognitiveBehavioralTherapy
Chapter17.SupportivePsychotherapyinPrimaryCare
Chapter18.MotivationalInterviewing
Chapter19.FundamentalsofPsychopharmacology
Chapter20.GeriatricBehavioralHealth
Chapter21.ChildandAdolescentBehavioralHealth
Chapter22.SuicideandViolenceRiskAssessment
Chapter23.SomaticSymptomandRelatedDisorders
Chapter24.gInsomnia
Chapter25.SexualDysfunction
Chapter26.EatingDisorders
, Stuvia.com-TheMarketplacetoBuyandSellyourStudyMaterial
Chapter1:ThePrimaryCarePsychiatricInterview
PrimaryCarePsychiatry2ndEditionMcCarronXiongTestBank
MULTIPLECHOICE
1. Apatientsaystothenurse,gIdreamedgIwasstoned.WhengIwokeup,gIfeltgemotionallygdraine
d,gasgthoughgIhadntgrestedgwell.gWhichgresponsegshouldgthegnursegusegtogclarifythegpatien
tsgcomment?
a. Itsoundsasthoughyougwereuncomfortablewiththecontentofyourdream.
b. Iunderstandwhatyouresaying.Baddreamsleavemefeelingtired,too.
c. Soyoufeelasthoughyoudidnotgetenoughqualitysleeplastnight?
d. Cangyougivemeanexampleofwhatgyoumeanbystoned?
ANS:D
Thegtechniquegofgclarificationgisgtherapeuticgandghelpsgthegnursegexaminegthegmeaninggofgthegpa
tientsstatement.Askingforadefinitionofstoneddirectlyasksforclarification.Restatingthatgthegpatien
tgisguncomfortablegwithgthegdreamsgcontentgisgparroting,gagnon-therapeuticgtechnique.
Theotherresponsesfailtoclarifythemeaningofthepatientscomment.gPTS:g1g
DIF:gCognitivegLevel:gApplyg(Application)
REF:mcs154(dm9-
2)TOP:NursingProcess:ImplementationgMSC:gClientgNeeds:gPs
ychosocialgIntegrity
2. Apatientdiagnosedgwithschizophreniatellsthenurse,TheCIAisgmonitoringusthroughthegfluore
scentglightsgingthisroom.gBecarefulwhatgyougsay.gWhichresponsebythenursewouldgbegmostgther
apeutic?
a. LetstalkaboutsomethingotherthanthegCIA.
b. Itsoundslikeyoureconcernedaboutgyourprivacy.
, Stuvia.com-TheMarketplacetoBuyandSellyourStudyMaterial
c. TheCIAisprohibitedfromoperatinginghealthcarefacilities.
d. Youhavelosttouchwithreality,whichisasymptomofyourillness.
ANS:B
Itgisgimportantgnotgtogchallengegthegpatientsgbeliefs,gevengifgtheygaregunrealistic.gChallenginggun
derminesgthegpatientsgtrustgingthegnurse.gThegnursegshouldgtrygtogunderstandgthegunderlyinggfeeli
ngsgorgthoughtsgthegpatientsgmessagegconveys.gThegcorrectgresponsegusesgthegtherapeuticgtechni
queofreflection.Theothercommentsarenon-
therapeutic.Askingtogtalkaboutsomethinggothergthangthegconcerngatghandgisgchanginggthegsubject
.gSayinggthatgthegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilitiesggivesgfalsegreassuran
ce.gStatinggthatgthegpatientghasglostgtouchgwithgrealitygisgtruthful,gbutguncompassionate.
PTS:1DIF:CognitiveLevel:Apply(Application)
REF:mcs154(dm9-
2)TOP:NursingProcess:ImplementationgMSC:gClientgNeeds:gPs
ychosocialgIntegrity
3. Thepatientsays,Mymarriageisjustgreat.MyspouseandgIalwaysagree.gThenurseobservesgthegpati
entsgfootgmovinggcontinuouslygasgthegpatientgtwirlsgagshirtgbutton.gThegconclusiongthegnursegcang
drawgisgthatgthegpatientsgcommunicationgis:
a. clear. c.precise.
b. mixed. d.inadequate.
ANS:B
Mixedmessagesinvolvethetransmissionofconflictingorincongruentmessagesbythespeaker.gThegpa
tientsgverbalgmessagegthatgallgwasgwellgingthegrelationshipgwasgmodifiedgbygthegnonverbalgbehav
iorsgdenotingganxiety.gDatagaregnotgpresentgtogsupportgthegchoicegofgthegverbalgmessagegbeinggcl
ear,gexplicit,gorginadequate.
PTS:1DIF:CognitiveLevel:Understand(Comprehension)gREF:g
mcsg150-151gTOP:gNursinggProcess:gAssessment
