Stuvia.comg
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Test Bank For Primary Care Psychiatry 2nd E
g g g g g gg g
dition by Robert McCarron, Glen Xiong Chapt
g g g g g gg
er 1 - 26
g g g
, Stuvia.comg
-
PrimarygCaregPsychiatryg2ndgEditiongMcCarrongXiong2TestgBank
TablegofgContents:
Chapterg1.gThegPrimarygCaregPsychiatricgInterview
Chapterg2.gPrimarygCaregandgPsychiatry:gAngOverviewgofgthegCollaborativegCaregModel
Chapterg3.gPreventivegMedicinegandgBehavioralgHealth
Chapterg4.gThegPatientgandgYou:gPsychologicalgandgCulturalgConsideration
Chapterg5.gAnxietygDisorders
Chapterg6.gObsessive–CompulsivegandgRelatedgDisorders
Chapterg7.gTrauma-RelatedgDisorders
Chapterg8.gMoodgDisorders—Depression
Chapterg9.gTreatment-ResistantgDepression
Chapterg10.gPsychiatricgDisorders:gBipolargandgRelatedgDisorders
Chapterg11.gPsychoticgDisorders
Chapterg12.gNeurocognitivegDisorders
Chapterg13.gSubstancegUsegDisorders—Alcohol
Chapterg14.gSubstancegUsegDisorders—IllicitgandgPrescriptiongDrugs
Chapterg15.gPersonalitygDisorders
Chapterg16.gCognitivegBehavioralgTherapy
Chapterg17.gSupportivegPsychotherapygingPrimarygCare
Chapterg18.gMotivationalgInterviewing
Chapterg19.gFundamentalsgofgPsychopharmacology
Chapterg20.gGeriatricgBehavioralgHealth
Chapterg21.gChildgandgAdolescentgBehavioralgHealth
Chapterg22.gSuicidegandgViolencegRiskgAssessment
Chapterg23.gSomaticgSymptomgandgRelatedgDisorders
Chapterg24.gInsomnia
Chapterg25.gSexualgDysfunction
Chapterg26.gEatinggDisorders
, Stuvia.comg
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Chapterg1:gThegPrimarygCaregPsychiatricgInterview
PrimarygCaregPsychiatryg2ndgEditiongMcCarrongXionggTestgBank
g
MULTIPLEgCHOICE
1. Agpatientgsaysgtogthegnurse,gIgdreamedgIgwasgstoned.gWhengIgwokegup,gIgfeltgemotional
lygdrained,gasgthoughgIghadntgrestedgwell.gWhichgresponsegshouldgthegnursegusegtogclarif
ygthgegpatientsgcomment?
a. Itgsoundsgasgthoughgyougwereguncomfortablegwithgthegcontentgofgyourgdream.
b. Igunderstandgwhatgyouregsaying.gBadgdreamsgleavegmegfeelinggtired,gtoo.
c. Sogyougfeelgasgthoughgyougdidgnotggetgenoughgqualitygsleepglastgnight?
d. Cangyouggivegmegangexamplegofgwhatgyougmeangbygstoned?
ANSWER:gD
Thegtechniquegofgclarificationgisgtherapeuticgandghelpsgthegnursegexaminegthegmeaninggofgthegp
agtientsgstatement.gAskinggforgagdefinitiongofgstonedgdirectlygasksgforgclarification.gRestatinggthat
thgegpatientgisguncomfortablegwithgthegdreamsgcontentgisgparroting,gagnon-
g
therapeuticgtechnique.gThegothergresponsesgfailgtogclarifygthegmeaninggofgthegpatientsgcomme
nt.
PTS:g1gDIF:gCognitivegLevel:gApplyg(Application)g
REF:gmcsg154g(dmg9-
2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:gPgsychosoc
ialgIntegrity
2. Agpatientgdiagnosedgwithgschizophreniagtellsgthegnurse,gThegCIAgisgmonitoringgusgthroughgth
egfluorescentglightsgingthisgroom.gBegcarefulgwhatgyougsay.gWhichgresponsegbygthegnursegwoul
dgbegmostgtherapeutic?
a. LetsgtalkgaboutgsomethinggothergthangthegCIA.
b. Itgsoundsglikegyouregconcernedgaboutgyourgprivacy.
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c. ThegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilities.
d. Youghaveglostgtouchgwithgreality,gwhichgisgagsymptomgofgyourgillness.
ANSWER:gB
Itgisgimportantgnotgtogchallengegthegpatientsgbeliefs,gevengifgtheygaregunrealistic.gChallenginggu
ndgerminesgthegpatientsgtrustgingthegnurse.gThegnursegshouldgtrygtogunderstandgthegunderlying
feeligngsgorgthoughtsgthegpatientsgmessagegconveys.gThegcorrectgresponsegusesgthegtherapeuti
g
cgtechngiquegofgreflection.gThegothergcommentsgaregnon-
therapeutic.gAskinggtogtalkgaboutgsomethinggothergthangthegconcerngatghandgisgchanginggthegsu
bjgect.gSayinggthatgthegCIA2isgprohibitedgfromgoperatingginghealthgcaregfacilitiesggivesgfalsegreass
uragnce.gStatinggthatgthegpatientghasglostgtouchgwithgrealitygisgtruthful,gbutguncompassionate.
PTS:g1gDIF:gCognitivegLevel:gApplyg(Application)g
REF:gmcsg154g(dmg9-
2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:gPgsychosoc
ialgIntegrity
3. Thegpatientgsays,gMygmarriagegisgjustggreat.gMygspousegandgIgalwaysgagree.gThegnursegobserv
esgthegpatientsgfootgmovinggcontinuouslygasgthegpatientgtwirlsgagshirtgbutton.gThegconclusiongt
hegngursegcangdrawgisgthatgthegpatientsgcommunicationgis:
a. clear. c.g precise.
b. mixed. d.g inadequate.
ANSWER:gB
Mixedgmessagesginvolvegthegtransmissiongofgconflictinggorgincongruentgmessagesgbygthegspeake
r.gThegpatientsgverbalgmessagegthatgallgwasgwellgingthegrelationshipgwasgmodifiedgbygthegnonve
rbalgbehaviorsgdenotingganxiety.gDatagaregnotgpresentgtogsupportgthegchoicegofgthegverbalgmes
sagegbgeinggclear,gexplicit,gorginadequate.
PTS:g1gDIF:gCognitivegLevel:gUnderstandg(Comprehension)gREF
:gmcsg150-151gTOP:gNursinggProcess:gAssessment
-
Test Bank For Primary Care Psychiatry 2nd E
g g g g g gg g
dition by Robert McCarron, Glen Xiong Chapt
g g g g g gg
er 1 - 26
g g g
, Stuvia.comg
-
PrimarygCaregPsychiatryg2ndgEditiongMcCarrongXiong2TestgBank
TablegofgContents:
Chapterg1.gThegPrimarygCaregPsychiatricgInterview
Chapterg2.gPrimarygCaregandgPsychiatry:gAngOverviewgofgthegCollaborativegCaregModel
Chapterg3.gPreventivegMedicinegandgBehavioralgHealth
Chapterg4.gThegPatientgandgYou:gPsychologicalgandgCulturalgConsideration
Chapterg5.gAnxietygDisorders
Chapterg6.gObsessive–CompulsivegandgRelatedgDisorders
Chapterg7.gTrauma-RelatedgDisorders
Chapterg8.gMoodgDisorders—Depression
Chapterg9.gTreatment-ResistantgDepression
Chapterg10.gPsychiatricgDisorders:gBipolargandgRelatedgDisorders
Chapterg11.gPsychoticgDisorders
Chapterg12.gNeurocognitivegDisorders
Chapterg13.gSubstancegUsegDisorders—Alcohol
Chapterg14.gSubstancegUsegDisorders—IllicitgandgPrescriptiongDrugs
Chapterg15.gPersonalitygDisorders
Chapterg16.gCognitivegBehavioralgTherapy
Chapterg17.gSupportivegPsychotherapygingPrimarygCare
Chapterg18.gMotivationalgInterviewing
Chapterg19.gFundamentalsgofgPsychopharmacology
Chapterg20.gGeriatricgBehavioralgHealth
Chapterg21.gChildgandgAdolescentgBehavioralgHealth
Chapterg22.gSuicidegandgViolencegRiskgAssessment
Chapterg23.gSomaticgSymptomgandgRelatedgDisorders
Chapterg24.gInsomnia
Chapterg25.gSexualgDysfunction
Chapterg26.gEatinggDisorders
, Stuvia.comg
-
Chapterg1:gThegPrimarygCaregPsychiatricgInterview
PrimarygCaregPsychiatryg2ndgEditiongMcCarrongXionggTestgBank
g
MULTIPLEgCHOICE
1. Agpatientgsaysgtogthegnurse,gIgdreamedgIgwasgstoned.gWhengIgwokegup,gIgfeltgemotional
lygdrained,gasgthoughgIghadntgrestedgwell.gWhichgresponsegshouldgthegnursegusegtogclarif
ygthgegpatientsgcomment?
a. Itgsoundsgasgthoughgyougwereguncomfortablegwithgthegcontentgofgyourgdream.
b. Igunderstandgwhatgyouregsaying.gBadgdreamsgleavegmegfeelinggtired,gtoo.
c. Sogyougfeelgasgthoughgyougdidgnotggetgenoughgqualitygsleepglastgnight?
d. Cangyouggivegmegangexamplegofgwhatgyougmeangbygstoned?
ANSWER:gD
Thegtechniquegofgclarificationgisgtherapeuticgandghelpsgthegnursegexaminegthegmeaninggofgthegp
agtientsgstatement.gAskinggforgagdefinitiongofgstonedgdirectlygasksgforgclarification.gRestatinggthat
thgegpatientgisguncomfortablegwithgthegdreamsgcontentgisgparroting,gagnon-
g
therapeuticgtechnique.gThegothergresponsesgfailgtogclarifygthegmeaninggofgthegpatientsgcomme
nt.
PTS:g1gDIF:gCognitivegLevel:gApplyg(Application)g
REF:gmcsg154g(dmg9-
2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:gPgsychosoc
ialgIntegrity
2. Agpatientgdiagnosedgwithgschizophreniagtellsgthegnurse,gThegCIAgisgmonitoringgusgthroughgth
egfluorescentglightsgingthisgroom.gBegcarefulgwhatgyougsay.gWhichgresponsegbygthegnursegwoul
dgbegmostgtherapeutic?
a. LetsgtalkgaboutgsomethinggothergthangthegCIA.
b. Itgsoundsglikegyouregconcernedgaboutgyourgprivacy.
, Stuvia.comg
-
c. ThegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilities.
d. Youghaveglostgtouchgwithgreality,gwhichgisgagsymptomgofgyourgillness.
ANSWER:gB
Itgisgimportantgnotgtogchallengegthegpatientsgbeliefs,gevengifgtheygaregunrealistic.gChallenginggu
ndgerminesgthegpatientsgtrustgingthegnurse.gThegnursegshouldgtrygtogunderstandgthegunderlying
feeligngsgorgthoughtsgthegpatientsgmessagegconveys.gThegcorrectgresponsegusesgthegtherapeuti
g
cgtechngiquegofgreflection.gThegothergcommentsgaregnon-
therapeutic.gAskinggtogtalkgaboutgsomethinggothergthangthegconcerngatghandgisgchanginggthegsu
bjgect.gSayinggthatgthegCIA2isgprohibitedgfromgoperatingginghealthgcaregfacilitiesggivesgfalsegreass
uragnce.gStatinggthatgthegpatientghasglostgtouchgwithgrealitygisgtruthful,gbutguncompassionate.
PTS:g1gDIF:gCognitivegLevel:gApplyg(Application)g
REF:gmcsg154g(dmg9-
2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:gPgsychosoc
ialgIntegrity
3. Thegpatientgsays,gMygmarriagegisgjustggreat.gMygspousegandgIgalwaysgagree.gThegnursegobserv
esgthegpatientsgfootgmovinggcontinuouslygasgthegpatientgtwirlsgagshirtgbutton.gThegconclusiongt
hegngursegcangdrawgisgthatgthegpatientsgcommunicationgis:
a. clear. c.g precise.
b. mixed. d.g inadequate.
ANSWER:gB
Mixedgmessagesginvolvegthegtransmissiongofgconflictinggorgincongruentgmessagesgbygthegspeake
r.gThegpatientsgverbalgmessagegthatgallgwasgwellgingthegrelationshipgwasgmodifiedgbygthegnonve
rbalgbehaviorsgdenotingganxiety.gDatagaregnotgpresentgtogsupportgthegchoicegofgthegverbalgmes
sagegbgeinggclear,gexplicit,gorginadequate.
PTS:g1gDIF:gCognitivegLevel:gUnderstandg(Comprehension)gREF
:gmcsg150-151gTOP:gNursinggProcess:gAssessment
