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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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
Chapter 26. Eating Disorders
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Chapter 1: The Primary Care Psychiatric Interview
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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 Hadnt 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 Youre 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?
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. Lets Talk About Something Other Than The CIA.
b. It Sounds Like Youre Concerned About Your Privacy.
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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.
ANSWER: B
It Is Important Not To Challenge The Patients 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 Patients 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.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Mcs 154 (Dm 9-2) TOP: Nursing Process:
Implementation MSC: Client Needs: Psychosocial Integrity
3. The Vpatient Vsays, Vmy Vmarriage Vis Vjust Vgreat. Vmy Vspouse Vand Vi Valways Vagree. Vthe
Vnurse Vobserves Vthe Vpatients Vfoot Vmoving Vcontinuously Vas Vthe Vpatient Vtwirls Va Vshirt
Vbutton. Vthe Vconclusion Vthe Vnurse Vcan Vdraw Vis Vthat Vthe Vpatients Vcommunication Vis:
a. Clear. C. V Precise.
b. Mixed. D. V Inadequate.
ANSWER: Vb
Mixed Vmessages Vinvolve Vthe Vtransmission Vof Vconflicting Vor Vincongruent Vmessages
Vbyvthe Vspeaker. Vthe Vpatients Vverbal Vmessage Vthat Vall Vwas Vwell Vin Vthe Vrelationship
Vwas Vmodified Vby Vthe Vnonverbal Vbehaviors Vdenoting Vanxiety. Vdata Vare Vnot Vpresent Vto
Vsupport Vthe Vchoice Vof Vthe Vverbal Vmessage Vbeing Vclear, Vexplicit, Vor Vinadequate.
PTS: V1 Vdif: Vcognitive Vlevel: Vunderstand V(Comprehension)
Vref: Vmcs V150-151 Vtop: Vnursing Vprocess: Vassessment
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MSC: Vclient Vneeds: Vpsychosocial Vintegrity
4. A Vnurse Vinteracts Vwith Va Vnewlyvhospitalized Vpatient. Vselect Vthe Vnurses Vcomment
Vthat Vapplies Vthe Vcommunication Vtechnique Vof Voffering Vself.
a. Ive Valso Vhad Vtraumatic Vlife Vexperiences. Vmaybe Vit Vwould Vhelp Vif Vi
Vtold Vyou Vabout Vthem.
b. Whyvdo Vyou Vthink Vyou Vhad Vso Vmuch Vdifficulty Vadjusting Vto Vthis
Vchange Vin Vyour Vlife?
c. I Vhope Vyou Vwill Vfeel Vbetter Vafter Vgetting Vaccustomed Vto Vhow Vthis Vunit Voperates.
d. Id Vlike Vto Vsit Vwith Vyou Vfor Va Vwhile Vto Vhelp Vyou Vget Vcomfortable Vtalking Vto Vme.
ANSWER: Vd
Offering Vself Vis Va Vtechnique Vthat Vshould Vbe Vused Vin Vthe Vorientation Vphase Vof Vthe
Vnurse- Patient Vrelationship. Vsitting Vwith Vthe Vpatient, Van Vexample Vof Voffering Vself, Vhelps
Vto Vbuild Vtrust Vand Vconvey Vthat Vthe Vnurse Vcares Vabout Vthe Vpatient. Vtwo Vincorrect
Vresponses Vare Vineffective Vand Vnon- Vtherapeutic. Vthe Vother Vincorrect Vresponse Vis
Vtherapeutic Vbut Vis Van Vexample Vof Voffering Vhope.
PTS: V1 Vdif: Vcognitive Vlevel: Vapplyv(Application)
REF: Vmcs V154 V(Dm V9-2) Vtop: Vnursing Vprocess:
Vimplementation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
5. Which Vtechnique Vwill Vbest Vcommunicate Vto Va Vpatient Vthat Vthe Vnurse Vis
Vinterested Vin Vlistening?
a. Restating Va Vfeeling Vor Vthought Vthe Vpatient Vhas Vexpressed.
b. Askingva Vdirect Vquestion, Vsuch Vas Vdid Vyou Vfeel Vangry?
c. Making Va Vjudgment Vabout Vthe Vpatients Vproblem.
d. Saying, Vi Vunderstand Vwhat Vyoure Vsaying.
ANSWER: Va
Restating Vallows Vthe Vpatient Vto Vvalidate Vthe Vnurses Vunderstanding Vof Vwhat Vhas Vbeen
Vcommunicated. Vrestating Vis Van Vactive Vlistening Vtechnique. Vjudgments Vshould Vbe
Vsuspended Vin Va
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Nurse-Patient Vrelationship. Vclose-Ended Vquestions Vsuch Vas Vdid Vyou Vfeel Vangry? Vask Vfor
Vspecific Vinformation Vrather Vthan Vshowing Vunderstanding. Vwhen Vthe Vnurse Vsimply Vstates
Vthat Vhe Vor Vshe Vunderstands Vthe Vpatients Vwords, Vthe Vpatient Vhas Vno Vway Vof Vmeasuring
Vthe Vunderstanding.
PTS: V1 Vdif: Vcognitive Vlevel: Vapplyv(Application)
REF: Vmcs V154 V(Dm V9-2) Vtop: Vnursing Vprocess:
Vimplementation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
6. A Vpatient Vdiscloses Vseveral Vconcerns Vand Vassociated Vfeelings. Vif Vthe Vnurse
Vwants Vto Vseek Vclarification, Vwhich Vcomment Vwould Vbe Vappropriate?
a. What Vare Vthe Vcommon Velements Vhere?
b. Tell Vme Vagain Vabout Vyour Vexperiences.
c. Am Vi Vcorrect Vin Vunderstanding Vthat V. V. V.
d. Tell Vme Veverything Vfrom Vthe Vbeginning.
ANSWER: Vc
Asking, Vam Vi Vcorrect Vin Vunderstanding Vthat Vpermits Vclarification Vto Vensure Vthat Vboth
Vthe Vnurse Vand Vpatient Vshare Vmutual Vunderstanding Vof Vthe Vcommunication. Vasking
Vabout Vcommon Velements Vencourages Vcomparison Vrather Vthan Vclarification. Vthe
Vremaining Vresponses Vare Vimplied Vquestions Vthat Vsuggest Vthe Vnurse Vwas Vnot Vlistening.
PTS: V1 Vdif: Vcognitive Vlevel: Vapplyv(Application)
REF: Vmcs V154 V(Dm V9-2) Vtop: Vnursing Vprocess:
Vimplementation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
7. A Vpatient Vtells Vthe Vnurse, Vi Vdont Vthink Vill Vever Vget Vout Vof Vhere. Vselect Vthe Vnurses
Vmost Vtherapeutic Vresponse.
a. Dont Vtalk Vthat Vway. Vof Vcourse Vyou Vwill Vleave Vhere!
b. Keep Vup Vthe Vgood Vwork, Vand Vyou Vcertainly Vwill.
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c. You Vdont Vthink Vyoure Vmaking Vprogress?
d. Everyone Vfeels Vthat Vway Vsometimes.
ANSWER: Vc
By Vasking Vif Vthe Vpatient Vdoes Vnot Vbelieve Vthat Vprogress Vhas Vbeen Vmade, Vthe Vnurse
Vis Vreflecting Vby Vputting Vinto Vwords Vwhat Vthe Vpatient Vis Vhinting. Vby Vmaking
Vcommunication Vmore Vexplicit, Vissues Vare Veasier Vto Videntify Vand Vresolve. Vthe
Vremaining Voptions Vare Vnon- Therapeutic Vtechniques. Vtelling Vthe Vpatient Vnot Vto Vtalk
Vthat Vway Vis Vdisapproving. Vsaying Vthat Veveryone Vfeels Vthat Vway Vat Vtimes Vminimizes
Vfeelings. Vtelling Vthe Vpatient Vthat Vgood Vwork Vwill Valways Vresult Vin Vsuccess Vis
Vfalsely Vreassuring.
PTS: V1 Vdif: Vcognitive Vlevel: Vapplyv(Application)
REF: Vmcs V154 V(Dm V9-2) Vtop: Vnursing Vprocess:
Vimplementation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
8. Documentation Vin Va Vpatients Vchart Vshows, Vthroughout Va V5-Minute Vinteraction,
Vpatient Vfidgeted Vand Vtapped Vleft Vfoot, Vperiodically Vcovered Vface Vwith Vhands, Vand
Vlooked Vunder Vchair Vwhile Vstating, Vi Venjoy Vspending Vtime Vwith Vyou. Vwhich Vanalysis
Vis Vmost Vaccurate?
a. The Vpatient Vis Vgiving Vpositive Vfeedback Vabout Vthe
Vnurses Vcommunication Vtechniques.
b. The Vnurse Vis Vviewing Vthe Vpatients Vbehavior Vthrough Va Vcultural Vfilter.
c. The Vpatients Vverbal Vand Vnonverbal Vmessages Vare Vincongruent.
d. The Vpatient Vis Vdemonstrating Vpsychotic Vbehaviors.
ANSWER: Vc
When Va Vverbal Vmessage Vis Vnot Vreinforced Vwith Vnonverbal Vbehavior, Vthe Vmessage Vis
Vconfusing Vand Vincongruent. Vsome Vclinicians Vcall Vit Va Vmixed Vmessage. Vit Vis Vinaccurate
Vto Vsay Vthat Vthe Vpatient Vis Vgiving Vpositive Vfeedback Vabout Vthe Vnurses Vcommunication
Vtechniques. Vthe Vconcept Vof Va Vcultural Vfilter Vis Vnot Vrelevant Vto Vthe Vsituation Vbecause
Va Vcultural Vfilter Vdetermines Vwhat Vwe Vwill Vpay
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Attention Vto Vand Vwhat Vwe Vwill Vignore. Vdata Vare Vinsufficient Vto Vdraw Vthe Vconclusion
Vthat Vthe Vpatient Vis Vdemonstrating Vpsychotic Vbehaviors.
PTS: V1 Vdif: Vcognitive Vlevel: Vapply V(Application)
Vref: Vmcs V150-151 Vtop: Vnursing Vprocess:
Vassessment Vmsc: Vclient Vneeds: Vpsychosocial
Vintegrity
9. While Vtalking Vwith Va Vpatient Vdiagnosed Vwith Vmajor Vdepression, Va Vnurse Vnotices
Vthe Vpatient Vis Vunable Vto Vmaintain Veye Vcontact. Vthe Vpatients Vchin Vlowers Vto Vthe
Vchest, Vwhile Vthe Vpatient Vlooks Vat Vthe Vfloor. Vwhich Vaspect Vof Vcommunication Vhas
Vthe Vnurse Vassessed?
a. Nonverbal Vcommunication C. V A Vcultural Vbarrier
b. A Vmessage Vfilter D. V Social Vskills
ANSWER: Va
Eye Vcontact Vand Vbody Vmovements Vare Vconsidered Vnonverbal Vcommunication. Vthere Vare
Vinsufficient Vdata Vto Vdetermine Vthe Vlevel Vof Vthe Vpatients Vsocial Vskills Vor Vwhether Va Vcultural
Vbarrier Vexists.
PTS: V1 Vdif: Vcognitive Vlevel: Vunderstand
V(Comprehension) Vref: Vmcs V150-152 Vtop: Vnursing
Vprocess: Vassessment Vmsc: Vclient Vneeds: Vpsychosocial
Vintegrity
10. During Vthe Vfirst Vinterview Vwith Va Vparent Vwhose Vchild Vdied Vin Va Vcar
Vaccident, Vthe Vnurse Vfeels Vempathic Vand Vreaches Vout Vto Vtake Vthe Vpatients Vhand.
Vselect Vthe Vcorrect Vanalysis Vof Vthe Vnurses Vbehavior.
a. It Vshows Vempathyvand Vcompassion. Vit Vwill Vencourage Vthe Vpatient
Vto Vcontinue Vto Vexpress Vfeelings.
b. The Vgesture Vis Vpremature. Vthe Vpatients Vcultural Vand
Vindividual Vinterpretation Vof Vtouch Vis Vunknown.
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c. The Vpatient Vwill Vperceive Vthe Vgesture Vas Vintrusive Vand Voverstepping Vboundaries.
d. The Vaction Vis Vinappropriate. Vpsychiatric Vpatients Vshould Vnot Vbe Vtouched.
ANSWER: Vb
Touch Vhas Vvarious Vcultural Vand Vindividual Vinterpretations. Vnurses Vshould Vrefrain Vfrom
Vusing Vtouch Vuntil Van Vassessment Vcan Vbe Vmade Vregarding Vthe Vway Vin Vwhich Vthe
Vpatient Vwill Vperceive Vtouch. Vthe Vother Voptions Vpresent Vprematurely Vdrawn
Vconclusions.
PTS: V1 Vdif: Vcognitive Vlevel: Vunderstand V(Comprehension) REF:
Vmcs V150 V(Dm V9-1) V| Vmcs V158-159 Vtop: Vnursing Vprocess:
Vevaluation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
11. During Va Vone-On-One Vinteraction Vwith Vthe Vnurse, Va Vpatient Vfrequently Vlooks
Vnervously Vat Vthe Vdoor. Vselect Vthe Vbest Vcomment Vby Vthe Vnurse Vregarding Vthis
Vnonverbal Vcommunication.
a. I Vnotice Vyou Vkeep Vlooking Vtoward Vthe Vdoor.
b. This Vis Vour Vtime Vtogether. Vno Vone Vis Vgoing Vto Vinterrupt Vus.
c. It Vlooks Vas Vif Vyou Vare Veager Vto Vend Vour Vdiscussion Vfor Vtoday.
d. If Vyou Vare Vuncomfortable Vin Vthis Vroom, Vwe Vcan Vmove Vsomeplace Velse.
ANSWER: Va
Making Vobservations Vand Vencouraging Vthe Vpatient Vto Vdescribe Vperceptions Vare Vuseful
Vtherapeutic Vcommunication Vtechniques Vfor Vthis Vsituation. Vthe Vother Vresponses Vare
Vassumptions Vmade Vby Vthe Vnurse.
PTS: V1 Vdif: Vcognitive Vlevel: Vapplyv(Application)
REF: Vmcs V153-154 V(Dm V9-2) Vtop: Vnursing Vprocess: Vimplementation
Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
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12. A Vblack Vpatient Vsays Vto Va Vwhite Vnurse, Vtheres Vno Vsense Vtalking. Vyou
Vwouldnt Vunderstand Vbecause Vyou Vlive Vin Va Vwhite Vworld. Vthe Vnurses Vbest
Vaction Vwould Vbe Vto:
a. Explain, Vyes, Vi Vdo Vunderstand. Veveryone Vgoes Vthrough Vthe Vsame Vexperiences.
b. Say, Vplease Vgive Van Vexample Vof Vsomething Vyou Vthink Vi Vwouldnt Vunderstand.
c. Reassure Vthe Vpatient Vthat Vnurses Vinteract Vwith Vpeople Vfrom Vall Vcultures.
d. Change Vthe Vsubject Vto Vone Vthat Vis Vless Vemotionallyvdisturbing.
ANSWER: Vb
Having Vthe Vpatient Vspeak Vin Vspecifics Vrather Vthan Vglobally Vwill Vhelp Vthe Vnurse
Vunderstand Vthe Vpatients Vperspective. Vthis Vapproach Vwill Vhelp Vthe Vnurse Vengage
Vthe Vpatient. Vreassurance Vand Vchanging Vthe Vsubject Vare Vnot Vtherapeutic
Vtechniques.
PTS: V1 Vdif: Vcognitive Vlevel: Vapply
V(Application) Vref: Vmcs V154 V(Dm V9-2) V|
Vmcs V158-159
TOP: Vnursing Vprocess: Vimplementation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
13. A Vfilipino Vamerican Vpatient Vhad Va Vnursing Vdiagnosis Vof Vsituational Vlow Vself-
Esteem Vrelated Vto Vpoor Vsocial Vskills Vas Vevidenced Vby Vlack Vof Veye Vcontact.
Vinterventions Vwere Vused Vto Vraise Vthe Vpatients Vself-Esteem, Vbut Vafter V3 Vweeks, Vthe
Vpatients Veye Vcontact Vdid Vnot Vimprove. Vwhat Vis Vthe Vmost Vaccurate Vanalysis Vof
Vthis Vscenario?
a. The Vpatients Veye Vcontact Vshould Vhave Vbeen Vdirectly Vaddressed Vby
Vrole- Playing Vto Vincrease Vcomfort Vwith Veye Vcontact.
b. The Vnurse Vshould Vnot Vhave Vindependentlyvembarked Von
Vassessment, Vdiagnosis, Vand Vplanning Vfor Vthis Vpatient.
c. The Vpatients Vpoor Veye Vcontact Vis Vindicative Vof Vanger Vand
Vhostility Vthat Vwere Vunaddressed.
d. The Vnurse Vshould Vhave Vassessed Vthe Vpatients Vculture Vbefore Vmaking
Vthis Vdiagnosis Vand Vplan.
ANSWER: Vd
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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
Chapter 26. Eating Disorders
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Chapter 1: The Primary Care Psychiatric Interview
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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 Hadnt 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 Youre 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?
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. Lets Talk About Something Other Than The CIA.
b. It Sounds Like Youre Concerned About Your Privacy.
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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.
ANSWER: B
It Is Important Not To Challenge The Patients 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 Patients 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.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: Mcs 154 (Dm 9-2) TOP: Nursing Process:
Implementation MSC: Client Needs: Psychosocial Integrity
3. The Vpatient Vsays, Vmy Vmarriage Vis Vjust Vgreat. Vmy Vspouse Vand Vi Valways Vagree. Vthe
Vnurse Vobserves Vthe Vpatients Vfoot Vmoving Vcontinuously Vas Vthe Vpatient Vtwirls Va Vshirt
Vbutton. Vthe Vconclusion Vthe Vnurse Vcan Vdraw Vis Vthat Vthe Vpatients Vcommunication Vis:
a. Clear. C. V Precise.
b. Mixed. D. V Inadequate.
ANSWER: Vb
Mixed Vmessages Vinvolve Vthe Vtransmission Vof Vconflicting Vor Vincongruent Vmessages
Vbyvthe Vspeaker. Vthe Vpatients Vverbal Vmessage Vthat Vall Vwas Vwell Vin Vthe Vrelationship
Vwas Vmodified Vby Vthe Vnonverbal Vbehaviors Vdenoting Vanxiety. Vdata Vare Vnot Vpresent Vto
Vsupport Vthe Vchoice Vof Vthe Vverbal Vmessage Vbeing Vclear, Vexplicit, Vor Vinadequate.
PTS: V1 Vdif: Vcognitive Vlevel: Vunderstand V(Comprehension)
Vref: Vmcs V150-151 Vtop: Vnursing Vprocess: Vassessment
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MSC: Vclient Vneeds: Vpsychosocial Vintegrity
4. A Vnurse Vinteracts Vwith Va Vnewlyvhospitalized Vpatient. Vselect Vthe Vnurses Vcomment
Vthat Vapplies Vthe Vcommunication Vtechnique Vof Voffering Vself.
a. Ive Valso Vhad Vtraumatic Vlife Vexperiences. Vmaybe Vit Vwould Vhelp Vif Vi
Vtold Vyou Vabout Vthem.
b. Whyvdo Vyou Vthink Vyou Vhad Vso Vmuch Vdifficulty Vadjusting Vto Vthis
Vchange Vin Vyour Vlife?
c. I Vhope Vyou Vwill Vfeel Vbetter Vafter Vgetting Vaccustomed Vto Vhow Vthis Vunit Voperates.
d. Id Vlike Vto Vsit Vwith Vyou Vfor Va Vwhile Vto Vhelp Vyou Vget Vcomfortable Vtalking Vto Vme.
ANSWER: Vd
Offering Vself Vis Va Vtechnique Vthat Vshould Vbe Vused Vin Vthe Vorientation Vphase Vof Vthe
Vnurse- Patient Vrelationship. Vsitting Vwith Vthe Vpatient, Van Vexample Vof Voffering Vself, Vhelps
Vto Vbuild Vtrust Vand Vconvey Vthat Vthe Vnurse Vcares Vabout Vthe Vpatient. Vtwo Vincorrect
Vresponses Vare Vineffective Vand Vnon- Vtherapeutic. Vthe Vother Vincorrect Vresponse Vis
Vtherapeutic Vbut Vis Van Vexample Vof Voffering Vhope.
PTS: V1 Vdif: Vcognitive Vlevel: Vapplyv(Application)
REF: Vmcs V154 V(Dm V9-2) Vtop: Vnursing Vprocess:
Vimplementation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
5. Which Vtechnique Vwill Vbest Vcommunicate Vto Va Vpatient Vthat Vthe Vnurse Vis
Vinterested Vin Vlistening?
a. Restating Va Vfeeling Vor Vthought Vthe Vpatient Vhas Vexpressed.
b. Askingva Vdirect Vquestion, Vsuch Vas Vdid Vyou Vfeel Vangry?
c. Making Va Vjudgment Vabout Vthe Vpatients Vproblem.
d. Saying, Vi Vunderstand Vwhat Vyoure Vsaying.
ANSWER: Va
Restating Vallows Vthe Vpatient Vto Vvalidate Vthe Vnurses Vunderstanding Vof Vwhat Vhas Vbeen
Vcommunicated. Vrestating Vis Van Vactive Vlistening Vtechnique. Vjudgments Vshould Vbe
Vsuspended Vin Va
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Nurse-Patient Vrelationship. Vclose-Ended Vquestions Vsuch Vas Vdid Vyou Vfeel Vangry? Vask Vfor
Vspecific Vinformation Vrather Vthan Vshowing Vunderstanding. Vwhen Vthe Vnurse Vsimply Vstates
Vthat Vhe Vor Vshe Vunderstands Vthe Vpatients Vwords, Vthe Vpatient Vhas Vno Vway Vof Vmeasuring
Vthe Vunderstanding.
PTS: V1 Vdif: Vcognitive Vlevel: Vapplyv(Application)
REF: Vmcs V154 V(Dm V9-2) Vtop: Vnursing Vprocess:
Vimplementation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
6. A Vpatient Vdiscloses Vseveral Vconcerns Vand Vassociated Vfeelings. Vif Vthe Vnurse
Vwants Vto Vseek Vclarification, Vwhich Vcomment Vwould Vbe Vappropriate?
a. What Vare Vthe Vcommon Velements Vhere?
b. Tell Vme Vagain Vabout Vyour Vexperiences.
c. Am Vi Vcorrect Vin Vunderstanding Vthat V. V. V.
d. Tell Vme Veverything Vfrom Vthe Vbeginning.
ANSWER: Vc
Asking, Vam Vi Vcorrect Vin Vunderstanding Vthat Vpermits Vclarification Vto Vensure Vthat Vboth
Vthe Vnurse Vand Vpatient Vshare Vmutual Vunderstanding Vof Vthe Vcommunication. Vasking
Vabout Vcommon Velements Vencourages Vcomparison Vrather Vthan Vclarification. Vthe
Vremaining Vresponses Vare Vimplied Vquestions Vthat Vsuggest Vthe Vnurse Vwas Vnot Vlistening.
PTS: V1 Vdif: Vcognitive Vlevel: Vapplyv(Application)
REF: Vmcs V154 V(Dm V9-2) Vtop: Vnursing Vprocess:
Vimplementation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
7. A Vpatient Vtells Vthe Vnurse, Vi Vdont Vthink Vill Vever Vget Vout Vof Vhere. Vselect Vthe Vnurses
Vmost Vtherapeutic Vresponse.
a. Dont Vtalk Vthat Vway. Vof Vcourse Vyou Vwill Vleave Vhere!
b. Keep Vup Vthe Vgood Vwork, Vand Vyou Vcertainly Vwill.
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c. You Vdont Vthink Vyoure Vmaking Vprogress?
d. Everyone Vfeels Vthat Vway Vsometimes.
ANSWER: Vc
By Vasking Vif Vthe Vpatient Vdoes Vnot Vbelieve Vthat Vprogress Vhas Vbeen Vmade, Vthe Vnurse
Vis Vreflecting Vby Vputting Vinto Vwords Vwhat Vthe Vpatient Vis Vhinting. Vby Vmaking
Vcommunication Vmore Vexplicit, Vissues Vare Veasier Vto Videntify Vand Vresolve. Vthe
Vremaining Voptions Vare Vnon- Therapeutic Vtechniques. Vtelling Vthe Vpatient Vnot Vto Vtalk
Vthat Vway Vis Vdisapproving. Vsaying Vthat Veveryone Vfeels Vthat Vway Vat Vtimes Vminimizes
Vfeelings. Vtelling Vthe Vpatient Vthat Vgood Vwork Vwill Valways Vresult Vin Vsuccess Vis
Vfalsely Vreassuring.
PTS: V1 Vdif: Vcognitive Vlevel: Vapplyv(Application)
REF: Vmcs V154 V(Dm V9-2) Vtop: Vnursing Vprocess:
Vimplementation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
8. Documentation Vin Va Vpatients Vchart Vshows, Vthroughout Va V5-Minute Vinteraction,
Vpatient Vfidgeted Vand Vtapped Vleft Vfoot, Vperiodically Vcovered Vface Vwith Vhands, Vand
Vlooked Vunder Vchair Vwhile Vstating, Vi Venjoy Vspending Vtime Vwith Vyou. Vwhich Vanalysis
Vis Vmost Vaccurate?
a. The Vpatient Vis Vgiving Vpositive Vfeedback Vabout Vthe
Vnurses Vcommunication Vtechniques.
b. The Vnurse Vis Vviewing Vthe Vpatients Vbehavior Vthrough Va Vcultural Vfilter.
c. The Vpatients Vverbal Vand Vnonverbal Vmessages Vare Vincongruent.
d. The Vpatient Vis Vdemonstrating Vpsychotic Vbehaviors.
ANSWER: Vc
When Va Vverbal Vmessage Vis Vnot Vreinforced Vwith Vnonverbal Vbehavior, Vthe Vmessage Vis
Vconfusing Vand Vincongruent. Vsome Vclinicians Vcall Vit Va Vmixed Vmessage. Vit Vis Vinaccurate
Vto Vsay Vthat Vthe Vpatient Vis Vgiving Vpositive Vfeedback Vabout Vthe Vnurses Vcommunication
Vtechniques. Vthe Vconcept Vof Va Vcultural Vfilter Vis Vnot Vrelevant Vto Vthe Vsituation Vbecause
Va Vcultural Vfilter Vdetermines Vwhat Vwe Vwill Vpay
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Attention Vto Vand Vwhat Vwe Vwill Vignore. Vdata Vare Vinsufficient Vto Vdraw Vthe Vconclusion
Vthat Vthe Vpatient Vis Vdemonstrating Vpsychotic Vbehaviors.
PTS: V1 Vdif: Vcognitive Vlevel: Vapply V(Application)
Vref: Vmcs V150-151 Vtop: Vnursing Vprocess:
Vassessment Vmsc: Vclient Vneeds: Vpsychosocial
Vintegrity
9. While Vtalking Vwith Va Vpatient Vdiagnosed Vwith Vmajor Vdepression, Va Vnurse Vnotices
Vthe Vpatient Vis Vunable Vto Vmaintain Veye Vcontact. Vthe Vpatients Vchin Vlowers Vto Vthe
Vchest, Vwhile Vthe Vpatient Vlooks Vat Vthe Vfloor. Vwhich Vaspect Vof Vcommunication Vhas
Vthe Vnurse Vassessed?
a. Nonverbal Vcommunication C. V A Vcultural Vbarrier
b. A Vmessage Vfilter D. V Social Vskills
ANSWER: Va
Eye Vcontact Vand Vbody Vmovements Vare Vconsidered Vnonverbal Vcommunication. Vthere Vare
Vinsufficient Vdata Vto Vdetermine Vthe Vlevel Vof Vthe Vpatients Vsocial Vskills Vor Vwhether Va Vcultural
Vbarrier Vexists.
PTS: V1 Vdif: Vcognitive Vlevel: Vunderstand
V(Comprehension) Vref: Vmcs V150-152 Vtop: Vnursing
Vprocess: Vassessment Vmsc: Vclient Vneeds: Vpsychosocial
Vintegrity
10. During Vthe Vfirst Vinterview Vwith Va Vparent Vwhose Vchild Vdied Vin Va Vcar
Vaccident, Vthe Vnurse Vfeels Vempathic Vand Vreaches Vout Vto Vtake Vthe Vpatients Vhand.
Vselect Vthe Vcorrect Vanalysis Vof Vthe Vnurses Vbehavior.
a. It Vshows Vempathyvand Vcompassion. Vit Vwill Vencourage Vthe Vpatient
Vto Vcontinue Vto Vexpress Vfeelings.
b. The Vgesture Vis Vpremature. Vthe Vpatients Vcultural Vand
Vindividual Vinterpretation Vof Vtouch Vis Vunknown.
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c. The Vpatient Vwill Vperceive Vthe Vgesture Vas Vintrusive Vand Voverstepping Vboundaries.
d. The Vaction Vis Vinappropriate. Vpsychiatric Vpatients Vshould Vnot Vbe Vtouched.
ANSWER: Vb
Touch Vhas Vvarious Vcultural Vand Vindividual Vinterpretations. Vnurses Vshould Vrefrain Vfrom
Vusing Vtouch Vuntil Van Vassessment Vcan Vbe Vmade Vregarding Vthe Vway Vin Vwhich Vthe
Vpatient Vwill Vperceive Vtouch. Vthe Vother Voptions Vpresent Vprematurely Vdrawn
Vconclusions.
PTS: V1 Vdif: Vcognitive Vlevel: Vunderstand V(Comprehension) REF:
Vmcs V150 V(Dm V9-1) V| Vmcs V158-159 Vtop: Vnursing Vprocess:
Vevaluation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
11. During Va Vone-On-One Vinteraction Vwith Vthe Vnurse, Va Vpatient Vfrequently Vlooks
Vnervously Vat Vthe Vdoor. Vselect Vthe Vbest Vcomment Vby Vthe Vnurse Vregarding Vthis
Vnonverbal Vcommunication.
a. I Vnotice Vyou Vkeep Vlooking Vtoward Vthe Vdoor.
b. This Vis Vour Vtime Vtogether. Vno Vone Vis Vgoing Vto Vinterrupt Vus.
c. It Vlooks Vas Vif Vyou Vare Veager Vto Vend Vour Vdiscussion Vfor Vtoday.
d. If Vyou Vare Vuncomfortable Vin Vthis Vroom, Vwe Vcan Vmove Vsomeplace Velse.
ANSWER: Va
Making Vobservations Vand Vencouraging Vthe Vpatient Vto Vdescribe Vperceptions Vare Vuseful
Vtherapeutic Vcommunication Vtechniques Vfor Vthis Vsituation. Vthe Vother Vresponses Vare
Vassumptions Vmade Vby Vthe Vnurse.
PTS: V1 Vdif: Vcognitive Vlevel: Vapplyv(Application)
REF: Vmcs V153-154 V(Dm V9-2) Vtop: Vnursing Vprocess: Vimplementation
Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
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12. A Vblack Vpatient Vsays Vto Va Vwhite Vnurse, Vtheres Vno Vsense Vtalking. Vyou
Vwouldnt Vunderstand Vbecause Vyou Vlive Vin Va Vwhite Vworld. Vthe Vnurses Vbest
Vaction Vwould Vbe Vto:
a. Explain, Vyes, Vi Vdo Vunderstand. Veveryone Vgoes Vthrough Vthe Vsame Vexperiences.
b. Say, Vplease Vgive Van Vexample Vof Vsomething Vyou Vthink Vi Vwouldnt Vunderstand.
c. Reassure Vthe Vpatient Vthat Vnurses Vinteract Vwith Vpeople Vfrom Vall Vcultures.
d. Change Vthe Vsubject Vto Vone Vthat Vis Vless Vemotionallyvdisturbing.
ANSWER: Vb
Having Vthe Vpatient Vspeak Vin Vspecifics Vrather Vthan Vglobally Vwill Vhelp Vthe Vnurse
Vunderstand Vthe Vpatients Vperspective. Vthis Vapproach Vwill Vhelp Vthe Vnurse Vengage
Vthe Vpatient. Vreassurance Vand Vchanging Vthe Vsubject Vare Vnot Vtherapeutic
Vtechniques.
PTS: V1 Vdif: Vcognitive Vlevel: Vapply
V(Application) Vref: Vmcs V154 V(Dm V9-2) V|
Vmcs V158-159
TOP: Vnursing Vprocess: Vimplementation Vmsc: Vclient Vneeds: Vpsychosocial Vintegrity
13. A Vfilipino Vamerican Vpatient Vhad Va Vnursing Vdiagnosis Vof Vsituational Vlow Vself-
Esteem Vrelated Vto Vpoor Vsocial Vskills Vas Vevidenced Vby Vlack Vof Veye Vcontact.
Vinterventions Vwere Vused Vto Vraise Vthe Vpatients Vself-Esteem, Vbut Vafter V3 Vweeks, Vthe
Vpatients Veye Vcontact Vdid Vnot Vimprove. Vwhat Vis Vthe Vmost Vaccurate Vanalysis Vof
Vthis Vscenario?
a. The Vpatients Veye Vcontact Vshould Vhave Vbeen Vdirectly Vaddressed Vby
Vrole- Playing Vto Vincrease Vcomfort Vwith Veye Vcontact.
b. The Vnurse Vshould Vnot Vhave Vindependentlyvembarked Von
Vassessment, Vdiagnosis, Vand Vplanning Vfor Vthis Vpatient.
c. The Vpatients Vpoor Veye Vcontact Vis Vindicative Vof Vanger Vand
Vhostility Vthat Vwere Vunaddressed.
d. The Vnurse Vshould Vhave Vassessed Vthe Vpatients Vculture Vbefore Vmaking
Vthis Vdiagnosis Vand Vplan.
ANSWER: Vd
