TESTBANK .
PRIMARYCAREPSYC . .
HIATRY
2nd Edition McC
. .
arronXiong .
TESTBANK .
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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
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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.draine
d,.as.though.I.hadnt.rested.well..Which.response.should.the.nurse.use.to.clarify.the.patients.co
mment?
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?
ANS:.D
The.technique.of.clarification.is.therapeutic.and.helps.the.nurse.examine.the.meaning.of.the.patients.st
atement..Asking.for.a.definition.of.stoned.directly.asks.for.clarification..Restating.that.the.patient.is.un
comfortable.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:.Ps
ychosocial.Integrity
2. A.patient.diagnosed.with.schizophrenia.tells.the.nurse,.The.CIA.is.monitoring.us.through.the.fluor
escent.lights.in.this.room..Be.careful.what.you.say..Which.response.by.the.nurse.would.be.most.thera
peutic?
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.
ANS:.B
It.is.important.not.to.challenge.the.patients.beliefs,.even.if.they.are.unrealistic..Challenging.undermin
es.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.o
ther.comments.are.non-
therapeutic..Asking.to.talk.about.something.other.than.the.concern.at.hand.is.changing.the.subject..Say
ing.that.the.CIA.is.prohibited.from.operating.in.health.care.facilities.gives.false.reassurance..Stating.th
at.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:.Ps
ychosocial.Integrity
3. The.patient.says,.My.marriage.is.just.great..My.spouse.and.I.always.agree..The.nurse.observes.the.pa
tients.foot.moving.continuously.as.the.patient.twirls.a.shirt.button..The.conclusion.the.nurse.can.draw.i
s.that.the.patients.communication.is:
a. clear. c.. precise.
b. mixed. d.. inadequate.
ANS:.B
Mixed.messages.involve.the.transmission.of.conflicting.or.incongruent.messages.by.the.speaker..The.
patients.verbal.message.that.all.was.well.in.the.relationship.was.modified.by.the.nonverbal.behaviors.
denoting.anxiety..Data.are.not.present.to.support.the.choice.of.the.verbal.message.being.clear,.explicit,
. or.inadequate.
PTS:.1.DIF:.Cognitive.Level:.Understand.(Comprehension).REF:.
mcs.150-151.TOP:.Nursing.Process:.Assessment