Primary Care Psychiatry 2nd Edition All Chaptera 1 –
26|Questions and Answers 100% Verified with
Rationals|Newest Update 2025
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1. A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient
says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will
facilitate communication? Select all that apply.
a. "Why do you think you are so upset?"
b. "I can see that you feel sad about this situation."
c. "The loss of your parent is very painful for you."
d. "Crying is a way of expressing the hurt you're experiencing."
e. "Let's talk about something else because this subject is upsetting you.
ANS: B, C, D
Reflecting ("I can see that you feel sad" or "This is very painful for you") and giving information
("Crying is a way of expressing hurt") are therapeutic techniques. "Why" questions often imply
criticism or seem intrusive or judgmental, and they are difficult to answer. Changing the subject
is a barrier to communication.
2. Which benefits are most associated with the use of telehealth? Select all that apply.
a. Cost savings for patients
b. Maximization of care management
c. Access to services for patients in rural areas
d. Prompt reimbursement by third-party payers
e. Rapid development of trusting relationships with patients
ANS: A, B, C
Use of telehealth technologies has shown that it can maximize health and improve disease
management skills and confidence with the disease process. Many rural patients have felt
disconnected from services; telehealth technologies can solve these problems. Although
telehealth's improved health outcomes regularly show cost savings for payers, one significant
barrier is the current lack of reimbursement for remote patient monitoring by third-party
payers. Telehealth is not associated with rapid development of trusting relationships.
According to the DSM-V, which statement made by an adult client supports the criteria for generalized
anxiety disorder? Select all that apply
A) I've been really anxious for at least 2 years now.
B) My anxiety has to be genetic; my mom was a terrible worrier too.
C) My marriage is in trouble because I'm always so irritable.
,D) I've had a good physical and my health care provider says I'm in good health.
E) Its hard falling asleep and even harder staying asleep; I'm restless all night.
A, B, C, E
Resilience is characteristic of mental health that allows people to adapt to tragedies, trauma, and loss.
Which client behavior demonstrates this characteristic?
A) "My mother made decisions about my husband's funeral when I just couldn't do that."
B) "Losing my job was hard but my skills will help me get another one."
C) "In spite of all the treatment, I know I'll never be really healthy."
D) "My kids, happiness is worth any sacrifice I have to make."
B
Resilience is a characteristic that helps individuals cope with loss and trauma that may occur in
life. Dependence is described as relying on others for decision making and care. Pessimism is a
life philosophy that things are more likely to go wrong than right. Altruism is described as
putting others before yourself
A nurse, active in local consumer mental health groups and in local and state mental health
associations, keeps aware of state and national legislation affecting mental illness treatment. How can
this nurse positively affect the climate for effective, mental health treatment?
A) "By becoming active in politics leading to a potential political career."
B) "By educating the public on the effects that stigmatizing has on mental health client
C) "Advocating for laws that would make the involuntary long-term commitment process easier and
faster for caregivers of mentally ill persons."
D) "Advocating for reduced mental health insurance benefits to discourage abuse of the system by
inappropriate psychiatric admissions."
B
Nurses who are aware of legislative concerns and who are active in organizations that promote
mental health awareness and appropriate and equal treatment for mental illness help achieve
the goal of parity, or equality of treatment for mentally ill individuals. Becoming active in politics
, may be a personal goal but does not directly or necessarily reduce stigma or encourage
treatment equality. The other options are undesirable outcomes.
A new nurse has accepted a position as staff nurse on a psychiatric unit. Which statement made by
the new nurse requires additional instructions regarding the therapies provided on the unit
A) "You will participate in unit activities and groups daily."
B) "You will be given a schedule daily of the groups we would like you to attend."
C) "You will attend a psychotherapy group that I lead that will help you care for yourself."
D) "You will see your provider daily in a one-to-one session."
C
Basic level RNs cannot perform psychotherapy. The other options are all appropriate
expectations of a patient's schedule on a psychiatric unit.
A 29-year-old patient has been admitted following a suicide attempt. Which nursing statement
illustrates the concept of patient advocacy?
A) "Dr. Raye, I notice you ordered fluoxetine for this patient. During the admission interview, the
client stated they will refuse the medication because of adverse effects they experienced previously."
B) "Dr. Raye, during the admissions interview the patient stated that there is a family history of three
other suicide attempts in the past."
C) "I'd like you tell me more about your depression and your suicide attempt?"
D) "I will take you on a tour of the unit and orient you to the rules so you can get adjusted here."
A
By letting the provider know that the patient does not want the treatment the provider is
prescribing, you have advocated for the patient and her right to make decisions regarding her
treatment. The other selections do not describe patient advocacy since they do not represent
actions by the nurse that the patient is incapable of on their own.
What term is used to identify the quantitative study of the distribution of mental disorders in human
populations?
A) mortality
B) prevalence
C) epidemiology
, D) clinical epidemiology
C
Epidemiology is the quantitative study of the distribution of mental disorders in human
populations. Mortality refers to deaths. Prevalence refers to the proportion of a population with
a mental disorder at a given time. Clinical epidemiology deals with what happens to people with
illnesses who are seen by providers of care
A nurse's identification badge includes the term, "Psychiatric Mental Health Nurse." A client with a
history of paranoia asks, "What does that title mean?" Keeping in mind the diagnosis of the patient,
how should the nurse respond to this question?
A) "Don't be afraid; it means I'm here to help, not hurt, you."
B) "Psychiatric mental health nurses care for people with mental illnesses."
C) "We have the specialized skills needed to care for those with mental illnesses."
D) "The nurses who work in mental health facilities have that title."
C
A psychiatric mental health nurse has specialized nursing skills and implements the nursing
process to manage and deliver nursing care to the mentally ill. The remaining options either do
not effectively answer the client's question or assume that the question is the result of the
client's paranoia.
A nursing diagnosis for a client with a psychiatric disorder serves what purpose with considering the
plan of care?
A) Justifying the use of certain psychotropic medication.
B) Providing data essential for insurance reimbursement.
C) Establishing a framework for selecting appropriate interventions.
D) Completing the medical diagnostic statement.
C
Nursing diagnoses provide the framework for identifying appropriate nursing interventions for
dealing with the phenomena a client with a mental health disorder is experiencing. While the
nursing diagnosis may contribute to the other options, none describe the purpose of the nursing
diagnosis.
26|Questions and Answers 100% Verified with
Rationals|Newest Update 2025
_____________________________________________________________________________________
1. A patient cries as the nurse explores the patient's relationship with a deceased parent. The patient
says, "I shouldn't be crying like this. It happened a long time ago." Which responses by the nurse will
facilitate communication? Select all that apply.
a. "Why do you think you are so upset?"
b. "I can see that you feel sad about this situation."
c. "The loss of your parent is very painful for you."
d. "Crying is a way of expressing the hurt you're experiencing."
e. "Let's talk about something else because this subject is upsetting you.
ANS: B, C, D
Reflecting ("I can see that you feel sad" or "This is very painful for you") and giving information
("Crying is a way of expressing hurt") are therapeutic techniques. "Why" questions often imply
criticism or seem intrusive or judgmental, and they are difficult to answer. Changing the subject
is a barrier to communication.
2. Which benefits are most associated with the use of telehealth? Select all that apply.
a. Cost savings for patients
b. Maximization of care management
c. Access to services for patients in rural areas
d. Prompt reimbursement by third-party payers
e. Rapid development of trusting relationships with patients
ANS: A, B, C
Use of telehealth technologies has shown that it can maximize health and improve disease
management skills and confidence with the disease process. Many rural patients have felt
disconnected from services; telehealth technologies can solve these problems. Although
telehealth's improved health outcomes regularly show cost savings for payers, one significant
barrier is the current lack of reimbursement for remote patient monitoring by third-party
payers. Telehealth is not associated with rapid development of trusting relationships.
According to the DSM-V, which statement made by an adult client supports the criteria for generalized
anxiety disorder? Select all that apply
A) I've been really anxious for at least 2 years now.
B) My anxiety has to be genetic; my mom was a terrible worrier too.
C) My marriage is in trouble because I'm always so irritable.
,D) I've had a good physical and my health care provider says I'm in good health.
E) Its hard falling asleep and even harder staying asleep; I'm restless all night.
A, B, C, E
Resilience is characteristic of mental health that allows people to adapt to tragedies, trauma, and loss.
Which client behavior demonstrates this characteristic?
A) "My mother made decisions about my husband's funeral when I just couldn't do that."
B) "Losing my job was hard but my skills will help me get another one."
C) "In spite of all the treatment, I know I'll never be really healthy."
D) "My kids, happiness is worth any sacrifice I have to make."
B
Resilience is a characteristic that helps individuals cope with loss and trauma that may occur in
life. Dependence is described as relying on others for decision making and care. Pessimism is a
life philosophy that things are more likely to go wrong than right. Altruism is described as
putting others before yourself
A nurse, active in local consumer mental health groups and in local and state mental health
associations, keeps aware of state and national legislation affecting mental illness treatment. How can
this nurse positively affect the climate for effective, mental health treatment?
A) "By becoming active in politics leading to a potential political career."
B) "By educating the public on the effects that stigmatizing has on mental health client
C) "Advocating for laws that would make the involuntary long-term commitment process easier and
faster for caregivers of mentally ill persons."
D) "Advocating for reduced mental health insurance benefits to discourage abuse of the system by
inappropriate psychiatric admissions."
B
Nurses who are aware of legislative concerns and who are active in organizations that promote
mental health awareness and appropriate and equal treatment for mental illness help achieve
the goal of parity, or equality of treatment for mentally ill individuals. Becoming active in politics
, may be a personal goal but does not directly or necessarily reduce stigma or encourage
treatment equality. The other options are undesirable outcomes.
A new nurse has accepted a position as staff nurse on a psychiatric unit. Which statement made by
the new nurse requires additional instructions regarding the therapies provided on the unit
A) "You will participate in unit activities and groups daily."
B) "You will be given a schedule daily of the groups we would like you to attend."
C) "You will attend a psychotherapy group that I lead that will help you care for yourself."
D) "You will see your provider daily in a one-to-one session."
C
Basic level RNs cannot perform psychotherapy. The other options are all appropriate
expectations of a patient's schedule on a psychiatric unit.
A 29-year-old patient has been admitted following a suicide attempt. Which nursing statement
illustrates the concept of patient advocacy?
A) "Dr. Raye, I notice you ordered fluoxetine for this patient. During the admission interview, the
client stated they will refuse the medication because of adverse effects they experienced previously."
B) "Dr. Raye, during the admissions interview the patient stated that there is a family history of three
other suicide attempts in the past."
C) "I'd like you tell me more about your depression and your suicide attempt?"
D) "I will take you on a tour of the unit and orient you to the rules so you can get adjusted here."
A
By letting the provider know that the patient does not want the treatment the provider is
prescribing, you have advocated for the patient and her right to make decisions regarding her
treatment. The other selections do not describe patient advocacy since they do not represent
actions by the nurse that the patient is incapable of on their own.
What term is used to identify the quantitative study of the distribution of mental disorders in human
populations?
A) mortality
B) prevalence
C) epidemiology
, D) clinical epidemiology
C
Epidemiology is the quantitative study of the distribution of mental disorders in human
populations. Mortality refers to deaths. Prevalence refers to the proportion of a population with
a mental disorder at a given time. Clinical epidemiology deals with what happens to people with
illnesses who are seen by providers of care
A nurse's identification badge includes the term, "Psychiatric Mental Health Nurse." A client with a
history of paranoia asks, "What does that title mean?" Keeping in mind the diagnosis of the patient,
how should the nurse respond to this question?
A) "Don't be afraid; it means I'm here to help, not hurt, you."
B) "Psychiatric mental health nurses care for people with mental illnesses."
C) "We have the specialized skills needed to care for those with mental illnesses."
D) "The nurses who work in mental health facilities have that title."
C
A psychiatric mental health nurse has specialized nursing skills and implements the nursing
process to manage and deliver nursing care to the mentally ill. The remaining options either do
not effectively answer the client's question or assume that the question is the result of the
client's paranoia.
A nursing diagnosis for a client with a psychiatric disorder serves what purpose with considering the
plan of care?
A) Justifying the use of certain psychotropic medication.
B) Providing data essential for insurance reimbursement.
C) Establishing a framework for selecting appropriate interventions.
D) Completing the medical diagnostic statement.
C
Nursing diagnoses provide the framework for identifying appropriate nursing interventions for
dealing with the phenomena a client with a mental health disorder is experiencing. While the
nursing diagnosis may contribute to the other options, none describe the purpose of the nursing
diagnosis.
