Primary care psychiatry 2nd edition mccarron xiong test bank.pdf

Stuvia.com7
9-




TestBankForPrimaryCarePsychiatry 7 9 7




9 2ndEditionbyMcCarron,Xiong Chapte
79




r1-26

, Stuvia.com7
9-



Primary79Care79Psychiatry792nd79Edition79McCarron79Xiong79Test79Bank
Table79of79Contents:
Chapter791.79The79Primary79Care79Psychiatric79Interview
Chapter792.79Primary79Care79and79Psychiatry:79An79Overview79of79the79Collaborative79Care79Model
Chapter793.79Preventive79Medicine79and79Behavioral79 Health
Chapter794.79The79Patient79and79You:79Psychological79and79Cultural79Consideration
Chapter795.79Anxiety79Disorders
Chapter796.79Obsessive–Compulsive79and79Related79Disorders
Chapter 797.79Trauma-Related79Disorders
Chapter798.79Mood79Disorders—Depression
Chapter799.79Treatment-Resistant79Depression
Chapter7910.79Psychiatric79Disorders:79Bipolar79and79Related79Disorders
Chapter7911.79Psychotic79Disorders
Chapter7912.79Neurocognitive79Disorders
Chapter7913.79Substance79Use79Disorders—Alcohol
Chapter7914.79Substance79Use79Disorders—Illicit79and79Prescription79Drugs
Chapter7915.79Personality79Disorders
Chapter7916.79Cognitive79Behavioral79Therapy
Chapter7917.79Supportive79Psychotherapy 79in79Primary79Care
Chapter7918.79Motivational79Interviewing
Chapter7919.LFundamentals79ofLPsychopharmacology
Chapter7920.79GeriatricLBehavioral79Health
Chapter7921.79Child79and79Adolescent79 Behavioral79Health
Chapter7922.79Suicide79and79ViolenceLRisk79Assessment
Chapter7923.79SomaticLSymptom79and79Related79Disorders
Chapter7924.79Insomnia
Chapter7925.79Sexual79Dysfunction
Chapter7926.LEating79Disorders

, Stuvia.com7
9-



Chapter791:79The79Primary79Care79Psychiatric79Interview
Primary79Care79Psychiatry792nd79Edition79McCarron79Xiong79Test79Bank

MULTIPLE79CHOICE

1. A79patientLsays79to79the79nurse,79I79dreamed79I79wasLstoned.79When79I79woke79up,79I79feltLemoti
onally79drain79ed,79as79though79I79hadnt79rested79well.79Which79response79should79the79nurse79useLt
o79clarify79the79patients79co79mment?

a. It79soundsLas79though79you79were79uncomfortable79with79the79content79of79your79dream.
b. I79understand79what79 youre79saying.79Bad79dreamsLleave79me79feeling79tired,79too.
c. So79you79feel79as79though79you79did79not79get79enough79quality79sleep79last79night?
d. Can79you79giveLme79an79example79of79what79you79mean79by79stoned?


ANSWER:LD

TheLtechnique79of79clarification79is79therapeuticLand79helpsLthe79nurse79examine79the79meaning79of79the79
patientsLst79atement.79Asking79for79a79definition79of79stoned79directly79asks79for79clarification.79Restating79t
hat79the79patient79isLun79comfortableLwith79the79dreamsLcontent79isLparroting,79a79non-
therapeuticLtechnique.
The79other79responses79fail79to79clarify79the79meaning79of79the79patients79commen

t.79PTS:79179DIF:79Cognitive79Level:79Apply79(Application)

REF:79mcsL15479(dm799-

2)79TOP:79Nursing79Process:79Implementation79MSC:79Client79Needs:79P

sych79osocial79Integrity

2. ALpatient79diagnosed79with79schizophrenia79tells79the79nurse,LThe79CIA79is79monitoring79us79through79t
he79fluores79cent79lightsLin79this79room.79Be79careful79what79you79say.79Which79response79by79the79nurse79
would79be79most79therape79utic?

a. Lets79talk79about79something79other79than79the79CIA.
b. It79soundsLlike79youre79concerned79about79your79privacy.

, Stuvia.com7
9-




c. The79CIALis79prohibited79from79operating79in79health79care79facilities.
d. You79have79lost79touch79with79reality,79which79is79a79symptom79of79your79illness.

ANSWER:LB

It79isLimportant79notLtoLchallenge79the79patients79beliefs,79even79ifLthey79are79unrealistic.79Challenging79un
dermine7 9 s79the79patients79trust79in79the79nurse.79The79nurse79should79try79to79understand79the79underlying79
feelingsLor79thoughts79th79e79patientsLmessageLconveys.79The79correct79response79uses79the79therapeutic79
technique79of79reflection.79The79oth79er79comments79are79non-
therapeutic.79Asking79to79talkLabout79something79other79than79the79concern79at79hand79is79changing79the79s
ubject.79Say79ing79that79the79CIA79is79prohibited79from79operating79in79health79care79facilities79givesLfalse79r
eassurance.79Stating79t79hat79the79patient79has79lost79touch79with79reality79is79truthful,79but79uncompassion
ate.

PTS:79179DIF:79Cognitive79Level:79Apply79(Application

)79REF:79mcsL15479(dm799-

2)79TOP:79Nursing79Process:79Implementation79MSC:79Client79Needs:79

Psych79osocial79Integrity

3. TheLpatient79says,79My79marriage79is79just79great.79My79spouse79and79I79always79agree.79The79nurse79o
bserves79the79patientsLfoot79moving79continuously79as79theLpatient79twirlsLa79shirt79button.79The79conclusio
n79the79nurse79can79draw79is79that79the79patients79communication79is:

a. clear. c.79 precise.
b. mixed. d.79 inadequate.

ANSWER:LB

Mixed79messages79involve79the79transmission79of79conflicting79or79incongruent79messages79by79the79speak
er.79TheLp79atients79verbal79message79that79all79was79well79in79the79relationship79wasLmodified79by79the79n
onverbal79behaviors79denoting79anxiety.79Data79are79notLpresentLto79support79the79choice79of79the79verbal
79 message79being79clear,79expli79cit,79or79inadequate.

PTS:79179DIF:79Cognitive79Level:79Understand79(Comprehension)79REF:

79 mcsL7 9 150-15179TOP:79Nursing79Process:79Assessment