Stuvia.com3-
3The3Marketplace3to3Buy3and3Sell3your3Study3Material
TESTBANK
PRIMARY
CARE PSYCHIATRY
3
2nd Edition McC
3 3
arron Xiong 3
TESTBANK
, Stuvia.com3-
3The3Marketplace3to3Buy3and3Sell3your3Study3Material
Primary3Care3Psychiatry32nd3Edition3McCarron3Xiong3Test3Bank
Table3of3Contents:
Chapter31.3The3Primary3Care3Psychiatric3Interview
Chapter32.3Primary3Care3and3Psychiatry:3An3Overview3of3the3Collaborative3Care3Model
Chapter33.3Preventive3Medicine3and3Behavioral3Health
Chapter34.3The3Patient3and3You:3Psychological3and3Cultural3Consideration
Chapter35.3Anxiety3Disorders
Chapter36.3Obsessive–Compulsive3and3Related3Disorders
Chapter37.3Trauma-Related3Disorders
Chapter38.3Mood3Disorders—Depression
Chapter39.3Treatment-Resistant3Depression
Chapter310.3Psychiatric3Disorders:3Bipolar3and3Related3Disorders
Chapter311.3Psychotic3Disorders
Chapter312.3Neurocognitive3Disorders
Chapter313.3Substance3Use3Disorders—Alcohol
Chapter314.3Substance3Use3Disorders—Illicit3and3Prescription3Drugs
Chapter315.3Personality3Disorders
Chapter316.3Cognitive3Behavioral3Therapy
Chapter317.3Supportive3Psychotherapy3in3Primary3Care
Chapter318.3Motivational3Interviewing
Chapter319.3Fundamentals3of3Psychopharmacology
Chapter320.3Geriatric3Behavioral3Health
Chapter321.3Child3and3Adolescent3Behavioral3Health
Chapter322.3Suicide3and3Violence3Risk3Assessment
Chapter323.3Somatic3Symptom3and3Related3Disorders
Chapter324.3Insomnia
Chapter325.3Sexual3Dysfunction
Chapter326.3Eating3Disorders
, Stuvia.com3-
3The3Marketplace3to3Buy3and3Sell3your3Study3Material
Chapter31:3The3Primary3Care3Psychiatric3Interview
Primary3Care3Psychiatry32nd3Edition3McCarron3Xiong3Test3Bank
MULTIPLE3CHOICE
1. A3patient3says3to3the3nurse,3I3dreamed3I3was3stoned.3When3I3woke3up,3I3felt3emotionall
y3drained,3as3though3I3hadnt3rested3well.3Which3response3should3the3nurse3use3to3clarify3
the3patients3comment?
a. It3sounds3as3though3you3were3uncomfortable3with3the3content3of3your3dream.
b. I3understand3what3youre3saying.3Bad3dreams3leave3me3feeling3tired,3too.
c. So3you3feel3as3though3you3did3not3get3enough3quality3sleep3last3night?
d. Can3you3give3me3an3example3of3what3you3mean3by3stoned?
ANS:3D
The3technique3of3clarification3is3therapeutic3and3helps3the3nurse3examine3the3meaning3of3the3pa
tients3statement.3Asking3for3a3definition3of3stoned3directly3asks3for3clarification.3Restating3that3t
he3patient3is3uncomfortable3with3the3dreams3content3is3parroting,3a3non-therapeutic3technique.
The3other3responses3fail3to3clarify3the3meaning3of3the3patients3comment.3
PTS:313DIF:3Cognitive3Level:3Apply3(Application)
REF:3mcs31543(dm39-
2)3TOP:3Nursing3Process:3Implementation3MSC:3Client3Needs:
3 Psychosocial3Integrity
2. A3patient3diagnosed3with3schizophrenia3tells3the3nurse,3The3CIA3is3monitoring3us3through3th
e3fluorescent3lights3in3this3room.3Be3careful3what3you3say.3Which3response3by3the3nurse3would
3 be3most3therapeutic?
a. Lets3talk3about3something3other3than3the3CIA.
b. It3sounds3like3youre3concerned3about3your3privacy.
, Stuvia.com3-
3The3Marketplace3to3Buy3and3Sell3your3Study3Material
c. The3CIA3is3prohibited3from3operating3in3health3care3facilities.
d. You3have3lost3touch3with3reality,3which3is3a3symptom3of3your3illness.
ANS:3B
It3is3important3not3to3challenge3the3patients3beliefs,3even3if3they3are3unrealistic.3Challenging3un
dermines3the3patients3trust3in3the3nurse.3The3nurse3should3try3to3understand3the3underlying3feeli
ngs3or3thoughts3the3patients3message3conveys.3The3correct3response3uses3the3therapeutic3techni
que3of3reflection.3The3other3comments3are3non-
therapeutic.3Asking3to3talk3about3something3other3than3the3concern3at3hand3is3changing3the3subj
ect.3Saying3that3the3CIA3is3prohibited3from3operating3in3health3care3facilities3gives3false3reassur
ance.3Stating3that3the3patient3has3lost3touch3with3reality3is3truthful,3but3uncompassionate.
PTS:313DIF:3Cognitive3Level:3Apply3(Application)
REF:3mcs31543(dm39-
2)3TOP:3Nursing3Process:3Implementation3MSC:3Client3Needs:
3 Psychosocial3Integrity
3. The3patient3says,3My3marriage3is3just3great.3My3spouse3and3I3always3agree.3The3nurse3observ
es3the3patients3foot3moving3continuously3as3the3patient3twirls3a3shirt3button.3The3conclusion3the3
nurse3can3draw3is3that3the3patients3communication3is:
a. clear. c.3 precise.
b. mixed. d.3 inadequate.
ANS:3B
Mixed3messages3involve3the3transmission3of3conflicting3or3incongruent3messages3by3the3speaker
.3The3patients3verbal3message3that3all3was3well3in3the3relationship3was3modified3by3the3nonverb
al3behaviors3denoting3anxiety.3Data3are3not3present3to3support3the3choice3of3the3verbal3message3
being3clear,3explicit,3or3inadequate.
PTS:313DIF: 3Cognitive3Level:3Understand3(Comprehension)3R
EF:3mcs3150-1513TOP:3Nursing3Process:3Assessment
3The3Marketplace3to3Buy3and3Sell3your3Study3Material
TESTBANK
PRIMARY
CARE PSYCHIATRY
3
2nd Edition McC
3 3
arron Xiong 3
TESTBANK
, Stuvia.com3-
3The3Marketplace3to3Buy3and3Sell3your3Study3Material
Primary3Care3Psychiatry32nd3Edition3McCarron3Xiong3Test3Bank
Table3of3Contents:
Chapter31.3The3Primary3Care3Psychiatric3Interview
Chapter32.3Primary3Care3and3Psychiatry:3An3Overview3of3the3Collaborative3Care3Model
Chapter33.3Preventive3Medicine3and3Behavioral3Health
Chapter34.3The3Patient3and3You:3Psychological3and3Cultural3Consideration
Chapter35.3Anxiety3Disorders
Chapter36.3Obsessive–Compulsive3and3Related3Disorders
Chapter37.3Trauma-Related3Disorders
Chapter38.3Mood3Disorders—Depression
Chapter39.3Treatment-Resistant3Depression
Chapter310.3Psychiatric3Disorders:3Bipolar3and3Related3Disorders
Chapter311.3Psychotic3Disorders
Chapter312.3Neurocognitive3Disorders
Chapter313.3Substance3Use3Disorders—Alcohol
Chapter314.3Substance3Use3Disorders—Illicit3and3Prescription3Drugs
Chapter315.3Personality3Disorders
Chapter316.3Cognitive3Behavioral3Therapy
Chapter317.3Supportive3Psychotherapy3in3Primary3Care
Chapter318.3Motivational3Interviewing
Chapter319.3Fundamentals3of3Psychopharmacology
Chapter320.3Geriatric3Behavioral3Health
Chapter321.3Child3and3Adolescent3Behavioral3Health
Chapter322.3Suicide3and3Violence3Risk3Assessment
Chapter323.3Somatic3Symptom3and3Related3Disorders
Chapter324.3Insomnia
Chapter325.3Sexual3Dysfunction
Chapter326.3Eating3Disorders
, Stuvia.com3-
3The3Marketplace3to3Buy3and3Sell3your3Study3Material
Chapter31:3The3Primary3Care3Psychiatric3Interview
Primary3Care3Psychiatry32nd3Edition3McCarron3Xiong3Test3Bank
MULTIPLE3CHOICE
1. A3patient3says3to3the3nurse,3I3dreamed3I3was3stoned.3When3I3woke3up,3I3felt3emotionall
y3drained,3as3though3I3hadnt3rested3well.3Which3response3should3the3nurse3use3to3clarify3
the3patients3comment?
a. It3sounds3as3though3you3were3uncomfortable3with3the3content3of3your3dream.
b. I3understand3what3youre3saying.3Bad3dreams3leave3me3feeling3tired,3too.
c. So3you3feel3as3though3you3did3not3get3enough3quality3sleep3last3night?
d. Can3you3give3me3an3example3of3what3you3mean3by3stoned?
ANS:3D
The3technique3of3clarification3is3therapeutic3and3helps3the3nurse3examine3the3meaning3of3the3pa
tients3statement.3Asking3for3a3definition3of3stoned3directly3asks3for3clarification.3Restating3that3t
he3patient3is3uncomfortable3with3the3dreams3content3is3parroting,3a3non-therapeutic3technique.
The3other3responses3fail3to3clarify3the3meaning3of3the3patients3comment.3
PTS:313DIF:3Cognitive3Level:3Apply3(Application)
REF:3mcs31543(dm39-
2)3TOP:3Nursing3Process:3Implementation3MSC:3Client3Needs:
3 Psychosocial3Integrity
2. A3patient3diagnosed3with3schizophrenia3tells3the3nurse,3The3CIA3is3monitoring3us3through3th
e3fluorescent3lights3in3this3room.3Be3careful3what3you3say.3Which3response3by3the3nurse3would
3 be3most3therapeutic?
a. Lets3talk3about3something3other3than3the3CIA.
b. It3sounds3like3youre3concerned3about3your3privacy.
, Stuvia.com3-
3The3Marketplace3to3Buy3and3Sell3your3Study3Material
c. The3CIA3is3prohibited3from3operating3in3health3care3facilities.
d. You3have3lost3touch3with3reality,3which3is3a3symptom3of3your3illness.
ANS:3B
It3is3important3not3to3challenge3the3patients3beliefs,3even3if3they3are3unrealistic.3Challenging3un
dermines3the3patients3trust3in3the3nurse.3The3nurse3should3try3to3understand3the3underlying3feeli
ngs3or3thoughts3the3patients3message3conveys.3The3correct3response3uses3the3therapeutic3techni
que3of3reflection.3The3other3comments3are3non-
therapeutic.3Asking3to3talk3about3something3other3than3the3concern3at3hand3is3changing3the3subj
ect.3Saying3that3the3CIA3is3prohibited3from3operating3in3health3care3facilities3gives3false3reassur
ance.3Stating3that3the3patient3has3lost3touch3with3reality3is3truthful,3but3uncompassionate.
PTS:313DIF:3Cognitive3Level:3Apply3(Application)
REF:3mcs31543(dm39-
2)3TOP:3Nursing3Process:3Implementation3MSC:3Client3Needs:
3 Psychosocial3Integrity
3. The3patient3says,3My3marriage3is3just3great.3My3spouse3and3I3always3agree.3The3nurse3observ
es3the3patients3foot3moving3continuously3as3the3patient3twirls3a3shirt3button.3The3conclusion3the3
nurse3can3draw3is3that3the3patients3communication3is:
a. clear. c.3 precise.
b. mixed. d.3 inadequate.
ANS:3B
Mixed3messages3involve3the3transmission3of3conflicting3or3incongruent3messages3by3the3speaker
.3The3patients3verbal3message3that3all3was3well3in3the3relationship3was3modified3by3the3nonverb
al3behaviors3denoting3anxiety.3Data3are3not3present3to3support3the3choice3of3the3verbal3message3
being3clear,3explicit,3or3inadequate.
PTS:313DIF: 3Cognitive3Level:3Understand3(Comprehension)3R
EF:3mcs3150-1513TOP:3Nursing3Process:3Assessment
