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Test Bank For Primary Care Psychiatry
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2nd Edition by Robert McCarron, Glen Xiong Chapt
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er 1 - 26
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gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
PrimarygCaregPsychiatryg2ndgEditiongMcCarrongXionggTestgBank
TablegofgContents:
Chapterg1.gThegPrimarygCaregPsychiatricgInterview
Chapterg2.gPrimarygCaregandgPsychiatry:gAngOverviewgofgthegCollaborativegCaregModel
Chapterg3.gPreventivegMedicinegandgBehavioralgHealth
Chapterg4.gThegPatientgandgYou:gPsychologicalgandgCulturalgConsideration
Chapterg5.gAnxietygDisorders
Chapterg6.gObsessive–CompulsivegandgRelatedgDisorders
Chapterg7.gTrauma-RelatedgDisorders
Chapterg8.gMoodgDisorders—Depression
Chapterg9.gTreatment-ResistantgDepression
Chapterg10.gPsychiatricgDisorders:gBipolargandgRelatedgDisorders
Chapterg11.gPsychoticgDisorders
Chapterg12.gNeurocognitivegDisorders
Chapterg13.gSubstancegUsegDisorders—Alcohol
Chapterg14.gSubstancegUsegDisorders—IllicitgandgPrescriptiongDrugs
Chapterg15.gPersonalitygDisorders
Chapterg16.gCognitivegBehavioralgTherapy
Chapterg17.gSupportivegPsychotherapygingPrimarygCare
Chapterg18.gMotivationalgInterviewing
Chapterg19.gFundamentalsgofgPsychopharmacology
Chapterg20.gGeriatricgBehavioralgHealth
Chapterg21.gChildgandgAdolescentgBehavioralgHealth
Chapterg22.gSuicidegandgViolencegRiskgAssessment
Chapterg23.gSomaticgSymptomgandgRelatedgDisorders
Chapterg24.gInsomnia
Chapterg25.gSexualgDysfunction
Chapterg26.gEatinggDisorders
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Chapter 1: The Primary Care Psychiatric Interview
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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MULTIPLEgCHOICE
1. Agpatientgsaysgtogthegnurse,gIgdreamedgIgwasgstoned.gWhengIgwokegup,gIgfeltgemotionallyg
drained,gasgthoughgIghadntgrestedgwell.gWhichgresponsegshouldgthegnursegusegtogclarifygth
egpatientsgcomment?
a. Itgsoundsgasgthoughgyougwereguncomfortablegwithgthegcontentgofgyourgdream.
b. Igunderstandgwhatgyouregsaying.gBadgdreamsgleavegmegfeelinggtired,gtoo.
c. Sogyougfeelgasgthoughgyougdidgnotggetgenoughgqualitygsleepglastgnight?
d. Cangyouggivegmegangexamplegofgwhatgyougmeangbygstoned?
ANSWER:gD
Thegtechniquegofgclarificationgisgtherapeuticgandghelpsgthegnursegexaminegthegmeaninggofgthegpat
ientsgstatement.gAskinggforgagdefinitiongofgstonedgdirectlygasksgforgclarification.gRestatinggthatgthe
g patientgisguncomfortablegwithgthegdreamsgcontentgisgparroting,gagnon-therapeuticgtechnique.
Thegothergresponsesgfailgtogclarifygthegmeaninggofgthegpatientsgcomment.g
PTS:g1gDIF:gCognitivegLevel:gApplyg(Application)
REF:gmcsg154g(dmg9-
2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:gPs
ychosocialgIntegrity
2. Agpatientgdiagnosedgwithgschizophreniagtellsgthegnurse,gThegCIAgisgmonitoringgusgthroughgtheg
fluorescentglightsgingthisgroom.gBegcarefulgwhatgyougsay.gWhichgresponsegbygthegnursegwouldgbeg
mostgtherapeutic?
a. LetsgtalkgaboutgsomethinggothergthangthegCIA.
b. Itgsoundsglikegyouregconcernedgaboutgyourgprivacy.
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c. ThegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilities.
d. Youghaveglostgtouchgwithgreality,gwhichgisgagsymptomgofgyourgillness.
ANSWER:gB
Itgisgimportantgnotgtogchallengegthegpatientsgbeliefs,gevengifgtheygaregunrealistic.gChallenginggund
erminesgthegpatientsgtrustgingthegnurse.gThegnursegshouldgtrygtogunderstandgthegunderlyinggfeelin
gsgorgthoughtsgthegpatientsgmessagegconveys.gThegcorrectgresponsegusesgthegtherapeuticgtechniq
uegofgreflection.gThegothergcommentsgaregnon-
therapeutic.gAskinggtogtalkgaboutgsomethinggothergthangthegconcerngatghandgisgchanginggthegsubj
ect.gSayinggthatgthegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilitiesggivesgfalsegreassuran
ce.gStatinggthatgthegpatientghasglostgtouchgwithgrealitygisgtruthful,gbutguncompassionate.
PTS:g1gDIF:gCognitivegLevel:gApplyg(Application)
REF:gmcsg154g(dmg9-
2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:gPs
ychosocialgIntegrity
3. Thegpatientgsays,gMygmarriagegisgjustggreat.gMygspousegandgIgalwaysgagree.gThegnursegobservesg
thegpatientsgfootgmovinggcontinuouslygasgthegpatientgtwirlsgagshirtgbutton.gThegconclusiongthegnur
segcangdrawgisgthatgthegpatientsgcommunicationgis:
a. clear. c.g precise.
b. mixed. d.g inadequate.
ANSWER:gB
Mixedgmessagesginvolvegthegtransmissiongofgconflictinggorgincongruentgmessagesgbygthegspeaker.g
Thegpatientsgverbalgmessagegthatgallgwasgwellgingthegrelationshipgwasgmodifiedgbygthegnonverbalg
behaviorsgdenotingganxiety.gDatagaregnotgpresentgtogsupportgthegchoicegofgthegverbalgmessagegbe
inggclear,gexplicit,gorginadequate.
PTS:g1gDIF:gCognitivegLevel:gUnderstandg(Comprehension)gREF:g
mcsg150-151gTOP:gNursinggProcess:gAssessment