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Test Bank for Primary Care Psychiatry 2nd Edition
by Robert McCarron, Glen Xiong
All Chapters (1 – 26) |Q&As Verified with Rationales| Grade A+ Assured
ISBN 9781496349224
1
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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
2
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Chapter 1: The Primary Care Psychiatric Interview
Primary Care Psychiatry 2nd Edition McCarron Xiong
MULTIPLE CHOICE
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
drained, as though I hadnt rested well. Which response should the nurse use to clarify the patients
comment?
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?
CORRECT ANSWER: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
patients statement. Asking for a definition of stoned directly asks for clarification. Restating that the
patient is uncomfortable 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: Psychosocial
Integrity
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through
the fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
most therapeutic?
a. Lets talk about something other than the CIA.
b. It sounds like youre concerned about your privacy.
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.
CORRECT ANSWER: B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
undermines 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 other comments are non-therapeutic. Asking to talk about something
other than the concern at hand is changing the subject. Saying that the CIA is prohibited from
3
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operating in health care facilities gives false reassurance. Stating that 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: Psychosocial
Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse
observes the patients foot moving continuously as the patient twirls a shirt button. The conclusion
the nurse can draw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
CORRECT ANSWER: 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
MSC: Client Needs: Psychosocial Integrity
4. A nurse interacts with a newly hospitalized patient. Select the nurses comment that applies
the communication technique of offering self.
a. Ive also had traumatic life experiences. Maybe it would help if I told you about them.
b. Why do you think you had so much difficulty adjusting to this change in your life?
c. I hope you will feel better after getting accustomed to how this unit operates.
d. Id like to sit with you for a while to help you get comfortable talking to me.
CORRECT ANSWER: D
Offering self is a technique that should be used in the orientation phase of the nurse-patient
relationship. Sitting with the patient, an example of offering self, helps to build trust and convey
that the nurse cares about the patient. Two incorrect responses are ineffective and non-
therapeutic. The other incorrect response is therapeutic but is an example of offering hope.
4
Test Bank for Primary Care Psychiatry 2nd Edition
by Robert McCarron, Glen Xiong
All Chapters (1 – 26) |Q&As Verified with Rationales| Grade A+ Assured
ISBN 9781496349224
1
,THIS DOCUMENT BELONGS TO TESTBANKSPROF
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
2
,THIS DOCUMENT BELONGS TO TESTBANKSPROF
Chapter 1: The Primary Care Psychiatric Interview
Primary Care Psychiatry 2nd Edition McCarron Xiong
MULTIPLE CHOICE
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
drained, as though I hadnt rested well. Which response should the nurse use to clarify the patients
comment?
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?
CORRECT ANSWER: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
patients statement. Asking for a definition of stoned directly asks for clarification. Restating that the
patient is uncomfortable 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: Psychosocial
Integrity
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through
the fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
most therapeutic?
a. Lets talk about something other than the CIA.
b. It sounds like youre concerned about your privacy.
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.
CORRECT ANSWER: B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
undermines 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 other comments are non-therapeutic. Asking to talk about something
other than the concern at hand is changing the subject. Saying that the CIA is prohibited from
3
, THIS DOCUMENT BELONGS TO TESTBANKSPROF
operating in health care facilities gives false reassurance. Stating that 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: Psychosocial
Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse
observes the patients foot moving continuously as the patient twirls a shirt button. The conclusion
the nurse can draw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
CORRECT ANSWER: 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
MSC: Client Needs: Psychosocial Integrity
4. A nurse interacts with a newly hospitalized patient. Select the nurses comment that applies
the communication technique of offering self.
a. Ive also had traumatic life experiences. Maybe it would help if I told you about them.
b. Why do you think you had so much difficulty adjusting to this change in your life?
c. I hope you will feel better after getting accustomed to how this unit operates.
d. Id like to sit with you for a while to help you get comfortable talking to me.
CORRECT ANSWER: D
Offering self is a technique that should be used in the orientation phase of the nurse-patient
relationship. Sitting with the patient, an example of offering self, helps to build trust and convey
that the nurse cares about the patient. Two incorrect responses are ineffective and non-
therapeutic. The other incorrect response is therapeutic but is an example of offering hope.
4
