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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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
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Chapter 1: The Primary Care Psychiatric Interview
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
MULTIPLE CHOICE
1) A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emoti
onally drained, as though I hadnt rested well. Which response should the nurse use t
o 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?
ANSWER: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of th
e patients statement. Asking for a definition of stoned directly asks for clarification. Restati
ng 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 comme
nt. PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Nee
ds: Psychosocial Integrity
2.A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us throug
h the fluorescent lights in this room. Be careful what you say. Which response by the nur
se would be most therapeutic?
a. Lets talk about something other than the CIA.
b. It sounds like youre concerned about your privacy.
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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.
ANSWER: B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challengin
g undermines the patients trust in the nurse. The nurse should try to understand the underl
ying feelings or thoughts the patients message conveys. The correct response uses the thera
peutic 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 operating in health care facilities gives fals
e reassurance. Stating that the patient has lost touch with reality is truthful, but uncompassi
onate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Nee
ds: Psychosocial Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse ob
serves the patients foot moving continuously as the patient twirls a shirt button. The conclu
sion the nurse can draw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
ANSWER: B
Mixed messages involve the transmission of conflicting or incongruent messages by the spe
aker. 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 ve
rbal message being clear, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: mcs 150-151 TOP: Nursing Process: Assessment
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MSC: Client Needs: Psychosocial Integrity
4. A nurse interacts with a newly hospitalized patient. Select the nurses comment that appli
es 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.
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.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Nee
ds: Psychosocial Integrity
5. Which technique will best communicate to a patient that the nurse is interested in listening?
a. Restating a feeling or thought the patient has expressed.
b. Asking a direct question, such as Did you feel angry?
c. Making a judgment about the patients problem.
d. Saying, I understand what youre saying.
ANSWER: A
Restating allows the patient to validate the nurses understanding of what has been commun
icated. Restating is an active listening technique. Judgments should be suspended in a
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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
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Chapter 1: The Primary Care Psychiatric Interview
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
MULTIPLE CHOICE
1) A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emoti
onally drained, as though I hadnt rested well. Which response should the nurse use t
o 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?
ANSWER: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of th
e patients statement. Asking for a definition of stoned directly asks for clarification. Restati
ng 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 comme
nt. PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Nee
ds: Psychosocial Integrity
2.A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us throug
h the fluorescent lights in this room. Be careful what you say. Which response by the nur
se would be most therapeutic?
a. Lets talk about something other than the CIA.
b. It sounds like youre concerned about your privacy.
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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.
ANSWER: B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challengin
g undermines the patients trust in the nurse. The nurse should try to understand the underl
ying feelings or thoughts the patients message conveys. The correct response uses the thera
peutic 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 operating in health care facilities gives fals
e reassurance. Stating that the patient has lost touch with reality is truthful, but uncompassi
onate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Nee
ds: Psychosocial Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse ob
serves the patients foot moving continuously as the patient twirls a shirt button. The conclu
sion the nurse can draw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
ANSWER: B
Mixed messages involve the transmission of conflicting or incongruent messages by the spe
aker. 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 ve
rbal message being clear, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: mcs 150-151 TOP: Nursing Process: Assessment
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MSC: Client Needs: Psychosocial Integrity
4. A nurse interacts with a newly hospitalized patient. Select the nurses comment that appli
es 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.
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.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Nee
ds: Psychosocial Integrity
5. Which technique will best communicate to a patient that the nurse is interested in listening?
a. Restating a feeling or thought the patient has expressed.
b. Asking a direct question, such as Did you feel angry?
c. Making a judgment about the patients problem.
d. Saying, I understand what youre saying.
ANSWER: A
Restating allows the patient to validate the nurses understanding of what has been commun
icated. Restating is an active listening technique. Judgments should be suspended in a
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