Stuvia.comv-
vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
TEST BANK v
PRIMARY CAREPS v v
YCHIATRY
2nd Edition McC
v v
arron Xiong v
TEST BANK v
, Stuvia.comv-
vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
PrimaryvCarevPsychiatryv2ndvEditionvMcCarronvXiongvTestvBank
TablevofvContents:
Chapterv1.vThevPrimaryvCarevPsychiatricvInterview
Chapterv2.vPrimaryvCarevandvPsychiatry:vAnvOverviewvofvthevCollaborativevCarevModel
Chapterv3.vPreventivevMedicinevandvBehavioralvHealth
Chapterv4.vThevPatientvandvYou:vPsychologicalvandvCulturalvConsideration
Chapterv5.vAnxietyvDisorders
Chapterv6.vObsessive–CompulsivevandvRelatedvDisorders
Chapterv7.vTrauma-RelatedvDisorders
Chapterv8.vMoodvDisorders—Depression
Chapterv9.vTreatment-ResistantvDepression
Chapterv10.vPsychiatricvDisorders:vBipolarvandvRelatedvDisorders
Chapterv11.vPsychoticvDisorders
Chapterv12.vNeurocognitivevDisorders
Chapterv13.vSubstancevUsevDisorders—Alcohol
Chapterv14.vSubstancevUsevDisorders—IllicitvandvPrescriptionvDrugs
Chapterv15.vPersonalityvDisorders
Chapterv16.vCognitivevBehavioralvTherapy
Chapterv17.vSupportivevPsychotherapyvinvPrimaryvCare
Chapterv18.vMotivationalvInterviewing
Chapterv19.vFundamentalsvofvPsychopharmacology
Chapterv20.vGeriatricvBehavioralvHealth
Chapterv21.vChildvandvAdolescentvBehavioralvHealth
Chapterv22.vSuicidevandvViolencevRiskvAssessment
Chapterv23.vSomaticvSymptomvandvRelatedvDisorders
Chapterv24.vInsomnia
Chapterv25.vSexualvDysfunction
Chapterv26.vEatingvDisorders
, Stuvia.comv-
vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
Chapter 1: The Primary Care Psychiatric Interview
v v v v v v
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
v v v v v v v v
MULTIPLEvCHOICE
1. Avpatientvsaysvtovthevnurse,vIvdreamedvIvwasvstoned.vWhenvIvwokevup,vIvfeltvemotionallyvd
rained,vasvthoughvIvhadntvrestedvwell.vWhichvresponsevshouldvthevnursevusevtovclarifyvthevpat
ientsvcomment?
a. Itvsoundsvasvthoughvyouvwerevuncomfortablevwithvthevcontentvofvyourvdream.
b. Ivunderstandvwhatvyourevsaying.vBadvdreamsvleavevmevfeelingvtired,vtoo.
c. Sovyouvfeelvasvthoughvyouvdidvnotvgetvenoughvqualityvsleepvlastvnight?
d. Canvyouvgivevmevanvexamplevofvwhatvyouvmeanvbyvstoned?
ANS:vD
Thevtechniquevofvclarificationvisvtherapeuticvandvhelpsvthevnursevexaminevthevmeaningvofvthevpatie
ntsvstatement.vAskingvforvavdefinitionvofvstonedvdirectlyvasksvforvclarification.vRestatingvthatvthevpa
tientvisvuncomfortablevwithvthevdreamsvcontentvisvparroting,vavnon-therapeuticvtechnique.
Thevothervresponsesvfailvtovclarifyvthevmeaningvofvthevpatientsvcomment.v
PTS:v1vDIF:vCognitivevLevel:vApplyv(Application)
REF:vmcsv154v(dmv9-
2)vTOP:vNursingvProcess:vImplementationvMSC:vClientvNeeds:vP
sychosocialvIntegrity
2. Avpatientvdiagnosedvwithvschizophreniavtellsvthevnurse,vThevCIAvisvmonitoringvusvthroughvthevfl
uorescentvlightsvinvthisvroom.vBevcarefulvwhatvyouvsay.vWhichvresponsevbyvthevnursevwouldvbevmo
stvtherapeutic?
a. LetsvtalkvaboutvsomethingvothervthanvthevCIA.
b. Itvsoundsvlikevyourevconcernedvaboutvyourvprivacy.
, Stuvia.comv-
vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
c. ThevCIAvisvprohibitedvfromvoperatingvinvhealthvcarevfacilities.
d. Youvhavevlostvtouchvwithvreality,vwhichvisvavsymptomvofvyourvillness.
ANS:vB
Itvisvimportantvnotvtovchallengevthevpatientsvbeliefs,vevenvifvtheyvarevunrealistic.vChallengingvunder
minesvthevpatientsvtrustvinvthevnurse.vThevnursevshouldvtryvtovunderstandvthevunderlyingvfeelingsvorv
thoughtsvthevpatientsvmessagevconveys.vThevcorrectvresponsevusesvthevtherapeuticvtechniquevofvrefl
ection.vThevothervcommentsvarevnon-
therapeutic.vAskingvtovtalkvaboutvsomethingvothervthanvthevconcernvatvhandvisvchangingvthevsubject.v
SayingvthatvthevCIAvisvprohibitedvfromvoperatingvinvhealthvcarevfacilitiesvgivesvfalsevreassurance.vS
tatingvthatvthevpatientvhasvlostvtouchvwithvrealityvisvtruthful,vbutvuncompassionate.
PTS:v1vDIF:vCognitivevLevel:vApplyv(Application)
REF:vmcsv154v(dmv9-
2)vTOP:vNursingvProcess:vImplementationvMSC:vClientvNeeds:vP
sychosocialvIntegrity
3. Thevpatientvsays,vMyvmarriagevisvjustvgreat.vMyvspousevandvIvalwaysvagree.vThevnursevobservesvt
hevpatientsvfootvmovingvcontinuouslyvasvthevpatientvtwirlsvavshirtvbutton.vThevconclusionvthevnursev
canvdrawvisvthatvthevpatientsvcommunicationvis:
a. clear. c.v precise.
b. mixed. d.vinadequate.
ANS:vB
Mixedvmessagesvinvolvevthevtransmissionvofvconflictingvorvincongruentvmessagesvbyvthevspeaker.v
Thevpatientsvverbalvmessagevthatvallvwasvwellvinvthevrelationshipvwasvmodifiedvbyvthevnonverbalvbe
haviorsvdenotingvanxiety.vDatavarevnotvpresentvtovsupportvthevchoicevofvthevverbalvmessagevbeingvcl
ear,vexplicit,vorvinadequate.
PTS:v1vDIF:vCognitivevLevel:vUnderstandv(Comprehension)v
REF:vmcsv150-151vTOP:vNursingvProcess:vAssessment
vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
TEST BANK v
PRIMARY CAREPS v v
YCHIATRY
2nd Edition McC
v v
arron Xiong v
TEST BANK v
, Stuvia.comv-
vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
PrimaryvCarevPsychiatryv2ndvEditionvMcCarronvXiongvTestvBank
TablevofvContents:
Chapterv1.vThevPrimaryvCarevPsychiatricvInterview
Chapterv2.vPrimaryvCarevandvPsychiatry:vAnvOverviewvofvthevCollaborativevCarevModel
Chapterv3.vPreventivevMedicinevandvBehavioralvHealth
Chapterv4.vThevPatientvandvYou:vPsychologicalvandvCulturalvConsideration
Chapterv5.vAnxietyvDisorders
Chapterv6.vObsessive–CompulsivevandvRelatedvDisorders
Chapterv7.vTrauma-RelatedvDisorders
Chapterv8.vMoodvDisorders—Depression
Chapterv9.vTreatment-ResistantvDepression
Chapterv10.vPsychiatricvDisorders:vBipolarvandvRelatedvDisorders
Chapterv11.vPsychoticvDisorders
Chapterv12.vNeurocognitivevDisorders
Chapterv13.vSubstancevUsevDisorders—Alcohol
Chapterv14.vSubstancevUsevDisorders—IllicitvandvPrescriptionvDrugs
Chapterv15.vPersonalityvDisorders
Chapterv16.vCognitivevBehavioralvTherapy
Chapterv17.vSupportivevPsychotherapyvinvPrimaryvCare
Chapterv18.vMotivationalvInterviewing
Chapterv19.vFundamentalsvofvPsychopharmacology
Chapterv20.vGeriatricvBehavioralvHealth
Chapterv21.vChildvandvAdolescentvBehavioralvHealth
Chapterv22.vSuicidevandvViolencevRiskvAssessment
Chapterv23.vSomaticvSymptomvandvRelatedvDisorders
Chapterv24.vInsomnia
Chapterv25.vSexualvDysfunction
Chapterv26.vEatingvDisorders
, Stuvia.comv-
vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
Chapter 1: The Primary Care Psychiatric Interview
v v v v v v
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
v v v v v v v v
MULTIPLEvCHOICE
1. Avpatientvsaysvtovthevnurse,vIvdreamedvIvwasvstoned.vWhenvIvwokevup,vIvfeltvemotionallyvd
rained,vasvthoughvIvhadntvrestedvwell.vWhichvresponsevshouldvthevnursevusevtovclarifyvthevpat
ientsvcomment?
a. Itvsoundsvasvthoughvyouvwerevuncomfortablevwithvthevcontentvofvyourvdream.
b. Ivunderstandvwhatvyourevsaying.vBadvdreamsvleavevmevfeelingvtired,vtoo.
c. Sovyouvfeelvasvthoughvyouvdidvnotvgetvenoughvqualityvsleepvlastvnight?
d. Canvyouvgivevmevanvexamplevofvwhatvyouvmeanvbyvstoned?
ANS:vD
Thevtechniquevofvclarificationvisvtherapeuticvandvhelpsvthevnursevexaminevthevmeaningvofvthevpatie
ntsvstatement.vAskingvforvavdefinitionvofvstonedvdirectlyvasksvforvclarification.vRestatingvthatvthevpa
tientvisvuncomfortablevwithvthevdreamsvcontentvisvparroting,vavnon-therapeuticvtechnique.
Thevothervresponsesvfailvtovclarifyvthevmeaningvofvthevpatientsvcomment.v
PTS:v1vDIF:vCognitivevLevel:vApplyv(Application)
REF:vmcsv154v(dmv9-
2)vTOP:vNursingvProcess:vImplementationvMSC:vClientvNeeds:vP
sychosocialvIntegrity
2. Avpatientvdiagnosedvwithvschizophreniavtellsvthevnurse,vThevCIAvisvmonitoringvusvthroughvthevfl
uorescentvlightsvinvthisvroom.vBevcarefulvwhatvyouvsay.vWhichvresponsevbyvthevnursevwouldvbevmo
stvtherapeutic?
a. LetsvtalkvaboutvsomethingvothervthanvthevCIA.
b. Itvsoundsvlikevyourevconcernedvaboutvyourvprivacy.
, Stuvia.comv-
vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterial
c. ThevCIAvisvprohibitedvfromvoperatingvinvhealthvcarevfacilities.
d. Youvhavevlostvtouchvwithvreality,vwhichvisvavsymptomvofvyourvillness.
ANS:vB
Itvisvimportantvnotvtovchallengevthevpatientsvbeliefs,vevenvifvtheyvarevunrealistic.vChallengingvunder
minesvthevpatientsvtrustvinvthevnurse.vThevnursevshouldvtryvtovunderstandvthevunderlyingvfeelingsvorv
thoughtsvthevpatientsvmessagevconveys.vThevcorrectvresponsevusesvthevtherapeuticvtechniquevofvrefl
ection.vThevothervcommentsvarevnon-
therapeutic.vAskingvtovtalkvaboutvsomethingvothervthanvthevconcernvatvhandvisvchangingvthevsubject.v
SayingvthatvthevCIAvisvprohibitedvfromvoperatingvinvhealthvcarevfacilitiesvgivesvfalsevreassurance.vS
tatingvthatvthevpatientvhasvlostvtouchvwithvrealityvisvtruthful,vbutvuncompassionate.
PTS:v1vDIF:vCognitivevLevel:vApplyv(Application)
REF:vmcsv154v(dmv9-
2)vTOP:vNursingvProcess:vImplementationvMSC:vClientvNeeds:vP
sychosocialvIntegrity
3. Thevpatientvsays,vMyvmarriagevisvjustvgreat.vMyvspousevandvIvalwaysvagree.vThevnursevobservesvt
hevpatientsvfootvmovingvcontinuouslyvasvthevpatientvtwirlsvavshirtvbutton.vThevconclusionvthevnursev
canvdrawvisvthatvthevpatientsvcommunicationvis:
a. clear. c.v precise.
b. mixed. d.vinadequate.
ANS:vB
Mixedvmessagesvinvolvevthevtransmissionvofvconflictingvorvincongruentvmessagesvbyvthevspeaker.v
Thevpatientsvverbalvmessagevthatvallvwasvwellvinvthevrelationshipvwasvmodifiedvbyvthevnonverbalvbe
haviorsvdenotingvanxiety.vDatavarevnotvpresentvtovsupportvthevchoicevofvthevverbalvmessagevbeingvcl
ear,vexplicit,vorvinadequate.
PTS:v1vDIF:vCognitivevLevel:vUnderstandv(Comprehension)v
REF:vmcsv150-151vTOP:vNursingvProcess:vAssessment