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PRIMARYCARE n
PSYCHIATRY
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2nd Edition n
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
n n n n n n n n
Table of Contents:
n n
Chapter 1. The Primary Care Psychiatric Interview
n n n n n n
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
n n n n n n n n n n n n
Chapter 3. Preventive Medicine and Behavioral Health
n n n n n n
Chapter 4. The Patient and You: Psychological and Cultural Consideration
n n n n n n n n n
Chapter 5. Anxiety Disorders
n n n
Chapter 6. Obsessive–Compulsive and Related Disorders
n n n n n
Chapter 7. Trauma-Related Disorders
n n n
Chapter 8. Mood Disorders—Depression
n n n
Chapter 9. Treatment-Resistant Depression
n n n
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
n n n n n n n
Chapter 11. Psychotic Disorders
n n n
Chapter 12. Neurocognitive Disorders
n n n
Chapter 13. Substance Use Disorders—Alcohol
n n n n
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
n n n n n n n
Chapter 15. Personality Disorders
n n n
Chapter 16. Cognitive Behavioral Therapy
n n n n
Chapter 17. Supportive Psychotherapy in Primary Care
n n n n n n
Chapter 18. Motivational Interviewing
n n n
Chapter 19. Fundamentals of Psychopharmacology
n n n n
Chapter 20. Geriatric Behavioral Health
n n n n
Chapter 21. Child and Adolescent Behavioral Health
n n n n n n
Chapter 22. Suicide and Violence Risk Assessment
n n n n n n
Chapter 23. Somatic Symptom and Related Disorders
n n n n n n
Chapter 24. Insomnia
n n
Chapter 25. Sexual Dysfunction
n n n
Chapter 26. Eating Disorders
n n n
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Material
Chapter 1: The Primary Care Psychiatric Interview
n n n n n n
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
n n n n n n n n
MULTIPLE CHOICE n
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
n n n n n n n n n n n n n n n n n
drained, as though I hadnt rested well. Which response should the nurse use to clarify the
n n n n n n n n n n n n n n n n
patients comment?
n n
a. It sounds as though you were uncomfortable with the content of your dream.
n n n n n n n n n n n n
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
n n n n n n n n n n n
c. So you feel as though you did not get enough quality sleep last night?
n n n n n n n n n n n n n
d. Can you give me an example of what you mean by stoned?
n n n n n n n n n n n
ANS: D n
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
n n n n n n n n n n n n n n
patients statement. Asking for a definition of stoned directly asks for clarification. Restating that
n n n n n n n n n n n n n n
the patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
n n n n n n n n n n n n n
The other responses fail to clarify the meaning of the patients comment.
n n n n n n n n n n n
PTS: 1 DIF: Cognitive Level: Apply (Application)
n n n n n n n
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
n n n n n n n n
MSC: Client Needs: Psychosocial Integrity
n n n n n
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
n n n n n n n n n n n n n n
fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
n n n n n n n n n n n n n n n n n
most therapeutic?
n n
a. Lets talk about something other than the CIA.
n n n n n n n
b. It sounds like youre concerned about your privacy.
n n n n n n n
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Material
c. The CIA is prohibited from operating in health care facilities.
n n n n n n n n n
d. You have lost touch with reality, which is a symptom of your illness.
n n n n n n n n n n n n
ANS: B n
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
n n n n n n n n n n n n n n
undermines the patients trust in the nurse. The nurse should try to understand the underlying
n n n n n n n n n n n n n n n
feelings or thoughts the patients message conveys. The correct response uses the therapeutic
n n n n n n n n n n n n n
technique of reflection. The other comments are non-therapeutic. Asking to talk about something
n n n n n n n n n n n n n
other than the concern at hand is changing the subject. Saying that the CIA is prohibited from
n n n n n n n n n n n n n n n n n
operating in health care facilities gives false reassurance. Stating that the patient has lost touch
n n n n n n n n n n n n n n n
with reality is truthful, but uncompassionate.
n n n n n n
PTS: 1 DIF: Cognitive Level: Apply (Application)
n n n n n n
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
n n n n n n n n
MSC: Client Needs: Psychosocial Integrity
n n n n n
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes
n n n n n n n n n n n n n n n n
the patients foot moving continuously as the patient twirls a shirt button. The conclusion the
n n n n n n n n n n n n n n n
nurse can draw is that the patients communication is:
n n n n n n n n n
a. clear. c. precise. n
b. mixed. d. inadequate. n
ANS: B n
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker.
n n n n n n n n n n n n
The patients verbal message that all was well in the relationship was modified by the nonverbal
n n n n n n n n n n n n n n n n
behaviors denoting anxiety. Data are not present to support the choice of the verbal message
n n n n n n n n n n n n n n n
being clear, explicit, or inadequate.
n n n n n
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
n n n n n n
REF: mcs 150-151 TOP: Nursing Process: Assessment
n n n n n n n
Material
TEST BANK n
PRIMARYCARE n
PSYCHIATRY
n
2nd Edition n
nMcCarronXiong n
TEST BANK n
, Stuvia.com n- nThe nMarketplace nto nBuy nand nSell nyour nStudy
Material
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
n n n n n n n n
Table of Contents:
n n
Chapter 1. The Primary Care Psychiatric Interview
n n n n n n
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
n n n n n n n n n n n n
Chapter 3. Preventive Medicine and Behavioral Health
n n n n n n
Chapter 4. The Patient and You: Psychological and Cultural Consideration
n n n n n n n n n
Chapter 5. Anxiety Disorders
n n n
Chapter 6. Obsessive–Compulsive and Related Disorders
n n n n n
Chapter 7. Trauma-Related Disorders
n n n
Chapter 8. Mood Disorders—Depression
n n n
Chapter 9. Treatment-Resistant Depression
n n n
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
n n n n n n n
Chapter 11. Psychotic Disorders
n n n
Chapter 12. Neurocognitive Disorders
n n n
Chapter 13. Substance Use Disorders—Alcohol
n n n n
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
n n n n n n n
Chapter 15. Personality Disorders
n n n
Chapter 16. Cognitive Behavioral Therapy
n n n n
Chapter 17. Supportive Psychotherapy in Primary Care
n n n n n n
Chapter 18. Motivational Interviewing
n n n
Chapter 19. Fundamentals of Psychopharmacology
n n n n
Chapter 20. Geriatric Behavioral Health
n n n n
Chapter 21. Child and Adolescent Behavioral Health
n n n n n n
Chapter 22. Suicide and Violence Risk Assessment
n n n n n n
Chapter 23. Somatic Symptom and Related Disorders
n n n n n n
Chapter 24. Insomnia
n n
Chapter 25. Sexual Dysfunction
n n n
Chapter 26. Eating Disorders
n n n
, Stuvia.com n- nThe nMarketplace nto nBuy nand nSell nyour nStudy
Material
Chapter 1: The Primary Care Psychiatric Interview
n n n n n n
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
n n n n n n n n
MULTIPLE CHOICE n
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
n n n n n n n n n n n n n n n n n
drained, as though I hadnt rested well. Which response should the nurse use to clarify the
n n n n n n n n n n n n n n n n
patients comment?
n n
a. It sounds as though you were uncomfortable with the content of your dream.
n n n n n n n n n n n n
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
n n n n n n n n n n n
c. So you feel as though you did not get enough quality sleep last night?
n n n n n n n n n n n n n
d. Can you give me an example of what you mean by stoned?
n n n n n n n n n n n
ANS: D n
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
n n n n n n n n n n n n n n
patients statement. Asking for a definition of stoned directly asks for clarification. Restating that
n n n n n n n n n n n n n n
the patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
n n n n n n n n n n n n n
The other responses fail to clarify the meaning of the patients comment.
n n n n n n n n n n n
PTS: 1 DIF: Cognitive Level: Apply (Application)
n n n n n n n
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
n n n n n n n n
MSC: Client Needs: Psychosocial Integrity
n n n n n
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
n n n n n n n n n n n n n n
fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
n n n n n n n n n n n n n n n n n
most therapeutic?
n n
a. Lets talk about something other than the CIA.
n n n n n n n
b. It sounds like youre concerned about your privacy.
n n n n n n n
, Stuvia.com n- nThe nMarketplace nto nBuy nand nSell nyour nStudy
Material
c. The CIA is prohibited from operating in health care facilities.
n n n n n n n n n
d. You have lost touch with reality, which is a symptom of your illness.
n n n n n n n n n n n n
ANS: B n
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
n n n n n n n n n n n n n n
undermines the patients trust in the nurse. The nurse should try to understand the underlying
n n n n n n n n n n n n n n n
feelings or thoughts the patients message conveys. The correct response uses the therapeutic
n n n n n n n n n n n n n
technique of reflection. The other comments are non-therapeutic. Asking to talk about something
n n n n n n n n n n n n n
other than the concern at hand is changing the subject. Saying that the CIA is prohibited from
n n n n n n n n n n n n n n n n n
operating in health care facilities gives false reassurance. Stating that the patient has lost touch
n n n n n n n n n n n n n n n
with reality is truthful, but uncompassionate.
n n n n n n
PTS: 1 DIF: Cognitive Level: Apply (Application)
n n n n n n
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
n n n n n n n n
MSC: Client Needs: Psychosocial Integrity
n n n n n
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes
n n n n n n n n n n n n n n n n
the patients foot moving continuously as the patient twirls a shirt button. The conclusion the
n n n n n n n n n n n n n n n
nurse can draw is that the patients communication is:
n n n n n n n n n
a. clear. c. precise. n
b. mixed. d. inadequate. n
ANS: B n
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker.
n n n n n n n n n n n n
The patients verbal message that all was well in the relationship was modified by the nonverbal
n n n n n n n n n n n n n n n n
behaviors denoting anxiety. Data are not present to support the choice of the verbal message
n n n n n n n n n n n n n n n
being clear, explicit, or inadequate.
n n n n n
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
n n n n n n
REF: mcs 150-151 TOP: Nursing Process: Assessment
n n n n n n n
