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Test Bank For Primary Care Psychiatry
2nd Edition by McCarron, Xiong
Chapter 1 - 26
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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 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?
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.
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c. The39CIA39is39prohibited39from39operating39in39health39care39facilities.
d. You39have39lost39touch39with39reality,39which39is39a39symptom39of39your39illness.
ANSWER:39B
It39is39important39not39to39challenge39the39patients39beliefs,39even39if39they39are39unrealistic.39Ch
allenging39undermines39the39patients39trust39in39the39nurse.39The39nurse39should39try39to39underst
and39the39underlying39feelings39or39thoughts39the39patients39message39conveys.39The39correct39r
esponse39uses39the39therapeutic39technique39of39reflection.39The39other39comments39are39non-
therapeutic.39Asking39to39talk39about39something39other39than39the39concern39at39hand39is39chan
ging39the39subject.39Saying39that39the39CIA39is39prohibited39from39operating39in39health39care39f
acilities39gives39false39reassurance.39Stating39that39the39patient39has39lost39touch39with39reality39i
s39truthful,39but39uncompassionate.
PTS:39139DIF:39Cognitive39Level:39Apply39(Application)
REF:39mcs3915439(dm399-
2)39TOP:39Nursing39Process:39Implementation39MSC:39Client39Ne
eds:39Psychosocial39Integrity
3. The39patient39says,39My39marriage39is39just39great.39My39spouse39and39I39always39agree.39Th
e39nurse39observes39the39patients39foot39moving39continuously39as39the39patient39twirls39a39shirt39
button.39The39conclusion39the39nurse39can39draw39is39that39the39patients39communication39is:
a. clear. c.3 9 precise.
b. mixed. d.3 9 inadequate.
ANSWER:39B
Mixed39messages39involve39the39transmission39of39conflicting39or39incongruent39messages39by39the
39speaker.39The39patients39verbal39message39that39all39was39well39in39the39relationship39was39m
odified39by39the39nonverbal39behaviors39denoting39anxiety.39Data39are39not39present39to39supp
ort39the39choice39of39the39verbal39message39being39clear,39explicit,39or39inadequate.
PTS:39139DIF:39Cognitive39Level:39Understand39(Comprehension)3
9REF:39mcs39150-15139TOP:39Nursing39Process:39Assessment
Test Bank For Primary Care Psychiatry
2nd Edition by McCarron, Xiong
Chapter 1 - 26
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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
, Stuvia.com39-
39The39Marketplace39to39Buy39and39Sell39your39Study39Mate
rial
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 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?
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.
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39The39Marketplace39to39Buy39and39Sell39your39Study39Mate
rial
c. The39CIA39is39prohibited39from39operating39in39health39care39facilities.
d. You39have39lost39touch39with39reality,39which39is39a39symptom39of39your39illness.
ANSWER:39B
It39is39important39not39to39challenge39the39patients39beliefs,39even39if39they39are39unrealistic.39Ch
allenging39undermines39the39patients39trust39in39the39nurse.39The39nurse39should39try39to39underst
and39the39underlying39feelings39or39thoughts39the39patients39message39conveys.39The39correct39r
esponse39uses39the39therapeutic39technique39of39reflection.39The39other39comments39are39non-
therapeutic.39Asking39to39talk39about39something39other39than39the39concern39at39hand39is39chan
ging39the39subject.39Saying39that39the39CIA39is39prohibited39from39operating39in39health39care39f
acilities39gives39false39reassurance.39Stating39that39the39patient39has39lost39touch39with39reality39i
s39truthful,39but39uncompassionate.
PTS:39139DIF:39Cognitive39Level:39Apply39(Application)
REF:39mcs3915439(dm399-
2)39TOP:39Nursing39Process:39Implementation39MSC:39Client39Ne
eds:39Psychosocial39Integrity
3. The39patient39says,39My39marriage39is39just39great.39My39spouse39and39I39always39agree.39Th
e39nurse39observes39the39patients39foot39moving39continuously39as39the39patient39twirls39a39shirt39
button.39The39conclusion39the39nurse39can39draw39is39that39the39patients39communication39is:
a. clear. c.3 9 precise.
b. mixed. d.3 9 inadequate.
ANSWER:39B
Mixed39messages39involve39the39transmission39of39conflicting39or39incongruent39messages39by39the
39speaker.39The39patients39verbal39message39that39all39was39well39in39the39relationship39was39m
odified39by39the39nonverbal39behaviors39denoting39anxiety.39Data39are39not39present39to39supp
ort39the39choice39of39the39verbal39message39being39clear,39explicit,39or39inadequate.
PTS:39139DIF:39Cognitive39Level:39Understand39(Comprehension)3
9REF:39mcs39150-15139TOP:39Nursing39Process:39Assessment
