Test Bank For Primary Care Psychiatry 2nd Edition by Robert McCarron, Glen Xiong Chapter 1 - 26

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Test Bank For Primary Care Psychiatry
2nd Edition by Robert McCarron, Glen Xiong
Chapter 1 - 26

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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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Table of Contents:
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Chapter 1. The Primary Care Psychiatric Interview
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Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
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Chapter 3. Preventive Medicine and Behavioral Health
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Chapter 4. The Patient and You: Psychological and Cultural Consideration
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Chapter 5. Anxiety Disorders
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Chapter 6. Obsessive–Compulsive and Related Disorders
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Chapter 7. Trauma-Related Disorders
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Chapter 8. Mood Disorders—Depression
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Chapter 9. Treatment-Resistant Depression
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Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
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Chapter 11. Psychotic Disorders
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Chapter 12. Neurocognitive Disorders
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Chapter 13. Substance Use Disorders—Alcohol
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Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
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Chapter 15. Personality Disorders
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Chapter 16. Cognitive Behavioral Therapy
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Chapter 17. Supportive Psychotherapy in Primary Care
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Chapter 18. Motivational Interviewing
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Chapter 19. Fundamentals of Psychopharmacology
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Chapter 20. Geriatric Behavioral Health
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Chapter 21. Child and Adolescent Behavioral Health
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Chapter 22. Suicide and Violence Risk Assessment
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Chapter 23. Somatic Symptom and Related Disorders
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Chapter 24. Insomnia
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Chapter 25. Sexual Dysfunction
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Chapter 26. Eating Disorders
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Chapter 1: The Primary Care Psychiatric Interview
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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MULTIPLE CHOICE PL




1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally dra
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ined, as though I hadnt rested well. Which response should the nurse use to clarify the patie
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nts comment?
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a. It sounds as though you were uncomfortable with the content of your dream.
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b. I understand what youre saying. Bad dreams leave me feeling tired, too.
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c. So you feel as though you did not get enough quality sleep last night?
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d. Can you give me an example of what you mean by stoned?
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ANSWER: D PL




The technique of clarification is therapeutic and helps the nurse examine the meaning of the patie
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nts statement. Asking for a definition of stoned directly asks for clarification. Restating that the pati
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ent is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
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The other responses fail to clarify the meaning of the patients comment. PT
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S: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9- PL PL PL PL




2) TOP: Nursing Process: Implementation MSC: Client Needs: Psy
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chosocial Integrity PL




2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the flu
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orescent lights in this room. Be careful what you say. Which response by the nurse would be most
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therapeutic?

a. Lets talk about something other than the CIA. PL PL PL PL PL PL PL




b. It sounds like youre concerned about your privacy.
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c. The CIA is prohibited from operating in health care facilities.
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d. You have lost touch with reality, which is a symptom of your illness.
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ANSWER: B PL




It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging under
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mines the patients trust in the nurse. The nurse should try to understand the underlying feelings or
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thoughts the patients message conveys. The correct response uses the therapeutic technique of re
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flection. The other comments are non- PL PL PL PL PL




therapeutic. Asking to talk about something other than the concern at hand is changing the subject
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. Saying that the CIA is prohibited from operating in health care facilities gives false reassurance. St
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ating that the patient has lost touch with reality is truthful, but uncompassionate.
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PTS: 1 DIF: Cognitive Level: Apply(Application)
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REF: mcs 154 (dm 9- PL PL PL PL




2) TOP: Nursing Process: Implementation MSC: Client Needs: Psy
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chosocial Integrity PL




3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the
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PL patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse ca
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n draw is that the patients communication is:
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a. clear. c. precise.
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b. mixed. d. inadequate.P L




ANSWER: B PL




Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. Th
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e patients verbal message that all was well in the relationship was modified by the nonverbal beha
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viors denoting anxiety. Data are not present to support the choice of the verbal message being clea
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r, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mc
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s 150-151 TOP: Nursing Process: Assessment
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