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Test Bank For Primary Care Psychiatry
2nd Edition by McCarron, Xiong
Chapter 1 - 26
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Primary Care5Psychiatry 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. Psychiatric5Disorders: Bipolar and Related Disorders
Chapter 11. Psychotic Disorders
Chapter 12. Neurocognitive Disorders
Chapter 13. Substance Use Disorders—Alcohol
Chapter 14. Substance Use Disorders—Illicit5and 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 dr
ained, as though I hadnt rested well. Which response should the nurse use to clarify the pati
ents 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:5D
The technique of clarification is therapeutic and helps5the nurse examine the meaning of the patient
s statement. Asking for a definition of stoned directly asks for clarification. Restating that the patien
t is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
The other responses fail to clarify the meaning of the patients5comment. PTS:
1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Needs: Psyc
hosocial Integrity
2. A5patient diagnosed with schizophrenia tells the nurse,5The CIA is monitoring us through the fluor
escent lights in this room. Be careful what you say. Which response by the nurse would be most the
rapeutic?
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:5B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging undermi
nes the patients trust in the nurse. The nurse should try to understand the underlying feelings or thou
ghts the patients message conveys. The correct response uses the therapeutic 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 CIA5is prohibited from operating in health care facilities gives false reassurance. St
ating that the patient has lost touch with reality is truthful, but uncompassionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Needs: Psyc
hosocial Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes th
e patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can d
raw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
ANSWER:5B
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The
patients verbal message that all was well in the relationship was modified by the nonverbal behav
iors denoting anxiety. Data are not present to support the choice of the verbal message being clea
r, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mcs
150-151 TOP: Nursing Process: Assessment
Test Bank For Primary Care Psychiatry
2nd Edition by McCarron, Xiong
Chapter 1 - 26
, Stuvia.com -
Primary Care5Psychiatry 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. Psychiatric5Disorders: Bipolar and Related Disorders
Chapter 11. Psychotic Disorders
Chapter 12. Neurocognitive Disorders
Chapter 13. Substance Use Disorders—Alcohol
Chapter 14. Substance Use Disorders—Illicit5and 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.com -
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 dr
ained, as though I hadnt rested well. Which response should the nurse use to clarify the pati
ents 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:5D
The technique of clarification is therapeutic and helps5the nurse examine the meaning of the patient
s statement. Asking for a definition of stoned directly asks for clarification. Restating that the patien
t is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
The other responses fail to clarify the meaning of the patients5comment. PTS:
1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Needs: Psyc
hosocial Integrity
2. A5patient diagnosed with schizophrenia tells the nurse,5The CIA is monitoring us through the fluor
escent lights in this room. Be careful what you say. Which response by the nurse would be most the
rapeutic?
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:5B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging undermi
nes the patients trust in the nurse. The nurse should try to understand the underlying feelings or thou
ghts the patients message conveys. The correct response uses the therapeutic 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 CIA5is prohibited from operating in health care facilities gives false reassurance. St
ating that the patient has lost touch with reality is truthful, but uncompassionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Needs: Psyc
hosocial Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes th
e patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can d
raw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
ANSWER:5B
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The
patients verbal message that all was well in the relationship was modified by the nonverbal behav
iors denoting anxiety. Data are not present to support the choice of the verbal message being clea
r, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mcs
150-151 TOP: Nursing Process: Assessment
