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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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, Stuvia.com q- qThe qMarketplace qto qBuy qand qSell qyour qStudy
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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 q
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
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drained, as though I hadnt rested well. Which response should the nurse use to clarify the
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patients 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 q
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
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patients statement. Asking for a definition of stoned directly asks for clarification. Restating that
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the patient 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.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
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MSC: Client Needs: Psychosocial Integrity
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2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
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fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
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most therapeutic?
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a. Lets talk about something other than the CIA.
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b. It sounds like youre concerned about your privacy.
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qMaterial
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 q
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
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undermines the patients trust in the nurse. The nurse should try to understand the underlying
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feelings or thoughts the patients message conveys. The correct response uses the therapeutic
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technique of reflection. The other comments are non-therapeutic. Asking to talk about something
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other than the concern at hand is changing the subject. Saying that the CIA is prohibited from
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operating in health care facilities gives false reassurance. Stating that the patient has lost touch
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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 9-2) TOP: Nursing Process: Implementation
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MSC: Client Needs: Psychosocial Integrity
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3. The vpatient vsays, vMy vmarriage vis vjust vgreat. vMy vspouse vand vI valways vagree. vThe vnurse
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vobserves qvthe qvpatients qvfoot qvmovingqvcontinuouslyqvas qvthe qvpatient qvtwirls qvaqvshirt qvbutton. qvThe
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vconclusion qvthe qvnurse qvcan qvdraw qvis qvthat qvthe qvpatients qvcommunication qvis:
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a. clear. c. q v q precise.
b. mixed. d. q v q inadequate.
ANSWER: vB q
Mixed vmessages vinvolve vthe vtransmission vof vconflicting vor vincongruent vmessages vbyvthe
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vspeaker.qvTheqvpatients qvverbalqvmessageqvthatqvallqvwasqvwellqvinqvtheqvrelationshipqvwasqvmodified
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vbyqvtheqvnonverbalqvbehaviorsqvdenotingqvanxiety.qvDataqvareqvnotqvpresentqvtoqvsupportqvtheqvchoice
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vof qvthe qvverbal qvmessage qvbeing qvclear, qvexplicit, qvor qvinadequate.
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PTS: v1 vDIF: vCognitive vLevel: vUnderstand v(Comprehension)
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vREF: qvmcs qv150-151 qvTOP: qvNursing qvProcess: qvAssessment
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qMaterial
, Stuvia.com q- qThe qMarketplace qto qBuy qand qSell qyour qStudy
qMaterial
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
q q q q q q q q
Table of Contents:
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Chapter 1. The Primary Care Psychiatric Interview
q q q q q q
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
q q q q q q q q q q q q
Chapter 3. Preventive Medicine and Behavioral Health
q q q q q q
Chapter 4. The Patient and You: Psychological and Cultural Consideration
q q q q q q q q q
Chapter 5. Anxiety Disorders
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Chapter 6. Obsessive–Compulsive and Related Disorders
q q q q q
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
q q q q q q q
Chapter 15. Personality Disorders
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Chapter 16. Cognitive Behavioral Therapy
q q q q
Chapter 17. Supportive Psychotherapy in Primary Care
q q q q q q
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
q q q
, Stuvia.com q- qThe qMarketplace qto qBuy qand qSell qyour qStudy
qMaterial
Chapter 1: The Primary Care Psychiatric Interview
q q q q q q
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
q q q q q q q q
MULTIPLE CHOICE q
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
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drained, as though I hadnt rested well. Which response should the nurse use to clarify the
q q q q q q q q q q q q q q q q
patients 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 q
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
q q q q q q q q q q q q q q
patients statement. Asking for a definition of stoned directly asks for clarification. Restating that
q q q q q q q q q q q q q q
the patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
q q q q q q q q q q q q q
The other responses fail to clarify the meaning of the patients comment.
q q q q q q q q q q q q
PTS: 1 DIF: Cognitive Level: Apply (Application)
q q q q q q
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
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MSC: Client Needs: Psychosocial Integrity
q q q q q
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
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fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
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most therapeutic?
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a. Lets talk about something other than the CIA.
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b. It sounds like youre concerned about your privacy.
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, Stuvia.com q- qThe qMarketplace qto qBuy qand qSell qyour qStudy
qMaterial
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 q
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
q q q q q q q q q q q q q q
undermines the patients trust in the nurse. The nurse should try to understand the underlying
q q q q q q q q q q q q q q q
feelings or thoughts the patients message conveys. The correct response uses the therapeutic
q q q q q q q q q q q q q
technique of reflection. The other comments are non-therapeutic. Asking to talk about something
q q q q q q q q q q q q q
other than the concern at hand is changing the subject. Saying that the CIA is prohibited from
q q q q q q q q q q q q q q q q q
operating in health care facilities gives false reassurance. Stating that the patient has lost touch
q q q q q q q q q q q q q q q
with reality is truthful, but uncompassionate.
q q q q q q
PTS: 1 DIF: Cognitive Level: Apply (Application)
q q q q q q
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
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MSC: Client Needs: Psychosocial Integrity
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3. The vpatient vsays, vMy vmarriage vis vjust vgreat. vMy vspouse vand vI valways vagree. vThe vnurse
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vobserves qvthe qvpatients qvfoot qvmovingqvcontinuouslyqvas qvthe qvpatient qvtwirls qvaqvshirt qvbutton. qvThe
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vconclusion qvthe qvnurse qvcan qvdraw qvis qvthat qvthe qvpatients qvcommunication qvis:
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a. clear. c. q v q precise.
b. mixed. d. q v q inadequate.
ANSWER: vB q
Mixed vmessages vinvolve vthe vtransmission vof vconflicting vor vincongruent vmessages vbyvthe
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vspeaker.qvTheqvpatients qvverbalqvmessageqvthatqvallqvwasqvwellqvinqvtheqvrelationshipqvwasqvmodified
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vbyqvtheqvnonverbalqvbehaviorsqvdenotingqvanxiety.qvDataqvareqvnotqvpresentqvtoqvsupportqvtheqvchoice
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vof qvthe qvverbal qvmessage qvbeing qvclear, qvexplicit, qvor qvinadequate.
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PTS: v1 vDIF: vCognitive vLevel: vUnderstand v(Comprehension)
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vREF: qvmcs qv150-151 qvTOP: qvNursing qvProcess: qvAssessment
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