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