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TestBankForPrimaryCarePsychiatry d t d
t 2ndEditionbyMcCarron,Xiong Chapte
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PrimarydtCaredtPsychiatrydt2nddtEditiondtMcCarrondtXiongdtTestdtBank
TabledtofdtContents:
Chapterdt1.dtThedtPrimarydtCaredtPsychiatricdtInterview
Chapterdt2.dtPrimarydtCaredtanddtPsychiatry:dtAndtOverviewdtofdtthedtCollaborativedtCaredtModel
Chapterdt3.dtPreventivedtMedicinedt anddtBehavioraldt Health
Chapterdt4.dtThedtPatientdtanddtYou:dtPsychologicaldtanddtCulturaldtConsideration
Chapterdt5.dtAnxietydtDisorders
Chapterdt6.dtObsessive–CompulsivedtanddtRelateddtDisorders
Chapter dt7.dtTrauma-Related dtDisorders
Chapterdt8.dtMooddtDisorders—Depression
Chapterdt9.dtTreatment-ResistantdtDepression
Chapterdt10.dtPsychiatricdtDisorders:dtBipolardtanddtRelateddtDisorders
Chapterdt11.dtPsychoticdtDisorders
Chapterdt12.dtNeurocognitivedtDisorders
Chapterdt13.dtSubstancedtUsedtDisorders—Alcohol
Chapterdt14.dtSubstancedtUsedtDisorders—IllicitdtanddtPrescriptiondtDrugs
Chapterdt15.dtPersonalitydtDisorders
Chapterdt16.dtCognitivedtBehavioraldtTherapy
Chapterdt 17.dtSupportivedtPsychotherapydtindtPrimarydtCare
Chapterdt18.dtMotivationaldtInterviewing
Chapterdt19.LFundamentalsdtofLPsychopharmacology
Chapterdt20.dtGeriatricLBehavioraldtHealth
Chapterdt21.dtChilddtanddtAdolescentdt BehavioraldtHealth
Chapterdt22.dtSuicidedtanddtViolenceLRiskdtAssessment
Chapterdt23.dtSomaticLSymptomdtanddtRelateddtDisorders
Chapterdt24.dtInsomnia
Chapterdt25.dtSexualdtDysfunction
Chapterdt26.LEatingdtDisorders
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Chapterdt1:dtThedtPrimarydt CaredtPsychiatricdtInterview
PrimarydtCaredtPsychiatrydt2nddtEditiondtMcCarrondtXiongdtTestdtBank
MULTIPLEdtCHOICE
1. AdtpatientLsaysdttodtthedtnurse,dtIdtdreameddtIdtwasLstoned.dtWhendtIdtwokedtup,dtIdtfeltLemotionally
dt draindted,dtasdtthoughdtIdthadntdtresteddtwell.dtWhichdtresponsedtshoulddtthedtnursedtuseLtodtclarifydtth
edtpatientsdtcodtmment?
a. ItdtsoundsLasdtthoughdtyoudtweredtuncomfortabledtwithdtthedtcontentdtofdtyourdtdream.
b. Idtunderstanddtwhatdtyouredtsaying.dtBaddtdreamsLleavedtmedtfeelingdttired,dttoo.
c. Sodtyoudtfeeldtasdtthoughdtyoudtdiddtnotdtgetdtenoughdtqualitydtsleepdtlastdtnight?
d. CandtyoudtgiveLmedtandtexampledtofdtwhatdtyoudtmeandtbydtstoned?
ANSWER:LD
TheLtechniquedtofdtclarificationdtisdttherapeuticLanddthelpsLthedtnursedtexaminedtthedtmeaningdtofdtthedtpatie
ntsLstdtatement.dtAskingdtfordtadtdefinitiondtofdtstoneddtdirectlydtasksdtfordtclarification.dtRestatingdtthatdtthedtp
atientdtisLundtcomfortableLwithdtthedtdreamsLcontentdtisLparroting,dtadtnon-therapeuticLtechnique.
Thedtotherdtresponsesdtfaildttodtclarifydtthedtmeaningdtofdtthedtpatientsdtcomment.dtP
TS:dt1dtDIF:dtCognitivedtLevel:dtApplydt(Application)
REF:dtmcsL154dt(dmdt9-
2)dtTOP:dtNursingdtProcess:dtImplementationdtMSC:dtClientdtNeeds:dtPsy
chdtosocialdtIntegrity
2. ALpatientdtdiagnoseddtwithdtschizophreniadttellsdtthedtnurse,LThedtCIAdtisdtmonitoringdtusdtthroughdtthedtfl
uoresdtcentdtlightsLindtthisdtroom.dtBedtcarefuldtwhatdtyoudtsay.dtWhichdtresponsedtbydtthedtnursedtwoulddtbedt
mostdttherapedtutic?
a. LetsdttalkdtaboutdtsomethingdtotherdtthandtthedtCIA.
b. ItdtsoundsLlikedtyouredtconcerneddtaboutdtyourdtprivacy.
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c. ThedtCIALisdtprohibiteddtfromdtoperatingdtindthealthdtcaredtfacilities.
d. Youdthavedtlostdttouchdtwithdtreality,dtwhichdtisdtadtsymptomdtofdtyourdtillness.
ANSWER:LB
ItdtisLimportantdtnotLtoLchallengedtthedtpatientsdtbeliefs,dtevendtifLtheydtaredtunrealistic.dtChallengingdtunder
mined t sdtthedtpatientsdttrustdtindtthedtnurse.dtThedtnursedtshoulddttrydttodtunderstanddtthedtunderlyingdtfeelingsL
ordtthoughtsdtthdtedtpatientsLmessageLconveys.dtThedtcorrectdtresponsedtusesdtthedttherapeuticdttechniquedto
fdtreflection.dtThedtothdterdtcommentsdtaredtnon-
therapeutic.dtAskingdttodttalkLaboutdtsomethingdtotherdtthandtthedtconcerndtatdthanddtisdtchangingdtthedtsubjec
t.dtSaydtingdtthatdtthedtCIAdtisdtprohibiteddtfromdtoperatingdtindthealthdtcaredtfacilitiesdtgivesLfalsedtreassuranc
e.dtStatingdttdthatdtthedtpatientdthasdtlostdttouchdtwithdtrealitydtisdttruthful,dtbutdtuncompassionate.
PTS:dt1dtDIF:dtCognitivedtLevel:dtApplydt(Application)dt
REF:dtmcsL154dt(dmdt9-
2)dtTOP:dtNursingdtProcess:dtImplementationdtMSC:dtClientdtNeeds:dtPsy
chdtosocialdtIntegrity
3. TheLpatientdtsays,dtMydtmarriagedtisdtjustdtgreat.dtMydtspousedtanddtIdtalwaysdtagree.dtThedtnursedtobserv
esdtthedtpatientsLfootdtmovingdtcontinuouslydtasdttheLpatientdttwirlsLadtshirtdtbutton.dtThedtconclusiondtthedtnur
sedtcandtdrawdtisdtthatdtthedtpatientsdtcommunicationdtis:
a. clear. c.dt precise.
b. mixed. d.dt inadequate.
ANSWER:LB
Mixeddtmessagesdtinvolvedtthedttransmissiondtofdtconflictingdtordtincongruentdtmessagesdtbydtthedtspeaker.dt
TheLpdtatientsdtverbaldtmessagedtthatdtalldtwasdtwelldtindtthedtrelationshipdtwasLmodifieddtbydtthedtnonverbald
t behaviorsdtdenotingdtanxiety.dtDatadtaredtnotLpresentLtodtsupportdtthedtchoicedtofdtthedtverbaldtmessagedtbe
ingdtclear,dtexplidtcit,dtordtinadequate.
PTS:dt1dtDIF:dtCognitivedtLevel:dtUnderstanddt(Comprehension)dtREF:dt
mcsLd t 150-151dtTOP:dtNursingdtProcess:dtAssessment