Stuvia.coml8-
The Marketplace to Buy and Sell your Study Material
, Stuvia.coml8-
The Marketplace to Buy and Sell your Study Material
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
l8 l8 l8 l8 l8 l8 l8 l8
Table of Contents:
l8 l8
Chapter 1. The Primary Care Psychiatric Interview
l8 l8 l8 l8 l8 l8
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
Chapter 3. Preventive Medicine and Behavioral Health
l8 l8 l8 l8 l8 l8
Chapter 4. The Patient and You: Psychological and Cultural Consideration
l8 l8 l8 l8 l8 l8 l8 l8 l8
Chapter 5. Anxiety Disorders
l8 l8 l8
Chapter 6. Obsessive–Compulsive and Related Disorders
l8 l8 l8 l8 l8
Chapter 7. Trauma-Related Disorders
l8 l8 l8
Chapter 8. Mood Disorders—Depression
l8 l8 l8
Chapter 9. Treatment-Resistant Depression
l8 l8 l8
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
l8 l8 l8 l8 l8 l8 l8
Chapter 11. Psychotic Disorders
l8 l8 l8
Chapter 12. Neurocognitive Disorders
l8 l8 l8
Chapter 13. Substance Use Disorders—Alcohol
l8 l8 l8 l8
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
l8 l8 l8 l8 l8 l8 l8
Chapter 15. Personality Disorders
l8 l8 l8
Chapter 16. Cognitive Behavioral Therapy
l8 l8 l8 l8
Chapter 17. Supportive Psychotherapy in Primary Care
l8 l8 l8 l8 l8 l8
Chapter 18. Motivational Interviewing
l8 l8 l8
Chapter 19. Fundamentals of Psychopharmacology
l8 l8 l8 l8
Chapter 20. Geriatric Behavioral Health
l8 l8 l8 l8
Chapter 21. Child and Adolescent Behavioral Health
l8 l8 l8 l8 l8 l8
Chapter 22. Suicide and Violence Risk Assessment
l8 l8 l8 l8 l8 l8
Chapter 23. Somatic Symptom and Related Disorders
l8 l8 l8 l8 l8 l8
Chapter 24. Insomnia
l8 l8
Chapter 25. Sexual Dysfunction
l8 l8 l8
Chapter 26. Eating Disorders
l8 l8 l8
, Stuvia.coml8-
The Marketplace to Buy and Sell your Study Material
Chapter 1: The Primary Care Psychiatric Interview
l8 l8 l8 l8 l8 l8
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
l8 l8 l8 l8 l8 l8 l8 l8
MULTIPLE CHOICE l8
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
8 drained, as though I hadnt rested well. Which response should the nurse use to clarify the
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
l8 patients comment? l8
a. It sounds as though you were uncomfortable with the content of your dream.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
c. So you feel as though you did not get enough quality sleep last night?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. Can you give me an example of what you mean by stoned?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: D l8
The technique of clarification is therapeutic and helps the nurse examine the meaning of the pati
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ents statement. Asking for a definition of stoned directly asks for clarification. Restating that the
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
The other responses fail to clarify the meaning of the patients comment. P
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
TS: 1 DIF: Cognitive Level: Apply (Application)
l8 l8 l8 l8 l8 l8
REF: mcs 154 (dm 9- l8 l8 l8 l8
2) TOP: Nursing Process: Implementation MSC: Client Needs:
l8 l8 l8 l8 l8 l8 l8 l8
Psychosocial Integrity l8
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
8 fluorescent lights in this room. Be careful what you say. Which response by the nurse would b
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e most therapeutic?
l8 l8
a. Lets talk about something other than the CIA.
l8 l8 l8 l8 l8 l8 l8
b. It sounds like youre concerned about your privacy.
l8 l8 l8 l8 l8 l8 l8
, Stuvia.coml8-
The Marketplace to Buy and Sell your Study Material
c. The CIA is prohibited from operating in health care facilities.
l8 l8 l8 l8 l8 l8 l8 l8 l8
d. You have lost touch with reality, which is a symptom of your illness.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: B l8
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging und
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ermines the patients trust in the nurse. The nurse should try to understand the underlying feeling
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
s or thoughts the patients message conveys. The correct response uses the therapeutic technique
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
of reflection. The other comments are non-
l8 l8 l8 l8 l8 l8
therapeutic. Asking to talk about something other than the concern at hand is changing the subje
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ct. Saying that the CIA is prohibited from operating in health care facilities gives false reassuran
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ce. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
PTS: 1 DIF: Cognitive Level: Apply (Application)
l8 l8 l8 l8 l8 l8
REF: mcs 154 (dm 9- l8 l8 l8 l8
2) TOP: Nursing Process: Implementation MSC: Client Needs:
l8 l8 l8 l8 l8 l8 l8 l8
Psychosocial Integrity l8
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
8 the patients foot moving continuously as the patient twirls a shirt button. The conclusion the nur
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
se can draw is that the patients communication is:
l8 l8 l8 l8 l8 l8 l8 l8
a. clear. c. precise.l 8
b. mixed. d. inadequate.
l 8
ANS: B l8
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
The patients verbal message that all was well in the relationship was modified by the nonverbal
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
behaviors denoting anxiety. Data are not present to support the choice of the verbal message bei
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ng clear, explicit, or inadequate.
l8 l8 l8 l8
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) RE
l8 l8 l8 l8 l8 l8 l8
F: mcs 150-151 TOP: Nursing Process: Assessment
l8 l8 l8 l8 l8 l8
The Marketplace to Buy and Sell your Study Material
, Stuvia.coml8-
The Marketplace to Buy and Sell your Study Material
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
l8 l8 l8 l8 l8 l8 l8 l8
Table of Contents:
l8 l8
Chapter 1. The Primary Care Psychiatric Interview
l8 l8 l8 l8 l8 l8
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
Chapter 3. Preventive Medicine and Behavioral Health
l8 l8 l8 l8 l8 l8
Chapter 4. The Patient and You: Psychological and Cultural Consideration
l8 l8 l8 l8 l8 l8 l8 l8 l8
Chapter 5. Anxiety Disorders
l8 l8 l8
Chapter 6. Obsessive–Compulsive and Related Disorders
l8 l8 l8 l8 l8
Chapter 7. Trauma-Related Disorders
l8 l8 l8
Chapter 8. Mood Disorders—Depression
l8 l8 l8
Chapter 9. Treatment-Resistant Depression
l8 l8 l8
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
l8 l8 l8 l8 l8 l8 l8
Chapter 11. Psychotic Disorders
l8 l8 l8
Chapter 12. Neurocognitive Disorders
l8 l8 l8
Chapter 13. Substance Use Disorders—Alcohol
l8 l8 l8 l8
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
l8 l8 l8 l8 l8 l8 l8
Chapter 15. Personality Disorders
l8 l8 l8
Chapter 16. Cognitive Behavioral Therapy
l8 l8 l8 l8
Chapter 17. Supportive Psychotherapy in Primary Care
l8 l8 l8 l8 l8 l8
Chapter 18. Motivational Interviewing
l8 l8 l8
Chapter 19. Fundamentals of Psychopharmacology
l8 l8 l8 l8
Chapter 20. Geriatric Behavioral Health
l8 l8 l8 l8
Chapter 21. Child and Adolescent Behavioral Health
l8 l8 l8 l8 l8 l8
Chapter 22. Suicide and Violence Risk Assessment
l8 l8 l8 l8 l8 l8
Chapter 23. Somatic Symptom and Related Disorders
l8 l8 l8 l8 l8 l8
Chapter 24. Insomnia
l8 l8
Chapter 25. Sexual Dysfunction
l8 l8 l8
Chapter 26. Eating Disorders
l8 l8 l8
, Stuvia.coml8-
The Marketplace to Buy and Sell your Study Material
Chapter 1: The Primary Care Psychiatric Interview
l8 l8 l8 l8 l8 l8
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
l8 l8 l8 l8 l8 l8 l8 l8
MULTIPLE CHOICE l8
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
8 drained, as though I hadnt rested well. Which response should the nurse use to clarify the
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
l8 patients comment? l8
a. It sounds as though you were uncomfortable with the content of your dream.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
c. So you feel as though you did not get enough quality sleep last night?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
d. Can you give me an example of what you mean by stoned?
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: D l8
The technique of clarification is therapeutic and helps the nurse examine the meaning of the pati
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ents statement. Asking for a definition of stoned directly asks for clarification. Restating that the
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
The other responses fail to clarify the meaning of the patients comment. P
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
TS: 1 DIF: Cognitive Level: Apply (Application)
l8 l8 l8 l8 l8 l8
REF: mcs 154 (dm 9- l8 l8 l8 l8
2) TOP: Nursing Process: Implementation MSC: Client Needs:
l8 l8 l8 l8 l8 l8 l8 l8
Psychosocial Integrity l8
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
8 fluorescent lights in this room. Be careful what you say. Which response by the nurse would b
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
e most therapeutic?
l8 l8
a. Lets talk about something other than the CIA.
l8 l8 l8 l8 l8 l8 l8
b. It sounds like youre concerned about your privacy.
l8 l8 l8 l8 l8 l8 l8
, Stuvia.coml8-
The Marketplace to Buy and Sell your Study Material
c. The CIA is prohibited from operating in health care facilities.
l8 l8 l8 l8 l8 l8 l8 l8 l8
d. You have lost touch with reality, which is a symptom of your illness.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ANS: B l8
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging und
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ermines the patients trust in the nurse. The nurse should try to understand the underlying feeling
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
s or thoughts the patients message conveys. The correct response uses the therapeutic technique
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
of reflection. The other comments are non-
l8 l8 l8 l8 l8 l8
therapeutic. Asking to talk about something other than the concern at hand is changing the subje
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ct. Saying that the CIA is prohibited from operating in health care facilities gives false reassuran
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ce. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
PTS: 1 DIF: Cognitive Level: Apply (Application)
l8 l8 l8 l8 l8 l8
REF: mcs 154 (dm 9- l8 l8 l8 l8
2) TOP: Nursing Process: Implementation MSC: Client Needs:
l8 l8 l8 l8 l8 l8 l8 l8
Psychosocial Integrity l8
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l
8 the patients foot moving continuously as the patient twirls a shirt button. The conclusion the nur
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
se can draw is that the patients communication is:
l8 l8 l8 l8 l8 l8 l8 l8
a. clear. c. precise.l 8
b. mixed. d. inadequate.
l 8
ANS: B l8
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker.
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
The patients verbal message that all was well in the relationship was modified by the nonverbal
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
behaviors denoting anxiety. Data are not present to support the choice of the verbal message bei
l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8 l8
ng clear, explicit, or inadequate.
l8 l8 l8 l8
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) RE
l8 l8 l8 l8 l8 l8 l8
F: mcs 150-151 TOP: Nursing Process: Assessment
l8 l8 l8 l8 l8 l8
