Test Bank For Primary Care Psychiatry 2nd Edition by Robert McCarron, Glen Xiong Chapter 1 - 26

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Test Bank For Primary Care Psychiatry
2nd Edition by Robert McCarron, Glen Xiong
Chapter 1 - 26

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Primary12Care12Psychiatry122nd12Edition12McCarron12Xiong12Test12Bank

Table12of12Contents:
Chapter121.12The12Primary12Care12Psychiatric12Interview
Chapter122.12Primary12Care12and12Psychiatry:12An12Overview12of12the12Collaborative12Care12Model
Chapter123.12Preventive12Medicine12and12Behavioral12Health
Chapter124.12The12Patient12and12You:12Psychological12and12Cultural12Consideration
Chapter125.12Anxiety12Disorders
Chapter126.12Obsessive–Compulsive12and12Related12Disorders
Chapter127.12Trauma-Related12Disorders
Chapter128.12Mood12Disorders—Depression
Chapter129.12Treatment-Resistant12Depression
Chapter1210.12Psychiatric12Disorders:12Bipolar12and12Related12Disorders
Chapter1211.12Psychotic12Disorders
Chapter1212.12Neurocognitive12Disorders
Chapter1213.12Substance12Use12Disorders—Alcohol
Chapter1214.12Substance12Use12Disorders—Illicit12and12Prescription12Drugs
Chapter1215.12Personality12Disorders
Chapter1216.12Cognitive12Behavioral12Therapy
Chapter1217.12Supportive12Psychotherapy12in12Primary12Care
Chapter1218.12Motivational12Interviewing
Chapter1219.12Fundamentals12of12Psychopharmacology
Chapter1220.12Geriatric12Behavioral12Health
Chapter1221.12Child12and12Adolescent12Behavioral12Health
Chapter1222.12Suicide12and12Violence12Risk12Assessment
Chapter1223.12Somatic12Symptom12and12Related12Disorders
Chapter1224.12Insomnia
Chapter1225.12Sexual12Dysfunction
Chapter1226.12Eating12Disorders

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Chapter121:12The12Primary12Care12Psychiatric12Interview
Primary12Care12Psychiatry122nd12Edition12McCarron12Xiong12Test12Bank

MULTIPLE12CHOICE

1. A12patient12says12to12the12nurse,12I12dreamed12I12was12stoned.12When12I12woke12up,12I12felt12
emotionally12drained,12as12though12I12hadnt12rested12well.12Which12response12should12the12
nurse12use12to12clarify12the12patients12comment?

a. It12sounds12as12though12you12were12uncomfortable12with12the12content12of12your12dream.
b. I12understand12what12youre12saying.12Bad12dreams12leave12me12feeling12tired,12too.
c. So12you12feel12as12though12you12did12not12get12enough12quality12sleep12last12night?
d. Can12you12give12me12an12example12of12what12you12mean12by12stoned?


ANSWER:12D

The12technique12of12clarification12is12therapeutic12and12helps12the12nurse12examine12the12meaning12
of12the12patients12statement.12Asking12for12a12definition12of12stoned12directly12asks12for12clarification
.12Restating12that12the12patient12is12uncomfortable12with12the12dreams12content12is12parroting,12a12n
on-therapeutic12technique.
The12other12responses12fail12to12clarify12the12meaning12of12the12patients12co

mment.12PTS:12112DIF:12Cognitive12Level:12Apply12(Application)

REF:12mcs1215412(dm129-

2)12TOP:12Nursing12Process:12Implementation12MSC:12Client12Nee

ds:12Psychosocial12Integrity

2. A12patient12diagnosed12with12schizophrenia12tells12the12nurse,12The12CIA12is12monitoring12us12thr
ough12the12fluorescent12lights12in12this12room.12Be12careful12what12you12say.12Which12response12by
the12nurse12would12be12most12therapeutic?
12




a. Lets12talk12about12something12other12than12the12CIA.
b. It12sounds12like12youre12concerned12about12your12privacy.

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c. The12CIA12is12prohibited12from12operating12in12health12care12facilities.
d. You12have12lost12touch12with12reality,12which12is12a12symptom12of12your12illness.


ANSWER:12B

It12is12important12not12to12challenge12the12patients12beliefs,12even12if12they12are12unrealistic.12Challe
nging12undermines12the12patients12trust12in12the12nurse.12The12nurse12should12try12to12understand12
the12underlying12feelings12or12thoughts12the12patients12message12conveys.12The12correct12response
12 uses12the12therapeutic12technique12of12reflection.12The12other12comments12are12non-
therapeutic.12Asking12to12talk12about12something12other12than12the12concern12at12hand12is12changin
g12the12subject.12Saying12that12the12CIA12is12prohibited12from12operating12in12health12care12facilities1
gives12false12reassurance.12Stating12that12the12patient12has12lost12touch12with12reality12is12truthful,12
2


but12uncompassionate.

PTS:12112DIF:12Cognitive12Level:12Apply12(Application)

REF:12mcs1215412(dm129-

2)12TOP:12Nursing12Process:12Implementation12MSC:12Client12Nee

ds:12Psychosocial12Integrity

3. The12patient12says,12My12marriage12is12just12great.12My12spouse12and12I12always12agree.12The12nurs
e12observes12the12patients12foot12moving12continuously12as12the12patient12twirls12a12shirt12button.12
The12conclusion12the12nurse12can12draw12is12that12the12patients12communication12is:

a. clear. c.1 2 precise.
b. mixed. d.1 2 inadequate.


ANSWER:12B

Mixed12messages12involve12the12transmission12of12conflicting12or12incongruent12messages12by12the12
speaker.12The12patients12verbal12message12that12all12was12well12in12the12relationship12was12modifie
d12by12the12nonverbal12behaviors12denoting12anxiety.12Data12are12not12present12to12support12the12c
hoice12of12the12verbal12message12being12clear,12explicit,12or12inadequate.

PTS:12112DIF:12Cognitive12Level:12Understand12(Comprehension)12

REF:12mcs12150-15112TOP:12Nursing12Process:12Assessment