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