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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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Table of Contents:
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Chapter 1. The Primary Care Psychiatric Interview
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Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
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Chapter 3. Preventive Medicine and Behavioral Health
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Chapter 4. The Patient and You: Psychological and Cultural Consideration
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Chapter 5. Anxiety Disorders
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Chapter 6. Obsessive–Compulsive and Related Disorders
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Chapter 7. Trauma-Related Disorders
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Chapter 8. Mood Disorders—Depression
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Chapter 9. Treatment-Resistant Depression
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Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
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Chapter 11. Psychotic Disorders
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Chapter 12. Neurocognitive Disorders
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Chapter 13. Substance Use Disorders—Alcohol
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Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
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Chapter 15. Personality Disorders
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Chapter 16. Cognitive Behavioral Therapy
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Chapter 17. Supportive Psychotherapy in Primary Care
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Chapter 18. Motivational Interviewing
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Chapter 19. Fundamentals of Psychopharmacology
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Chapter 20. Geriatric Behavioral Health
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Chapter 21. Child and Adolescent Behavioral Health
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Chapter 22. Suicide and Violence Risk Assessment
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Chapter 23. Somatic Symptom and Related Disorders
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Chapter 24. Insomnia
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Chapter 25. Sexual Dysfunction
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Chapter 26. Eating Disorders
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Chapter 1: The Primary Care Psychiatric Interview
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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MULTIPLE CHOICE e0
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotional
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ly drained, as though I hadnt rested well. Which response should the nurse use to clarif
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y the patients comment?
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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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ANS: D e0
The technique of clarification is therapeutic and helps the nurse examine the meaning of the p
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
atients statement. Asking for a definition of stoned directly asks for clarification. Restating that
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0 the patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
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The other responses fail to clarify the meaning of the patients comment.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9- e0 e0 e0 e0
2) TOP: Nursing Process: Implementation MSC: Client Needs:
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e0 Psychosocial Integrity e0
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through t
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he fluorescent lights in this room. Be careful what you say. Which response by the nurse wou
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ld be most therapeutic?
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a. Lets talk about something other than the CIA.
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b. It sounds like youre concerned about your privacy.
e0 e0 e0 e0 e0 e0 e0
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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.
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ANS: B e0
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging un
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dermines the patients trust in the nurse. The nurse should try to understand the underlying feel
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ings or thoughts the patients message conveys. The correct response uses the therapeutic techn
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ique of reflection. The other comments are non-
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therapeutic. Asking to talk about something other than the concern at hand is changing the sub
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ject. Saying that the CIA is prohibited from operating in health care facilities gives false reass
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
urance. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9- e0 e0 e0 e0
2) TOP: Nursing Process: Implementation MSC: Client Needs:
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e0 Psychosocial Integrity e0
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observ
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es the patients foot moving continuously as the patient twirls a shirt button. The conclusion th
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e nurse can draw is that the patients communication is:
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a. clear. c. precise.
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b. mixed. d. inadequate.
e 0
ANS: B e0
Mixed messages involve the transmission of conflicting or incongruent messages by the speake
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r. The patients verbal message that all was well in the relationship was modified by the nonver
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bal behaviors denoting anxiety. Data are not present to support the choice of the verbal messa
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ge being clear, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) R
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EF: mcs 150-151 TOP: Nursing Process: Assessment
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The Marketplace to Buy and Sell your Study Material
, Stuvia.come0-
The Marketplace to Buy and Sell your Study Material
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
e0 e0 e0 e0 e0 e0 e0 e0
Table of Contents:
e0 e0
Chapter 1. The Primary Care Psychiatric Interview
e0 e0 e0 e0 e0 e0
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
Chapter 3. Preventive Medicine and Behavioral Health
e0 e0 e0 e0 e0 e0
Chapter 4. The Patient and You: Psychological and Cultural Consideration
e0 e0 e0 e0 e0 e0 e0 e0 e0
Chapter 5. Anxiety Disorders
e0 e0 e0
Chapter 6. Obsessive–Compulsive and Related Disorders
e0 e0 e0 e0 e0
Chapter 7. Trauma-Related Disorders
e0 e0 e0
Chapter 8. Mood Disorders—Depression
e0 e0 e0
Chapter 9. Treatment-Resistant Depression
e0 e0 e0
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
e0 e0 e0 e0 e0 e0 e0
Chapter 11. Psychotic Disorders
e0 e0 e0
Chapter 12. Neurocognitive Disorders
e0 e0 e0
Chapter 13. Substance Use Disorders—Alcohol
e0 e0 e0 e0
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
e0 e0 e0 e0 e0 e0 e0
Chapter 15. Personality Disorders
e0 e0 e0
Chapter 16. Cognitive Behavioral Therapy
e0 e0 e0 e0
Chapter 17. Supportive Psychotherapy in Primary Care
e0 e0 e0 e0 e0 e0
Chapter 18. Motivational Interviewing
e0 e0 e0
Chapter 19. Fundamentals of Psychopharmacology
e0 e0 e0 e0
Chapter 20. Geriatric Behavioral Health
e0 e0 e0 e0
Chapter 21. Child and Adolescent Behavioral Health
e0 e0 e0 e0 e0 e0
Chapter 22. Suicide and Violence Risk Assessment
e0 e0 e0 e0 e0 e0
Chapter 23. Somatic Symptom and Related Disorders
e0 e0 e0 e0 e0 e0
Chapter 24. Insomnia
e0 e0
Chapter 25. Sexual Dysfunction
e0 e0 e0
Chapter 26. Eating Disorders
e0 e0 e0
, Stuvia.come0-
The Marketplace to Buy and Sell your Study Material
Chapter 1: The Primary Care Psychiatric Interview
e0 e0 e0 e0 e0 e0
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
e0 e0 e0 e0 e0 e0 e0 e0
MULTIPLE CHOICE e0
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotional
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ly drained, as though I hadnt rested well. Which response should the nurse use to clarif
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
y the patients comment?
e0 e0 e0
a. It sounds as though you were uncomfortable with the content of your dream.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
c. So you feel as though you did not get enough quality sleep last night?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
d. Can you give me an example of what you mean by stoned?
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ANS: D e0
The technique of clarification is therapeutic and helps the nurse examine the meaning of the p
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
atients statement. Asking for a definition of stoned directly asks for clarification. Restating that
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e
0 the patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
The other responses fail to clarify the meaning of the patients comment.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
PTS: 1 DIF: Cognitive Level: Apply (Application)
e0 e0 e0 e0 e0 e0
REF: mcs 154 (dm 9- e0 e0 e0 e0
2) TOP: Nursing Process: Implementation MSC: Client Needs:
e0 e0 e0 e0 e0 e0 e0
e0 Psychosocial Integrity e0
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through t
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
he fluorescent lights in this room. Be careful what you say. Which response by the nurse wou
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ld be most therapeutic?
e0 e0 e0
a. Lets talk about something other than the CIA.
e0 e0 e0 e0 e0 e0 e0
b. It sounds like youre concerned about your privacy.
e0 e0 e0 e0 e0 e0 e0
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The Marketplace to Buy and Sell your Study Material
c. The CIA is prohibited from operating in health care facilities.
e0 e0 e0 e0 e0 e0 e0 e0 e0
d. You have lost touch with reality, which is a symptom of your illness.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ANS: B e0
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging un
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
dermines the patients trust in the nurse. The nurse should try to understand the underlying feel
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ings or thoughts the patients message conveys. The correct response uses the therapeutic techn
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ique of reflection. The other comments are non-
e0 e0 e0 e0 e0 e0 e0
therapeutic. Asking to talk about something other than the concern at hand is changing the sub
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ject. Saying that the CIA is prohibited from operating in health care facilities gives false reass
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
urance. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
PTS: 1 DIF: Cognitive Level: Apply (Application)
e0 e0 e0 e0 e0 e0
REF: mcs 154 (dm 9- e0 e0 e0 e0
2) TOP: Nursing Process: Implementation MSC: Client Needs:
e0 e0 e0 e0 e0 e0 e0
e0 Psychosocial Integrity e0
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observ
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
es the patients foot moving continuously as the patient twirls a shirt button. The conclusion th
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
e nurse can draw is that the patients communication is:
e0 e0 e0 e0 e0 e0 e0 e0 e0
a. clear. c. precise.
e 0
b. mixed. d. inadequate.
e 0
ANS: B e0
Mixed messages involve the transmission of conflicting or incongruent messages by the speake
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
r. The patients verbal message that all was well in the relationship was modified by the nonver
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
bal behaviors denoting anxiety. Data are not present to support the choice of the verbal messa
e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0 e0
ge being clear, explicit, or inadequate.
e0 e0 e0 e0 e0
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) R
e0 e0 e0 e0 e0 e0 e0
EF: mcs 150-151 TOP: Nursing Process: Assessment
e0 e0 e0 e0 e0 e0
