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