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