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Test Bank For Primary Care Psychiatry
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2nd Edition by Robert McCarron, Glen Xiong
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Chapter 1 - 26
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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 dfbb
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt
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df bb emotionally drained, as though I hadnt rested well. Which response should the
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df bb nurse use to clarify 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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ANSWER: D dfbb
The technique of clarification is therapeutic and helps the nurse examine the meaning
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df bb of the patients statement. Asking for a definition of stoned directly asks for
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df bb clarification. Restating that the patient is uncomfortable with the dreams content is
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df bb parroting, a non-therapeutic technique. df bb df bb df bb
The other responses fail to clarify the meaning of the patients
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df bb comment. PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9-2) TOP: Nursing Process:
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df bb Implementation MSC: Client Needs: Psychosocial df b b df bb df b b df bb
df bb Integrity
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us
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df bb through the fluorescent lights in this room. Be careful what you say. Which
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df bb response by the nurse would 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.
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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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ANSWER: B dfbb
It is important not to challenge the patients beliefs, even if they are unrealistic.
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df bb Challenging undermines the patients trust in the nurse. The nurse should try to
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df bb understand the underlying feelings or thoughts the patients message conveys. The
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df bb correct response uses the therapeutic technique of reflection. The other comments are
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non-therapeutic. Asking to talk about something other than the concern at hand is
df bb df bb dfbb df b b df bb df bb df bb df bb df bb df bb df bb df bb df bb
df bb changing the subject. Saying that the CIA is prohibited from operating in health
df b b df b b df b b df bb df bb df bb df bb df bb df bb df bb df b b df b b
df bb care facilities gives false reassurance. Stating that the patient has lost touch with
df bb df bb df bb df bb df bb df bb df bb df bb df b b df b b df bb df b b
df bb reality is truthful, but uncompassionate.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9-2) TOP: Nursing Process:
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df bb Implementation MSC: Client Needs: Psychosocial df b b df bb df b b df bb
df bb Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The
df bb df bb df bb dfbb df bb df bb df bb df bb df bb df bb df bb dfbb df bb df bb
df bb nurse observes the patients foot moving continuously as the patient twirls a shirt
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df bb button. The conclusion the nurse can draw is that the patients communication is:
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a. clear. c. d f b b precise.
b. mixed. d. d f b b inadequate.
ANSWER: B dfbb
Mixed messages involve the transmission of conflicting or incongruent messages by the
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df bb speaker. The patients verbal message that all was well in the relationship was
df bb df bb df bb df bb df bb df bb df bb df b b df b b df b b df b b df bb
df bb modified by the nonverbal behaviors denoting anxiety. Data are not present to
df bb df bb df bb df bb df b b df b b df bb df bb df bb df bb df bb
df bb support the choice of the verbal message being clear, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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df bb REF: mcs 150-151 TOP: Nursing Process: Assessment
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df Study df Material
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Test Bank For Primary Care Psychiatry
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2nd Edition by Robert McCarron, Glen Xiong
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Chapter 1 - 26
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, Stuvia.com df - df The df Marketplace df to df Buy df and df Sell df your
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df Study df Material
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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 dfbb
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt
df bb df bb df bb df bb df bb df bb dfbb df bb df bb df bb df bb df bb dfbb df bb df bb df bb
df bb emotionally drained, as though I hadnt rested well. Which response should the
df bb df bb df b b df bb df bb df bb df bb df bb df b b df b b df bb
df bb nurse use to clarify 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?
df bb df bb df bb df bb df b b df bb df bb df bb df bb df bb dfbb df bb df bb
d. Can you give me an example of what you mean by stoned?
df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb dfbb
ANSWER: D dfbb
The technique of clarification is therapeutic and helps the nurse examine the meaning
df bb df b b df bb df b b df bb df bb df bb df bb df b b df bb df bb df bb
df bb of the patients statement. Asking for a definition of stoned directly asks for
df bb df bb df bb df bb dfbb df bb df bb df bb df bb df bb dfbb df bb
df bb clarification. Restating that the patient is uncomfortable with the dreams content is
df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb
df bb parroting, a non-therapeutic technique. df bb df bb df bb
The other responses fail to clarify the meaning of the patients
df bb dfbb df bb df bb df bb dfbb df bb df bb df bb df bb
df bb comment. PTS: 1 DIF: Cognitive Level: Apply (Application)
df bb df bb df bb df bb df b b df b b df bb
REF: mcs 154 (dm 9-2) TOP: Nursing Process:
df bb df bb df bb df bb df bb dfbb dfbb
df bb Implementation MSC: Client Needs: Psychosocial df b b df bb df b b df bb
df bb Integrity
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us
df bb df bb df bb df bb df bb df bb df bb df bb dfbb df bb df bb dfbb
df bb through the fluorescent lights in this room. Be careful what you say. Which
df bb df bb df b b df bb df bb df bb df bb df bb df bb df bb df bb df bb
df bb response by the nurse would be most therapeutic?
df bb dfbb df bb df bb df bb df bb df bb
a. Lets talk about something other than the CIA.
df bb df bb df bb df bb df bb df bb df bb
b. It sounds like youre concerned about your privacy.
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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.
dfbb df bb df bb df bb dfbb df bb df bb df bb df bb df bb df bb df bb
ANSWER: B dfbb
It is important not to challenge the patients beliefs, even if they are unrealistic.
df bb df b b df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb
df bb Challenging undermines the patients trust in the nurse. The nurse should try to
df bb df b b df b b df b b df bb df bb df bb df bb df bb df bb df bb df b b
df bb understand the underlying feelings or thoughts the patients message conveys. The
df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb
df bb correct response uses the therapeutic technique of reflection. The other comments are
df bb df b b df b b df b b df b b df bb df bb df bb df bb df bb df bb
non-therapeutic. Asking to talk about something other than the concern at hand is
df bb df bb dfbb df b b df bb df bb df bb df bb df bb df bb df bb df bb df bb
df bb changing the subject. Saying that the CIA is prohibited from operating in health
df b b df b b df b b df bb df bb df bb df bb df bb df bb df bb df b b df b b
df bb care facilities gives false reassurance. Stating that the patient has lost touch with
df bb df bb df bb df bb df bb df bb df bb df bb df b b df b b df bb df b b
df bb reality is truthful, but uncompassionate.
df bb df bb df bb df bb
PTS: 1 DIF: Cognitive Level: Apply (Application)
df bb dfbb df bb df b b df bb dfbb
REF: mcs 154 (dm 9-2) TOP: Nursing Process:
df bb df bb df bb df bb df bb dfbb dfbb
df bb Implementation MSC: Client Needs: Psychosocial df b b df bb df b b df bb
df bb Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The
df bb df bb df bb dfbb df bb df bb df bb df bb df bb df bb df bb dfbb df bb df bb
df bb nurse observes the patients foot moving continuously as the patient twirls a shirt
df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb
df bb button. The conclusion the nurse can draw is that the patients communication is:
df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb df bb
a. clear. c. d f b b precise.
b. mixed. d. d f b b inadequate.
ANSWER: B dfbb
Mixed messages involve the transmission of conflicting or incongruent messages by the
df bb df bb df bb df bb df bb df bb dfbb df bb df bb df bb dfbb
df bb speaker. The patients verbal message that all was well in the relationship was
df bb df bb df bb df bb df bb df bb df bb df b b df b b df b b df b b df bb
df bb modified by the nonverbal behaviors denoting anxiety. Data are not present to
df bb df bb df bb df bb df b b df b b df bb df bb df bb df bb df bb
df bb support the choice of the verbal message being clear, explicit, or inadequate.
df bb df bb df bb df bb df bb df bb df b b df bb df bb df bb df bb
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
dfbb dfbb dfbb dfbb dfbb dfbb
df bb REF: mcs 150-151 TOP: Nursing Process: Assessment
df bb df bb df b b df bb df bb df bb
