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TEST BANK
PRIMARY CARE
PSYCHIATRY
2nd Edition
McCarron Xiong
TEST BANK
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
Table of̣ Contents:
Chapter 1. The Primary Care Psychiatric Interview
Chapter 2. Primary Care and Psychiatry: An Overview of̣ 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 of̣ 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 Dysf̣unction
Chapter 26. Eating Disorders
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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 f̣elt emotionally
drained, as though I hadnt rested well. Which response should the nurse use to clarif̣y the
patients comment?
a.It sounds as though you were uncomf̣ortable with the content of̣ your dream.
b.I understand what youre saying. Bad dreams leave me f̣eeling tired, too.
c.So you f̣eel as though you did not get enough quality sleep last night?
d.Can you give me an example of̣ what you mean by stoned?
ANS: D
The technique of̣ clarif̣ication is therapeutic and helps the nurse examine the meaning of̣ the
patients statement. Asking f̣or a def̣inition of̣ stoned directly asks f̣or clarif̣ication. Restating that
the patient is uncomf̣ortable with the dreams content is parroting, a non-therapeutic technique.
The other responses f̣ail to clarif̣y the meaning of̣ the patients comment.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
2.A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
f̣luorescent lights in this room. Be caref̣ul 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.
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c.The CIA is prohibited f̣rom operating in health care f̣acilities.
d.You have lost touch with reality, which is a symptom of̣ your illness.
ANS: B
It is important not to challenge the patients belief̣s, even if̣ they are unrealistic. Challenging
undermines the patients trust in the nurse. The nurse should try to understand the underlying
f̣eelings or thoughts the patients message conveys. The correct response uses the therapeutic
technique of̣ ref̣lection. The other comments are non-therapeutic. Asking to talk about something
other than the concern at hand is changing the subject. Saying that the CIA is prohibited f̣rom
operating in health care f̣acilities gives f̣alse reassurance. Stating that the patient has lost touch
with reality is truthf̣ul, but uncompassionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
3.The patient says, My marriage is just great. My spouse and I always agree. The nurse observes
the patients f̣oot moving continuously as the patient twirls a shirt button. The conclusion the nurse
can draw is that the patients communication is:
a.clear. c. precise.
b.mixed. d. inadequate.
ANS: B
Mixed messages involve the transmission of̣ conf̣licting or incongruent messages by the speaker.
The patients verbal message that all was well in the relationship was modif̣ied by the nonverbal
behaviors denoting anxiety. Data are not present to support the choice of̣ the verbal message being
clear, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: mcs 150-151 TOP: Nursing Process: Assessment
TEST BANK
PRIMARY CARE
PSYCHIATRY
2nd Edition
McCarron Xiong
TEST BANK
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
Table of̣ Contents:
Chapter 1. The Primary Care Psychiatric Interview
Chapter 2. Primary Care and Psychiatry: An Overview of̣ 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 of̣ 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 Dysf̣unction
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 f̣elt emotionally
drained, as though I hadnt rested well. Which response should the nurse use to clarif̣y the
patients comment?
a.It sounds as though you were uncomf̣ortable with the content of̣ your dream.
b.I understand what youre saying. Bad dreams leave me f̣eeling tired, too.
c.So you f̣eel as though you did not get enough quality sleep last night?
d.Can you give me an example of̣ what you mean by stoned?
ANS: D
The technique of̣ clarif̣ication is therapeutic and helps the nurse examine the meaning of̣ the
patients statement. Asking f̣or a def̣inition of̣ stoned directly asks f̣or clarif̣ication. Restating that
the patient is uncomf̣ortable with the dreams content is parroting, a non-therapeutic technique.
The other responses f̣ail to clarif̣y the meaning of̣ the patients comment.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
2.A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
f̣luorescent lights in this room. Be caref̣ul 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 f̣rom operating in health care f̣acilities.
d.You have lost touch with reality, which is a symptom of̣ your illness.
ANS: B
It is important not to challenge the patients belief̣s, even if̣ they are unrealistic. Challenging
undermines the patients trust in the nurse. The nurse should try to understand the underlying
f̣eelings or thoughts the patients message conveys. The correct response uses the therapeutic
technique of̣ ref̣lection. The other comments are non-therapeutic. Asking to talk about something
other than the concern at hand is changing the subject. Saying that the CIA is prohibited f̣rom
operating in health care f̣acilities gives f̣alse reassurance. Stating that the patient has lost touch
with reality is truthf̣ul, but uncompassionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
3.The patient says, My marriage is just great. My spouse and I always agree. The nurse observes
the patients f̣oot moving continuously as the patient twirls a shirt button. The conclusion the nurse
can draw is that the patients communication is:
a.clear. c. precise.
b.mixed. d. inadequate.
ANS: B
Mixed messages involve the transmission of̣ conf̣licting or incongruent messages by the speaker.
The patients verbal message that all was well in the relationship was modif̣ied by the nonverbal
behaviors denoting anxiety. Data are not present to support the choice of̣ the verbal message being
clear, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
REF: mcs 150-151 TOP: Nursing Process: Assessment
