TEST BANK For Primary Care Psychiatry, 2nd Edition by Robert McCarron, Glen Xiong, Verified Chapters 1 - 26, Complete Newest Version

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Test Bank For Primary Care Psychiatry
2nd Edition by McCarron, Xiong
Chapter 1 - 26

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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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c x Table of Contents: cx cx




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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x Chapter 5. Anxiety Disorders cx cx cx



Chapter 6. Obsessive– cx cx




Compulsive and Related Disorders Chapter 7. Trauma-
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Related Disorders cx




Chapter 8. Mood Disorders— cx cx cx



Depression Chapter 9. Treatment- cx c x c x



Resistant Depression c x



Chapter 10. Psychiatric5Disorders: Bipolar and Related Disorders Chap
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ter 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—
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Illicit5and Prescription Drugs
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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 Cha
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pter 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 C
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hapter 23. Somatic Symptom and Related Disorders Ch
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apter 24. Insomnia cx cx




Chapter 25. Sexual Dysfunction Chapt
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er 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 cx




1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally d
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r ained, as though I hadnt rested well. Which response should the nurse use to clarify the pat
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i ents 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:5D

The technique of clarification is therapeutic and helps the nurse examine the meaning of the patient
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s statement. Asking for a definition of stoned directly asks for clarification. Restating that the patien
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t is uncomfortable with the dreams content is parroting, a non-
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therapeutic technique. The other responses fail to clarify the meaning of the patient
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s comment. PTS:
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1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9- cx cx cx cx




2) TOP: Nursing Process: Implementation MSC: Client Needs: Psy
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c hosocial Integrity
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2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluor
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escent lights in this room. Be careful what you say. Which response by the nurse would be most th
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e rapeutic?
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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:5B

It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging underm
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i nes the patients trust in the nurse. The nurse should try to understand the underlying feelings or tho
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u ghts the patients message conveys. The correct response uses the therapeutic technique of reflecti
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on
. The other comments are non-
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therapeutic. Asking to talk about something other than the concern at hand is changing the subject.
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Saying that the CIA5is prohibited from operating in health care facilities gives false reassurance. St
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ating 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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cx REF: mcs 154 (dm 9- cx cx cx cx




2) TOP: Nursing Process: Implementation MSC: Client Needs: Psy
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c hosocial Integrity
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3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes t
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h e patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse ca
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n d raw is that the patients communication is:
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a. clear. c. precise. cx




b. mixed. d. inadequate.c x




ANSWER:5B

Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The
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cx patients verbal message that all was well in the relationship was modified by the nonverbal beh
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av iors denoting anxiety. Data are not present to support the choice of the verbal message being
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clea r, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mcs
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150-151 TOP: Nursing Process: Assessment cx cx cx cx