Stuvia.com - The Marketplace to Buy and Sell your Study Material
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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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, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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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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, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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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 pt
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally dr
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ained, as though I hadnt rested well. Which response should the nurse use to clarify the pati
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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: D ptptpt
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patien
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ts statement. Asking for a definition of stoned directly asks for clarification. Restating that the patie
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nt is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
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The other responses fail to clarify the meaning of the patients comment. PT
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S: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9-
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2) TOP: Nursing Process: Implementation MSC: Client Needs: P
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sychosocial Integrity pt
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fl
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uorescent lights in this room. Be careful what you say. Which response by the nurse would be mo
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st therapeutic?
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a. Lets talk about something other than the CIA.
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b. It sounds like you re concerned about your privacy.
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, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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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 ptptpt
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging under
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mines the patients trust in the nurse. The nurse should try to understand the underlying feelings or t
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houghts the patients message conveys. The correct response uses the therapeutic technique of refle
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ction. 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 CIA is 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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REF: mcs 154 (dm 9- pt pt pt pt
2) TOP: Nursing Process: Implementation MSC: Client Needs: P
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sychosocial Integrity pt
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes th
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e patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse ca
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n draw is that the patients communication is:
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a. clear. c. precise. p t
b. mixed. d. inadequate. p t
ANSWER: B ptptpt
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. T
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he patients verbal message that all was well in the relationship was modified by the nonverbal beha
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viors denoting anxiety. Data are not present to support the choice of the verbal message being clear
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, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF
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: mcs 150-151 TOP: Nursing Process: Assessment
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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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, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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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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, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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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 pt
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally dr
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
ained, as though I hadnt rested well. Which response should the nurse use to clarify the pati
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
ents comment?
pt
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 ptptpt
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patien
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
ts statement. Asking for a definition of stoned directly asks for clarification. Restating that the patie
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
nt is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
pt pt pt pt pt pt pt pt pt pt pt
The other responses fail to clarify the meaning of the patients comment. PT
pt pt pt pt pt pt pt pt pt pt pt pt
S: 1 DIF: Cognitive Level: Apply (Application)
pt pt pt pt pt pt
REF: mcs 154 (dm 9-
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2) TOP: Nursing Process: Implementation MSC: Client Needs: P
pt pt pt pt pt pt pt pt
sychosocial Integrity pt
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fl
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
uorescent lights in this room. Be careful what you say. Which response by the nurse would be mo
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
st therapeutic?
pt
a. Lets talk about something other than the CIA.
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b. It sounds like you re concerned about your privacy.
pt pt pt pt pt pt pt pt
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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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.
pt pt pt pt pt pt pt pt pt pt pt pt
ANSWER: B ptptpt
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging under
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
mines the patients trust in the nurse. The nurse should try to understand the underlying feelings or t
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
houghts the patients message conveys. The correct response uses the therapeutic technique of refle
pt pt pt pt pt pt pt pt pt pt pt pt pt
ction. 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.
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
Saying that the CIA is prohibited from operating in health care facilities gives false reassurance. St
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
ating that the patient has lost touch with reality is truthful, but uncompassionate.
pt pt pt pt pt pt pt pt pt pt pt pt
PTS: 1 DIF: Cognitive Level: Apply (Application)
pt pt pt pt pt pt
REF: mcs 154 (dm 9- pt pt pt pt
2) TOP: Nursing Process: Implementation MSC: Client Needs: P
pt pt pt pt pt pt pt pt
sychosocial Integrity pt
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes th
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
e patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse ca
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
n draw is that the patients communication is:
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a. clear. c. precise. p t
b. mixed. d. inadequate. p t
ANSWER: B ptptpt
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. T
pt pt pt pt pt pt pt pt pt pt pt pt pt
he patients verbal message that all was well in the relationship was modified by the nonverbal beha
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
viors denoting anxiety. Data are not present to support the choice of the verbal message being clear
pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt pt
, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF
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: mcs 150-151 TOP: Nursing Process: Assessment
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