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