Primary Care Psychiatry, 2nd Edition TEST BANK 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 Robert McCarron, Glen Xiong
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. PrimaryCare 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 PrimaryCare
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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 AL AL AL AL AL AL




Primary CarePsychiatry 2ndEditionMcCarron XiongTest Bank AL LA AL LA LA AL LA AL




MULTIPLE CHOICE AL




1. A patient says to the nurse, I dreamed I was stoned. When Iwoke up, I felt emotionally drain
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ed, as though I hadnt rested well. Which response should the nurse use to clarify the patients
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comment?

a. It sounds as though you were uncomfortable with the content of your dream.
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b. Iunderstand 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? AL AL AL AL AL AL AL AL AL AL AL




ANSWER: D AL




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 patient i
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s 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. PTS:
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1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9- AL AL AL AL




2) TOP: Nursing Process: Implementation MSC: Client Needs: Psyc
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hosocial Integrity AL




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 ther
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apeutic?

a. Lets talk about something other than the CIA. AL AL AL AL AL AL AL




b. It sounds like youre concerned about your privacy.
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c. The CIA is prohibited from operating in health care facilities. AL AL AL AL AL AL AL AL AL




d. You have lost touch with reality, which is a symptom of your illness. AL AL AL AL AL AL AL AL AL AL AL AL




ANSWER: B AL




It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging undermi
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nes the patients trust in the nurse. The nurse should try to understand the underlying feelings or tho
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ughts 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. S AL AL AL AL AL AL AL AL AL AL AL AL AL AL AL AL




aying that the CIA is prohibited from operating in health care facilities gives false reassurance. Statin
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g 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- AL AL AL AL




2) TOP: Nursing Process: Implementation MSC: Client Needs: Psyc
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hosocial Integrity AL




3. The patient says, Mymarriage is just great. Myspouse and I always agree. The nurse observes the p
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atients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can dr
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aw is that the patients communication is:
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a. clear. c. precise. A L




b. mixed. d. inadequate. A L




ANSWER: B AL




Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The
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patients verbal message that all was well in the relationship was modified by the nonverbal behavior
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s denoting anxiety. Data are not present to support the choice of the verbal message being clear, expl
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icit, or inadequate. AL AL




PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mcs
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AL 150-151 TOP: Nursing Process: Assessment AL AL AL AL