Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
TEST BANK m
PRIMARY CARE PSYC m m
HIATRY
2nd Edition McC
m m
arron Xiong m
TEST BANK m
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
PrimarymCaremPsychiatrym2ndmEditionmMcCarronmXiongmTestmBank
Tablemof mContents:
Chapterm1.mThemPrimarymCaremPsychiatricmInterview
Chapterm2.mPrimary mCaremand mPsychiatry:mAn mOverviewmof mthemCollaborative mCaremModel
Chapterm3.mPreventive mMedicinemand mBehavioralmHealth
Chapterm4.mThemPatientmand mYou:mPsychologicalmand mCulturalmConsideration
Chapterm5.mAnxiety mDisorders
Chapterm6.mObsessive–Compulsive mand mRelated mDisorders
Chapterm7.mTrauma-Related mDisorders
Chapterm8.mMood mDisorders—Depression
Chapterm9.mTreatment-ResistantmDepression
Chapterm10.mPsychiatric mDisorders:mBipolarmand mRelated mDisorders
Chapterm11.mPsychotic mDisorders
Chapterm12.mNeurocognitive mDisorders
Chapterm13.mSubstance mUsemDisorders—Alcohol
Chapterm14.mSubstance mUsemDisorders—Illicitmand mPrescription mDrugs
Chapterm15.mPersonality mDisorders
Chapterm16.mCognitivemBehavioralmTherapy
Chapterm17.mSupportive mPsychotherapy min mPrimary mCare
Chapterm18.mMotivationalmInterviewing
Chapterm19.mFundamentalsmof mPsychopharmacology
Chapterm20.mGeriatricmBehavioralmHealth
Chapterm21.mChild mand mAdolescentmBehavioralmHealth
Chapterm22.mSuicidemand mViolence mRisk mAssessment
Chapterm23.mSomatic mSymptom mand mRelated mDisorders
Chapterm24.mInsomnia
Chapterm25.mSexualmDysfunction
Chapterm26.mEatingmDisorders
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
Chapter m1:mThemPrimary mCare mPsychiatric mInterview
Primary mCare mPsychiatry m2ndmEditionmMcCarronmXiong mTestmBank
MULTIPLEmCHOICE
1. A mpatient msaysmtomthemnurse,mI mdreamed mImwasmstoned.mWhenmI mwokemup,mI mfelt memotiona
llymdrained,masmthoughmI mhadnt mrested mwell.mWhich mresponsemshould mthemnursemusemtomclari
fymthempatientsmcomment?
a. It msoundsmasmthoughmyoumweremuncomfortablemwithmthemcontent mof myourmdream.
b. I munderstand mwhat myouremsaying.mBad mdreamsmleavemmemfeelingmtired,mtoo.
c. Somyoumfeelmasmthoughmyoumdid mnot mget menoughmqualitymsleepmlast mnight?
d. Canmyoumgivemmemanmexamplemof mwhat myoummeanmbymstoned?
ANS:mD
Themtechniquemof mclarificationmismtherapeuticmand mhelpsmthemnursemexaminemthemmeaningmof mthemp
atientsmstatement.mAskingmformamdefinitionmof mstoned mdirectlymasksmformclarification.mRestatingmtha
t mthempatient mismuncomfortablemwithmthemdreamsmcontent mismparroting,mamnon-
therapeuticmtechnique.
Themothermresponsesmfailmtomclarifymthemmeaningmof mthempatientsmcomment.
mPTS:m1mDIF:mCognitivemLevel:mApplym(Application)
REF:mmcsm154m(dmm9-
2)mTOP:mNursingmProcess:mImplementationmMSC:mClient mNeeds
:mPsychosocialmIntegrity
2. A mpatient mdiagnosed mwithmschizophreniamtells mthemnurse,m ThemCIA mismmonitoringmus mthroughmt
hemfluorescent mlightsminmthism room.mBemcarefulmwhat myoumsay.mWhichm response mbymthemnursemwo
uld mbemmost mtherapeutic?
a. Letsmtalkmabout msomethingmothermthanmthemCIA.
b. It msoundsmlikemyouremconcerned mabout myourmprivacy.
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
c. ThemCIA mismprohibited mfrommoperatingminmhealthmcaremfacilities.
d. Youmhavemlost mtouchmwithmreality,mwhichmismamsymptommof myourmillness.
ANS:mB
It mismimportant mnot mtomchallengemthempatientsmbeliefs,mevenmif mtheymaremunrealistic.mChallengingmu
nderminesmthempatientsmtrust minmthemnurse.mThemnursemshould mtrymtomunderstand mthemunderlyingmfe
elingsmormthoughtsmthempatientsmmessagemconveys.mThemcorrect mresponsemusesmthemtherapeuticmtec
hniquemof mreflection.mThemothermcommentsmaremnon-
therapeutic.mAskingmtomtalkmabout msomethingmothermthanmthemconcernmat mhand mismchangingmthemsub
ject.mSayingmthat mthemCIA mismprohibited mfrommoperatingminmhealthmcaremfacilitiesmgivesmfalsemreass
urance.mStatingmthat mthempatient mhasmlost mtouchmwithmrealitymismtruthful,mbut muncompassionate.
PTS:m1mDIF:mCognitivemLevel:mApplym(Application)
REF:mmcsm154m(dmm9-
2)mTOP:mNursingmProcess:mImplementationmMSC:mClient mNeeds
:mPsychosocialmIntegrity
3. Thempatient msays,mMymmarriagemismjust mgreat.mMymspousemand mI malwaysmagree.m Themnursemobser
vesmthempatientsmfoot mmovingmcontinuouslymasmthempatient mtwirlsmamshirt mbutton.mThemconclusionmt
hemnursemcanmdraw mismthat mthempatientsmcommunicationmis:
a. clear. c.m precise.
b. mixed. d.m inadequate.
ANS:mB
Mixed mmessagesminvolvemthemtransmissionmof mconflictingmormincongruent mmessagesmbymthemspeak
er.mThempatientsmverbalmmessagemthat mallmwasmwellm inmthemrelationship mwasmmodified mbymthemnonv
erbalmbehaviorsmdenotingmanxiety.mDatamaremnot mpresent mtomsupport mthemchoicemof mthemverbalmmes
sagembeingmclear,mexplicit,morminadequate.
PTS:m1mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mR
EF:mmcsm150-151mTOP:mNursingmProcess:mAssessment
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
TEST BANK m
PRIMARY CARE PSYC m m
HIATRY
2nd Edition McC
m m
arron Xiong m
TEST BANK m
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
PrimarymCaremPsychiatrym2ndmEditionmMcCarronmXiongmTestmBank
Tablemof mContents:
Chapterm1.mThemPrimarymCaremPsychiatricmInterview
Chapterm2.mPrimary mCaremand mPsychiatry:mAn mOverviewmof mthemCollaborative mCaremModel
Chapterm3.mPreventive mMedicinemand mBehavioralmHealth
Chapterm4.mThemPatientmand mYou:mPsychologicalmand mCulturalmConsideration
Chapterm5.mAnxiety mDisorders
Chapterm6.mObsessive–Compulsive mand mRelated mDisorders
Chapterm7.mTrauma-Related mDisorders
Chapterm8.mMood mDisorders—Depression
Chapterm9.mTreatment-ResistantmDepression
Chapterm10.mPsychiatric mDisorders:mBipolarmand mRelated mDisorders
Chapterm11.mPsychotic mDisorders
Chapterm12.mNeurocognitive mDisorders
Chapterm13.mSubstance mUsemDisorders—Alcohol
Chapterm14.mSubstance mUsemDisorders—Illicitmand mPrescription mDrugs
Chapterm15.mPersonality mDisorders
Chapterm16.mCognitivemBehavioralmTherapy
Chapterm17.mSupportive mPsychotherapy min mPrimary mCare
Chapterm18.mMotivationalmInterviewing
Chapterm19.mFundamentalsmof mPsychopharmacology
Chapterm20.mGeriatricmBehavioralmHealth
Chapterm21.mChild mand mAdolescentmBehavioralmHealth
Chapterm22.mSuicidemand mViolence mRisk mAssessment
Chapterm23.mSomatic mSymptom mand mRelated mDisorders
Chapterm24.mInsomnia
Chapterm25.mSexualmDysfunction
Chapterm26.mEatingmDisorders
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
Chapter m1:mThemPrimary mCare mPsychiatric mInterview
Primary mCare mPsychiatry m2ndmEditionmMcCarronmXiong mTestmBank
MULTIPLEmCHOICE
1. A mpatient msaysmtomthemnurse,mI mdreamed mImwasmstoned.mWhenmI mwokemup,mI mfelt memotiona
llymdrained,masmthoughmI mhadnt mrested mwell.mWhich mresponsemshould mthemnursemusemtomclari
fymthempatientsmcomment?
a. It msoundsmasmthoughmyoumweremuncomfortablemwithmthemcontent mof myourmdream.
b. I munderstand mwhat myouremsaying.mBad mdreamsmleavemmemfeelingmtired,mtoo.
c. Somyoumfeelmasmthoughmyoumdid mnot mget menoughmqualitymsleepmlast mnight?
d. Canmyoumgivemmemanmexamplemof mwhat myoummeanmbymstoned?
ANS:mD
Themtechniquemof mclarificationmismtherapeuticmand mhelpsmthemnursemexaminemthemmeaningmof mthemp
atientsmstatement.mAskingmformamdefinitionmof mstoned mdirectlymasksmformclarification.mRestatingmtha
t mthempatient mismuncomfortablemwithmthemdreamsmcontent mismparroting,mamnon-
therapeuticmtechnique.
Themothermresponsesmfailmtomclarifymthemmeaningmof mthempatientsmcomment.
mPTS:m1mDIF:mCognitivemLevel:mApplym(Application)
REF:mmcsm154m(dmm9-
2)mTOP:mNursingmProcess:mImplementationmMSC:mClient mNeeds
:mPsychosocialmIntegrity
2. A mpatient mdiagnosed mwithmschizophreniamtells mthemnurse,m ThemCIA mismmonitoringmus mthroughmt
hemfluorescent mlightsminmthism room.mBemcarefulmwhat myoumsay.mWhichm response mbymthemnursemwo
uld mbemmost mtherapeutic?
a. Letsmtalkmabout msomethingmothermthanmthemCIA.
b. It msoundsmlikemyouremconcerned mabout myourmprivacy.
, Stuvia.comm-
mThemMarketplacemto mBuy mand mSell myour mStudy mMaterial
c. ThemCIA mismprohibited mfrommoperatingminmhealthmcaremfacilities.
d. Youmhavemlost mtouchmwithmreality,mwhichmismamsymptommof myourmillness.
ANS:mB
It mismimportant mnot mtomchallengemthempatientsmbeliefs,mevenmif mtheymaremunrealistic.mChallengingmu
nderminesmthempatientsmtrust minmthemnurse.mThemnursemshould mtrymtomunderstand mthemunderlyingmfe
elingsmormthoughtsmthempatientsmmessagemconveys.mThemcorrect mresponsemusesmthemtherapeuticmtec
hniquemof mreflection.mThemothermcommentsmaremnon-
therapeutic.mAskingmtomtalkmabout msomethingmothermthanmthemconcernmat mhand mismchangingmthemsub
ject.mSayingmthat mthemCIA mismprohibited mfrommoperatingminmhealthmcaremfacilitiesmgivesmfalsemreass
urance.mStatingmthat mthempatient mhasmlost mtouchmwithmrealitymismtruthful,mbut muncompassionate.
PTS:m1mDIF:mCognitivemLevel:mApplym(Application)
REF:mmcsm154m(dmm9-
2)mTOP:mNursingmProcess:mImplementationmMSC:mClient mNeeds
:mPsychosocialmIntegrity
3. Thempatient msays,mMymmarriagemismjust mgreat.mMymspousemand mI malwaysmagree.m Themnursemobser
vesmthempatientsmfoot mmovingmcontinuouslymasmthempatient mtwirlsmamshirt mbutton.mThemconclusionmt
hemnursemcanmdraw mismthat mthempatientsmcommunicationmis:
a. clear. c.m precise.
b. mixed. d.m inadequate.
ANS:mB
Mixed mmessagesminvolvemthemtransmissionmof mconflictingmormincongruent mmessagesmbymthemspeak
er.mThempatientsmverbalmmessagemthat mallmwasmwellm inmthemrelationship mwasmmodified mbymthemnonv
erbalmbehaviorsmdenotingmanxiety.mDatamaremnot mpresent mtomsupport mthemchoicemof mthemverbalmmes
sagembeingmclear,mexplicit,morminadequate.
PTS:m1mDIF:mCognitivemLevel:mUnderstand m(Comprehension)mR
EF:mmcsm150-151mTOP:mNursingmProcess:mAssessment