Test Bank For Primary Care Psychiatry 2nd Edition by Dr. Robert M. McCarron Chapters 1-26 Complete Guide A+

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PRIMARY CARE PSYC g g




HIATRY
2nd Edition McC
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arron Xiong g




TEST BANK g

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PrimarygCaregPsychiatryg2ndgEditiongMcCarrongXionggTestgBank
TablegofgContents:
Chapterg1.gThegPrimarygCaregPsychiatricgInterview
Chapterg2.gPrimarygCaregandgPsychiatry:gAngOverviewgofgthegCollaborativegCaregModel
Chapterg3.gPreventivegMedicinegandgBehavioralgHealth
Chapterg4.gThegPatientgandgYou:gPsychologicalgandgCulturalgConsideration
Chapterg5.gAnxietygDisorders
Chapterg6.gObsessive–CompulsivegandgRelatedgDisorders
Chapterg7.gTrauma-RelatedgDisorders
Chapterg8.gMoodgDisorders—Depression
Chapterg9.gTreatment-ResistantgDepression
Chapterg10.gPsychiatricgDisorders:gBipolargandgRelatedgDisorders
Chapterg11.gPsychoticgDisorders
Chapterg12.gNeurocognitivegDisorders
Chapterg13.gSubstancegUsegDisorders—Alcohol
Chapterg14.gSubstancegUsegDisorders—IllicitgandgPrescriptiongDrugs
Chapterg15.gPersonalitygDisorders
Chapterg16.gCognitivegBehavioralgTherapy
Chapterg17.gSupportivegPsychotherapygingPrimarygCare
Chapterg18.gMotivationalgInterviewing
Chapterg19.gFundamentalsgofgPsychopharmacology
Chapterg20.gGeriatricgBehavioralgHealth
Chapterg21.gChildgandgAdolescentgBehavioralgHealth
Chapterg22.gSuicidegandgViolencegRiskgAssessment
Chapterg23.gSomaticgSymptomgandgRelatedgDisorders
Chapterg24.gInsomnia
Chapterg25.gSexualgDysfunction
Chapterg26.gEatinggDisorders

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Chapterg1:gThegPrimarygCaregPsychiatricgInterview
PrimarygCaregPsychiatryg2ndgEditiongMcCarrongXionggTestgBank

MULTIPLEgCHOICE

1. Agpatientgsaysgtogthegnurse,gIgdreamedgIgwasgstoned.gWhengIgwokegup,gIgfeltgemotionall
ygdrained,gasgthoughgIghadntgrestedgwell.gWhichgresponsegshouldgthegnursegusegtogclarifyg
thegpatientsgcomment?

a. Itgsoundsgasgthoughgyougwereguncomfortablegwithgthegcontentgofgyourgdream.
b. Igunderstandgwhatgyouregsaying.gBadgdreamsgleavegmegfeelinggtired,gtoo.
c. Sogyougfeelgasgthoughg yougdidgnotggetgenoughgqualitygsleepglastgnight?
d. Cangyouggivegmegangexamplegofgwhatgyougmeangbygstoned?


ANS:gD

Thegtechniquegofgclarificationgisgtherapeuticgandghelpsgthegnursegexaminegthegmeaninggofgthegpa
tientsgstatement.gAskinggforgagdefinitiongofgstonedgdirectlygasksgforgclarification.gRestatinggthatgt
hegpatientgisguncomfortablegwithgthegdreamsgcontentgisgparroting,gagnon-therapeuticgtechnique.
Thegothergresponsesgfailgtogclarifygthegmeaninggofgthegpatientsgcomment.g

PTS:g1gDIF:gCognitivegLevel:gApplyg(Application)

REF:gmcsg154g(dmg9-

2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:

gPsychosocialgIntegrity

2. Agpatientgdiagnosedgwithgschizophreniagtellsgthegnurse,gThegCIAgisgmonitoringgusgthroughgth
egfluorescentglightsgingthisgroom.gBegcarefulgwhatgyougsay.gWhichgresponsegbygthegnursegwould
gbegmostgtherapeutic?

a. LetsgtalkgaboutgsomethinggothergthangthegCIA.
b. Itgsoundsglikegyouregconcernedgaboutgyourgprivacy.

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c. ThegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilities.
d. Youghaveglostgtouchgwithgreality,gwhichgisgagsymptomgofgyourgillness.


ANS:gB

Itgisgimportantgnotgtogchallengegthegpatientsgbeliefs,gevengifgtheygaregunrealistic.gChallenginggun
derminesgthegpatientsgtrustgingthegnurse.gThegnursegshouldgtrygtogunderstandgthegunderlyinggfeeli
ngsgorgthoughtsgthegpatientsgmessagegconveys.gThegcorrectgresponsegusesgthegtherapeuticgtechni
quegofgreflection.gThegothergcommentsgaregnon-
therapeutic.gAskinggtogtalkgaboutgsomethinggothergthangthegconcerngatghandgisgchanginggthegsubj
ect.gSayinggthatgthegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilitiesggivesgfalsegreassur
ance.gStatinggthatgthegpatientghasglostgtouchgwithgrealitygisgtruthful,gbutguncompassionate.

PTS:g1gDIF:gCognitivegLevel:gApplyg(Application)

REF:gmcsg154g(dmg9-

2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:

PsychosocialgIntegrity
g



3. Thegpatientgsays,gMygmarriagegisgjustggreat.gMygspousegandgIgalwaysgagree.gThegnursegobserv
esgthegpatientsgfootgmovinggcontinuouslygasgthegpatientgtwirlsgagshirtgbutton.gThegconclusiongtheg
nursegcangdrawgisgthatgthegpatientsgcommunicationgis:

a. clear. c.g precise.
b. mixed. d.g inadequate.


ANS:gB

Mixedgmessagesginvolvegthegtransmissiongofgconflictinggorgincongruentgmessagesgbygthegspeaker
.gThegpatientsgverbalgmessagegthatgallgwasgwellgingthegrelationshipgwasgmodifiedgbygthegnonverb
algbehaviorsgdenotingganxiety.gDatagaregnotgpresentgtogsupportgthegchoicegofgthegverbalgmessageg
beinggclear,gexplicit,gorginadequate.

PTS:g1gDIF:gCognitivegLevel:gUnderstandg(Comprehension)gR

EF:gmcsg150-151gTOP:gNursinggProcess:gAssessment