Test Bank For Primary Care Psychiatry
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2nd Edition by Robert McCarron, Glen Xiong Ch
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apter 1 - 26 t t t
, Stuvia.comt-tThetMarketplacettotBuytandtSelltyourtStudytMaterial
PrimarytCaretPsychiatryt2ndtEditiontMcCarrontXiongtTesttBank
TabletoftContents:
Chaptert1.tThetPrimarytCaretPsychiatrictInterview
Chaptert2.tPrimarytCaretandtPsychiatry:tAntOverviewtoftthetCollaborativetCaretModel
Chaptert3.tPreventivetMedicinetandtBehavioraltHealth
Chaptert4.tThetPatienttandtYou:tPsychologicaltandtCulturaltConsideration
Chaptert5.tAnxietytDisorders
Chaptert6.tObsessive–CompulsivetandtRelatedtDisorders
Chaptert7.tTrauma-RelatedtDisorders
Chaptert8.tMoodtDisorders—Depression
Chaptert9.tTreatment-ResistanttDepression
Chaptert10.tPsychiatrictDisorders:tBipolartandtRelatedtDisorders
Chaptert11.tPsychotictDisorders
Chaptert12.tNeurocognitivetDisorders
Chaptert13.tSubstancetUsetDisorders—Alcohol
Chaptert14.tSubstancetUsetDisorders—IllicittandtPrescriptiontDrugs
Chaptert15.tPersonalitytDisorders
Chaptert16.tCognitivetBehavioraltTherapy
Chaptert17.tSupportivetPsychotherapytintPrimarytCare
Chaptert18.tMotivationaltInterviewing
Chaptert19.tFundamentalstoftPsychopharmacology
Chaptert20.tGeriatrictBehavioraltHealth
Chaptert21.tChildtandtAdolescenttBehavioraltHealth
Chaptert22.tSuicidetandtViolencetRisktAssessment
Chaptert23.tSomatictSymptomtandtRelatedtDisorders
Chaptert24.tInsomnia
Chaptert25.tSexualtDysfunction
Chaptert26.tEatingtDisorders
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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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MULTIPLEtCHOICE
1. Atpatienttsaysttotthetnurse,tItdreamedtItwaststoned.tWhentItwoketup,tItfelttemotionallytdrain
ed,tastthoughtIthadnttrestedtwell.tWhichtresponsetshouldtthetnursetusettotclarifytthetpatientstco
mment?
a. Ittsoundstastthoughtyoutweretuncomfortabletwithtthetcontenttoftyourtdream.
b. Itunderstandtwhatt youretsaying.tBadtdreamstleavetmetfeelingttired,ttoo.
c. Sotyoutfeeltastthought youtdidtnottgettenoughtqualitytsleeptlasttnight?
d. Cantyoutgivetmetantexampletoftwhattyoutmeantbytstoned?
ANSWER:tD
Thettechniquetoftclarificationtisttherapeutictandthelpstthetnursetexaminetthetmeaningtoftthetpatientsts
tatement.tAskingtfortatdefinitiontoftstonedtdirectlytaskstfortclarification.tRestatingtthattthetpatienttistu
ncomfortabletwithtthetdreamstcontenttistparroting,tatnon-therapeuticttechnique.
Thetothertresponsestfailttotclarifytthetmeaningtoftthetpatientstcomment.tPTS:t
1tDIF:tCognitivetLevel:tApplyt(Application)
REF:tmcst154t(dmt9-
2)tTOP:tNursingtProcess:tImplementationtMSC:tClienttNeeds:tPs
ychosocialtIntegrity
2. Atpatienttdiagnosedtwithtschizophreniattellstthetnurse,tThetCIAtistmonitoringtustthroughtthetfluor
escenttlightstintthistroom.tBetcarefultwhattyoutsay.tWhichtresponsetbytthetnursetwouldtbetmosttthera
peutic?
a. LetsttalktabouttsomethingtothertthantthetCIA.
b. Ittsoundstliketyouretconcernedtabouttyourtprivacy.
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c. ThetCIAtistprohibitedtfromtoperatingtinthealthtcaretfacilities.
d. Youthavetlostttouchtwithtreality,twhichtistatsymptomtoftyourtillness.
ANSWER:tB
Ittistimportanttnotttotchallengetthetpatientstbeliefs,teventifttheytaretunrealistic.tChallengingtundermin
estthetpatientsttrusttintthetnurse.tThetnursetshouldttryttotunderstandtthetunderlyingtfeelingstortthought
stthetpatientstmessagetconveys.tThetcorrecttresponsetusestthettherapeuticttechniquetoftreflection.tThe
othertcommentstaretnon-
t
therapeutic.tAskingttottalktabouttsomethingtothertthantthetconcerntatthandtistchangingtthetsubject.tSa
yingtthattthetCIAtistprohibitedtfromtoperatingtinthealthtcaretfacilitiestgivestfalsetreassurance.tStatingt
thattthetpatientthastlostttouchtwithtrealitytisttruthful,tbuttuncompassionate.
PTS:t1tDIF:tCognitivetLevel:tApplyt(Application)
REF:tmcst154t(dmt9-
2)tTOP:tNursingtProcess:tImplementationtMSC:tClienttNeeds:tPs
ychosocialtIntegrity
3. Thetpatienttsays,tMytmarriagetistjusttgreat.tMytspousetandtItalwaystagree.tThetnursetobservestthetp
atientstfoottmovingtcontinuouslytastthetpatientttwirlstatshirttbutton.tThetconclusiontthetnursetcantdra
wtistthattthetpatientstcommunicationtis:
a. clear. c.t precise.
b. mixed. d.t inadequate.
ANSWER:tB
Mixedtmessagestinvolvetthettransmissiontoftconflictingtortincongruenttmessagestbytthetspeaker.tThet
patientstverbaltmessagetthattalltwastwelltintthetrelationshiptwastmodifiedtbytthetnonverbaltbehaviorst
denotingtanxiety.tDatataretnottpresentttotsupporttthetchoicetoftthetverbaltmessagetbeingtclear,texplicit
,tortinadequate.
PTS:t1tDIF:tCognitivetLevel:tUnderstandt(Comprehension)tREF:t
mcst150-151tTOP:tNursingtProcess:tAssessment