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Test Bank For Primary Care Psychiatry
2nd Edition by McCarron, Xiong
Chapter 1 - 26
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
Table of Contents:
Chapter 1. The Primary Care Psychiatric Interview
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
Chapter 3. Preventive Medicine and Behavioral Health
Chapter 4. The Patient and You: Psychological and Cultural Consideration
Chapter 5. Anxiety Disorders
Chapter 6. Obsessive–Compulsive and Related Disorders
Chapter 7. Trauma-Related Disorders
Chapter 8. Mood Disorders—Depression
Chapter 9. Treatment-Resistant Depression
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
Chapter 11. Psychotic Disorders
Chapter 12. Neurocognitive Disorders
Chapter 13. Substance Use Disorders—Alcohol
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
Chapter 15. Personality Disorders
Chapter 16. Cognitive Behavioral Therapy
Chapter 17. Supportive Psychotherapy in Primary Care
Chapter 18. Motivational Interviewing
Chapter 19. Fundamentals of Psychopharmacology
Chapter 20. Geriatric Behavioral Health
Chapter 21. Child and Adolescent Behavioral Health
Chapter 22. Suicide and Violence Risk Assessment
Chapter 23. Somatic Symptom and Related Disorders
Chapter 24. Insomnia
Chapter 25. Sexual Dysfunction
Chapter 26. Eating Disorders
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Chapter 1: The Primary Care Psychiatric Interview
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
MULTIPLE CHOICE
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
drained, as though I hadnt rested well. Which response should the nurse use to clarify the
patients comment?
a. It sounds as though you were uncomfortable with the content of your dream.
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
c. So you feel as though you did not get enough quality sleep last night?
d. Can you give me an example of what you mean by stoned?
ANSWER: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
patients statement. Asking for a definition of stoned directly asks for clarification. Restating that
the patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
The other responses fail to clarify the meaning of the patients comment.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
most therapeutic?
a. Lets talk about something other than the CIA.
b. It sounds like youre concerned about your privacy.
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c. The sCIA sis sprohibited sfrom soperating sin shealth scare sfacilities.
d. You shave slost stouch swith sreality, swhich sis sa ssymptom sof syour sillness.
ANSWER: sB
It sis simportant snot sto schallenge sthe spatients sbeliefs, seven sif sthey sare sunrealistic. sChallenging
sundermines sthe spatients strust sin sthe snurse. sThe snurse sshould stry sto sunderstand sthe sunderlying
sfeelings sor sthoughts sthe spatients smessage sconveys. sThe scorrect sresponse suses sthe stherapeutic
stechnique sof sreflection. sThe sother scomments sare snon-therapeutic. sAsking sto stalk sabout
ssomething sother sthan sthe sconcern sat shand sis schanging sthe ssubject. sSaying sthat sthe sCIA sis
sprohibited sfrom soperating sin shealth scare sfacilities sgives sfalse sreassurance. sStating sthat sthe
spatient shas slost stouch swith sreality sis struthful, sbut suncompassionate.
PTS: s1 sDIF: sCognitive sLevel: sApply s(Application)
REF: smcs s154 s(dm s9-2) sTOP: sNursing sProcess: sImplementation
sMSC: sClient sNeeds: sPsychosocial sIntegrity
3. The spatient ssays, sMy smarriage sis sjust sgreat. sMy sspouse sand sI salways sagree. sThe snurse
sobserves sthe spatients sfoot smoving scontinuously sas sthe spatient stwirls sa sshirt sbutton. sThe
sconclusion sthe snurse scan sdraw sis sthat sthe spatients scommunication sis:
a. clear. c. s precise.
b. mixed. d. s inadequate.
ANSWER: sB
Mixed smessages sinvolve sthe stransmission sof sconflicting sor sincongruent smessages sby sthe
sspeaker. sThe spatients sverbal smessage sthat sall swas swell sin sthe srelationship swas smodified sby
sthe snonverbal sbehaviors sdenoting sanxiety. sData sare snot spresent sto ssupport sthe schoice sof sthe
sverbal smessage sbeing sclear, sexplicit, sor sinadequate.
PTS: s1 sDIF: sCognitive sLevel: sUnderstand s(Comprehension) sREF:
smcs s150-151 sTOP: sNursing sProcess: sAssessment
Test Bank For Primary Care Psychiatry
2nd Edition by McCarron, Xiong
Chapter 1 - 26
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
Table of Contents:
Chapter 1. The Primary Care Psychiatric Interview
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
Chapter 3. Preventive Medicine and Behavioral Health
Chapter 4. The Patient and You: Psychological and Cultural Consideration
Chapter 5. Anxiety Disorders
Chapter 6. Obsessive–Compulsive and Related Disorders
Chapter 7. Trauma-Related Disorders
Chapter 8. Mood Disorders—Depression
Chapter 9. Treatment-Resistant Depression
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
Chapter 11. Psychotic Disorders
Chapter 12. Neurocognitive Disorders
Chapter 13. Substance Use Disorders—Alcohol
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
Chapter 15. Personality Disorders
Chapter 16. Cognitive Behavioral Therapy
Chapter 17. Supportive Psychotherapy in Primary Care
Chapter 18. Motivational Interviewing
Chapter 19. Fundamentals of Psychopharmacology
Chapter 20. Geriatric Behavioral Health
Chapter 21. Child and Adolescent Behavioral Health
Chapter 22. Suicide and Violence Risk Assessment
Chapter 23. Somatic Symptom and Related Disorders
Chapter 24. Insomnia
Chapter 25. Sexual Dysfunction
Chapter 26. Eating Disorders
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
Chapter 1: The Primary Care Psychiatric Interview
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
MULTIPLE CHOICE
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
drained, as though I hadnt rested well. Which response should the nurse use to clarify the
patients comment?
a. It sounds as though you were uncomfortable with the content of your dream.
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
c. So you feel as though you did not get enough quality sleep last night?
d. Can you give me an example of what you mean by stoned?
ANSWER: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
patients statement. Asking for a definition of stoned directly asks for clarification. Restating that
the patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
The other responses fail to clarify the meaning of the patients comment.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
MSC: Client Needs: Psychosocial Integrity
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
most therapeutic?
a. Lets talk about something other than the CIA.
b. It sounds like youre concerned about your privacy.
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
c. The sCIA sis sprohibited sfrom soperating sin shealth scare sfacilities.
d. You shave slost stouch swith sreality, swhich sis sa ssymptom sof syour sillness.
ANSWER: sB
It sis simportant snot sto schallenge sthe spatients sbeliefs, seven sif sthey sare sunrealistic. sChallenging
sundermines sthe spatients strust sin sthe snurse. sThe snurse sshould stry sto sunderstand sthe sunderlying
sfeelings sor sthoughts sthe spatients smessage sconveys. sThe scorrect sresponse suses sthe stherapeutic
stechnique sof sreflection. sThe sother scomments sare snon-therapeutic. sAsking sto stalk sabout
ssomething sother sthan sthe sconcern sat shand sis schanging sthe ssubject. sSaying sthat sthe sCIA sis
sprohibited sfrom soperating sin shealth scare sfacilities sgives sfalse sreassurance. sStating sthat sthe
spatient shas slost stouch swith sreality sis struthful, sbut suncompassionate.
PTS: s1 sDIF: sCognitive sLevel: sApply s(Application)
REF: smcs s154 s(dm s9-2) sTOP: sNursing sProcess: sImplementation
sMSC: sClient sNeeds: sPsychosocial sIntegrity
3. The spatient ssays, sMy smarriage sis sjust sgreat. sMy sspouse sand sI salways sagree. sThe snurse
sobserves sthe spatients sfoot smoving scontinuously sas sthe spatient stwirls sa sshirt sbutton. sThe
sconclusion sthe snurse scan sdraw sis sthat sthe spatients scommunication sis:
a. clear. c. s precise.
b. mixed. d. s inadequate.
ANSWER: sB
Mixed smessages sinvolve sthe stransmission sof sconflicting sor sincongruent smessages sby sthe
sspeaker. sThe spatients sverbal smessage sthat sall swas swell sin sthe srelationship swas smodified sby
sthe snonverbal sbehaviors sdenoting sanxiety. sData sare snot spresent sto ssupport sthe schoice sof sthe
sverbal smessage sbeing sclear, sexplicit, sor sinadequate.
PTS: s1 sDIF: sCognitive sLevel: sUnderstand s(Comprehension) sREF:
smcs s150-151 sTOP: sNursing sProcess: sAssessment
