Test Bank For Primary Care Psychiatry 2nd Edition by McCarron, Xiong Chapter 1 - 26

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Test Bank For Primary Care Psychiatry
2nd Edition by McCarron, Xiong
Chapter 1 - 26

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Primary80Care5Psychiatry802nd80Edition80McCarron80Xiong80Tes
t80Bank80Table80of80Contents:
Chapter801.80 The80Primary80Care80Psychiatric80Interview
Chapter802.80Primary80Care80and80Psychiatry:80An80Overview80of80the80Collaborativ
e80Care80Model80Chapter803.80Preventive80Medicine80and80Behavioral80Health
Chapter804.80The80Patient80and80You:80Psychological80and80Cultural80C
onsideration80Chapter805.80Anxiety80Disorders
Chapter806.80Obsessive–
Compulsive80and80Related80Disorders80Chapter807.80T
rauma-Related80Disorders
Chapter808.80Mood80Disorders—
Depression80Chapter809.80Treatment-
Resistant80Depression
Chapter8010.80Psychiatric5Disorders:80Bipolar80and80Related80Disorder
s80Chapter8011.80Psychotic80Disorders
Chapter8012.80Neurocognitive80Disorders
Chapter80 13.80 Substance80 Use80Disorders—Alcohol
Chapter8014.80Substance80Use80Disorders—
Illicit5and80Prescription80Drugs80Chapter8015.80Personality80Disorders
Chapter8016.80Cognitive80Behavioral80Therapy
Chapter8017.80Supportive80Psychotherapy80in80Primar
y80Care80Chapter8018.80Motivational80Interviewing
Chapter8019.80Fundamentals80of80Psychopharmac
ology80Chapter8020.80Geriatric80Behavioral80H
ealth
Chapter8021.80Child80and80Adolescent80Behavioral80
Health80Chapter8022.80Suicide80and80Violence80Risk80
Assessment80Chapter8023.80Somatic80Symptom80and8
0Related80Disorders80Chapter8024.80Insomnia

Chapter8025.80Sexual80Dysfunction80C
hapter8026.80Eating80Disorders

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Chapter80 1:80 The80 Primary80 Care80 Psychiatric80 Interview
Primary80Care80Psychiatry802nd80Edition80McCarron80Xiong80Test80Bank

MULTIPLE80CHOICE

1. A80patient80says80to80the80nurse,80I80dreamed80I80was80stoned.80When80I80woke80up,80I
80felt80emotionally80dr80ained,80as80though80I80hadnt80rested80well.80Which80response80shou

ld80the80nurse80use80to80clarify80the80pati80ents80comment?

a. It80sounds80as80though80you80were80uncomfortable80with80the80content80of80your80dream.
b. I80understand80 what8 0 youre80 saying.80 Bad80 dreams80 leave80 me80 feeling80 tired,80 too.
c. So80you80 feel80 as80though80 you80did80 not80 get80enough80quality80sleep80last80 night?
d. Can80you80give80me80an80example80of80what80you80mean80by80stoned?


ANSWER:5D

The80technique80of80clarification80 is80therapeutic80and80helps5the80nurse80examine80the80meaning80of80th
e80patient
s80statement.80 Asking80for80 a80definition80 of80stoned80 directly80asks80for80 clarification.80 Restating80that80
the80 patien
t80is80uncomfortable80with80the80dreams80content80is80parroting,80a80non-
therapeutic80technique.8 0 The80other80responses80fail80to80clarify80the80meaning80of
80the80patients5comment.80PTS:


180DIF:80Cognitive80Level:80Apply80(Applic

ation)80REF:80mcs8015480(dm809-

2)80TOP:80Nursing80Process:80Implementation80MSC:80Client80Needs:80Psy

c80hosocial80Integrity

2. A5patient80diagnosed80with80schizophrenia80tells80the80nurse,5The80CIA80is80monitoring80us80thro
ugh80the80fluor80escent80lights80in80this80room.80Be80careful80what80you80say.80Which80response80b
y80the80nurse80would80be80most80the80rapeutic?

a. Lets80talk80about80something80other80than80the80CIA.
b. It80sounds80like80youre80concerned80about80your80privacy.

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c. The80 CIA80 is80 prohibited80 from80 operating80in80 health80 care80 facilities.
d. You80have80lost80touch80with80reality,80which80is80a80symptom80of80your80illness.

ANSWER:5B

It80is80important80not80to80challenge80the80patients80beliefs,80even80if80they80are80unrealistic.80Ch
allenging80undermi80nes80the80patients80trust80in80the80nurse.80The80nurse80should80try80to80underst
and80the80underlying80feelings80or80thou80ghts80the80patients80message80conveys.80The80correct80re
sponse80uses80the80therapeutic80technique80of80reflection
.80 The80other80comments80 are80 non-
therapeutic.80Asking80to80talk80about80something80other80than80the80concern80at80hand80is80changing
80the80subject.80Saying80that80the80CIA5is80prohibited80from80operating80in80health80care80facilities8

0gives80false80reassurance. 80St80ating80that80the80patient80has80lost80touch80with80reality80is80trut

hful,80but80uncompassionate.

PTS:80180DIF:80Cognitive80Level:80Apply80(Applicati

on)80REF:80mcs8015480(dm809-

2)80TOP:80Nursing80Process:80Implementation80MSC:80Client80Needs:80Psy

c80hosocial80Integrity

3. The80patient80says,80My80marriage80is80just80great.80My80spouse80and80I80always80agree.80The
80nurse80observes80th80e80patients80foot80moving80continuously80as80the80patient80twirls80a80shirt80b

utton.80The80conclusion80the80nurse80can80d80raw80is80that80the80patients80communication80is:

a. clear. c.8 0 precise.
b. mixed. d.8 0 inadequate.

ANSWER:5B

Mixed80messages80involve80the80transmission80of80conflicting80or80incongruent80messages80by80the8
0speaker.80The80patients80verbal80message80that80all80was80well80in80the80relationship80was80mo

dified80by80the80nonverbal80behav80iors80denoting80anxiety.80Data80are80not80present80to80suppo
rt80the80choice80of80the80verbal80message80being80clea80r,80explicit,80or80inadequate.

PTS:80180DIF:80Cognitive80Level:80Understand80(Comprehension)80RE

F:80mcs80150-15180TOP:80Nursing80Process:80Assessment