Test Bank For Primary Care Psychiatry
2nd Edition by Robert McCarron, Glen 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 HCIA His Hprohibited Hfrom Hoperating Hin Hhealth Hcare Hfacilities.
d. You Hhave Hlost Htouch Hwith Hreality, Hwhich His Ha Hsymptom Hof Hyour Hillness.
ANSWER: HB
It His Himportant Hnot Hto Hchallenge Hthe Hpatients Hbeliefs, Heven Hif Hthey Hare Hunrealistic. HChallenging
undermines Hthe Hpatients Htrust Hin Hthe Hnurse. HThe Hnurse Hshould Htry Hto Hunderstand Hthe
H
underlying Hfeelings Hor Hthoughts Hthe Hpatients Hmessage Hconveys. HThe Hcorrect Hresponse Huses
H
the Htherapeutic Htechnique Hof Hreflection. HThe Hother Hcomments Hare Hnon-therapeutic. HAsking Hto
H
talk Habout Hsomething Hother Hthan Hthe Hconcern Hat Hhand His Hchanging Hthe Hsubject. HSaying Hthat
H
the HCIA His Hprohibited Hfrom Hoperating Hin Hhealth Hcare Hfacilities Hgives Hfalse Hreassurance. HStating
H
that Hthe Hpatient Hhas Hlost Htouch Hwith Hreality His Htruthful, Hbut Huncompassionate.
H
PTS: H1 HDIF: HCognitive HLevel: HApply H(Application)
REF: Hmcs H154 H(dm H9-2) HTOP: HNursing HProcess:
Implementation HMSC: HClient HNeeds: HPsychosocial HIntegrity
H
3. The Hpatient Hsays, HMy Hmarriage His Hjust Hgreat. HMy Hspouse Hand HI Halways Hagree. HThe Hnurse
observes Hthe Hpatients Hfoot Hmoving Hcontinuously Has Hthe Hpatient Htwirls Ha Hshirt Hbutton. HThe
H
conclusion Hthe Hnurse Hcan Hdraw His Hthat Hthe Hpatients Hcommunication His:
H
a. clear. c. H precise.
b. mixed. d. H inadequate.
ANSWER: HB
Mixed Hmessages Hinvolve Hthe Htransmission Hof Hconflicting Hor Hincongruent Hmessages Hby Hthe
speaker. HThe Hpatients Hverbal Hmessage Hthat Hall Hwas Hwell Hin Hthe Hrelationship Hwas Hmodified Hby
H
the Hnonverbal Hbehaviors Hdenoting Hanxiety. HData Hare Hnot Hpresent Hto Hsupport Hthe Hchoice Hof
H
the Hverbal Hmessage Hbeing Hclear, Hexplicit, Hor Hinadequate.
H
PTS: H1 HDIF: HCognitive HLevel: HUnderstand H(Comprehension)
REF: Hmcs H150-151 HTOP: HNursing HProcess: HAssessment
H