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Test Bank For Primary Care Psychiatry
2nd Edition by Robert McCarron, Glen Xiong
Chapter 1 - 26
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Primaryg7Careg7Psychiatryg72ndg7Editiong7McCarrong7Xiong2Testg7Bank
Tableg7ofg7Contents:
Chapterg71.g7Theg7Primaryg7Careg7Psychiatricg7Interview
Chapterg72.g7Primaryg7Careg7andg7Psychiatry:g7Ang7Overviewg7ofg7theg7Collaborativeg7Careg7Model
Chapterg73.g7Preventiveg7Medicineg7andg7Behavioralg7Health
Chapterg74.g7Theg7Patientg7andg7You:g7Psychologicalg7andg7Culturalg7Consideration
Chapterg75.g7Anxietyg7Disorders
Chapterg76.g7Obsessive–Compulsiveg7andg7Relatedg7Disorders
Chapterg77.g7Trauma-Relatedg7Disorders
Chapterg78.g7Moodg7Disorders—Depression
Chapterg79.g7Treatment-Resistantg7Depression
Chapterg710.g7Psychiatricg7Disorders:g7Bipolarg7andg7Relatedg7Disorders
Chapterg711.g7Psychoticg7Disorders
Chapterg712.g7Neurocognitiveg7Disorders
Chapterg713.g7Substanceg7Useg7Disorders—Alcohol
Chapterg714.g7Substanceg7Useg7Disorders—Illicitg7andg7Prescriptiong7Drugs
Chapterg715.g7Personalityg7Disorders
Chapterg716.g7Cognitiveg7Behavioralg7Therapy
Chapterg717.g7Supportiveg7Psychotherapyg7ing7Primaryg7Care
Chapterg718.g7Motivationalg7Interviewing
Chapterg719.g7Fundamentalsg7ofg7Psychopharmacology
Chapterg720.g7Geriatricg7Behavioralg7Health
Chapterg721.g7Childg7andg7Adolescentg7Behavioralg7Health
Chapterg722.g7Suicideg7andg7Violenceg7Riskg7Assessment
Chapterg723.g7Somaticg7Symptomg7andg7Relatedg7Disorders
Chapterg724.g7Insomnia
Chapterg725.g7Sexualg7Dysfunction
Chapterg726.g7Eatingg7Disorders
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Chapterg71:g7Theg7Primaryg7Careg7Psychiatricg7Interview
Primaryg7Careg7Psychiatryg72ndg7Editiong7McCarrong7Xiongg7Testg7Bank
g7
MULTIPLEg7CHOICE
1. Ag7patientg7saysg7tog7theg7nurse,g7Ig7dreamedg7Ig7wasg7stoned.g7Wheng7Ig7wokeg7up,g7Ig7feltg7e
motionallyg7drained,g7asg7thoughg7Ig7hadntg7restedg7well.g7Whichg7responseg7shouldg7theg7nu
rseg7useg7tog7clarifyg7thg7eg7patientsg7comment?
a. Itg7soundsg7asg7thoughg7youg7wereg7uncomfortableg7withg7theg7contentg7ofg7yourg7dream.
b. Ig7understandg7whatg7youreg7saying.g7Badg7dreamsg7leaveg7meg7feelingg7tired,g7too.
c. Sog7youg7feelg7asg7thoughg7youg7didg7notg7getg7enoughg7qualityg7sleepg7lastg7night?
d. Cang7youg7giveg7meg7ang7exampleg7ofg7whatg7youg7meang7byg7stoned?
ANSWER:g7D
Theg7techniqueg7ofg7clarificationg7isg7therapeuticg7andg7helpsg7theg7nurseg7examineg7theg7meaningg7o
fg7theg7pag7tientsg7statement.g7Askingg7forg7ag7definitiong7ofg7stonedg7directlyg7asksg7forg7clarification.g7
Restatingg7thatg7thg7eg7patientg7isg7uncomfortableg7withg7theg7dreamsg7contentg7isg7parroting,g7ag7no
n-
therapeuticg7technique.g7Theg7otherg7responsesg7failg7tog7clarifyg7theg7meaningg7ofg7theg7patientsg7c
omment.
PTS:g71g7DIF:g7Cognitiveg7Level:g7Applyg7(Applicatio
n)g7REF:g7mcsg7154g7(dmg79-
2)g7TOP:g7Nursingg7Process:g7Implementationg7MSC:g7Clientg7Needs:g7Pg7sych
osocialg7Integrity
2. Ag7patientg7diagnosedg7withg7schizophreniag7tellsg7theg7nurse,g7Theg7CIAg7isg7monitoringg7usg7thro
ughg7theg7fluorescentg7lightsg7ing7thisg7room.g7Beg7carefulg7whatg7youg7say.g7Whichg7responseg7byg7th
eg7nurseg7wouldg7beg7mostg7therapeutic?
a. Letsg7talkg7aboutg7somethingg7otherg7thang7theg7CIA.
b. Itg7soundsg7likeg7youreg7concernedg7aboutg7yourg7privacy.
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c. Theg7CIAg7isg7prohibitedg7fromg7operatingg7ing7healthg7careg7facilities.
d. Youg7haveg7lostg7touchg7withg7reality,g7whichg7isg7ag7symptomg7ofg7yourg7illness.
ANSWER:g7B
Itg7isg7importantg7notg7tog7challengeg7theg7patientsg7beliefs,g7eveng7ifg7theyg7areg7unrealistic.g7Challen
gingg7undg7erminesg7theg7patientsg7trustg7ing7theg7nurse.g7Theg7nurseg7shouldg7tryg7tog7understandg7t
heg7underlyingg7feelig7ngsg7org7thoughtsg7theg7patientsg7messageg7conveys.g7Theg7correctg7responseg7
usesg7theg7therapeuticg7techng7iqueg7ofg7reflection.g7Theg7otherg7commentsg7areg7non-
therapeutic.g7Askingg7tog7talkg7aboutg7somethingg7otherg7thang7theg7concerng7atg7handg7isg7changingg7
theg7subjg7ect.g7Sayingg7thatg7theg7CIA2isg7prohibitedg7fromg7operatingg7ing7healthg7careg7facilitiesg7gi
vesg7falseg7reassurag7nce.g7Statingg7thatg7theg7patientg7hasg7lostg7touchg7withg7realityg7isg7truthful,g7b
utg7uncompassionate.
PTS:g71g7DIF:g7Cognitiveg7Level:g7Applyg7(Applicatio
n)g7REF:g7mcsg7154g7(dmg79-
2)g7TOP:g7Nursingg7Process:g7Implementationg7MSC:g7Clientg7Needs:g7Pg7sych
osocialg7Integrity
3. Theg7patientg7says,g7Myg7marriageg7isg7justg7great.g7Myg7spouseg7andg7Ig7alwaysg7agree.g7Theg7nurseg7
observesg7theg7patientsg7footg7movingg7continuouslyg7asg7theg7patientg7twirlsg7ag7shirtg7button.g7Th
eg7conclusiong7theg7ng7urseg7cang7drawg7isg7thatg7theg7patientsg7communicationg7is:
a. clear. c.g 7 precise.
b. mixed. d.g 7 inadequate.
ANSWER:g7B
Mixedg7messagesg7involveg7theg7transmissiong7ofg7conflictingg7org7incongruentg7messagesg7byg7theg7sp
eaker.g7Theg7patientsg7verbalg7messageg7thatg7allg7wasg7wellg7ing7theg7relationshipg7wasg7modifiedg7b
yg7theg7nonverbalg7behaviorsg7denotingg7anxiety.g7Datag7areg7notg7presentg7tog7supportg7theg7choice
ofg7theg7verbalg7messageg7bg7eingg7clear,g7explicit,g7org7inadequate.
g7
PTS:g71g7DIF:g7Cognitiveg7Level:g7Understandg7(Comprehension)g7
REF:g7mcsg7150-151g7TOP:g7Nursingg7Process:g7Assessment