TEST BANK For Primary Care Psychiatry, 2nd Edition by Robert McCarron, Glen Xiong, Verified Chapters 1 - 26, Complete Newest Version

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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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Table of Contents:
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Chapter 1. The Primary Care Psychiatric Interview
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Chapter2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
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Chapter 3. Preventive Medicine and Behavioral Health
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Chapter 4. The Patient and You: Psychological and Cultural Consideration
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Chapter 5. Anxiety Disorders
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Chapter 6. Obsessive–Compulsive and Related Disorders
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Chapter 7. Trauma-Related Disorders
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Chapter 8. Mood Disorders—Depression
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Chapter 9. Treatment-Resistant Depression
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Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
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Chapter 11. Psychotic Disorders
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Chapter 12. Neurocognitive Disorders
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Chapter 13. Substance Use Disorders—Alcohol
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Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
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Chapter 15. PersonalityDisorders
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Chapter 16. Cognitive Behavioral Therapy
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Chapter 17. Supportive Psychotherapyin Primary Care
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Chapter 18. Motivational Interviewing
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Chapter 19. Fundamentals of Psychopharmacology
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Chapter 20. Geriatric Behavioral Health
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Chapter 21. Child and Adolescent Behavioral Health
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Chapter 22. Suicide and Violence Risk Assessment
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Chapter 23. Somatic Symptomand Related Disorders
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Chapter 24. Insomnia
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Chapter 25. Sexual Dysfunction
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Chapter 26. Eating Disorders
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Chapter 1:ThePrimary CarePsychiatric Interview
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Primary CarePsychiatry 2ndEditionMcCarron XiongTest Bank
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MULTIPLE CHOICE s




1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
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sdrained, as though I hadnt rested well. Which response should the nurse use to clarify the
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spatients comment? s




a. It sounds as though you were uncomfortable with the content of your dream.
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b. Iunderstand what youre saying. Bad dreams leave me feeling tired, too. s s s s s s s s s s




c. So you feel as though you did not get enough qualitysleep last night?
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d. Can you give me an example of what you mean bystoned?
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ANSWER: D s




The technique of clarification is therapeutic and helps the nurse examine the meaning of the
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spatients statement. Asking for a definition of stoned directlyasks for clarification. Restating that the
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spatient is uncomfortable with the dreams content is parroting, a non-therapeutic technique. The
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sother responses fail to clarify the meaning of the patients comment.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
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sMSC: Client Needs: Psychosocial Integrity
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2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
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sfluorescent lights in this room. Be careful what you say. Which response by the nurse would be
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smost therapeutic? s




a. Lets talk about something other than the CIA.
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b. It sounds like youre concerned about your privacy.
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c. The CIA is prohibited from operating in health care facilities.
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d. Youhave lost touch with reality, which is a symptom of your illness.
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ANSWER: B s




It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
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s undermines the patients trust in the nurse. The nurse should try to understand the underlying
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s feelings or thoughts the patients message conveys. The correct response uses the therapeutic
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s technique of reflection. The other comments are non-therapeutic. Asking to talk about something
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s other than the concern at hand is changing the subject. Saying that the CIA is prohibited from
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s operating in health care facilities gives false reassurance. Stating that the patient has lost touch
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s with reality is truthful, but uncompassionate.
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PTS: 1 DIF: Cognitive Level: Apply(Application)
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REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
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s MSC: Client Needs: Psychosocial Integrity
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3. The vpatient vsays, vMyvmarriage vis vjust vgreat. vMyvspouse vand vI valways vagree. vThevnurse
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vobserves svthe svpatients svfoot svmovingqvcontinuouslyvas svthe svpatient svtwirls svavshirt svbutton. svThe
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vconclusion svthe svnurse svcan svdraw svis svthat svthe svpatients svcommunication svis:
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a. clear. c. s v s precise.
b. mixed. d. s v s inadequate.


ANSWER: vB q




Mixed vmessages vinvolve vthe vtransmission vof vconflicting vor vincongruent vmessages vbyvthe
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vspeaker.
s s vThevpatientsvverbalvmessagevthatvallvwasvwellvinvthevrelationshipvwasvmodified

s vbyvtheqvnonverbal svbehaviorsvdenotingqvanxiety. svDataqvarevnot svpresentvtovsupportvtheqvchoice

s vof svthe svverbal svmessage svbeing svclear, svexplicit, svor svinadequate.



PTS:v1vDIF: vCognitivevLevel:vUnderstandv(Comprehension) s




vREF: svmcs sv150-151 svTOP: svNursing svProcess: svAssessment
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