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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 CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your illness.
ANSWER : B
It is important not to challenge the patients beliefs, even if they are unrealistic.
Challenging undermines the patients trust in the nurse. The nurse should try to
understand the underlying feelings or thoughts the patients message conveys. The
correct response uses the therapeutic technique of reflection. The other comments
are non-therapeutic. Asking to talk about something other than the concern at
hand is changing the subject. Saying that the CIA is prohibited from operating in
health care facilities gives false reassurance. Stating that the patient has lost
touch with reality is truthful, but uncompassionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process:
Implementation MSC: Client Needs: Psychosocial
Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The
nurse observes the patients foot moving continuously as the patient twirls a shirt
button. The conclusion the nurse can draw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
ANSWER : B
Mixed messages involve the transmission of conflicting or incongruent messages
by the speaker. The patients verbal message that all was well in the relationship
was modified by the nonverbal behaviors denoting anxiety. Data are not present
to support the choice of the verbal message being clear, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand
(Comprehension) REF: mcs 150-151 TOP: Nursing
TEST BANK
All Chapters Included
, 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 CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your illness.
ANSWER : B
It is important not to challenge the patients beliefs, even if they are unrealistic.
Challenging undermines the patients trust in the nurse. The nurse should try to
understand the underlying feelings or thoughts the patients message conveys. The
correct response uses the therapeutic technique of reflection. The other comments
are non-therapeutic. Asking to talk about something other than the concern at
hand is changing the subject. Saying that the CIA is prohibited from operating in
health care facilities gives false reassurance. Stating that the patient has lost
touch with reality is truthful, but uncompassionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-2) TOP: Nursing Process:
Implementation MSC: Client Needs: Psychosocial
Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The
nurse observes the patients foot moving continuously as the patient twirls a shirt
button. The conclusion the nurse can draw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
ANSWER : B
Mixed messages involve the transmission of conflicting or incongruent messages
by the speaker. The patients verbal message that all was well in the relationship
was modified by the nonverbal behaviors denoting anxiety. Data are not present
to support the choice of the verbal message being clear, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand
(Comprehension) REF: mcs 150-151 TOP: Nursing
