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Primary Care Psychiatry 3rd Edition McCarron Xiong Test Bank
x& x& x& x& x& x& x& x&
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The Marketplace to Buy and Sell your Study Material
Table of Contents:
x& x&
Chapter 1. The Primary Care Psychiatric Interview
x& x& x& x& x& x&
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
x& x& x& x& x& x& x& x& x& x& x& x&
Chapter 3. Preventive Medicine and Behavioral Health
x& x& x& x& x& x&
Chapter 4. The Patient and You: Psychological and Cultural Consideration
x& x& x& x& x& x& x& x& x&
Chapter 5. Anxiety Disorders
x& x& x&
Chapter 6. Obsessive–Compulsive and Related Disorders
x& x& x& x& x&
Chapter 7. Trauma-Related Disorders
x& x& x&
Chapter 8. Mood Disorders—Depression
x& x& x&
Chapter 9. Treatment-Resistant Depression
x& x& x&
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
x& x& x& x& x& x& x&
Chapter 11. Psychotic Disorders
x& x& x&
Chapter 12. Neurocognitive Disorders
x& x& x&
Chapter 13. Substance Use Disorders—Alcohol
x& x& x& x&
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
x& x& x& x& x& x& x&
Chapter 15. Personality Disorders
x& x& x&
Chapter 16. Cognitive Behavioral Therapy
x& x& x& x&
Chapter 17. Supportive Psychotherapy in Primary Care
x& x& x& x& x& x&
Chapter 18. Motivational Interviewing
x& x& x&
Chapter 19. Fundamentals of Psychopharmacology
x& x& x& x&
Chapter 20. Geriatric Behavioral Health
x& x& x& x&
Chapter 21. Child and Adolescent Behavioral Health
x& x& x& x& x& x&
Chapter 22. Suicide and Violence Risk Assessment
x& x& x& x& x& x&
Chapter 23. Somatic Symptom and Related Disorders
x& x& x& x& x& x&
Chapter 24. Insomnia
x& x&
Chapter 25. Sexual Dysfunction
x& x& x&
Chapter 26. Eating Disorders
x& x& x&
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The Marketplace to Buy and Sell your Study Material
Chapter 1: The Primary Care Psychiatric Interview
x& x& x& x& x& x&
Primary Care Psychiatry 3rd Edition McCarron Xiong Test Bank
x& x& x& x& x& x& x& x&
MULTIPLE CHOICE x&
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emot
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x& x& x&
ionally drained, as though I hadnt rested well. Which response should the nurse use
x& x& x& x& x& x& x& x& x& x& x& x& x& x
to clarify the patients comment?
& x& x& x& x&
a. It sounds as though you were uncomfortable with the content of your dream.
x& x& x& x& x& x& x& x& x& x& x& x&
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
x& x& x& x& x& x& x& x& x& x& x&
c. So you feel as though you did not get enough quality sleep last night?
x& x& x& x& x& x& x& x& x& x& x& x& x&
d. Can you give me an example of what you mean by stoned?
x& x& x& x& x& x& x& x& x& x& x&
ANS: D x&
The technique of clarification is therapeutic and helps the nurse examine the meaning of th
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
e patients statement. Asking for a definition of stoned directly asks for clarification. Restati
x& x& x& x& x& x& x& x& x& x& x& x& x&
ng that the patient is uncomfortable with the dreams content is parroting, a non-
x& x& x& x& x& x& x& x& x& x& x& x& x&
therapeutic technique. x&
The other responses fail to clarify the meaning of the patients comme
x& x& x& x& x& x& x& x& x& x& x&
nt. PTS: 1 DIF: Cognitive Level: Apply (Application)
x& x& x& x& x& x& x&
REF: mcs 154 (dm 9-x& x& x& x&
2) TOP: Nursing Process: Implementation MSC: Client Nee
x& x& x& x& x& x& x&
ds: Psychosocial Integrity
x& x&
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us throu
x& x& x& x& x& x& x& x& x& x& x& x& x&
gh the fluorescent lights in this room. Be careful what you say. Which response by the n
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x& x&
urse would be most therapeutic?
x& x& x& x&
a. Lets talk about something other than the CIA.
x& x& x& x& x& x& x&
b. It sounds like youre concerned about your privacy.
x& x& x& x& x& x& x&
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The Marketplace to Buy and Sell your Study Material
c. The CIA is prohibited from operating in health care facilities.
x& x& x& x& x& x& x& x& x&
d. You have lost touch with reality, which is a symptom of your illness.
x& x& x& x& x& x& x& x& x& x& x& x&
ANS: B x&
It is important not to challenge the patients beliefs, even if they are unrealistic. Challengin
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
g undermines the patients trust in the nurse. The nurse should try to understand the underl
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x&
ying feelings or thoughts the patients message conveys. The correct response uses the thera
x& x& x& x& x& x& x& x& x& x& x& x& x&
peutic technique of reflection. The other comments are non-
x& x& x& x& x& x& x& x&
therapeutic. Asking to talk about something other than the concern at hand is changing the
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x
&subject. Saying that the CIA is prohibited from operating in health care facilities gives fal
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
se reassurance. Stating that the patient has lost touch with reality is truthful, but uncompas
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
sionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
x& x& x& x& x& x&
REF: mcs 154 (dm 9-
x& x& x& x&
2) TOP: Nursing Process: Implementation MSC: Client Nee
x& x& x& x& x& x& x&
ds: Psychosocial Integrity
x& x&
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse ob
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x& x&
serves the patients foot moving continuously as the patient twirls a shirt button. The concl
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
usion the nurse can draw is that the patients communication is:
x& x& x& x& x& x& x& x& x& x&
a. clear. c. x & precise.
b. mixed. d. inadequate.
x &
ANS: B x&
Mixed messages involve the transmission of conflicting or incongruent messages by the spe
x& x& x& x& x& x& x& x& x& x& x& x&
aker. The patients verbal message that all was well in the relationship was modified by the
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x&
x& nonverbal behaviors denoting anxiety. Data are not present to support the choice of the ve
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
rbal message being clear, explicit, or inadequate.
x& x& x& x& x& x&
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
x& x& x& x& x& x& x&
REF: mcs 150-151 TOP: Nursing Process: Assessment
x& x& x& x& x& x&
The Marketplace to Buy and Sell your Study Material
Primary Care Psychiatry 3rd Edition McCarron Xiong Test Bank
x& x& x& x& x& x& x& x&
, Stuvia.comx&-
The Marketplace to Buy and Sell your Study Material
Table of Contents:
x& x&
Chapter 1. The Primary Care Psychiatric Interview
x& x& x& x& x& x&
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
x& x& x& x& x& x& x& x& x& x& x& x&
Chapter 3. Preventive Medicine and Behavioral Health
x& x& x& x& x& x&
Chapter 4. The Patient and You: Psychological and Cultural Consideration
x& x& x& x& x& x& x& x& x&
Chapter 5. Anxiety Disorders
x& x& x&
Chapter 6. Obsessive–Compulsive and Related Disorders
x& x& x& x& x&
Chapter 7. Trauma-Related Disorders
x& x& x&
Chapter 8. Mood Disorders—Depression
x& x& x&
Chapter 9. Treatment-Resistant Depression
x& x& x&
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
x& x& x& x& x& x& x&
Chapter 11. Psychotic Disorders
x& x& x&
Chapter 12. Neurocognitive Disorders
x& x& x&
Chapter 13. Substance Use Disorders—Alcohol
x& x& x& x&
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
x& x& x& x& x& x& x&
Chapter 15. Personality Disorders
x& x& x&
Chapter 16. Cognitive Behavioral Therapy
x& x& x& x&
Chapter 17. Supportive Psychotherapy in Primary Care
x& x& x& x& x& x&
Chapter 18. Motivational Interviewing
x& x& x&
Chapter 19. Fundamentals of Psychopharmacology
x& x& x& x&
Chapter 20. Geriatric Behavioral Health
x& x& x& x&
Chapter 21. Child and Adolescent Behavioral Health
x& x& x& x& x& x&
Chapter 22. Suicide and Violence Risk Assessment
x& x& x& x& x& x&
Chapter 23. Somatic Symptom and Related Disorders
x& x& x& x& x& x&
Chapter 24. Insomnia
x& x&
Chapter 25. Sexual Dysfunction
x& x& x&
Chapter 26. Eating Disorders
x& x& x&
, Stuvia.comx&-
The Marketplace to Buy and Sell your Study Material
Chapter 1: The Primary Care Psychiatric Interview
x& x& x& x& x& x&
Primary Care Psychiatry 3rd Edition McCarron Xiong Test Bank
x& x& x& x& x& x& x& x&
MULTIPLE CHOICE x&
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emot
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x& x& x&
ionally drained, as though I hadnt rested well. Which response should the nurse use
x& x& x& x& x& x& x& x& x& x& x& x& x& x
to clarify the patients comment?
& x& x& x& x&
a. It sounds as though you were uncomfortable with the content of your dream.
x& x& x& x& x& x& x& x& x& x& x& x&
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
x& x& x& x& x& x& x& x& x& x& x&
c. So you feel as though you did not get enough quality sleep last night?
x& x& x& x& x& x& x& x& x& x& x& x& x&
d. Can you give me an example of what you mean by stoned?
x& x& x& x& x& x& x& x& x& x& x&
ANS: D x&
The technique of clarification is therapeutic and helps the nurse examine the meaning of th
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
e patients statement. Asking for a definition of stoned directly asks for clarification. Restati
x& x& x& x& x& x& x& x& x& x& x& x& x&
ng that the patient is uncomfortable with the dreams content is parroting, a non-
x& x& x& x& x& x& x& x& x& x& x& x& x&
therapeutic technique. x&
The other responses fail to clarify the meaning of the patients comme
x& x& x& x& x& x& x& x& x& x& x&
nt. PTS: 1 DIF: Cognitive Level: Apply (Application)
x& x& x& x& x& x& x&
REF: mcs 154 (dm 9-x& x& x& x&
2) TOP: Nursing Process: Implementation MSC: Client Nee
x& x& x& x& x& x& x&
ds: Psychosocial Integrity
x& x&
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us throu
x& x& x& x& x& x& x& x& x& x& x& x& x&
gh the fluorescent lights in this room. Be careful what you say. Which response by the n
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x& x&
urse would be most therapeutic?
x& x& x& x&
a. Lets talk about something other than the CIA.
x& x& x& x& x& x& x&
b. It sounds like youre concerned about your privacy.
x& x& x& x& x& x& x&
, Stuvia.comx&-
The Marketplace to Buy and Sell your Study Material
c. The CIA is prohibited from operating in health care facilities.
x& x& x& x& x& x& x& x& x&
d. You have lost touch with reality, which is a symptom of your illness.
x& x& x& x& x& x& x& x& x& x& x& x&
ANS: B x&
It is important not to challenge the patients beliefs, even if they are unrealistic. Challengin
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
g undermines the patients trust in the nurse. The nurse should try to understand the underl
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x&
ying feelings or thoughts the patients message conveys. The correct response uses the thera
x& x& x& x& x& x& x& x& x& x& x& x& x&
peutic technique of reflection. The other comments are non-
x& x& x& x& x& x& x& x&
therapeutic. Asking to talk about something other than the concern at hand is changing the
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x
&subject. Saying that the CIA is prohibited from operating in health care facilities gives fal
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
se reassurance. Stating that the patient has lost touch with reality is truthful, but uncompas
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
sionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
x& x& x& x& x& x&
REF: mcs 154 (dm 9-
x& x& x& x&
2) TOP: Nursing Process: Implementation MSC: Client Nee
x& x& x& x& x& x& x&
ds: Psychosocial Integrity
x& x&
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse ob
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x& x&
serves the patients foot moving continuously as the patient twirls a shirt button. The concl
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
usion the nurse can draw is that the patients communication is:
x& x& x& x& x& x& x& x& x& x&
a. clear. c. x & precise.
b. mixed. d. inadequate.
x &
ANS: B x&
Mixed messages involve the transmission of conflicting or incongruent messages by the spe
x& x& x& x& x& x& x& x& x& x& x& x&
aker. The patients verbal message that all was well in the relationship was modified by the
x& x& x& x& x& x& x& x& x& x& x& x& x& x& x&
x& nonverbal behaviors denoting anxiety. Data are not present to support the choice of the ve
x& x& x& x& x& x& x& x& x& x& x& x& x& x&
rbal message being clear, explicit, or inadequate.
x& x& x& x& x& x&
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
x& x& x& x& x& x& x&
REF: mcs 150-151 TOP: Nursing Process: Assessment
x& x& x& x& x& x&
