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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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Chapter 2. 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. Personality Disorders
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Chapter 16. Cognitive Behavioral Therapy
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Chapter 17. Supportive Psychotherapy in 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 Symptom and 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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w#Thew#Marketplacew#tow#Buyw#andw#Sellw#yourw#Studyw#Material
Chapter 1: The Primary Care Psychiatric Interview
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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MULTIPLE CHOICE w#
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emoti
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onally drained, as though I hadnt rested well. Which response should the nurse use t
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o clarify the patients comment?
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a. It sounds as though you were uncomfortable with the content of your dream.
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b. I understand what youre saying. Bad dreams leave me feeling tired, too.
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c. So you feel as though you did not get enough quality sleep last night?
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d. Can you give me an example of what you mean by stoned?
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ANS: D w#
The technique of clarification is therapeutic and helps the nurse examine the meaning of th
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e patients statement. Asking for a definition of stoned directly asks for clarification. Restatin
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g that the patient is uncomfortable with the dreams content is parroting, a non-
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therapeutic technique. w#
The other responses fail to clarify the meaning of the patients comme
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nt. PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9-
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2) TOP: Nursing Process: Implementation MSC: Client Need
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s: Psychosocial Integrity
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2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us throug
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h the fluorescent lights in this room. Be careful what you say. Which response by the nur
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se would be most therapeutic?
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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. You have lost touch with reality, which is a symptom of your illness.
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ANS: B w#
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
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w# undermines the patients trust in the nurse. The nurse should try to understand the underlyi
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ng feelings or thoughts the patients message conveys. The correct response uses the therape
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utic technique of reflection. The other comments are non-
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therapeutic. Asking to talk about something other than the concern at hand is changing the
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subject. Saying that the CIA is prohibited from operating in health care facilities gives false
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w# reassurance. Stating that the patient has lost touch with reality is truthful, but uncompassio
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nate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9- w# w# w# w#
2) TOP: Nursing Process: Implementation MSC: Client Need
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s: Psychosocial Integrity
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3. The patient says, My marriage is just great. My spouse and I always agree. The nurse ob
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serves the patients foot moving continuously as the patient twirls a shirt button. The conclu
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sion the nurse can draw is that the patients communication is:
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a. clear. c. w # precise.
b. mixed. d. inadequate.
w #
ANS: B w#
Mixed messages involve the transmission of conflicting or incongruent messages by the spea
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ker. The patients verbal message that all was well in the relationship was modified by the
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
nonverbal behaviors denoting anxiety. Data are not present to support the choice of the ver
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bal message being clear, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
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REF: mcs 150-151 TOP: Nursing Process: Assessment
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w#Thew#Marketplacew#tow#Buyw#andw#Sellw#yourw#Studyw#Material
, Stuvia.comw#-
w#Thew#Marketplacew#tow#Buyw#andw#Sellw#yourw#Studyw#Material
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
w# w# w# w# w# w# w# w#
Table of Contents:
w# w#
Chapter 1. The Primary Care Psychiatric Interview
w# w# w# w# w# w#
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
w# w# w# w# w# w# w# w# w# w# w# w#
Chapter 3. Preventive Medicine and Behavioral Health
w# w# w# w# w# w#
Chapter 4. The Patient and You: Psychological and Cultural Consideration
w# w# w# w# w# w# w# w# w#
Chapter 5. Anxiety Disorders
w# w# w#
Chapter 6. Obsessive–Compulsive and Related Disorders
w# w# w# w# w#
Chapter 7. Trauma-Related Disorders
w# w# w#
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
w# w# w#
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
w# w# w# w# w# w# w#
Chapter 15. Personality Disorders
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Chapter 16. Cognitive Behavioral Therapy
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Chapter 17. Supportive Psychotherapy in 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 Symptom and Related Disorders
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Chapter 24. Insomnia
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Chapter 25. Sexual Dysfunction
w# w# w#
Chapter 26. Eating Disorders
w# w# w#
, Stuvia.comw#-
w#Thew#Marketplacew#tow#Buyw#andw#Sellw#yourw#Studyw#Material
Chapter 1: The Primary Care Psychiatric Interview
w# w# w# w# w# w#
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
w# w# w# w# w# w# w# w#
MULTIPLE CHOICE w#
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emoti
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
onally drained, as though I hadnt rested well. Which response should the nurse use t
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
o clarify the patients comment?
w# w# w# w#
a. It sounds as though you were uncomfortable with the content of your dream.
w# w# w# w# w# w# w# w# w# w# w# w#
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
w# w# w# w# w# w# w# w# w# w# w#
c. So you feel as though you did not get enough quality sleep last night?
w# w# w# w# w# w# w# w# w# w# w# w# w#
d. Can you give me an example of what you mean by stoned?
w# w# w# w# w# w# w# w# w# w# w#
ANS: D w#
The technique of clarification is therapeutic and helps the nurse examine the meaning of th
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
e patients statement. Asking for a definition of stoned directly asks for clarification. Restatin
w# w# w# w# w# w# w# w# w# w# w# w# w#
g that the patient is uncomfortable with the dreams content is parroting, a non-
w# w# w# w# w# w# w# w# w# w# w# w# w#
therapeutic technique. w#
The other responses fail to clarify the meaning of the patients comme
w# w# w# w# w# w# w# w# w# w# w#
nt. PTS: 1 DIF: Cognitive Level: Apply (Application)
w# w# w# w# w# w# w#
REF: mcs 154 (dm 9-
w# w# w# w#
2) TOP: Nursing Process: Implementation MSC: Client Need
w# w# w# w# w# w# w#
s: Psychosocial Integrity
w# w#
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us throug
w# w# w# w# w# w# w# w# w# w# w# w# w#
h the fluorescent lights in this room. Be careful what you say. Which response by the nur
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
se would be most therapeutic?
w# w# w# w#
a. Lets talk about something other than the CIA.
w# w# w# w# w# w# w#
b. It sounds like youre concerned about your privacy.
w# w# w# w# w# w# w#
, Stuvia.comw#-
w#Thew#Marketplacew#tow#Buyw#andw#Sellw#yourw#Studyw#Material
c. The CIA is prohibited from operating in health care facilities.
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d. You have lost touch with reality, which is a symptom of your illness.
w# w# w# w# w# w# w# w# w# w# w# w#
ANS: B w#
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
w# undermines the patients trust in the nurse. The nurse should try to understand the underlyi
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
ng feelings or thoughts the patients message conveys. The correct response uses the therape
w# w# w# w# w# w# w# w# w# w# w# w# w#
utic technique of reflection. The other comments are non-
w# w# w# w# w# w# w# w#
therapeutic. Asking to talk about something other than the concern at hand is changing the
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
subject. Saying that the CIA is prohibited from operating in health care facilities gives false
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
w# reassurance. Stating that the patient has lost touch with reality is truthful, but uncompassio
w# w# w# w# w# w# w# w# w# w# w# w# w#
nate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
w# w# w# w# w# w#
REF: mcs 154 (dm 9- w# w# w# w#
2) TOP: Nursing Process: Implementation MSC: Client Need
w# w# w# w# w# w# w#
s: Psychosocial Integrity
w# w#
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse ob
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
serves the patients foot moving continuously as the patient twirls a shirt button. The conclu
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
sion the nurse can draw is that the patients communication is:
w# w# w# w# w# w# w# w# w# w#
a. clear. c. w # precise.
b. mixed. d. inadequate.
w #
ANS: B w#
Mixed messages involve the transmission of conflicting or incongruent messages by the spea
w# w# w# w# w# w# w# w# w# w# w# w#
ker. The patients verbal message that all was well in the relationship was modified by the
w# w# w# w# w# w# w# w# w# w# w# w# w# w# w# w#
nonverbal behaviors denoting anxiety. Data are not present to support the choice of the ver
w# w# w# w# w# w# w# w# w# w# w# w# w# w#
bal message being clear, explicit, or inadequate.
w# w# w# w# w# w#
PTS: 1 DIF: Cognitive Level: Understand (Comprehension)
w# w# w# w# w# w# w#
REF: mcs 150-151 TOP: Nursing Process: Assessment
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