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Test Bank For Primary Care Psychiatry
2nd Edition by McCarron, Xiong
Chapter 1 - 26
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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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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 xz
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally draine
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d, as though I hadnt rested well. Which response should the nurse use to clarify the patients com
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ment?
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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ANSWER: D xz
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patients st
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atement. Asking for a definition of stoned directly asks for clarification. Restating that the patient is unc
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omfortable with the dreams content is parroting, a non-therapeutic technique.
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The other responses fail to clarify the meaning of the patients comment. PTS: 1
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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 Needs: Psych
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osocial Integrity xz
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluoresc
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ent lights in this room. Be careful what you say. Which response by the nurse would be most therapeut
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ic?
a. Lets talk about something other than the CIA. xz xz xz xz xz xz xz
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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ANSWER: B xz
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging undermine
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s the patients trust in the nurse. The nurse should try to understand the underlying feelings or thoughts th
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e patients message conveys. The correct response uses the therapeutic technique of reflection. The oth
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er comments are non-
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therapeutic. Asking to talk about something other than the concern at hand is changing the subject. Say
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ing that the CIA is prohibited from operating in health care facilities gives false reassurance. Stating th
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at the patient has lost touch 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- xz xz xz xz
2) TOP: Nursing Process: Implementation MSC: Client Needs: Psych
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osocial Integrity xz
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the p
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atients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is
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that the patients communication is:
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a. clear. c. precise.
x z
b. mixed. d. inadequate.
x z
ANSWER: B xz
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The pa
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tients verbal message that all was well in the relationship was modified by the nonverbal behaviors d
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enoting anxiety. Data are not present to support the choice of the verbal message being clear, explici
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t, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mcs 1
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50-151 TOP: Nursing Process: Assessment xz xz xz xz
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Test Bank For Primary Care Psychiatry
2nd Edition by McCarron, Xiong
Chapter 1 - 26
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
xz xz xz xz xz xz xz xz xz xz
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
xz xz xz xz xz xz xz xz
Table of Contents:
xz xz
Chapter 1. The Primary Care Psychiatric Interview
xz xz xz xz xz xz
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
xz xz xz xz xz xz xz xz xz xz xz xz
Chapter 3. Preventive Medicine and Behavioral Health
xz xz xz xz xz xz
Chapter 4. The Patient and You: Psychological and Cultural Consideration
xz xz xz xz xz xz xz xz xz
Chapter 5. Anxiety Disorders
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Chapter 6. Obsessive–Compulsive and Related Disorders
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Chapter 7. Trauma-Related Disorders
xz xz xz
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
xz xz xz
Chapter 26. Eating Disorders
xz xz xz
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
xz xz xz xz xz xz xz xz xz xz
Chapter 1: The Primary Care Psychiatric Interview
xz xz xz xz xz xz
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
xz xz xz xz xz xz xz xz
MULTIPLE CHOICE xz
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally draine
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
d, as though I hadnt rested well. Which response should the nurse use to clarify the patients com
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ment?
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?
xz xz xz xz xz xz xz xz xz xz xz xz xz
d. Can you give me an example of what you mean by stoned?
xz xz xz xz xz xz xz xz xz xz xz
ANSWER: D xz
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patients st
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
atement. Asking for a definition of stoned directly asks for clarification. Restating that the patient is unc
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
omfortable with the dreams content is parroting, a non-therapeutic technique.
xz xz xz xz xz xz xz xz xz
The other responses fail to clarify the meaning of the patients comment. PTS: 1
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
DIF: Cognitive Level: Apply (Application)
xz xz xz xz
REF: mcs 154 (dm 9-
xz xz xz xz
2) TOP: Nursing Process: Implementation MSC: Client Needs: Psych
xz xz xz xz xz xz xz xz
osocial Integrity xz
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluoresc
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ent lights in this room. Be careful what you say. Which response by the nurse would be most therapeut
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ic?
a. Lets talk about something other than the CIA. xz xz xz xz xz xz xz
b. It sounds like youre concerned about your privacy.
xz xz xz xz xz xz xz
, Stuvia.com - The Marketplace to Buy and Sell your Study Material xz xz xz xz xz xz xz xz xz xz
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.
xz xz xz xz xz xz xz xz xz xz xz xz
ANSWER: B xz
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging undermine
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
s the patients trust in the nurse. The nurse should try to understand the underlying feelings or thoughts th
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
e patients message conveys. The correct response uses the therapeutic technique of reflection. The oth
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
er comments are non-
xz xz xz
therapeutic. Asking to talk about something other than the concern at hand is changing the subject. Say
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
ing that the CIA is prohibited from operating in health care facilities gives false reassurance. Stating th
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
at the patient has lost touch with reality is truthful, but uncompassionate.
xz xz xz xz xz xz xz xz xz xz xz
PTS: 1 DIF: Cognitive Level: Apply (Application)
xz xz xz xz xz xz
REF: mcs 154 (dm 9- xz xz xz xz
2) TOP: Nursing Process: Implementation MSC: Client Needs: Psych
xz xz xz xz xz xz xz xz
osocial Integrity xz
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the p
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
atients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can draw is
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
that the patients communication is:
xz xz xz xz
a. clear. c. precise.
x z
b. mixed. d. inadequate.
x z
ANSWER: B xz
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The pa
xz xz xz xz xz xz xz xz xz xz xz xz xz xz
tients verbal message that all was well in the relationship was modified by the nonverbal behaviors d
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
enoting anxiety. Data are not present to support the choice of the verbal message being clear, explici
xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz xz
t, or inadequate.
xz xz
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mcs 1
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50-151 TOP: Nursing Process: Assessment xz xz xz xz
