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

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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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c d Table of Contents: cd cd




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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c d Chapter 5. Anxiety Disorders cd cd cd



Chapter 6. Obsessive– cd cd




Compulsive and Related Disorders Chapter 7. Trauma-
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Related Disorders cd




Chapter 8. Mood Disorders— cd cd cd



Depression Chapter 9. Treatment- cd c d c d



Resistant Depression c d



Chapter 10. Psychiatric5Disorders: Bipolar and Related Disorders Chap
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ter 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—
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Illicit5and Prescription Drugs
cd cd c d 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 Cha
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pter 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 C
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hapter 24. Insomnia cd cd




Chapter 25. Sexual Dysfunction Chapt
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er 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 cd




1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
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dr ained, as though I hadnt rested well. Which response should the nurse use to clarify the p
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ati ents 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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ANSWER:5D

The technique of clarification is therapeutic and helps the nurse examine the meaning of the patient
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s statement. Asking for a definition of stoned directly asks for clarification. Restating that the patien
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t is uncomfortable with the dreams content is parroting, a non-
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therapeutic technique. The other responses fail to clarify the meaning of the patient
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s comment. PTS:
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1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9- cd cd cd cd




2) TOP: Nursing Process: Implementation MSC: Client Needs: Psy
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c hosocial Integrity
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2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the fluo
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r escent lights in this room. Be careful what you say. Which response by the nurse would be most t
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he rapeutic?
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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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ANSWER:5B

It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging under
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mi nes the patients trust in the nurse. The nurse should try to understand the underlying feelings or
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thou ghts the patients message conveys. The correct response uses the therapeutic technique of ref
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lection
. The other comments are non-
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therapeutic. Asking to talk about something other than the concern at hand is changing the subject.
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Saying that the CIA5is prohibited from operating in health care facilities gives false reassurance. St
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d ating that 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-
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2) TOP: Nursing Process: Implementation MSC: Client Needs: Psy
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c hosocial Integrity
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3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes
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th e patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse c
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an d raw is that the patients communication is:
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a. clear. c. precise.
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b. mixed. d. inadequate.
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ANSWER:5B

Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. Th
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e patients verbal message that all was well in the relationship was modified by the nonverbal b
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ehav iors denoting anxiety. Data are not present to support the choice of the verbal message bei
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ng clea r, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF: mcs
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150-151 TOP: Nursing Process: Assessment cd cd cd cd