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TEST BANK F OR PRIMARY CARE PSYCHIATRY 2ND EDITION BY MCCARRON, XIONG CHAPTER 1 -
26
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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The Marketplace to Buy and Sell your Study Material
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Chapter 1: The Primary Care Psychiatric Interviewch ch ch ch ch ch
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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MULTIPLE CHOICE ch
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
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drained, as though I hadnt rested well. Which response should the nurse use to clarify the
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patients comment? ch
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 chchch
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patie
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nts statement. Asking for a definition of stoned directly asks for clarification. Restating that the pa
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tient is uncomfortable 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. P
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TS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9- ch ch ch ch
2) TOP: Nursing Process: Implementation MSC: Client Needs:
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Psychosocial Integrity ch
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
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fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
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most therapeutic? ch
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: B chchch
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging unde
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rmines the patients trust in the nurse. The nurse should try to understand the underlying feelings
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or thoughts the patients message conveys. The correct response uses the therapeutic technique of
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reflection. The other comments are non- ch ch ch ch ch
therapeutic. Asking to talk about something other than the concern at hand is changing the subjec
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t. Saying that the CIA is prohibited from operating in health care facilities gives false reassurance
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. Stating 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- ch ch ch ch
2) TOP: Nursing Process: Implementation MSC: Client Needs:
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Psychosocial Integrity ch
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes t
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he patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse
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ch can draw is that the patients communication is:
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a. clear. c. precise. c h
b. mixed. d. inadequate.c h
ANSWER: B chchch
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker.
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The patients verbal message that all was well in the relationship was modified by the nonverbal b
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ehaviors denoting anxiety. Data are not present to support the choice of the verbal message being
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h clear, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) RE
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F: mcs 150-151 TOP: Nursing Process: Assessment
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The Marketplace to Buy and Sell your Study Material
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TEST BANK F OR PRIMARY CARE PSYCHIATRY 2ND EDITION BY MCCARRON, XIONG CHAPTER 1 -
26
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
ch ch ch ch ch ch ch ch
, Stuvia.com - ch
The Marketplace to Buy and Sell your Study Material
ch ch ch ch ch ch ch ch ch
Table of Contents:
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Chapter 1. The Primary Care Psychiatric Interview
ch ch ch ch ch ch
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
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Chapter 3. Preventive Medicine and Behavioral Health
ch ch ch ch ch ch
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
ch ch ch ch ch
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
ch ch ch
, Stuvia.com - ch
The Marketplace to Buy and Sell your Study Material
ch ch ch ch ch ch ch ch ch
Chapter 1: The Primary Care Psychiatric Interviewch ch ch ch ch ch
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
ch ch ch ch ch ch ch ch
MULTIPLE CHOICE ch
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
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drained, as though I hadnt rested well. Which response should the nurse use to clarify the
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patients comment? ch
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?
ch ch ch ch ch ch ch ch ch ch ch ch ch
d. Can you give me an example of what you mean by stoned?
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ANSWER: D chchch
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patie
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch
nts statement. Asking for a definition of stoned directly asks for clarification. Restating that the pa
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch
tient is uncomfortable 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. P
ch ch ch ch ch ch ch ch ch ch ch ch
TS: 1 DIF: Cognitive Level: Apply (Application)
ch ch ch ch ch ch
REF: mcs 154 (dm 9- ch ch ch ch
2) TOP: Nursing Process: Implementation MSC: Client Needs:
ch ch ch ch ch ch ch ch
Psychosocial Integrity ch
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch
fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
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most therapeutic? ch
a. Lets talk about something other than the CIA.
ch ch ch ch ch ch ch
b. It sounds like youre concerned about your privacy.
ch ch ch ch ch ch ch
, Stuvia.com - ch
The Marketplace to Buy and Sell your Study Material
ch ch ch ch ch ch ch ch ch
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.
ch ch ch ch ch ch ch ch ch ch ch ch
ANSWER: B chchch
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging unde
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch
rmines the patients trust in the nurse. The nurse should try to understand the underlying feelings
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch
or thoughts the patients message conveys. The correct response uses the therapeutic technique of
ch ch ch ch ch ch ch ch ch ch ch ch ch ch
reflection. The other comments are non- ch ch ch ch ch
therapeutic. Asking to talk about something other than the concern at hand is changing the subjec
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch
t. Saying that the CIA is prohibited from operating in health care facilities gives false reassurance
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch
. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
ch ch ch ch ch ch ch ch ch ch ch ch ch
PTS: 1 DIF: Cognitive Level: Apply (Application)
ch ch ch ch ch ch
REF: mcs 154 (dm 9- ch ch ch ch
2) TOP: Nursing Process: Implementation MSC: Client Needs:
ch ch ch ch ch ch ch ch
Psychosocial Integrity ch
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes t
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch
he patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch
ch can draw is that the patients communication is:
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a. clear. c. precise. c h
b. mixed. d. inadequate.c h
ANSWER: B chchch
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker.
ch ch ch ch ch ch ch ch ch ch ch ch ch
The patients verbal message that all was well in the relationship was modified by the nonverbal b
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch
ehaviors denoting anxiety. Data are not present to support the choice of the verbal message being
ch ch ch ch ch ch ch ch ch ch ch ch ch ch ch c
h clear, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) RE
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F: mcs 150-151 TOP: Nursing Process: Assessment
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