Test Bank For Primary Care Psychiatry 2nd Edition by Robert McCarron, Glen Xiong Chapter 1 - 26

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Test Bank For Primary Care Psychiatry
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2nd Edition by Robert McCarron, Glen Xiong
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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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Chapter2. PrimaryCare and Psychiatry: An Overviewof the Collaborative CareModel
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Chapter 3. Preventive Medicine and Behavioral Health
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Chapter 4.The PatientandYou: Psychological and Cultural Consideration
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Chapter 5. AnxietyDisorders
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Chapter6.Obsessive–Compulsive and Related Disorders
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Chapter 7.Trauma-RelatedDisorders
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Chapter 8.Mood Disorders—Depression
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Chapter9.Treatment-Resistant Depression
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Chapter 10. Psychiatric Disorders: Bipolar and RelatedDisorders
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Chapter 11. Psychotic Disorders
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Chapter12. NeurocognitiveDisorders
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Chapter 13. Substance UseDisorders—Alcohol
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Chapter14.Substance UseDisorders—Illicitand Prescription Drugs
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Chapter 15. PersonalityDisorders
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Chapter16.Cognitive BehavioralTherapy
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Chapter 17. Supportive Psychotherapyin PrimaryCare
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Chapter 18.Motivational Interviewing
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Chapter 19. Fundamentalsof Psychopharmacology
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Chapter20. GeriatricBehavioral Health
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Chapter 21. Childand Adolescent Behavioral Health
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Chapter 22. Suicide and Violence RiskAssessment
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Chapter 23. Somatic Symptomand Related Disorders
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Chapter 24. Insomnia
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Chapter 25. Sexual Dysfunction
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Chapter 26. EatingDisorders
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Chapter1:ThePrimary CarePsychiatric Interview hj hj hj hj hj hj




PrimaryCarePsychiatry 2ndEditionMcCarron XiongTestBank hj hj hj hj hj hj hj hj




MULTIPLECHOICE hj




1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
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hj drained, as though I hadnt rested well. Which response should the nurse use to clarify the
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hj patients comment? hj




a. Itsounds as though you were uncomfortable with the content of your dream.
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b. Iunderstand 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 qualitysleep last night?
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d. Can you give me an example of what you mean bystoned?
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ANSWER:D hj




The technique of clarification is therapeutic and helps the nurse examine the meaning of the patients
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statement. Askingfor adefinition of stoned directlyasks for clarification. Restating that the patient is
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hj uncomfortable with the dreams content is parroting, a non-therapeutic technique. hj hj hj hj hj hj hj hj hj




Theotherresponses fail to clarifythe meaningof the patients comment. PTS: 1
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hj DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9-2) TOP: NursingProcess: Implementation
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hj MSC: Client Needs: Psychosocial Integrity
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2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
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hj fluorescent lights in this room. Be careful what you say. Which response by the nurse would be most
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hj therapeutic?

a. Lets talk about something other than the CIA.
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b. It sounds like youreconcerned about your privacy.
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c. The CIA is prohibited from operatingin health care facilities.
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d. Youhave lost touch withreality, which is a symptom of your illness.
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ANSWER:B hj




It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
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hj undermines the patients trust in the nurse. The nurse should try to understand the underlying feelings or
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hj thoughts the patients message conveys. The correct response uses the therapeutic technique of
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reflection. The other comments are non-therapeutic. Askingto talk about something other than the
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hj concern at hand is changing the subject. Saying that the CIA is prohibited from operating in health care
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hj facilities gives false reassurance. Stating that the patient has lost touch with reality is truthful, but
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hj uncompassionate.

PTS: 1DIF: Cognitive Level: Apply(Application)
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REF: mcs 154 (dm 9-2) TOP: NursingProcess: Implementation
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hj MSC: Client Needs: Psychosocial Integrity
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3. The patient says, Mymarriage is just great. Myspouse and Ialways agree. The nurse observes the
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hj patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can
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hj draw is that the patients communication is:
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a. clear. c. h j precise.
b. mixed. d. inadequate. h j




ANSWER:B hj




Mixed messages involve the transmission of conflictingor incongruent messages bythe speaker. The
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hj patients verbal message that all was well in the relationship was modified by the nonverbal behaviors
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hj denoting anxiety. Data are not present to support the choice of the verbal message being clear, explicit,
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hj or inadequate.
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PTS:1DIF:Cognitive Level:Understand (Comprehension) REF:
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hj mcs 150-151 TOP: Nursing Process: Assessment
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