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
2nd Edition by Robert McCarron, Glen Xiong
Chapter 1 - 26

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Primary2Care2Psychiatry22nd2Edition2McCarron2Xiong2Test2Bank

Table2of2Contents:
Chapter21.2The2Primary2Care2Psychiatric2Interview
Chapter22.2Primary2Care2and2Psychiatry:2An2Overview2of2the2Collaborative2Care2Model
Chapter23.2Preventive2Medicine2and2Behavioral2Health
Chapter24.2The2Patient2and2You:2Psychological2and2Cultural2Consideration
Chapter25.2Anxiety2Disorders
Chapter26.2Obsessive–Compulsive2and2Related2Disorders
Chapter27.2Trauma-Related2Disorders
Chapter28.2Mood2Disorders—Depression
Chapter29.2Treatment-Resistant2Depression
Chapter210.2Psychiatric2Disorders:2Bipolar2and2Related2Disorders
Chapter211.2Psychotic2Disorders
Chapter212.2Neurocognitive2Disorders
Chapter213.2Substance2Use2Disorders—Alcohol
Chapter214.2Substance2Use2Disorders—Illicit2and2Prescription2Drugs
Chapter215.2Personality2Disorders
Chapter216.2Cognitive2Behavioral2Therapy
Chapter217.2Supportive2Psychotherapy2in2Primary2Care
Chapter218.2Motivational2Interviewing
Chapter219.2Fundamentals2of2Psychopharmacology
Chapter220.2Geriatric2Behavioral2Health
Chapter221.2Child2and2Adolescent2Behavioral2Health
Chapter222.2Suicide2and2Violence2Risk2Assessment
Chapter223.2Somatic2Symptom2and2Related2Disorders
Chapter224.2Insomnia
Chapter225.2Sexual2Dysfunction
Chapter226.2Eating2Disorders

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Chapter 1: The Primary Care Psychiatric Interview
2 2 2 2 2 2



Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
2 2 2 2 2 2 2 2




MULTIPLE2CHOICE

1. A2patient2says2to2the2nurse,2I2dreamed2I2was2stoned.2When2I2woke2up,2I2felt2emotionally
2drained,2as2though2I2hadnt2rested2well.2Which2response2should2the2nurse2use2to2clarify2th
e2patients2comment?

a. It2sounds2as2though2you2were2uncomfortable2with2the2content2of2your2dream.
b. I2understand2what2youre2saying.2Bad2dreams2leave2me2feeling2tired,2too.
c. So2you2feel2as2though2you2did2not2get2enough2quality2sleep2last2night?
d. Can2you2give2me2an2example2of2what2you2mean2by2stoned?


ANSWER:2D

The2technique2of2clarification2is2therapeutic2and2helps2the2nurse2examine2the2meaning2of2the2pa
tients2statement.2Asking2for2a2definition2of2stoned2directly2asks2for2clarification.2Restating2that2th
e2patient2is2uncomfortable2with2the2dreams2content2is2parroting,2a2non-therapeutic2technique.
The2other2responses2fail2to2clarify2the2meaning2of2the2patients2comment.2

PTS:212DIF:2Cognitive2Level:2Apply2(Application)

REF:2mcs21542(dm29-

2)2TOP:2Nursing2Process:2Implementation2MSC:2Client2Needs:2P

sychosocial2Integrity

2. A2patient2diagnosed2with2schizophrenia2tells2the2nurse,2The2CIA2is2monitoring2us2through2the2
fluorescent2lights2in2this2room.2Be2careful2what2you2say.2Which2response2by2the2nurse2would2be
2most2therapeutic?

a. Lets2talk2about2something2other2than2the2CIA.
b. It2sounds2like2youre2concerned2about2your2privacy.

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c. The2CIA2is2prohibited2from2operating2in2health2care2facilities.
d. You2have2lost2touch2with2reality,2which2is2a2symptom2of2your2illness.


ANSWER:2B

It2is2important2not2to2challenge2the2patients2beliefs,2even2if2they2are2unrealistic.2Challenging2und
ermines2the2patients2trust2in2the2nurse.2The2nurse2should2try2to2understand2the2underlying2feeli
ngs2or2thoughts2the2patients2message2conveys.2The2correct2response2uses2the2therapeutic2techn
ique2of2reflection.2The2other2comments2are2non-
therapeutic.2Asking2to2talk2about2something2other2than2the2concern2at2hand2is2changing2the2subj
ect.2Saying2that2the2CIA2is2prohibited2from2operating2in2health2care2facilities2gives2false2reassura
nce.2Stating2that2the2patient2has2lost2touch2with2reality2is2truthful,2but2uncompassionate.

PTS:212DIF:2Cognitive2Level:2Apply2(Application)

REF:2mcs21542(dm29-

2)2TOP:2Nursing2Process:2Implementation2MSC:2Client2Needs:2P

sychosocial2Integrity

3. The2patient2says,2My2marriage2is2just2great.2My2spouse2and2I2always2agree.2The2nurse2observes
the2patients2foot2moving2continuously2as2the2patient2twirls2a2shirt2button.2The2conclusion2the2n
2



urse2can2draw2is2that2the2patients2communication2is:

a. clear. c.2 precise.
b. mixed. d.2 inadequate.


ANSWER:2B

Mixed2messages2involve2the2transmission2of2conflicting2or2incongruent2messages2by2the2speaker.
The2patients2verbal2message2that2all2was2well2in2the2relationship2was2modified2by2the2nonverbal
2



behaviors2denoting2anxiety.2Data2are2not2present2to2support2the2choice2of2the2verbal2message2b
2



eing2clear,2explicit,2or2inadequate.

PTS:212DIF:2Cognitive2Level:2Understand2(Comprehension)2REF:2

mcs2150-1512TOP:2Nursing2Process:2Assessment