Primary Care Psychiatry 2nd Edition
by McCarron & Xiong Test Bank
Comprehensive study and instructor resource aligned with Primary Care Psychiatry, 2nd
Edition by McCarron and Xiong. Covers psychiatric assessment, mental health
screening, diagnosis, psychopharmacology, behavioral health management, integrated
care, anxiety disorders, mood disorders, substance use disorders, and evidence-based
mental health treatment in primary care settings.
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Chapter 1: The Primary Care Psychiatric Interview
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
MULTIPLE CHOICE
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
drained, as though I hadnt rested well. Which response should the nurse use to clarify th
e patients comment?
a. It sounds as though you were uncomfortable with the content of your dream.
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
c. So you feel as though you did not get enough quality sleep last night?
d. Can you give me an example of what you mean by stoned?
ANSWER: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the pa
tients statement. Asking for a definition of stoned directly asks for clarification. Restating that th
e patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
The other responses fail to clarify the meaning of the patients comment.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Needs: P
sychosocial Integrity
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
most therapeutic?
a. Lets talk about something other than the CIA.
b. It sounds like youre concerned about your privacy.
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c. The CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your illness.
ANSWER: B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging und
ermines the patients trust in the nurse. The nurse should try to understand the underlying feeli
ngs or thoughts the patients message conveys. The correct response uses the therapeutic techn
ique of reflection. The other comments are non-
therapeutic. Asking to talk about something other than the concern at hand is changing the subj
ect. Saying that the CIA2is prohibited from operating in health care facilities gives false reassura
nce. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Needs: P
sychosocial Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes
the patients foot moving continuously as the patient twirls a shirt button. The conclusion the n
urse can draw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
ANSWER: B
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker.
The patients verbal message that all was well in the relationship was modified by the nonverbal
behaviors denoting anxiety. Data are not present to support the choice of the verbal message b
eing clear, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
mcs 150-151 TOP: Nursing Process: Assessment
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MSC: Client Needs: Psychosocial Integrity
4. A nurse interacts with a newly hospitalized patient. Select the nurses comment that applies t
he communication technique of offering self.
a. Ive also had traumatic life experiences. Maybe it would help if I told you about
them.
b. Why do you think you had so much difficulty adjusting to this change in your l
ife?
c. I hope you will feel better after getting accustomed to how this unit operates.
d. Id like to sit with you for a while to help you get comfortable talking to me.
ANSWER: D
Offering self is a technique that should be used in the orientation phase of the nurse-
patient relationship. Sitting with the patient, an example of offering self, helps to build trust and
convey that the nurse cares about the patient. Two incorrect responses are ineffective and non
- therapeutic. The other incorrect response is therapeutic but is an example of offering hope.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Needs: P
sychosocial Integrity
5. Which technique will best communicate to a patient that the nurse is interested in listening?
a. Restating a feeling or thought the patient has expressed.
b. Asking a direct question, such as Did you feel angry?
c. Making a judgment about the patients problem.
d. Saying, I understand what youre saying.
ANSWER: A
Restating allows the patient to validate the nurses understanding of what has been communica
ted. Restating is an active listening technique. Judgments should be suspended in a
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by McCarron & Xiong Test Bank
Comprehensive study and instructor resource aligned with Primary Care Psychiatry, 2nd
Edition by McCarron and Xiong. Covers psychiatric assessment, mental health
screening, diagnosis, psychopharmacology, behavioral health management, integrated
care, anxiety disorders, mood disorders, substance use disorders, and evidence-based
mental health treatment in primary care settings.
,https://www.stuvia.com/user/assistant Stuvia.com - https://www.stuvia.com/user/assistant https://www.stuvia.com/user/assistant
Chapter 1: The Primary Care Psychiatric Interview
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
MULTIPLE CHOICE
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
drained, as though I hadnt rested well. Which response should the nurse use to clarify th
e patients comment?
a. It sounds as though you were uncomfortable with the content of your dream.
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
c. So you feel as though you did not get enough quality sleep last night?
d. Can you give me an example of what you mean by stoned?
ANSWER: D
The technique of clarification is therapeutic and helps the nurse examine the meaning of the pa
tients statement. Asking for a definition of stoned directly asks for clarification. Restating that th
e patient is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
The other responses fail to clarify the meaning of the patients comment.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Needs: P
sychosocial Integrity
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
most therapeutic?
a. Lets talk about something other than the CIA.
b. It sounds like youre concerned about your privacy.
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c. The CIA is prohibited from operating in health care facilities.
d. You have lost touch with reality, which is a symptom of your illness.
ANSWER: B
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging und
ermines the patients trust in the nurse. The nurse should try to understand the underlying feeli
ngs or thoughts the patients message conveys. The correct response uses the therapeutic techn
ique of reflection. The other comments are non-
therapeutic. Asking to talk about something other than the concern at hand is changing the subj
ect. Saying that the CIA2is prohibited from operating in health care facilities gives false reassura
nce. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Needs: P
sychosocial Integrity
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes
the patients foot moving continuously as the patient twirls a shirt button. The conclusion the n
urse can draw is that the patients communication is:
a. clear. c. precise.
b. mixed. d. inadequate.
ANSWER: B
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker.
The patients verbal message that all was well in the relationship was modified by the nonverbal
behaviors denoting anxiety. Data are not present to support the choice of the verbal message b
eing clear, explicit, or inadequate.
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
mcs 150-151 TOP: Nursing Process: Assessment
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MSC: Client Needs: Psychosocial Integrity
4. A nurse interacts with a newly hospitalized patient. Select the nurses comment that applies t
he communication technique of offering self.
a. Ive also had traumatic life experiences. Maybe it would help if I told you about
them.
b. Why do you think you had so much difficulty adjusting to this change in your l
ife?
c. I hope you will feel better after getting accustomed to how this unit operates.
d. Id like to sit with you for a while to help you get comfortable talking to me.
ANSWER: D
Offering self is a technique that should be used in the orientation phase of the nurse-
patient relationship. Sitting with the patient, an example of offering self, helps to build trust and
convey that the nurse cares about the patient. Two incorrect responses are ineffective and non
- therapeutic. The other incorrect response is therapeutic but is an example of offering hope.
PTS: 1 DIF: Cognitive Level: Apply (Application)
REF: mcs 154 (dm 9-
2) TOP: Nursing Process: Implementation MSC: Client Needs: P
sychosocial Integrity
5. Which technique will best communicate to a patient that the nurse is interested in listening?
a. Restating a feeling or thought the patient has expressed.
b. Asking a direct question, such as Did you feel angry?
c. Making a judgment about the patients problem.
d. Saying, I understand what youre saying.
ANSWER: A
Restating allows the patient to validate the nurses understanding of what has been communica
ted. Restating is an active listening technique. Judgments should be suspended in a
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