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Test Bank For Primary Care Psychiatry
2nd Edition by Robert McCarron, Glen Xiong
Chapter 1 - 26
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The Marketplace to Buy and Sell your Study Material
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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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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
DF DF DF DF DF DF DF DF DF
Chapter 1: The Primary Care Psychiatric Interview
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
DF DF DF DF DF DF DF DF
MULTIPLE CHOICE DF
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotiona
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lly drained, as though I hadnt rested well. Which response should the nurse use to clari
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fy the patients 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: D DF
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
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patients statement. Asking for a definition of stoned directly asks for clarification. Restating th
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at the patient is uncomfortable with the dreams content is parroting, a non-
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therapeutic technique. DF
The other responses fail to clarify the meaning of the patients comment
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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:
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Psychosocial Integrity DF
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through th
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e fluorescent lights in this room. Be careful what you say. Which response by the nurse woul
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d be most therapeutic?
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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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DF DF DF DF DF DF DF DF DF
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 DF
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging u
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ndermines the patients trust in the nurse. The nurse should try to understand the underlying f
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eelings or thoughts the patients message conveys. The correct response uses the therapeutic
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technique of reflection. The other comments are non-
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therapeutic. Asking to talk about something other than the concern at hand is changing the su
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bject. Saying that the CIA is prohibited from operating in health care facilities gives false reass
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urance. 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-
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2) TOP: Nursing Process: Implementation MSC: Client Needs:
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Psychosocial Integrity DF
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observ
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es the patients foot moving continuously as the patient twirls a shirt button. The conclusion t
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he nurse can draw is that the patients communication is:
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a. clear. c. precise.
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b. mixed. d. inadequate.
D F
ANSWER: B DF
Mixed messages involve the transmission of conflicting or incongruent messages by the speake
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r. The patients verbal message that all was well in the relationship was modified by the nonve
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rbal behaviors denoting anxiety. Data are not present to support the choice of the verbal mes
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sage being clear, explicit, or inadequate.
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PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
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mcs 150-151 TOP: Nursing Process: Assessment
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DF
The Marketplace to Buy and Sell your Study Material
DF DF DF DF DF DF DF DF DF
Test Bank For Primary Care Psychiatry
2nd Edition by Robert McCarron, Glen Xiong
Chapter 1 - 26
, Stuvia.com - DF
The Marketplace to Buy and Sell your Study Material
DF DF DF DF DF DF DF DF DF
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
DF DF DF DF DF DF DF DF
Table of Contents:
DF DF
Chapter 1. The Primary Care Psychiatric Interview
DF DF DF DF DF DF
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
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Chapter 3. Preventive Medicine and Behavioral Health
DF DF DF DF DF DF
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
DF DF DF
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
DF DF DF
, Stuvia.com - DF
The Marketplace to Buy and Sell your Study Material
DF DF DF DF DF DF DF DF DF
Chapter 1: The Primary Care Psychiatric Interview
DF DF DF DF DF DF
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
DF DF DF DF DF DF DF DF
MULTIPLE CHOICE DF
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotiona
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
lly drained, as though I hadnt rested well. Which response should the nurse use to clari
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fy the patients comment?
DF DF DF
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?
DF DF DF DF DF DF DF DF DF DF DF DF DF
d. Can you give me an example of what you mean by stoned?
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ANSWER: D DF
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
patients statement. Asking for a definition of stoned directly asks for clarification. Restating th
DF DF DF DF DF DF DF DF DF DF DF DF DF
at the patient is uncomfortable with the dreams content is parroting, a non-
DF DF DF DF DF DF DF DF DF DF DF DF
therapeutic technique. DF
The other responses fail to clarify the meaning of the patients comment
DF DF DF DF DF DF DF DF DF DF DF
. PTS: 1 DIF: Cognitive Level: Apply (Application)
DF DF DF DF DF DF DF
REF: mcs 154 (dm 9-
DF DF DF DF
2) TOP: Nursing Process: Implementation MSC: Client Needs:
DF DF DF DF DF DF DF DF
Psychosocial Integrity DF
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through th
DF DF DF DF DF DF DF DF DF DF DF DF DF DF
e fluorescent lights in this room. Be careful what you say. Which response by the nurse woul
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
d be most therapeutic?
DF DF DF
a. Lets talk about something other than the CIA.
DF DF DF DF DF DF DF
b. It sounds like youre concerned about your privacy.
DF DF DF DF DF DF DF
, Stuvia.com - DF
The Marketplace to Buy and Sell your Study Material
DF DF DF DF DF DF DF DF DF
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 DF
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging u
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
ndermines the patients trust in the nurse. The nurse should try to understand the underlying f
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
eelings or thoughts the patients message conveys. The correct response uses the therapeutic
DF DF DF DF DF DF DF DF DF DF DF DF DF
technique of reflection. The other comments are non-
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therapeutic. Asking to talk about something other than the concern at hand is changing the su
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
bject. Saying that the CIA is prohibited from operating in health care facilities gives false reass
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
urance. Stating that the patient has lost touch with reality is truthful, but uncompassionate.
DF DF DF DF DF DF DF DF DF DF DF DF DF
PTS: 1 DIF: Cognitive Level: Apply (Application)
DF DF DF DF DF DF
REF: mcs 154 (dm 9-
DF DF DF DF
2) TOP: Nursing Process: Implementation MSC: Client Needs:
DF DF DF DF DF DF DF DF
Psychosocial Integrity DF
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observ
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
es the patients foot moving continuously as the patient twirls a shirt button. The conclusion t
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
he nurse can draw is that the patients communication is:
DF DF DF DF DF DF DF DF DF
a. clear. c. precise.
D F
b. mixed. d. inadequate.
D F
ANSWER: B DF
Mixed messages involve the transmission of conflicting or incongruent messages by the speake
DF DF DF DF DF DF DF DF DF DF DF DF
r. The patients verbal message that all was well in the relationship was modified by the nonve
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
rbal behaviors denoting anxiety. Data are not present to support the choice of the verbal mes
DF DF DF DF DF DF DF DF DF DF DF DF DF DF DF
sage being clear, explicit, or inadequate.
DF DF DF DF DF
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
DF DF DF DF DF DF DF DF
mcs 150-151 TOP: Nursing Process: Assessment
DF DF DF DF DF
