Stuvia.com - The Marketplace to Buy and Sell your Study Material
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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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w Chapter 1 - 26 w w w
, Stuvia.com - 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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, Stuvia.com - The Marketplace to Buy and Sell your Study Material
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Chapter 1: The Primary Care Psychiatric Interview
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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MULTIPLE CHOICE w
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?
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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 w
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patients
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statement. Asking for a definition of stoned directly asks for clarification. Restating that the patient
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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.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
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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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fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
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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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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 w
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
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undermines the patients trust in the nurse. The nurse should try to understand the underlying
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feelings or thoughts the patients message conveys. The correct response uses the therapeutic
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technique of reflection. The other comments are non-therapeutic. Asking to talk about something
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other than the concern at hand is changing the subject. Saying that the CIA is prohibited from
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operating in health care facilities gives false reassurance. Stating that the patient has lost touch with
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reality is truthful, but uncompassionate.
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PTS: 1 DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
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MSC: Client Needs: Psychosocial Integrity
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3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the
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patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can
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draw is that the patients communication is:
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a. clear. c. precise. w
b. mixed. d. inadequate. w
ANSWER: B w
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
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behaviors denoting anxiety. Data are not present to support the choice of the verbal message being
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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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w w w w w w w w w w
Test Bank For Primary Care Psychiatry
w w w w w w
2nd Edition by Robert McCarron, Glen Xiong
w w w w w w
w Chapter 1 - 26 w w w
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
w w w w w w w w w w
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
w w w w w w w w
Table of Contents:
w w
Chapter 1. The Primary Care Psychiatric Interview
w w w w w w
Chapter 2. Primary Care and Psychiatry: An Overview of the Collaborative Care Model
w w w w w w w w w w w w
Chapter 3. Preventive Medicine and Behavioral Health
w w w w w w
Chapter 4. The Patient and You: Psychological and Cultural Consideration
w w w w w w w w w
Chapter 5. Anxiety Disorders
w w w
Chapter 6. Obsessive–Compulsive and Related Disorders
w w w w w
Chapter 7. Trauma-Related Disorders
w w w
Chapter 8. Mood Disorders—Depression
w w w
Chapter 9. Treatment-Resistant Depression
w w w
Chapter 10. Psychiatric Disorders: Bipolar and Related Disorders
w w w w w w w
Chapter 11. Psychotic Disorders
w w w
Chapter 12. Neurocognitive Disorders
w w w
Chapter 13. Substance Use Disorders—Alcohol
w w w w
Chapter 14. Substance Use Disorders—Illicit and Prescription Drugs
w w w w w w w
Chapter 15. Personality Disorders
w w w
Chapter 16. Cognitive Behavioral Therapy
w w w w
Chapter 17. Supportive Psychotherapy in Primary Care
w w w w w w
Chapter 18. Motivational Interviewing
w w w
Chapter 19. Fundamentals of Psychopharmacology
w w w w
Chapter 20. Geriatric Behavioral Health
w w w w
Chapter 21. Child and Adolescent Behavioral Health
w w w w w w
Chapter 22. Suicide and Violence Risk Assessment
w w w w w w
Chapter 23. Somatic Symptom and Related Disorders
w w w w w w
Chapter 24. Insomnia
w w
Chapter 25. Sexual Dysfunction
w w w
Chapter 26. Eating Disorders
w w w
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
w w w w w w w w w w
Chapter 1: The Primary Care Psychiatric Interview
w w w w w w
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
w w w w w w w w
MULTIPLE CHOICE w
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
w w w w w w w w w w w w w w w w w
drained, as though I hadnt rested well. Which response should the nurse use to clarify the
w w w w w w w w w w w w w w w w
patients comment?
w w
a. It sounds as though you were uncomfortable with the content of your dream.
w w w w w w w w w w w w
b. I understand what youre saying. Bad dreams leave me feeling tired, too.
w w w w w w w w w w w
c. So you feel as though you did not get enough quality sleep last night?
w w w w w w w w w w w w w
d. Can you give me an example of what you mean by stoned?
w w w w w w w w w w w
ANSWER: D w
The technique of clarification is therapeutic and helps the nurse examine the meaning of the patients
w w w w w w w w w w w w w w w
statement. Asking for a definition of stoned directly asks for clarification. Restating that the patient
w w w w w w w w w w w w w w w
is uncomfortable with the dreams content is parroting, a non-therapeutic technique.
w w w w w w w w w w w
The other responses fail to clarify the meaning of the patients comment.
w w w w w w w w w w w
PTS: 1 DIF: Cognitive Level: Apply (Application)
w w w w w w w
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
w w w w w w w w
MSC: Client Needs: Psychosocial Integrity
w w w w w
2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through the
w w w w w w w w w w w w w w
fluorescent lights in this room. Be careful what you say. Which response by the nurse would be
w w w w w w w w w w w w w w w w w
most therapeutic?
w w
a. Lets talk about something other than the CIA.
w w w w w w w
b. It sounds like youre concerned about your privacy.
w w w w w w w
, Stuvia.com - The Marketplace to Buy and Sell your Study Material
w w w w w w w w w w
c. The CIA is prohibited from operating in health care facilities.
w w w w w w w w w
d. You have lost touch with reality, which is a symptom of your illness.
w w w w w w w w w w w w
ANSWER: B w
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
w w w w w w w w w w w w w w
undermines the patients trust in the nurse. The nurse should try to understand the underlying
w w w w w w w w w w w w w w w
feelings or thoughts the patients message conveys. The correct response uses the therapeutic
w w w w w w w w w w w w w
technique of reflection. The other comments are non-therapeutic. Asking to talk about something
w w w w w w w w w w w w w
other than the concern at hand is changing the subject. Saying that the CIA is prohibited from
w w w w w w w w w w w w w w w w w
operating in health care facilities gives false reassurance. Stating that the patient has lost touch with
w w w w w w w w w w w w w w w w
reality is truthful, but uncompassionate.
w w w w w
PTS: 1 DIF: Cognitive Level: Apply (Application)
w w w w w w
REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
w w w w w w w w
MSC: Client Needs: Psychosocial Integrity
w w w w w
3. The patient says, My marriage is just great. My spouse and I always agree. The nurse observes the
w w w w w w w w w w w w w w w w w
patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can
w w w w w w w w w w w w w w w w
draw is that the patients communication is:
w w w w w w w
a. clear. c. precise. w
b. mixed. d. inadequate. w
ANSWER: B w
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker.
w w w w w w w w w w w w
The patients verbal message that all was well in the relationship was modified by the nonverbal
w w w w w w w w w w w w w w w w
behaviors denoting anxiety. Data are not present to support the choice of the verbal message being
w w w w w w w w w w w w w w w w
clear, explicit, or inadequate.
w w w w
PTS: 1 DIF: Cognitive Level: Understand (Comprehension) REF:
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mcs 150-151 TOP: Nursing Process: Assessment
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