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