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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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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 UseDisorders—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 Symptomand 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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Chapter1:The Primary CarePsychiatric Interview vn vn vn vn vn vn
PrimaryCarePsychiatry 2ndEditionMcCarronXiongTest Bank vn vn vn vn vn vn vn vn
MULTIPLE CHOICE vn
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt emotionally
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vn drained, as though I hadnt rested well. Which response should the nurse use to clarify the
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vn patients comment? vn
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 qualitysleep 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 vn
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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vn uncomfortable with the dreams content is parroting, a non-therapeutic technique. vn vn vn vn vn vn vn vn vn
The other responses fail to clarifythe meaning of the patients comment. PTS: 1
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vn DIF: Cognitive Level: Apply (Application)
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REF: mcs 154 (dm 9-2) TOP: Nursing Process: Implementation
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vn 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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vn fluorescent lights in this room. Be careful what you say. Which response by the nurse would be most
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vn therapeutic?
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 withreality, which is a symptom of your illness.
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ANSWER: B vn
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
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vn undermines the patients trust in the nurse. The nurse should try to understand the underlying feelings
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vn or thoughts the patients message conveys. The correct response uses the therapeutic technique of
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reflection. The other comments are non-therapeutic. Asking to talk about something other than the
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vn concern at hand is changing the subject. Saying that the CIA is prohibited from operating in health
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vn care facilities gives false reassurance. Stating that the patient has lost touch with reality is truthful, but
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vn uncompassionate.
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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vn MSC: Client Needs: Psychosocial Integrity
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3. The patient says, Mymarriage is just great. My spouse and I always agree. The nurse observes the
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vn patients foot moving continuously as the patient twirls a shirt button. The conclusion the nurse can
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vn draw is that the patients communication is:
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a. clear. c. v n precise.
b. mixed. d. inadequate. v n
ANSWER: B vn
Mixed messages involve the transmission of conflicting or incongruent messages by the speaker. The
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vn patients verbal message that all was well in the relationship was modified by the nonverbal behaviors
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vn denoting anxiety. Data are not present to support the choice of the verbal message being clear,
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vn explicit, or inadequate. vn vn
PTS: 1 DIF: Cognitive Level:Understand (Comprehension) REF:
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vn mcs 150-151 TOP: Nursing Process: Assessment
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