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