Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
TESTBANK g
PRIMARYCARE PSYC g g
HIATRY
2nd Edition McC
g g
arron Xiong g
TESTBANK g
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
PrimarygCaregPsychiatryg2ndgEditiongMcCarrongXionggTestgBank
TablegofgContents:
Chapterg1.gThegPrimarygCaregPsychiatricgInterview
Chapterg2.gPrimarygCaregandgPsychiatry:gAngOverviewgofgthegCollaborativegCaregModel
Chapterg3.gPreventivegMedicinegandgBehavioralgHealth
Chapterg4.gThegPatientgandgYou:gPsychologicalgandgCulturalgConsideration
Chapterg5.gAnxietygDisorders
Chapterg6.gObsessive–CompulsivegandgRelatedgDisorders
Chapterg7.gTrauma-RelatedgDisorders
Chapterg8.gMoodgDisorders—Depression
Chapterg9.gTreatment-ResistantgDepression
Chapterg10.gPsychiatricgDisorders:gBipolargandgRelatedgDisorders
Chapterg11.gPsychoticgDisorders
Chapterg12.gNeurocognitivegDisorders
Chapterg13.gSubstancegUsegDisorders—Alcohol
Chapterg14.gSubstancegUsegDisorders—IllicitgandgPrescriptiongDrugs
Chapterg15.gPersonalitygDisorders
Chapterg16.gCognitivegBehavioralgTherapy
Chapterg17.gSupportivegPsychotherapygingPrimarygCare
Chapterg18.gMotivationalgInterviewing
Chapterg19.gFundamentalsgofgPsychopharmacology
Chapterg20.gGeriatricgBehavioralgHealth
Chapterg21.gChildgandgAdolescentgBehavioralgHealth
Chapterg22.gSuicidegandgViolencegRiskgAssessment
Chapterg23.gSomaticgSymptomgandgRelatedgDisorders
Chapterg24.gInsomnia
Chapterg25.gSexualgDysfunction
Chapterg26.gEatinggDisorders
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
Chapter 1: The Primary Care Psychiatric Interview
g g g g g g
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
g g g g g g g g
MULTIPLEgCHOICE
1. Agpatientgsaysgtogthegnurse,gIgdreamedgIgwasgstoned.gWhengIgwokegup,gIgfeltgemotionallygd
rained,gasgthoughgIghadntgrestedgwell.gWhichgresponsegshouldgthegnursegusegtogclarifygthegpat
ientsgcomment?
a. Itgsoundsgasgthoughgyougwereguncomfortablegwithgthegcontentgofgyourgdream.
b. Igunderstandgwhatgyouregsaying.gBadgdreamsgleavegmegfeelinggtired,gtoo.
c. Sogyougfeelgasgthoughgyougdidgnotggetgenoughgqualitygsleepglastgnight?
d. Cangyouggivegmegangexamplegofgwhatgyougmeangbygstoned?
ANS:gD
Thegtechniquegofgclarificationgisgtherapeuticgandghelpsgthegnursegexaminegthegmeaninggofgthegpatien
tsgstatement.gAskinggforgagdefinitiongofgstonedgdirectlygasksgforgclarification.gRestatinggthatgthegpati
entgisguncomfortablegwithgthegdreamsgcontentgisgparroting,gagnon-therapeuticgtechnique.
Thegothergresponsesgfailgtogclarifygthegmeaninggofgthegpatientsgcomment.gPT
S:g1gDIF:gCognitivegLevel:gApplyg(Application)
REF:gmcsg154g(dmg9-
2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:g
PsychosocialgIntegrity
2. Agpatientgdiagnosedgwithgschizophreniagtellsgthegnurse,gThegCIAgisgmonitoringgusgthroughgthegf
luorescentglightsgingthisgroom.gBegcarefulgwhatgyougsay.gWhichgresponsegbygthegnursegwouldgbegm
ostgtherapeutic?
a. LetsgtalkgaboutgsomethinggothergthangthegCIA.
b. Itgsoundsglikegyouregconcernedgaboutgyourgprivacy.
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
c. ThegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilities.
d. Youghaveglostgtouchgwithgreality,gwhichgisgagsymptomgofgyourgillness.
ANS:gB
Itgisgimportantgnotgtogchallengegthegpatientsgbeliefs,gevengifgtheygaregunrealistic.gChallenginggunder
minesgthegpatientsgtrustgingthegnurse.gThegnursegshouldgtrygtogunderstandgthegunderlyinggfeelingsgorg
thoughtsgthegpatientsgmessagegconveys.gThegcorrectgresponsegusesgthegtherapeuticgtechniquegofgrefl
ection.gThegothergcommentsgaregnon-
therapeutic.gAskinggtogtalkgaboutgsomethinggothergthangthegconcerngatghandgisgchanginggthegsubject.
g SayinggthatgthegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilitiesggivesgfalsegreassurance.gS
tatinggthatgthegpatientghasglostgtouchgwithgrealitygisgtruthful,gbutguncompassionate.
PTS:g1gDIF:gCognitivegLevel:gApplyg(Application)
REF:gmcsg154g(dmg9-
2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:g
PsychosocialgIntegrity
3. Thegpatientgsays,gMygmarriagegisgjustggreat.gMygspousegandgIgalwaysgagree.gThegnursegobservesgt
hegpatientsgfootgmovinggcontinuouslygasgthegpatientgtwirlsgagshirtgbutton.gThegconclusiongthegnurseg
cangdrawgisgthatgthegpatientsgcommunicationgis:
a. clear. c.g precise.
b. mixed. d.g inadequate.
ANS:gB
Mixedgmessagesginvolvegthegtransmissiongofgconflictinggorgincongruentgmessagesgbygthegspeaker.g
Thegpatientsgverbalgmessagegthatgallgwasgwellgingthegrelationshipgwasgmodifiedgbygthegnonverbalgbe
haviorsgdenotingganxiety.gDatagaregnotgpresentgtogsupportgthegchoicegofgthegverbalgmessagegbeinggcl
ear,gexplicit,gorginadequate.
PTS:g1gDIF:gCognitivegLevel:gUnderstandg(Comprehension)gRE
F:gmcsg150-151gTOP:gNursinggProcess:gAssessment
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
TESTBANK g
PRIMARYCARE PSYC g g
HIATRY
2nd Edition McC
g g
arron Xiong g
TESTBANK g
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
PrimarygCaregPsychiatryg2ndgEditiongMcCarrongXionggTestgBank
TablegofgContents:
Chapterg1.gThegPrimarygCaregPsychiatricgInterview
Chapterg2.gPrimarygCaregandgPsychiatry:gAngOverviewgofgthegCollaborativegCaregModel
Chapterg3.gPreventivegMedicinegandgBehavioralgHealth
Chapterg4.gThegPatientgandgYou:gPsychologicalgandgCulturalgConsideration
Chapterg5.gAnxietygDisorders
Chapterg6.gObsessive–CompulsivegandgRelatedgDisorders
Chapterg7.gTrauma-RelatedgDisorders
Chapterg8.gMoodgDisorders—Depression
Chapterg9.gTreatment-ResistantgDepression
Chapterg10.gPsychiatricgDisorders:gBipolargandgRelatedgDisorders
Chapterg11.gPsychoticgDisorders
Chapterg12.gNeurocognitivegDisorders
Chapterg13.gSubstancegUsegDisorders—Alcohol
Chapterg14.gSubstancegUsegDisorders—IllicitgandgPrescriptiongDrugs
Chapterg15.gPersonalitygDisorders
Chapterg16.gCognitivegBehavioralgTherapy
Chapterg17.gSupportivegPsychotherapygingPrimarygCare
Chapterg18.gMotivationalgInterviewing
Chapterg19.gFundamentalsgofgPsychopharmacology
Chapterg20.gGeriatricgBehavioralgHealth
Chapterg21.gChildgandgAdolescentgBehavioralgHealth
Chapterg22.gSuicidegandgViolencegRiskgAssessment
Chapterg23.gSomaticgSymptomgandgRelatedgDisorders
Chapterg24.gInsomnia
Chapterg25.gSexualgDysfunction
Chapterg26.gEatinggDisorders
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
Chapter 1: The Primary Care Psychiatric Interview
g g g g g g
Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
g g g g g g g g
MULTIPLEgCHOICE
1. Agpatientgsaysgtogthegnurse,gIgdreamedgIgwasgstoned.gWhengIgwokegup,gIgfeltgemotionallygd
rained,gasgthoughgIghadntgrestedgwell.gWhichgresponsegshouldgthegnursegusegtogclarifygthegpat
ientsgcomment?
a. Itgsoundsgasgthoughgyougwereguncomfortablegwithgthegcontentgofgyourgdream.
b. Igunderstandgwhatgyouregsaying.gBadgdreamsgleavegmegfeelinggtired,gtoo.
c. Sogyougfeelgasgthoughgyougdidgnotggetgenoughgqualitygsleepglastgnight?
d. Cangyouggivegmegangexamplegofgwhatgyougmeangbygstoned?
ANS:gD
Thegtechniquegofgclarificationgisgtherapeuticgandghelpsgthegnursegexaminegthegmeaninggofgthegpatien
tsgstatement.gAskinggforgagdefinitiongofgstonedgdirectlygasksgforgclarification.gRestatinggthatgthegpati
entgisguncomfortablegwithgthegdreamsgcontentgisgparroting,gagnon-therapeuticgtechnique.
Thegothergresponsesgfailgtogclarifygthegmeaninggofgthegpatientsgcomment.gPT
S:g1gDIF:gCognitivegLevel:gApplyg(Application)
REF:gmcsg154g(dmg9-
2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:g
PsychosocialgIntegrity
2. Agpatientgdiagnosedgwithgschizophreniagtellsgthegnurse,gThegCIAgisgmonitoringgusgthroughgthegf
luorescentglightsgingthisgroom.gBegcarefulgwhatgyougsay.gWhichgresponsegbygthegnursegwouldgbegm
ostgtherapeutic?
a. LetsgtalkgaboutgsomethinggothergthangthegCIA.
b. Itgsoundsglikegyouregconcernedgaboutgyourgprivacy.
, Stuvia.comg-
gThegMarketplacegtogBuygandgSellgyourgStudygMaterial
c. ThegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilities.
d. Youghaveglostgtouchgwithgreality,gwhichgisgagsymptomgofgyourgillness.
ANS:gB
Itgisgimportantgnotgtogchallengegthegpatientsgbeliefs,gevengifgtheygaregunrealistic.gChallenginggunder
minesgthegpatientsgtrustgingthegnurse.gThegnursegshouldgtrygtogunderstandgthegunderlyinggfeelingsgorg
thoughtsgthegpatientsgmessagegconveys.gThegcorrectgresponsegusesgthegtherapeuticgtechniquegofgrefl
ection.gThegothergcommentsgaregnon-
therapeutic.gAskinggtogtalkgaboutgsomethinggothergthangthegconcerngatghandgisgchanginggthegsubject.
g SayinggthatgthegCIAgisgprohibitedgfromgoperatingginghealthgcaregfacilitiesggivesgfalsegreassurance.gS
tatinggthatgthegpatientghasglostgtouchgwithgrealitygisgtruthful,gbutguncompassionate.
PTS:g1gDIF:gCognitivegLevel:gApplyg(Application)
REF:gmcsg154g(dmg9-
2)gTOP:gNursinggProcess:gImplementationgMSC:gClientgNeeds:g
PsychosocialgIntegrity
3. Thegpatientgsays,gMygmarriagegisgjustggreat.gMygspousegandgIgalwaysgagree.gThegnursegobservesgt
hegpatientsgfootgmovinggcontinuouslygasgthegpatientgtwirlsgagshirtgbutton.gThegconclusiongthegnurseg
cangdrawgisgthatgthegpatientsgcommunicationgis:
a. clear. c.g precise.
b. mixed. d.g inadequate.
ANS:gB
Mixedgmessagesginvolvegthegtransmissiongofgconflictinggorgincongruentgmessagesgbygthegspeaker.g
Thegpatientsgverbalgmessagegthatgallgwasgwellgingthegrelationshipgwasgmodifiedgbygthegnonverbalgbe
haviorsgdenotingganxiety.gDatagaregnotgpresentgtogsupportgthegchoicegofgthegverbalgmessagegbeinggcl
ear,gexplicit,gorginadequate.
PTS:g1gDIF:gCognitivegLevel:gUnderstandg(Comprehension)gRE
F:gmcsg150-151gTOP:gNursinggProcess:gAssessment
