TEST BANK For Primary Care Psychiatry, 2nd Edition by Robert McCarron, Glen Xiong, Verified Chapters 1 - 26, Complete Newest Version

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Test Bank For Primary Care Psychiatry
2nd Edition by Robert McCarron, Glen Xiong
Chapter 1 - 26

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Primary54Care54Psychiatry542nd54Edition54McCarron54Xiong54Test54Bank
Table54of54Contents:
Chapter541.54The54Primary54Care54Psychiatric54Interview
Chapter542.54Primary54Care54and54Psychiatry:54An54Overview54of54the54Collaborative54Care54Model
Chapter543.54Preventive54Medicine54and54Behavioral54Health
Chapter544.54The54Patient54and54You:54Psychological54and54Cultural54Consideration
Chapter545.54Anxiety54Disorders
Chapter546.54Obsessive–Compulsive54and54Related54Disorders
Chapter547.54Trauma-Related54Disorders
Chapter548.54Mood54Disorders—Depression
Chapter549.54Treatment-Resistant54Depression
Chapter5410.54Psychiatric54Disorders:54Bipolar54and54Related54Disorders
Chapter5411.54Psychotic54Disorders
Chapter5412.54Neurocognitive54Disorders
Chapter5413.54Substance54Use54Disorders—Alcohol
Chapter5414.54Substance54Use54Disorders—Illicit54and54Prescription54Drugs
Chapter5415.54Personality54Disorders
Chapter5416.54Cognitive54Behavioral54Therapy
Chapter5417.54Supportive54Psychotherapy54in54Primary54Care
Chapter5418.54Motivational54Interviewing
Chapter5419.54Fundamentals54of54Psychopharmacology
Chapter5420.54Geriatric54Behavioral54Health
Chapter5421.54Child54and54Adolescent54Behavioral54Health
Chapter5422.54Suicide54and54Violence54Risk54Assessment
Chapter5423.54Somatic54Symptom54and54Related54Disorders
Chapter5424.54Insomnia
Chapter5425.54Sexual54Dysfunction
Chapter5426.54Eating54Disorders

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Chapter541:54The54Primary54Care54Psychiatric54Interview
Primary54Care54Psychiatry542nd54Edition54McCarron54Xiong54Test54Bank

MULTIPLE54CHOICE

1. A54patient54says54to54the54nurse,54I54dreamed54I54was54stoned.54When54I54woke54up,54I54
felt54emotionally54drained,54as54though54I54hadnt54rested54well.54Which54response54shoul
d54the54nurse54use54to54clarify54the54patients54comment?

a. It54sounds54as54though54you54were54uncomfortable54with54the54content54of54your54dream.
b. I54understand54what54youre54saying.54Bad54dreams54leave54me54feeling54tired,54too.
c. So54you54feel54as54though54 you54did54not54get54enough54quality54sleep54last54night?
d. Can54you54give54me54an54example54of54what54you54mean54by54stoned?


ANSWER:54D

The54technique54of54clarification54is54therapeutic54and54helps54the54nurse54examine54the54meanin
g54of54the54patients54statement.54Asking54for54a54definition54of54stoned54directly54asks54for54clarif
ication.54Restating54that54the54patient54is54uncomfortable54with54the54dreams54content54is54parroti
ng,54a54non-therapeutic54technique.
The54other54responses54fail54to54clarify54the54meaning54of54the54patients54c

omment.54PTS:54154DIF:54Cognitive54Level:54Apply54(Application)

REF:54mcs5415454(dm549-

2)54TOP:54Nursing54Process:54Implementation54MSC:54Client54

Needs:54Psychosocial54Integrity

2. A54patient54diagnosed54with54schizophrenia54tells54the54nurse,54The54CIA54is54monitoring54us
54through54the54fluorescent54lights54in54this54room.54Be54careful54what54you54say.54Which54resp

onse54by54the54nurse54would54be54most54therapeutic?

a. Lets54talk54about54something54other54than54the54CIA.
b. It54sounds54like54youre54concerned54about54your54privacy.

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c. The54CIA54is54prohibited54from54operating54in54health54care54facilities.
d. You54have54lost54touch54with54reality,54which54is54a54symptom54of54your54illness.


ANSWER:54B

It54is54important54not54to54challenge54the54patients54beliefs,54even54if54they54are54unrealistic.54Ch
allenging54undermines54the54patients54trust54in54the54nurse.54The54nurse54should54try54to54underst
and54the54underlying54feelings54or54thoughts54the54patients54message54conveys.54The54correct54re
sponse54uses54the54therapeutic54technique54of54reflection.54The54other54comments54are54non-
therapeutic.54Asking54to54talk54about54something54other54than54the54concern54at54hand54is54chang
ing54the54subject.54Saying54that54the54CIA54is54prohibited54from54operating54in54health54care54fac
ilities54gives54false54reassurance.54Stating54that54the54patient54has54lost54touch54with54reality54is54
truthful,54but54uncompassionate.

PTS:54154DIF:54Cognitive54Level:54Apply54(Application)

REF:54mcs5415454(dm549-

2)54TOP:54Nursing54Process:54Implementation54MSC:54Client54

Needs:54Psychosocial54Integrity

3. The54patient54says,54My54marriage54is54just54great.54My54spouse54and54I54always54agree.54The5
4nurse54observes54the54patients54foot54moving54continuously54as54the54patient54twirls54a54shirt54b

utton.54The54conclusion54the54nurse54can54draw54is54that54the54patients54communication54is:

a. clear. c.5 4 precise.
b. mixed. d.5 4 inadequate.


ANSWER:54B

Mixed54messages54involve54the54transmission54of54conflicting54or54incongruent54messages54by54t
he54speaker.54The54patients54verbal54message54that54all54was54well54in54the54relationship54was54
modified54by54the54nonverbal54behaviors54denoting54anxiety.54Data54are54not54present54to54suppo
rt54the54choice54of54the54verbal54message54being54clear,54explicit,54or54inadequate.

PTS:54154DIF:54Cognitive54Level:54Understand54(Comprehensio

n)54REF:54mcs54150-

15154TOP:54Nursing54Process:54Assessment