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