Stuvia.comv-vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterialv
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PRIMARY CARE v v
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PSYCHIATRY v
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v 2nd Edition McCarron Xiong
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TESTBANK v v
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, Stuvia.comv-vThevMarketplacevtovBuyvandvSellvyourvStudyvMaterialv
PrimaryvCarevPsychiatryv2ndvEditionvMcCarronvXiongvTestvBankv
TablevofvContents:vv
Chapterv1.vThevPrimaryvCarevPsychiatricvInterviewvvv
Chapterv2.vPrimaryvCarevandvPsychiatry:vAnvOverviewvofvthevCollaborativevCarevModelvvv
Chapterv3.vPreventivevMedicinevandvBehavioralvHealthvvv
Chapterv4.vThevPatientvandvYou:vPsychologicalvandvCulturalvConsiderationvvv
Chapterv5.vAnxietyvDisordersvvv
Chapterv6.vObsessive–CompulsivevandvRelatedvDisordersvvv
Chapterv7.vTrauma-RelatedvDisordersvv
Chapterv8.vMoodvDisorders—Depressionvvv
Chapterv9.vTreatment-ResistantvDepressionvvv
Chapterv10.vPsychiatricvDisorders:vBipolarvandvRelatedvDisordersvvv
Chapterv11.vPsychoticvDisordersvvv
Chapterv12.vNeurocognitivevDisordersvvv
Chapterv13.vSubstancevUsevDisorders—Alcoholvvv
Chapterv14.vSubstancevUsevDisorders—IllicitvandvPrescriptionvDrugsvvv
Chapterv15.vPersonalityvDisordersvv
Chapterv16.vCognitivevBehavioralvTherapyvvv
Chapterv17.vSupportivevPsychotherapyvinvPrimaryvCarevvv
Chapterv18.vMotivationalvInterviewingvvv
Chapterv19.vFundamentalsvofvPsychopharmacologyvvv
Chapterv20.vGeriatricvBehavioralvHealthvvv
Chapterv21.vChildvandvAdolescentvBehavioralvHealthvvv
Chapterv22.vSuicidevandvViolencevRiskvAssessmentvvv
Chapterv23.vSomaticvSymptomvandvRelatedvDisordersvvv
Chapterv24.vInsomniavvv
Chapterv25.vSexualvDysfunctionvvv
Chapterv26.vEatingvDisordersvv
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Chapter 1: The Primary Care Psychiatric Interview
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Primary Care Psychiatry 2nd Edition McCarron Xiong Test Bank
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MULTIPLEvCHOICEv
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1.vAvpatientvsaysvtovthevnurse,vIvdreamedvIvwasvstoned.vWhenvIvwokevup,vIvfeltvemotionallyvdr
ained,vasvthoughvIvhadntvrestedvwell.vWhichvresponsevshouldvthevnursevusevtovclarifyvthevpati
entsvcomment?v
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a. Itvsoundsvasvthoughvyouvwerevuncomfortablevwithvthevcontentvofvyourvdream.v
b. Ivunderstandvwhatvyourevsaying.vBadvdreamsvleavevmevfeelingvtired,vtoo.v
c. Sovyouvfeelvasvthoughvyouvdidvnotvgetvenoughvqualityvsleepvlastvnight?v
d. Canvyouvgivevmevanvexamplevofvwhatvyouvmeanvbyvstoned?v
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2.vAvpatientvdiagnosedvwithvschizophreniavtellsvthevnurse,vThevCIAvisvmonitoringvusvthroughvthevflu
orescentvlightsvinvthisvroom.vBevcarefulvwhatvyouvsay.vWhichvresponsevbyvthevnursevwouldvbevmostvt
herapeutic?v
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a. LetsvtalkvaboutvsomethingvothervthanvthevCIA.v
b. Itvsoundsvlikevyourevconcernedvaboutvyourvprivacy.v
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c. ThevCIAvisvprohibitedvfromvoperatingvinvhealthvcarevfacilities.v
d. Youvhavevlostvtouchvwithvreality,vwhichvisvavsymptomvofvyourvillness.v
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ANS:vBv
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Itvisvimportantvnotvtovchallengevthevpatientsvbeliefs,vevenvifvtheyvarevunrealistic.vChallengingvunderm
inesvthevpatientsvtrustvinvthevnurse.vThevnursevshouldvtryvtovunderstandvthevunderlyingvfeelingsvorvtho
ughtsvthevpatientsvmessagevconveys.vThevcorrectvresponsevusesvthevtherapeuticvtechniquevofvreflectio
n.vThevothervcommentsvarevnon-
therapeutic.vAskingvtovtalkvaboutvsomethingvothervthanvthevconcernvatvhandvisvchangingvthevsubject.v
SayingvthatvthevCIAvisvprohibitedvfromvoperatingvinvhealthvcarevfacilitiesvgivesvfalsevreassurance.vSta
tingvthatvthevpatientvhasvlostvtouchvwithvrealityvisvtruthful,vbutvuncompassionate.v
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PTS:v1vDIF:vCognitivevLevel:vApplyv(Application)v
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3.vThevpatientvsays,vMyvmarriagevisvjustvgreat.vMyvspousevandvIvalwaysvagree.vThevnursevobservesvth
evpatientsvfootvmovingvcontinuouslyvasvthevpatientvtwirlsvavshirtvbutton.vThevconclusionvthevnursevca
nvdrawvisvthatvthevpatientsvcommunicationvis:v
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a. clear.v c.vprecise.v
b. mixed.v d.vinadequate.v
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ANS:vBv
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Mixedvmessagesvinvolvevthevtransmissionvofvconflictingvorvincongruentvmessagesvbyvthevspeaker.vT
hevpatientsvverbalvmessagevthatvallvwasvwellvinvthevrelationshipvwasvmodifiedvbyvthevnonverbalvbeha
viorsvdenotingvanxiety.vDatavarevnotvpresentvtovsupportvthevchoicevofvthevverbalvmessagevbeingvclear,
explicit,vorvinadequate.v
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4.vAvnursevinteractsvwithvavnewlyvhospitalizedvpatient.vSelectvthevnursesvcommentvthatvappliesvthevco
mmunicationvtechniquevofvofferingvself.v
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a. Ivevalsovhadvtraumaticvlifevexperiences.vMaybevitvwouldvhelpvifvIvtoldvyouvaboutvthem.v
b. Whyvdovyouvthinkvyouvhadvsovmuchvdifficultyvadjustingvtovthisvchangevinvyourvlife?v
c. Ivhopevyouvwillvfeelvbettervaftervgettingvaccustomedvtovhowvthisvunitvoperates.v
d. Idvlikevtovsitvwithvyouvforvavwhilevtovhelpvyouvgetvcomfortablevtalkingvtovme.v
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ANS:vDv
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Offeringvselfvisvavtechniquevthatvshouldvbevusedvinvthevorientationvphasevofvthevnurse-
patientvrelationship.vSittingvwithvthevpatient,vanvexamplevofvofferingvself,vhelpsvtovbuildvtrustvandvcon
veyvthatvthevnursevcaresvaboutvthevpatient.vTwovincorrectvresponsesvarevineffectivevandvnon-
therapeutic.vThevothervincorrectvresponsevisvtherapeuticvbutvisvanvexamplevofvofferingvhope.v
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PTS:v1vDIF:vCognitivevLevel:vApplyv(Application)v
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a. Restatingvavfeelingvorvthoughtvthevpatientvhasvexpressed.v
b. Askingvavdirectvquestion,vsuchvasvDidvyouvfeelvangry?v
c. Makingvavjudgmentvaboutvthevpatientsvproblem.v
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