Test Bank For Primary Care Psychiatry
2nd Edition by Robert McCarron, Glen Xiong Chapter 1 - 26
Test Bank For Primary Care Psychiatry
2nd Edition by Robert McCarron, Glen Xiong Chapter 1 - 26
Test Bank For Primary Care Psychiatry
2nd Edition by Robert McCarron, Glen Xiong Chapter 1 - 26...
Chapter 23. Somatic Symptom and Related Disorders
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Chapter 24. Insomnia
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Chapter 25. Sexual Dysfunction
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Chapter 26. Eating Disorders
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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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MULTIPLE CHOICE IIll
1. A patient says to the nurse, I dreamed I was stoned. When I woke up, I felt
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IIll emotionally drained, as though I hadnt rested well. Which response should the nurse IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll use to clarify the patients comment?
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a. It sounds as though you were uncomfortable with the content of your dream.
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b. I understand what youre saying. Bad dreams leave me feeling tired, too.
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c. So you feel as though you did not get enough quality sleep last night?
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d. Can you give me an example of what you mean by stoned?
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ANSWER: D IIll
The technique of clarification is therapeutic and helps the nurse examine the meaning of the
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IIll patients statement. Asking for a definition of stoned directly asks for clarification. Restating
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that the patient is uncomfortable with the dreams content is parroting, a non-therapeutic
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IIll technique.
The other responses fail to clarify the meaning of the patients comment.
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2. A patient diagnosed with schizophrenia tells the nurse, The CIA is monitoring us through
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IIll the fluorescent lights in this room. Be careful what you say. Which response by the nurse
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IIll would be most therapeutic? IIll IIll IIll
a. Lets talk about something other than the CIA.
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b. It sounds like youre concerned about your privacy.
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c. The CIA is prohibited from operating in health care facilities.
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d. You have lost touch with reality, which is a symptom of your illness.
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ANSWER: B IIll
It is important not to challenge the patients beliefs, even if they are unrealistic. Challenging
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IIll undermines the patients trust in the nurse. The nurse should try to understand the IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
IIll underlying feelings or thoughts the patients message conveys. The correct response uses the
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IIll therapeutic technique of reflection. The other comments are non-therapeutic. Asking to talk
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about something other than the concern at hand is changing the subject. Saying that the CIA
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IIll is prohibited from operating in health care facilities gives false reassurance. Stating that the
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IIll patient has lost touch with reality is truthful, but uncompassionate.
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3. The patient says, My marriage is just great. My spouse and I always agree. The nurse
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observes the patients foot moving continuously as the patient twirls a shirt button. The
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IIll conclusion the nurse can draw is that the patients communication is: IIll IIll IIll IIll IIll IIll IIll IIll IIll IIll
a. clear. c. I I l l precise.
b. mixed. d. I I l l inadequate.
ANSWER: B IIll
Mixed messages involve the transmission of conflicting or incongruent messages by the
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speaker. The patients verbal message that all was well in the relationship was modified by
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IIll the nonverbal behaviors denoting anxiety. Data are not present to support the choice of the
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IIll verbal message being clear, explicit, or inadequate.
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