Chapter 81. The 15–Minute Hour: Practical Approaches to Behavioral Health for
Primary Care
MULTIPLE CHOICE
1. According to the World Health Organization data on 1,500 patients around the world, how
many patients presenting with medical/somatic complaint had a psychiatric problem?
A.
25% of all patients
B.
One-quarter of all patients
C.
One-half of all patients
D.
60% of all patients
2. Integrating mental health techniques and approaches, such as the 15-minute hour, into the
primary-care patient encounter is important for a number of reasons. These include:
A.
Decreasing the patient’s stress and increasing your reimbursement
B.
Encouraging coping strategies and increasing professional satisfaction
C.
Assisting patients in reliving traumatic experiences
D.
Decreasing care clinician stress
3. Valliant (1979) discusses the “ubiquity of stress.” Ubiquity of stress maintains that:
A.
In a current and rapidly changing society, stress can be viewed as a positive.
B.
Eustress is counterproductive.
C.
The overwhelmed can functionally regress.
D.
Dream therapy has been found to be an effective treatment of overwhelming stress.
4. Basic human needs are identified as:
A.
Autonomy and feeling valued by others
B.
Exhilaration and productivity
C.
Spirituality
D.
Career success and material rewards
5. Commonalities among psychotherapeutic techniques include the following:
A.
Dream therapy, listening, and reflection
B.
Psychodrama, group psychotherapy, and 12-step programs
C.
Self-help groups
D.
Obtaining external perspective and participation in a helping relationship
6. The goals of the 15-minute hour approach include:
A.
Enhance self-esteem, expand behavioral repertoire, prevent dire consequences, and
reestablish premorbid levels of functioning
B.
Emerge with a higher level of functioning and commitment to long-term
psychotherapy
C.
Accept need for antidepressant therapy and psychiatric referral; share concerns
with primary-care clinician
D.
Improve family functioning and sexual performance as well as accept need for
antidepressant medication
7. BATHEing the patient refers to:
A.
A technique used in primary care to get the patient to accept the need for
psychological or psychiatric referral
B.
A technique used to facilitate cultural understanding
C.
A technique used to perform psychotherapy
D.
A technique that is a quick screen for psychiatric issues and interventions for
psychological problems
8. BATHEing the patient is an advanced practice nursing intervention that allows the
practitioner to:
A.
Develop a therapeutic relationship without “owning” the patient’s problem
B.
Conduct psychological counseling within the context of the primary-care
encounter
C.
Focus on the “process” and not the assessment
D.
Make the patient and family happier
9. The BATHE technique was developed more than 20 years ago and has been used extensively
in primary care and family practice. The new “Positive BATHE” stresses:
A.
A belief that all things are possible through positive affirmations
B.
A belief that one should only refer to practitioners who embrace the viewpoint of
positive psychology
C.
Health promotion, gratitude, autonomy, and positive thought
D.
The patient’s problems and concerns
10. Which of the following scenarios best demonstrates the relationship between physical health
and distress?
A.
A patient’s high-calorie diet contributes to his diagnosis of type 2 diabetes.
B.
A patient with an elevated HbA1C reports that he was recently evicted from his
home.
C.
A patient with depression reports an increase in suicidal thoughts.
D.
A patient reports feeling “numb” after learning that her malignant tumor is
inoperable.
11. One benefit of BATHEing a patient is that:
A.
It allows providers an in-depth exploration of patient’s presenting problems.
B.
It assumes that ambivalence is a normal part of the change process.
C.
It utilizes the therapeutic relationship to help patients in a time-sensitive approach.
D.
It can be done only with extensive training in therapeutic technique.
12. One benefit of motivational interviewing (MI) is:
A.
It assumes that ambivalence is a normal part of the change process.
B.
It can be utilized during routine office visits.
C.
It is a therapeutic technique which is not necessarily time intensive.
D.
All are benefits of MI.
13. Which is not a basic principle of MI?
A.
People often continue behaviors with negative consequences for reasons unknown
to the provider.
B.
The patient is the expert on his/her behavior.
C.
Providers are obligated to inform each patient of the negative consequences of
their behaviors.
D.
Helping patients understand ambivalence for change is often more powerful than
direct instruction.
14. The primary purpose of the “Positive BATHE” is intended to help patients by:
A.
Focusing on autonomy and accomplishment
B.
Creating a stronger therapeutic alliance
C.
Helping the patient change negative behaviors
D.
Engaging the patient during the psychosocial assessment