2.7 Psychosocial Concepts - Additional Info

Question 1

Barriers to effective communication include:

Answer 1

• Physical interference (background noise)
• Psychological noise (pain, hunger, anxiety)
• Barriers to processing (info overload, cognitive deficit)
• Perceptual barriers (prejudices, cultural background)
• Structural barriers (layers of bureaucracy)

Question 2

Outcomes measured in health coaching include:

Answer 2

decreased ED visits and hospitalizations, adherence to guidelines, and/or clinical measures such as maintaining blood pressure or Hemoglobin A1c level.

Question 3

The main reason patients do not change health behaviors is ambivalence, because they:

Answer 3

• are not ready
• do not think they are able to change
• do not have a plan
• do not have support

Question 4

Factors that can impact client engagement include:

Answer 4

• motivation
• attitudes
• beliefs
• knowledge
• cognitive ability
• education
• health literacy
• past experiences with the health system
• degree of self-efficacy
• trust between patient and provider

Question 5

_____ ______ ______ has been linked to higher rates of hospitalization and ED usage, less frequent use of preventive services, and a greater likelihood of taking medicines incorrectly.

Answer 5

Low health literacy

Question 6

Those at highest risk for low health literacy are:

Answer 6

• older adults
• racial and ethnic minorities
• those having less than a high school degree or GED
• individuals whose income is at or below poverty level
• non-native speakers of English

Question 7

The American Cancer Society recommends women age ___ and older have yearly mammograms.

Answer 7

40

Question 8

Men and women of average risk should begin screening for colorectal cancer at the age of ___.

Answer 8

50

Question 9

A ____ ____ should be performed prior to the ______ _____ to rule out underlying medical conditions that can cause behavioral symptoms.

Answer 9

medical evaluation; psychological evaluation

Question 10

The Rancho Los Amigos Scale of Cognitive Functioning is divided into eight states, from come to appropriate behavior and cognitive functioning. Those stages include:

Answer 10

I - Unresponsive to all stimuli
II - Generalized response to stimuli
III - Localized response to stimuli
IV - Confused/agitated
V - Confused/inappropriate, non-agitated behavior
VI - Confused/appropriate behavior
VII - Automatic/appropriate behavior
VIII - Purposeful/appropriate behavior

Question 11

The DSM assesses five dimensions:

Answer 11

Axis I: Clinical Disorders
Axis II: Development and Personality Disorders
Axis III: General Medical Condition
Axis IV: Psychosocial and Environmental Problems
Axis V: Global Assessment of Functioning Scale

Question 12

The ____ is a psychological test that assesses personality traits and psychopathology.

Answer 12

MMPI