B2.061 Psychosocial Issues in Oncology

Question 1

what are “de facto mental health services”?

Answer 1

psychiatric presentations are a common element of primary care medical encounters
50% of psych illnesses are treated by primary care specialists and non mental health professionals

Question 2

what are some common psychiatric and psychological presentations?

Answer 2

mood disorders
anxiety
substance abuse disorder

Question 3

what are some important factors to remember when assessing a patient in clinical interviewing?

Answer 3

emphasize therapeutics and patient understanding
minimize distance and jargon
minimize rushing and hurrying

Question 4

what is the importance of the mental status examination?

Answer 4

central to the reliability and validity of clinical impression
can establish clinical baseline from which to track changes

Question 5

what constitutes the presentation and behavior section of the MSE?

Answer 5

general appearance
level of consciousness
attitude toward examiner
motor behavior
eye contact

Question 6

what constitutes the mood and affect section of the MSE?

Answer 6

mood
affect
range of emotion/mood and affect
congruence/appropriateness of affect to mood

Question 7

what constitutes the thought processes and content section of the MSE?

Answer 7

speech
stream and continuity of thought
content of thought
perceptual disturbances
suicidal and homicidal ideation

Question 8

what constitutes the cognitive status section of the MSE?

Answer 8

orientation
attention
concentration
memory
intelligence
insight/judgement
reliability of report

Question 9

what are problem focused interventions?

Answer 9

friend interventions targeted toward clinical presentation of the patient
collaborative and goal-directed

Question 10

what are some different intervention strategies?

Answer 10

cognitive-behavioral therapy
crisis interventions
supportive therapy
solution based therapy
interpersonal therapy
group therapy
behavioral therapy
substance-abuse counseling

Question 11

what is the follow up rate for therapy after hospitalizations?

Answer 11

33%

Question 12

what are the main types of psychotherapy?

Answer 12

psychoanalysis/ psychodynamic
cognitive-behavioral therapy
humanistic
behavioral therapy
group, couple and family therapy

Question 13

what are key strategies of active listening?

Answer 13

attending
silence
paraphrasing and summarizing

Question 14

what is attending?

Answer 14

communicating that you are available, ready to listen, and willing to focus on your patient’s experience

Question 15

which are more important in driving outcomes of psychosocial intervention: general or specific?

Answer 15

general

Question 16

what are some of the different effects of cancer?

Answer 16

physical
mental
existential

Question 17

what are some different points of intervention for a cancer patient?

Answer 17

at diagnosis
during treatment/planning
recurrence/relapse

Question 18

what are some crisis intervention strategies?

Answer 18

providing direct support
enhancing understanding
recommending direct measures
setting goals

Question 19

what factors promote positive change in group therapy?

Answer 19

honesty
respect
industry
responsibility
application

Question 20

what are examples of indirect consequences of disease and treatment?

Answer 20

experience of disability

social responses to patient