BSS Flashcards

1
Q

What are the four components of the health belief model?

A

Perceived benefits vs barriers
Perceived threat
Self efficacy
Cues to action

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2
Q

Explain ‘perceived threat’ in the context of the HBM…

A

Severity- the consequences of non-engagement

Susceptibility- the perceived risk of a health problem

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3
Q

What is self efficacy?

A

An individuals perception of their competency to successfully perform a health promoting behaviour

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4
Q

What is esteem/emotional support?

A

Support that increases ones own belief or confidence

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5
Q

What is tangible/instrumental support?

A

Physical help involving the provision of finance or services

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6
Q

What is companionship support?

A

The provision of a sense of belonging

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7
Q

What is appraisal support?

A

The provision of information useful for self analysis

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8
Q

Name to two theories relating social support to health outcomes…

A

Main effect hypothesis

Stress buffering theory

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9
Q

Define maturation…

A

the changes associated with normal growth (ie. cognitive development directly associated with biological processes)

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10
Q

What is learning?

A

A change in the individual that is based upon the environment and not upon account of genetic inheritance

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11
Q

Schema

A

Describes the categories of knowledge that help us interpret the world. They describe the mental and physical actions involved in understanding

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12
Q

Assimilation

A

The extension of schema

The ability to take in new information and apply this to existing knowledge to achieve an outcome

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13
Q

Accomodation

A

The modification of schema

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14
Q

According to Piagets theory of cognitive development, what is the 1st stage of development? What milestones become apparent here?

A
Sensory motor (0-2)
Object permenance, facial recognition, first words and short sentences
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15
Q

According to Piagets theory of cognitive development, what is the 2nd stage of development? What milestones become apparent here?

A

Pre-operational (2-7)

Consequence prediction, egocentrism, sophisticated mimicry, theory of mind

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16
Q

According to Piagets theory of cognitive development, what is the 3rd stage of development? What milestones become apparent here?

A
Concrete operational (7-11)
Recognition of alternate points of view, undertaking of adult style operations
17
Q

According to Piagets theory of cognitive development, what is the 4th stage of development? What milestones become apparent here?

A
Formal operational (11+)
Abstract thoughts, use of logic, embarrassment levels rise
18
Q

How do children explain illness in relation to Piagets theory?

A

Pre-operational- Punishment
Concrete operational- Germs and contamination
Formal operational- Phycological

19
Q

Describe the concepts related to Eriksens theory of physcosocial development…

A

Each stage relies on a physcosocial crisis where individual needs oppose that of society
Crisis resolution results in acquisition of virtues
Virtues used to solve subsequent crises

20
Q

When can doctor patient confidentiality be broken?

A

Serious communicable diseases
Benefit to society outweighs that of patient
Not fit to drive
Unfit for work

MUST BE LAST RESORT- EXHAUST ALL OTHER AVENUES FIRST

21
Q

What is the protocol for dealing with a break in confidentiality due to serious infection?

A

Patient advised about risk of infection
Persuaded to abstain in all sexual activity without disclosing HIV status first
Advised to inform all previous partners
State that if they don’t then you have an obligation to do so on their behalf

Document everything
Always inform pt of what you are doing

22
Q

Define the term compliance…

A

The degree to which a patient follows the advice of a doctor

23
Q

Define the term concordance…

A

The act of shared decision making

24
Q

Define the term adherence…

A

The extent to which the patients behaviours are aligned with the treatment/management plans of the doctor

25
Q

The weighing up of pro’s and con’s before making a decision is known as….

A

reflective motivation

26
Q

Uncontrollable, subconscious and unapparent desires are called…

A

automatic motivation

27
Q

What are the 5 components of illness representation?

A
Identity
Cause
Timeline
Controlability
Consequence
28
Q

What does PRIME stand for?

A
Plans
Responses
Impulses
Motivations
Evaluations
29
Q

Outline the main ideas behind the PRIME model…

A

Wants and needs drive our behaviour at every moment
Thoughts only become behaviour when they create sufficiently strong ‘wants’ at that given time
Relates conscious and subconscious motivations

30
Q

What are the main impacts of living with atopic dermatitis?

A

Sleep loss
Ability to play decreases (child)
Financial implications due to caring (parents)

31
Q

Name three triggers for health seeking…

A

Interpersonal crisis
Interference with normal life
Sanctioning/encouragement from relations

32
Q

What is biographical distruption?

A

A radical break with the past, undermining what is taken for granted in life

33
Q

What are lay beliefs?

A

Understandings around cause and effect of illness

34
Q

Name two coping strategies…

A

Problem focused

Emotion focused

35
Q

What is the recovery narrative?

A

Emphasis on the positive aspects of having an illness

Using optimism as a tool for recovery

36
Q

What is needed for consent to be described as ‘informed’?

A

Patient capacity

Proof that pt has fully understood risks and benefits

37
Q

Loss of tradition refers to…

A

The implications of genetic testing having wider boundaries than the doctor and patient

38
Q

In what situation is it permissible to break confidentiality regarding genetic information?

A

If the patient refuses to pass on information
An identifiable relative is at risk of serious harm
Such harm could be prevented by disclosure