Diagnosis of Cancer/ Diagnosis of Infertility Flashcards
Which of the following psychological stages are commonly experienced by cancer patients during their diagnosis and treatment?
a) Denial, anger, acceptance
b) Grief, joy, contentment
c) Anxiety, optimism, detachment
d) Hostility, peace, resignation
a) Denial, anger, acceptance
- Correct: These are classic psychological stages described in cancer care and align with Kübler-Ross’s model, helping caregivers understand emotional responses to illness.
b) Grief, joy, contentment
- Incorrect: While grief may occur, joy and contentment are not typical emotional responses during initial stages of a cancer diagnosis.
c) Anxiety, optimism, detachment
- Incorrect: Although anxiety is common, optimism and detachment are not universal stages in cancer care.
d) Hostility, peace, resignation
- Incorrect: These terms are less commonly used to describe the stages of emotional adaptation in cancer patients.
What unique psychological challenge is commonly faced by breast cancer patients?
a) Social withdrawal due to urinary incontinence
b) Fear of recurrence and body image concerns
c) Stigma associated with lifestyle choices
d) Increased anxiety from smoking-related stigma
b) Fear of recurrence and body image concerns
- Correct: Breast cancer often affects body image due to mastectomy or other physical changes, along with anxiety about recurrence.
a) Social withdrawal due to urinary incontinence
- Incorrect: This is more relevant for prostate cancer patients, not breast cancer patients.
c) Stigma associated with lifestyle choices
- Incorrect: This is a common issue in lung cancer due to its association with smoking, not breast cancer.
d) Increased anxiety from smoking-related stigma
- Incorrect: Smoking stigma is not typically associated with breast cancer.
Which intervention is associated with improving both emotional and physical resilience in cancer patients?
a) Progressive muscle relaxation
b) Mindfulness-Based Cancer Recovery (MBCR)
c) Cognitive Behavioral Therapy for Insomnia (CBT-I)
d) Supportive-Expressive Therapy (SET)
b) Mindfulness-Based Cancer Recovery (MBCR)
- Correct: MBCR directly targets emotional resilience, stress reduction, and physical flexibility, making it a well-rounded intervention.
a) Progressive muscle relaxation
- Incorrect: While helpful for stress management, PMR is not specifically noted for long-term emotional and physical resilience in cancer care.
c) Cognitive Behavioral Therapy for Insomnia (CBT-I)
- Incorrect: While CBT-I is effective for insomnia, it does not comprehensively address emotional and physical resilience.
d) Supportive-Expressive Therapy (SET)
- Incorrect: SET primarily focuses on emotional expression and support but does not emphasize physical resilience.
What biological outcomes are linked to mindfulness practices like MBCR?
a) Increased telomere shortening and heightened stress reactivity
b) Stabilized cortisol levels and better sleep quality
c) Reduced oxygen consumption and lower heart rate variability
d) Improved digestion and hormonal regulation
b) Stabilized cortisol levels and better sleep quality
- Correct: Mindfulness practices have been shown to stabilize cortisol (stress hormone) levels and improve sleep, contributing to overall well-being.
a) Increased telomere shortening and heightened stress reactivity
- Incorrect: Mindfulness is linked to maintaining telomere length and reducing stress reactivity, the opposite of this statement.
c) Reduced oxygen consumption and lower heart rate variability
- Incorrect: These outcomes are more commonly associated with relaxation techniques like deep breathing, not mindfulness.
d) Improved digestion and hormonal regulation
- Incorrect: While mindfulness may indirectly support digestion through stress reduction, it is not a primary biological outcome.
The MINDSET trial compared MBCR with which of the following therapies in breast cancer survivors?
a) Cognitive Behavioral Therapy for Insomnia (CBT-I)
b) Progressive Muscle Relaxation (PMR)
c) Supportive-Expressive Therapy (SET)
d) Dialectical Behavior Therapy (DBT)
c) Supportive-Expressive Therapy (SET)
- Correct: The MINDSET trial compared MBCR and SET, finding
a) Cognitive Behavioral Therapy for Insomnia (CBT-I)
- Incorrect: CBT-I was studied in the I-CAN SLEEP trial, not the MINDSET trial.
b) Progressive Muscle Relaxation (PMR)
- Incorrect: PMR was not part of this trial.
MBCR more effective for long-term stress reduction.
d) Dialectical Behavior Therapy (DBT)
- Incorrect: DBT was not included in the MINDSET trial
How does MBCR foster emotional regulation in cancer patients?
a) By encouraging emotional suppression and avoidance
b) By increasing self-awareness and promoting nonjudgmental acceptance
c) By focusing on physical activity as a distraction
d) By emphasizing the importance of external validation
b) By increasing self-awareness and promoting nonjudgmental acceptance
- Correct: MBCR helps patients manage difficult emotions by fostering self-awareness and acceptance, reducing resistance and stress.
a) By encouraging emotional suppression and avoidance
- Incorrect: MBCR promotes nonjudgmental acceptance, not suppression or avoidance of emotions.
c) By focusing on physical activity as a distraction
- Incorrect: While mindful movement is a component, it is not used as a distraction but as a way to connect with the body and emotions.
d) By emphasizing the importance of external validation
- Incorrect: MBCR focuses on internal self-compassion and acceptance rather than seeking external validation.
What is a key benefit of remote MBCR programs compared to in-person delivery?
a) Reduced effectiveness but higher convenience
b) Comparable completion rates with significant improvements in mood and stress
c) Increased dropout rates but better physical outcomes
d) Limited accessibility for underserved areas
b) Comparable completion rates with significant improvements in mood and stress
- Correct: Studies show remote MBCR programs maintain high completion rates and lead to mood and stress improvements, making them an effective alternative.
a) Reduced effectiveness but higher convenience
- Incorrect: Remote MBCR programs are just as effective as in-person ones, with comparable completion rates.
c) Increased dropout rates but better physical outcomes
- Incorrect: There is no evidence of increased dropout rates with remote MBCR.
d) Limited accessibility for underserved areas
- Incorrect: Remote delivery increases accessibility for underserved populations, rather than limiting it.
What psychological challenge is specifically associated with lung cancer patients?
a) Increased anxiety due to fear of intimacy changes
b) Social isolation caused by stigma related to smoking
c) Loss of identity from changes in body image
d) Stress from managing caregiving roles
b) Social isolation caused by stigma related to smoking
- Correct: Smoking-related stigma is a major issue for lung cancer patients, often leading to guilt and isolation.
a) Increased anxiety due to fear of intimacy changes
- Incorrect: This is more relevant to prostate or breast cancer patients.
c) Loss of identity from changes in body image
- Incorrect: This is more relevant for breast or colon cancer patients.
d) Stress from managing caregiving roles
- Incorrect: This is more commonly experienced by breast cancer patients.
Which of the following techniques is emphasized in support group facilitation for cancer patients?
a) Providing direct advice and solutions
b) Active listening and mindfulness exercises
c) Structured debates on treatment options
d) Role-playing future scenarios
b) Active listening and mindfulness exercises
- Correct: These techniques help create a supportive environment and promote emotional regulation.
a) Providing direct advice and solutions
- Incorrect: Support groups focus on shared experiences and emotional processing rather than direct advice.
c) Structured debates on treatment options
- Incorrect: Debates are not part of support group facilitation.
d) Role-playing future scenarios
- Incorrect: Role-playing is not typically used in support groups.
What is the primary focus of developing a holistic support plan for cancer patients?
a) Providing intensive physical training programs
b) Addressing stress relief, emotional stability, and physical health
c) Ensuring complete reliance on pharmacological treatments
d) Promoting independence by eliminating group therapy
b) Addressing stress relief, emotional stability, and physical health
- Correct: Holistic plans incorporate emotional, physical, and mental health for comprehensive care.
a) Providing intensive physical training programs
- Incorrect: Physical training alone is not a holistic approach.
c) Ensuring complete reliance on pharmacological treatments
- Incorrect: Holistic care complements, rather than relies solely on, pharmacological interventions.
d) Promoting independence by eliminating group therapy
- Incorrect: Group therapy is often a beneficial component of holistic care.
What is a common psychological impact of infertility?
a) Increased social connectedness
b) Elevated self-esteem
c) Increased risk of depression and anxiety
d) Reduced feelings of guilt and shame
c) Increased risk of depression and anxiety
a) Incorrect: Infertility often isolates individuals, reducing social connectedness.
b) Incorrect: Infertility challenges typically lower self-esteem.
c) Correct: Depression and anxiety are the most reported psychological impacts of infertility.
d) Incorrect: Feelings of guilt and shame are commonly exacerbated, not reduced.
Which of the following mind-body interventions has been shown to reduce anxiety and improve pregnancy rates?
a) Positive Reappraisal Coping Intervention (PRCI)
b) Ten-session Mind/Body Program
c) Cognitive Behavioral Therapy (CBT)
d) All of the above
d) All of the above
a) Correct: PRCI helps find positivity in stressful situations.
b) Correct: The ten-session Mind/Body Program incorporates CBT, relaxation, and journaling to improve mental health and pregnancy rates.
c) Correct: CBT effectively reduces distress and promotes emotional resilience.
d) Correct: All listed interventions are effective in addressing infertility-related distress.
What is the psychological challenge commonly experienced during the two-week wait period between embryo transfer and pregnancy test?
a) Lack of access to medications
b) High levels of stress and uncertainty
c) Reduced communication with partners
d) Feelings of overconfidence
b) High levels of stress and uncertainty
a) Incorrect: Stress during the two-week wait is unrelated to medication access.
b) Correct: The two-week wait is highly stressful, and interventions like PRCI help manage this.
c) Incorrect: Reduced communication is not a primary challenge of the two-week wait.
d) Incorrect: Overconfidence is not a common psychological response.
What is the benefit of Positive Reappraisal Coping Intervention (PRCI)?
a) Reduces anxiety through journaling exercises
b) Enhances coping by finding positive aspects of stress
c) Focuses on physical relaxation techniques
d) Eliminates obsessive behaviors
b) Enhances coping by finding positive aspects of stress
a) Incorrect: PRCI does not focus on journaling exercises.
b) Correct: PRCI reframes stress positively, enhancing coping.
c) Incorrect: PRCI is distinct from physical relaxation techniques like PMR.
d) Incorrect: PRCI does not directly address obsessive behaviors.
How can infertility medications contribute to psychological distress?
a) They have no psychological effects.
b) They directly cause PTSD.
c) They may lead to mood swings, irritability, and depression.
d) They reduce the effectiveness of CBT interventions.
c) They may lead to mood swings, irritability, and depression
a) Incorrect: Infertility medications often cause significant psychological effects.
b) Incorrect: PTSD is not a direct result of medications.
c) Correct: Infertility medications are known to contribute to mood changes.
d) Incorrect: Psychological distress from medications does not reduce the effectiveness of CBT.
