Exam 1 (Lecture 7 and 8)

Question 1

What are the 5 As model of intervention

Answer 1

Ask
Advise
Assess
Assist
Arrange

Question 2

What are the 5 stages of change?

Answer 2

Precontemplation Stage

Contemplation Stage

Preparation Stage

Action Stage

Maintenance Stage (Relapse Prevention)

Question 3

What stage of change?

“I know I need to, doc, but…”

Answer 3

contemplation stage

Question 4

What stage of change?

Experiment with small changes as their determination to change increases

Answer 4

Preparation stage

Question 5

The preparation stage averages ____ months
Action stage?
maintenance stage?

Answer 5

preparation stage :0-3 months

action stage: 3-6 months

maintenance stage: 6+ months

Question 6

Name some causes of non-adherence

Answer 6

1. Patient didnt agree to care plan
2. cost
3. unable to access treatment
4. SE
5. patient think they are “better and no longer need treatment

Question 7

What is considered bad news to a patient?

Answer 7

Likely to alter drastically a patient’s view of his or her future

That results in a cognitive, behavioral, or emotional deficit in the person receiving the news that persists for some time after the news is received

That results in decreased hope for the patient and his or her family’s future quality of life

Question 8

What is the “mum” effect?

Answer 8

reluctance to give bad news to patients/families

Question 9

What is the SPIKES 6 step protocol?

Answer 9

S - Setup
P - Perception
I - Invitation
K - Knowledge
E - Empathize
S - Summarize and
Strategize

Question 10

______ irreversible cessation of circulatory and respiratory functions, OR
Irreversible cessation of all functions of the entire brain, including the brainstem

Answer 10

death

Question 11

____ process of losing vital functions

Answer 11

dying

Question 12

What are some signs of impending death

Answer 12

decreased Hearing, vision, oral intake, urine output, consciousness
Bedbound and/or profound weakness
Emotional distance, decreased conversation
Cool/mottled extremities, “death rattle”

Question 13

_____ reaction to the loss of a close relationship

Answer 13

bereavement

Question 14

_____ the emotional response caused by the loss of a close relationship

Answer 14

grief

Question 15

____ psychological process by which the bereaved person undoes his or her bonds to the deceased and settles his or her personal grief

Answer 15

mouring

Question 16

What are the 5 stages of impending death?

Answer 16

1: Shock and denial
2: Anger
3: Bargaining
4: Depression
5: Acceptance

Question 17

Not every pt makes to ____ stage

Answer 17

acceptance

Question 18

____ including visual and auditory hallucinations of the deceased, “sense” of the deceased’s presence

one of the normal grief reactions

Answer 18

searching behaviors

Question 19

______ sleeplessness, appetite disturbances, agitation, chest tightness, sighing, exhaustion

Answer 19

somatic complaints

normal grief reaction

Question 20

_____ taking on qualities, mannerisms, or characteristics of the deceased person

Answer 20

identification phenomena

Question 21

As part of the normal grief reaction, Investment in _____ that belonged to the deceased

Answer 21

“linkage objects”

Question 22

How long does grief tend to last?

Answer 22

6 months to a year

Question 23

uncomplicated bereavement: Almost 25% of bereaved individuals meet criteria for major depression at ____ and again at ____

Answer 23

2 months

7 months

Question 24

What is the criteria for prolonged grief disorder

Answer 24

-Longer than 1 year

• Since the death, on most days, the patient has felt one or both:
  Intense yearning or longing for the deceased
  Preoccupation with thoughts of the deceased

-significant distress or impaired functioning

-The patient’s grief response (duration and intensity) exceeds social, cultural, or religious norms for the patient’s social context

-The symptoms are not due to another psychiatric disorder

Question 25

What is the difference in mood disturbances between depression and grief?

Answer 25

Depression: typically pervasive and unremitting… fluctuations are relatively minor

Grief: fluctuations are common (even in intense grief, moments of lightheartedness and happy reminiscence are possible)

Question 26

What is the difference in shame and guilt between depression and grief?

Answer 26

Depression: fundamental belief that one is wicked or worthless

Grief: usually involves not having done enough for the deceased before death

Question 27

What is the difference in suicidal ideation between depression and grief?

Answer 27

Depression: threaten suicide more often

Grief: often claim life is unbearable, but do not truly wish to die