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CMN 260 > exam 2 > Flashcards

exam 2 Flashcards

1
Q

research parts

A

abstract, introduction, method, results, discussion

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2
Q

Therapeutic privilege

A

doctors can withold info from patient if they think disclosing something will do more harm than good

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3
Q

blocking

A

providers avoid talking about bad things, shift convo to good, or other ways to prevent exchange of health information

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4
Q

doorknob disclosure

A

patients reveal main concerns as doctor is leaving

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5
Q

model of collaborative interpretation

A

health comm is most effective when patients are decision makers

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6
Q

patient as a central construct

A

the goal is to minimize reliance on medicine and maximize importance of everyday health

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7
Q

Motivational interviewing and its steps

A

communicate to elicit behavioral change in patient while respecting choice - establish rapport, assess readiness, assess confidence and motivation, help patient identify problems/ solutions, identify next actions

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8
Q

voice of lifeworld

A

communication that is concerned with health/illness as their relation to everyday experiences (patient pov)

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9
Q

voice of medicine

A

communication through compassion and concern for accuracy and practicality (provider pov)

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10
Q

personal identity, social identities, tertiary identity

A

who am i? which societal groups do i belong to? Who am i due to this illness?

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11
Q

supernormal identity (1)

A

person feels illness will not prevent them from being better than ever (denial)

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12
Q

restored self (2)

A

less optimistic than beginning, but feels that illness will not significantly change them

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13
Q

contingent personal identity (3)

A

sees their abilities and identity changed because of the illness

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14
Q

salvaged self (4)

A

person integrates aspects of former self with current limitations imposed by illness

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15
Q

patient cooperation

A

how effectively they follow medical advice - bad cooperation for many different reasons

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16
Q

informed consent

A

patients must be aware of all health info and capable of understanding (aware of risks/benefits, know that they can stop treatment)

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17
Q

medical mistakes

A

most caused by miscommunication

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18
Q

expedient care

A

going fast without cutting corners

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19
Q

ambiguity

A

being open to more than one interpretation (dont know if it is good or bad)

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20
Q

ambivalence

A

having mixed feelings or contradictory ideas about something (dont know how you feel about something)

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21
Q

Brashers - “culture of chronic illness)

A

people are either “chronically ill” or “worried well”

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22
Q

uncertainty reduction theory

A

people strive to reduce uncertainty in interactions (uncertainty is negative) - 3 strategies (passive, active, interactive) - critiques (limited to initial interaction, central assumption questionable, uncert not always negative)

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23
Q

passive strategy (uncertainty)

A

observing someone in their natural environment while being unnoticed

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24
Q

active strategy (unceratinty)

A

action to reducing uncertainty but without personal direct contact (asking soemone about them)

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25
Q

interactive strategy

A

directly communicating with someone to reduce uncertainty

26
Q

uncertainty management theory

A

uncertainty is a fundamental and pervasive part of the human experience, reducing uncertainty is one potential outcome for dealing with it (its not always bad, diff for everyone)

27
Q

uncertainty managment strat 1 - avoid relevant information

A

avoidance, selective attention (hearing what you want to), withdraw

28
Q

uncert management strat 2 - cognitive reappraisal

A

thinking about the situation differently (level of importance, think about level/meaning of uncertainty)

29
Q

uncert management strat 3 - seek social support

A

get support from others, talk, can cause less personal feelings of control or relational uncertainty

30
Q

intersectionality theory

A

a person’s social position combines micro level personal identities (age, race) with macro-level sociocultural patterns (sexism, racism, power). no category affects more than others, assumptions are bad, health campaigns should target multiple identities at once

31
Q

socioeconomic status

A

combo of income, education, employment level - has an effect on health

32
Q

food deserts

A

areas with limited access to quality food - increase risk of chronic diseases

33
Q

health literacy

A

individuals’ ability to access, understand and apply health info - 1 in 2 americans are low - must understand language, have access to info, be interested, be able to discusss, know how to implement info, have good hearing/vision to recieve info

34
Q

provider diversity

A

doesn’t reflect overall population - more white and asian doctors, 54.2% women, average age 48

35
Q

social accomodation theory

A

people mirror others when they respect them

36
Q

convergence

A

mirroring others gestures, tone, vocab, etc (social accom theory)

37
Q

divergence

A

acting differently, shows dislike (social accom theory)

38
Q

overaccomodation

A

exaggerated response to a percieved need, can be offensive - talking slow to older ppl (social accom theory)

39
Q

social concordance

A

measures shared attributes between physicaans and patients - creates better communication, longer visits - (opposite of discordance)

40
Q

International medical graduates (imgs)

A

trained outside the us or canada, fufill physician shortage, could have communication barriers

41
Q

healthcare disparities

A

differences in quality of care from people who have equal access to care, no difference btwn groups in treatment preference or needs - different from accesibility

42
Q

explicit bias

A

bias where people are consciously aware - using language or discriminating intentionally - some forms are more sociallly acceptable

43
Q

implicit bias

A

bias that is unconscious - based on culture, social norms, experiences - result of patterns of thinking, brain overall

44
Q

implicit association test

A

tests subconscious bias - many limitations (internal valdidty (rep of truth), reliablility)

45
Q

aversive racism

A

high implicit bias, low explicit - more subtle behaviors, beliefs originating from childhood

46
Q

percieved support

A

perception of caring/being cared for

47
Q

enacted support

A

act of caring/being cared for

48
Q

instrumental support

A

sharing tasks and resources

49
Q

informational support

A

seeking/sharing info

50
Q

network support

A

connecting people, support groups

51
Q

emotional support

A

comforting someone (listening, supportive messages, physical touch)

52
Q

esteem support

A

helping someone feel valued

53
Q

stress-buffering hypothesis

A

social support can shield the negative effects of stress - any type of support is effective and reduced stress

54
Q

main effect model

A

social support has a positive outcome, regardless if stress is involved

55
Q

optimal matching model

A

people benefit when they get the type of support that fits the situation

56
Q

support gaps

A

support deficit, support surplus, oversupport - best outcomes are when quantity of support wanted is what is recieved

57
Q

stigma

A

attitude reducing an individual to a group assumption - always negative - 3 extensions (social concensus, percieved stigmatized trait, transferred stigma - ppl around person get stigmatized)

57
Q

reasons for stigmatizing

A

to distinguish themselves, protect themselves, identity engulfment

57
Q

pain catastrophizing

A

exaggerating pain - could hurt support

58
Q

identity engulfment

A

defining a person by their stigmatized trait

58
Q

negative social sanctions

A

punishing behavious in response to others’ expressed undesirable stigmatized traits

59
Q

positive social sanctions

A

rewarding behaviors in response to others’ expressed desirable stigmatized traits

CMN 260 (3 decks)

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