Impact of illness on the family Flashcards
What stage of illness trajectory causes depression?
A. I B. II C. III D. IV E. AOTA
E
Pattern of reaction to disease
A. Shock, disbelief, anger, denial
B. Disbelief, anger, denial, bargaining
C. Shock, anger, bargaining, denial
D. NOTA
D
Example of a life cycle stage that is predominantly centripetal is:
A. Unattached young adult
B. Newly married couple
C. Family with adolescents
D. Family in later life
D
Which of the following will cause the most disruption?
A. Grandpa dies in a car accident
B. 5 year old dies of leukemia
C. 17 year old dies of a drug overdose
D. 30 year old dad with 3 kids suffers an aneurysm
D
The following is an example of an “out-of-phase” illness
A. Measles in a 3 year old
B. Stroke in a 55 year old
C. Heart attack in a 30 year old
D. Genital herpes in a 17 year old
C
Which stage is when the responsibility of the physician to make clinical judgement on how much information the patient can absorb happens?
A. Stage 1: Onset of illness B. Stage 2: Reaction/impact on diagnosis C. Stage 3: Major therapeutic D. Stage 4: early recovery E. Stage 5: adjustment to outcome
B
Which stage? Second crisis must accept & adjust to disability.
A. Stage I B. Stage II C. Stage III D. Stage IV E. Stage V
E
Which is best described as the phase that has 3 possible outcomes: return to full health, partial recovery, and permanent disability?
A. stage I B. stage II C. stage III D. stage IV E. Stage V
D
Stage when patient experiences signs, symptoms, associated feelings & makes decision to have consult
A. Stage I: onset to diagnosis B. Stage II: impact of diagnosis C. Stage III: major therapy intervention D. Stage IV: adjustment to early outcome E. Stage V: adjustment to permanent outcome
A
T or F : Family’s reaction to disease/illness comes in stages, in this order: Denial, anger, bargaining, depression, acceptance
T
T or F : Cultural sensibilities & social situations should be taken to considerations when formulating treatment plans.
T
T or F : Severe illness leads to financial catastrophe thus cost of therapy is according to the family’s ability to afford it.
T
T or F: Sudden change in behaviour must be considered as a red flag
T
T or F : Physicians can expect a pathological response from the patient & members of the family as a psychological reaction to the illness
T
The following can be evaluated in a family APGAR:
A. Resources
B. Partnership
C. Aptitude
D. Generosity
B
What is NOT an impact of the centripetal nature of illness?
A. family members are drawn back towards the family
B. family members are prevented from moving on with their individual developmental tasks
C. family members feel some degree of anger(whether expressed or not) within family as a result of being drawn back in again
D. illness causes great distress during the centripetal stage of the family
D
Give an example of enmeshment
A. Right or wrong, he is my brother, I will defend him.
B. I have not lost a child, but I know how you feel.
C. He should have not humiliated you in public. I am angry as you are.
D. I am afraid for your life. He is dangerous.
A
The doctor should provide family counselling/therapy:
A. whenever there is family dysfunction
B. whenever FD gets in the way of medical management
C. whenever there are marital issues
D. if the psychiatrist/ family therapist is not available
B
Giving direct advice about matters related to family dynamics:
A. Should not be attempted because it is not sophisticated enough
B. can help a family if the doctor is seen as a credible source of information
C. can be considered family counselling/therapy
D. should be done only by experts in family counselling/ therapy
B
A 24 year old son developed myelogenous leukemia and died. What type of event is this?
A. An out-of-phase illness in a centripetal stage
B. An out-of-phase illness in a centrifugal stage
C. A centrifugal event in a centripetal stage
D. A centrifugal event in a centrifugal stage
B
APGAR has
A. Good specificity but poor sensitivity
B. Poor specificity but good sensitivity
C. Good specificity and good sensitivity
D. Poor specificity and poor sensitivity
A
A second order change is a change in the degree of an existing skill. T/F
F
In the stage, The Family in Later Life, a critical second order change is the development of adult to adult relationships between grown children and their parent. T/F
F
In the stage, The Family with Adolescents, midlife changes are issues. T/F
T
