Impact of illness on the family

Question 1

What stage of illness trajectory causes depression?

A. I 
B. II 
C. III 
D. IV 
E. AOTA

Answer 1

E

Question 2

Pattern of reaction to disease

A. Shock, disbelief, anger, denial
B. Disbelief, anger, denial, bargaining
C. Shock, anger, bargaining, denial
D. NOTA

Answer 2

D

Question 3

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

Answer 3

D

Question 4

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

Answer 4

D

Question 5

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

Answer 5

C

Question 6

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

Answer 6

B

Question 7

Which stage? Second crisis must accept & adjust to disability.

A. Stage I
B. Stage II
C. Stage III
D. Stage IV
E. Stage V

Answer 7

E

Question 8

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

Answer 8

D

Question 9

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

Answer 9

A

Question 10

T or F : Family’s reaction to disease/illness comes in stages, in this order: Denial, anger, bargaining, depression, acceptance

Answer 10

T

Question 11

T or F : Cultural sensibilities & social situations should be taken to considerations when formulating treatment plans.

Answer 11

T

Question 12

T or F : Severe illness leads to financial catastrophe thus cost of therapy is according to the family’s ability to afford it.

Answer 12

T

Question 13

T or F: Sudden change in behaviour must be considered as a red flag

Answer 13

T

Question 14

T or F : Physicians can expect a pathological response from the patient & members of the family as a psychological reaction to the illness

Answer 14

T

Question 15

The following can be evaluated in a family APGAR:

A. Resources
B. Partnership
C. Aptitude
D. Generosity

Answer 15

B

Question 16

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

Answer 16

D

Question 17

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.

Answer 17

A

Question 18

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

Answer 18

B

Question 19

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

Answer 19

B

Question 20

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

Answer 20

B

Question 21

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

Answer 21

A

Question 22

A second order change is a change in the degree of an existing skill. T/F

Answer 22

F

Question 23

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

Answer 23

F

Question 24

In the stage, The Family with Adolescents, midlife changes are issues. T/F

Answer 24

T

Question 25

Oftentimes, marital difficulties in the first years of marriage are the result of greater loyalty to the family of origin rather than to the newly formed marital system. T/F

Answer 25

T

Question 26

If there is developmental task that’s is not accomplished in one stage the family will have difficulty moving on to the next stage and dysfunction will occur. T/F

Answer 26

T

Question 27

The more “out of phase” the illness or death is with respect to the life cycle, the greater the chanes that coping will be impaired. T/F

Answer 27

T

Question 28

In the stage, The Newly Married Couple, second order change is making space in the marriage for the entry of children. T/F

Answer 28

F

Question 29

The recnegotiation of the marital system as a dyad takes place in the stage, The Family in Later Life. T/F

Answer 29

F

Question 30

In Adolescence, it is important for the parent –child boundaries to be renegotiated so that the adolescent can move in and out of the system. T/F

Answer 30

T

Question 31

When chronic illness strikes the adult in earlier stages of the life cycle, adjustments are easier because the adult is still young and can therefore cope better with such illness. T/F

Answer 31

F

Question 32

The impact of the illness in relation to the family life cycle provides a predictable sequence of events in the family life with which the family physician can relate to the changes, assess family function and address pathology if there is. T/F

Answer 32

T

Question 33

All families have dysfunction and severe illness will result to pronounce and irreversible dysfunction. T/F

Answer 33

T

Question 34

Rigid boundaries are:

A. non-negotiable
B. represented by dotted lines
C. characterized by intrusions
D. dysfunctional regardless of stage of family

Answer 34

A

Question 35

Which of the following is true of symptom carriers?

A. Are the cause of family conflicts
B. Play their role consciously
C. Have detour conflict towards them
D. Can harm themselves

Answer 35

C

Question 36

Family’s reaction to illness follows DABDA

A. True
B. False

Answer 36

B

Question 37

Which of the following is an example of a diffuse boundary?

A. A 30y/o daughter who resents and refuses to follow curfew set by her dad
B. A 45y/o son who gave up his girlfriend at the request of his mom to take care of her
C. An 18y/o daughter who took the course recommended to her by her parents
D. A 29y/o daughter who followed the advice of her mom to end a relationship with a man separated from his wife

Answer 37

A

Question 38

In over-involved relationships

A. boundaries are diffuse
B. parties help one another in times of trouble
C. the happiness of one is often the source of happiness in the other
D. giving into one another is the rule

Answer 38

A

Question 39

The family member who plays ‘symptom carrier’

A. is actually trying to unconsciously stabilize the
family
B. is being triangulated by those in conflict
C. is also known as the identified patient
D. AOTA

Answer 39

D