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Pro c h a > Midterm > Flashcards

Midterm Flashcards

1
Q 
?In understanding euthanasia it is important to consider: 
A. Global warming.
B. Quality of life.
C. Overpopulation.
D. All of the above answers are correct.
A

12b

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2
Q

?Which of the following is correct of loss?
A. Functioning equals happiness so loss with functioning is minimal.
B. Loss in this context relates primarily to death.
C. If body image is damaged in any way the health professional must focus on this too.
D. None of the above answers are true.

A

11?

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3
Q

?Which of the following is NOT true of the Kübler-Ross Stages of Loss?
A. Some individuals skip stages.
B. Some work through stages very quickly.
C. A patient who is stuck at a particular stage may require assistance to progress.
D. All of the above answers are true.

A

10d

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4
Q 
?Needing to talk and validate one's life is typical of which stage? 
A. Denial.
B. Bargaining.
C. Acceptance.
D. Anger.
A

9c

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5
Q 
?When patients become introverted and withdrawn they are most likely going through: 
A. Bargaining.
B. Anger.
C. Depression.
D. Denial.
A

8c

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6
Q

?During bargaining the patient:
A. May feel some comfort and hope when all seems lost.
B. Generally sees the “deal” is not going to be met.
C. Feels frustration and anger.
D. All of the above answers are correct.

A

7d

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7
Q

?The dying patient states: “I will spend all my time with my children.” He or she is most likely:
A. Angry with all but the kids.
B. Bargaining to have a chance to live and be good to the children.
C. Depressed and shutting people out.
D. Denying the seriousness of the illness.

A

6b

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8
Q

?As anger is predictable with the dying, they should be:
A. Cautioned not to over-react to their feelings.
B. Supported rather than criticized when they have an angry episode.
C. Given medications to repress their anger.
D. Taught behavior modification techniques to control their anger.

A

5b

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9
Q

?Anger may be displaced. The patient often will direct feelings of anger at:
A. Those who appear well.
B. God.
C. Hospital administrators.
D. All of the above answers are possible.

A

4d

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10
Q

?Health care workers who deny feelings for their dying patients may:
A. Deny warmth and caring to a patient who needs it.
B. Be more effective with a wider group of patients.
C. Avoid burn-out.
D. Resent their patients.

A

3a

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11
Q 
?The five stages of loss include all BUT one of the following, which is: 
A. Denial.
B. Depression.
C. Self-preservation.
D. Bargaining.
A

2c

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12
Q

?The Kübler-Ross Stages of Loss apply to:
A. Those who are about to die.
B. Those who have lost a loved one to death.
C. Those who have lost use of a body part.
D. All of the above answers are correct.

A

1d

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13
Q

How do personality types, IQ, and illness affect patient behavior?
A. Each human being reacts the same to serious illness.
B. People with mental health issues never deal well with physical health issues.
C. If your IQ is low-normal you must have a proxy make your decisions.
D. Strength of personality, above average IQ, and a good prior history of coping are good predictors for coping well with illness.

A

B. People with mental health issues never deal well with physical health issues.

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14
Q 
Ill patients who show depression: 
A. May be having a grief reaction as they face their illness.
B. May be looking for sympathy.
C. Are usually mentally unbalanced.
D. All of the above answers are correct.
A

A. May be having a grief reaction as they face their illness.

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15
Q 
The distant relative syndrome is: 
A. A reaction based on guilt.
B. An indication that this relative is actually a patient.
C. Common in geriatric care.
D. All of the above answers are correct.
A

D. All of the above answers are correct. (A reaction based on guilt, An indication that this relative is actually a patient, & Common in geriatric care.)

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16
Q 
Some people find they really enjoy the rewards of illness such as time off from work, fewer responsibilities and attention; therefore they intentionally prolong their illness. This is called: 
A. Primary gain.
B. Secondary gain.
C. Tertiary gain.
D. Gold-bricking.
A

B. Secondary gain.

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17
Q

Families who raise a normal, healthy child as a delicate child are:
A. Looking for attention.
B. Afraid to let the child grow up.
C. Developing a family myth with traditions of illness.
D. None of the above answers are correct

A

C. Developing a family myth with traditions of illness.

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18
Q

In order the general level of psychosocial stress is correctly ranked as:
A. Marital separation, trouble with in-laws, change in residence, and marriage.
B. Marital separation, change in residence, marriage, and trouble with in-laws.
C. Marital separation, marriage, trouble with in-laws, and change in residence.
D. None of the above answers are correct.

A

C. Marital separation, marriage, trouble with in-laws, and change in residence.

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19
Q

Marriage, death, job change and moving are all examples of:
A. Major life stressors.
B. The spice of life that keeps us engaged.
C. Bench-marks of maturity.
D. Both B and C answers are correct.

A

A. Major life stressors.

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20
Q 
Illness behavior is shaped by many relationships and factors that include which of the following? 
A. How your family handled illness.
B. What your cultural background is.
C. What you believe about your illness.
D. All of the above answers are correct.
A

D. All of the above answers are correct. (How your family handled illness, What your cultural background is, & What you believe about your illness.)

21
Q

Which of the following match up?
A. Kleptomania is a personality disorder.
B. Bulimia nervosa is an eating disorder.
C. Hypochondriasis is a factitious disorder.
D. Both B and C answers are correct.

A

B. Bulimia nervosa is an eating disorder.

22
Q

The DSM IV TR is:
A. A publication reviewing reliable intervenious medications.
B. A diagnostic manual for mental health disorders which has undergone revisions.
C. An individualized skill manual for IV treatment nurses.
D. All of the above answers are correct.

A

B. A diagnostic manual for mental health disorders which has undergone revisions.

23
Q

A client who lacks adaptive regression makes a good patient.
True False

A

False

24
Q

The most common psychosis is schizophrenia, which is characterized by at least one major depressive episode.
True False

A

False

25
Q

The correct sequence for using your listening skills is:
A. Listen, ask, empathize.
B. Paraphrasing, empathic response, open-ended questions.
C. Paraphrasing, observing, closed-ended questions.
D. Establish rapport, use open-ended questions, confront issues.

A

B. Paraphrasing, empathic response, open-ended questions.

26
Q

Which of the following are open-ended questions?
A. Can you tell me how much you weigh?
B. How did it feel to deal with diabetes at age 9?
C. What are the things you could change to help yourself?
D. Both B and C answers are correct.

A

D. Both B and C answers are correct. (How did it feel to deal with diabetes at age 9? & What are the things you could change to help yourself?)

27
Q

The question that best lends itself to paraphrasing and empathizing is:
A. The open-ended question.
B. A question that cannot be answered simply.
C. A question that encourages further discussion.
D. All of the above answers are correct.

A

D. All of the above answers are correct.(The open-ended question, A question that cannot be answered simply, & A question that encourages further discussion.)

28
Q 
Which of the following is not a feeling description? 
A. I am happy to work with you.
B. You seem to feel that I am caring.
C. It is exciting to see progress.
D. I am afraid of the pain.
A

B. You seem to feel that I am caring.

29
Q 
Which feeling is generally thought to be most "taboo" in our culture? 
A. Love.
B. Anger.
C. Competitiveness.
D. Depression.
A

B. Anger.

30
Q 
Empathy is a skill you should use only after you have adequately \_\_\_\_\_\_\_\_\_\_ and established rapport. 
A. Paraphrased.
B. Talked.
C. Introduced your didactic work.
D. Explained your clinical experience.
A

A. Paraphrased.

31
Q

Which of the following best describes paraphrasing?
A. Repeating concisely in your own words the relevant points you have heard.
B. Finding another way of restating the topic.
C. Rephrasing the issues.
D. All of the above answers are correct.

A

D. All of the above answers are correct. (Repeating concisely in your own words the relevant points you have heard, Finding another way of restating the topic, & Rephrasing the issues.)

32
Q 
The foundation for developing good listening skills is grounded in: 
A. Liking to talk.
B. Being very friendly.
C. Paraphrasing and nonverbal skills.
D. Both A and B answers are correct.
A

C. Paraphrasing and nonverbal skills.

33
Q 
In the first few minutes of an interaction, ideally the patient will: 
A. Be encouraged to keep talking.
B. Listen to orders.
C. Focus on paperwork.
D. Both B and C answers are correct.
A

A. Be encouraged to keep talking.

34
Q 
\_\_\_\_\_\_\_\_\_\_\_\_\_ without the skill to impart or transfer it is like a fancy automobile without someone who knows how to drive: It looks good, but you aren't going to get very far. 
A. Knowledge
B. Money
C. A good story
D. A learning objective
A

C. A good story

35
Q

A medical school that only produces students who excel in scientific knowledge needs to be concerned with:
A. Nothing. Its students will always do well.
B. Interpersonal skills.
C. The human side of the patient.
D. Both B and C answers are correct

A

D. Both B and C answers are correct. (Interpersonal skills & The human side of the patient.)

36
Q

Which of the following is not an important reason for paraphrasing?
A. It is a check for the listener.
B. It is a check for the speaker.
C. It allows the health professional to weed out difficult clients.
D. It helps to build rapport.

A

C. It allows the health professional to weed out difficult clients.

37
Q

Touch may be:
A. Therapeutic.
B. A problem if cultures differ between health professional and client.
C. A problem if genders differ between health professional and client.
D. All of the above answers are correct.

A

D. All of the above answers are correct. (Therapeutic, A problem if cultures differ between health professional and client, & A problem if genders differ between health professional and client.)

38
Q

Which of the following is not an example of a boundary issue in the health fields?
A. Property lines for the staff parking lot.
B. Patient’s wishing to meet a health professional for a drink after work.
C. Health professionals wishing to hire a client as a carpenter.
D. A male therapist meeting a female client after hours to discuss intimate sexual problems when no other staff is around.

A

A. Property lines for the staff parking lot.

39
Q 
A health professional who exhibits friendly facial expressions and vocalics in a private setting while focusing attention on the client's kinesics message may be: 
A. Breaking boundaries.
B. Culturally insensitive.
C. Demonstrating ideal body language.
D. Interpreting patient behavior.
A

C. Demonstrating ideal body language.

40
Q

To improve the nonverbal message you are sending:
A. Video tape a session with a client (if a signed release is given) and observe yourself.
B. Practice speaking in front of a mirror.
C. Study candid photographs of yourself.
D. Both A and C answers are correct.

A

D. Both A and C answers are correct. (Video tape a session with a client (if a signed release is given) and observe yourself. & Study candid photographs of yourself.)

41
Q 
Health professionals must be aware of their own: 
A. Proxemics.
B. Olfactics.
C. Oculesics.
D. All of the above answers are correct
A

D. All of the above answers are correct. (Proxemics, Olfactics, & Oculesics.)

42
Q

If the client is unwilling to speak with you, the health professional should:
A. Wait her out, sitting in silence.
B. Simply refuse to continue the relationship if she is unwilling to work with you.
C. Reflect the behaviors you observe.
D. Lecture the client about the fact communication is a two-way street.

A

C. Reflect the behaviors you observe.

43
Q

With a client you have just met, select the ideal way to check your perception of the client’s behaviors.
A. “Please tell me what it means that your arms are crossed?”
B. “I see that your arms are crossed and I’m guessing you are angry.”
C. “Do you always fold your arms as a barrier like that?”
D. All of the above responses are ideal.

A

A. “Please tell me what it means that your arms are crossed?”

44
Q

Ideally when a patient has her arms folded you should:
A. Be prepared for anger.
B. Reflect this behavior to see what it means.
C. Assume your office is cold and turn up the heat.
D. Ignore it so you don’t reward negative behavior.

A

B. Reflect this behavior to see what it means.

45
Q

Which of the following behaviors may hold an atypical meaning if the patient is from a different culture?
A. Patient grins widely throughout the interview.
B. Patient sits in relaxed posture.
C. Patient deftly avoids all eye contact.
D. Both A and C answers are correct.

A

D. Both A and C answers are correct. (Patient grins widely throughout the interview & patient deftly avoids all eye contact.)

46
Q

Which of the following describes three or more nonverbal/kinesic behaviors?
A. Patient has arms crossed and health professional is behind a desk.
B. Patient has arms crossed and is yelling at the health professional.
C. Patient has arms crossed, health professional is holding patient’s gaze and leaning forward.
D. Patient and health professional are looking into each other’s eyes.

A

C. Patient has arms crossed, health professional is holding patient’s gaze and leaning forward.

47
Q

Entry level health professionals often gain confidence by emulating or copying the attire of those already established in their field; it helps them to identify as professionals.
True False

A

True

48
Q

Nonverbal behaviors are the messages we send and receive without speaking.
True False

A

True

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