Part 9 Flashcards
A shared relationship where the health professional and client share some degree of responsibility for treatment outcome is sometimes referred to as:
A. legally binding
B. a partnership
C. both the above
D. none of the above
B. a partnership
Using the term partnership in healthcare helps to reinforce the concept of a shared relationship where health professionals and clients share some degree of responsibility for treatment outcomes.
A person’s motivation to engage in healthy behaviours depends on how severe they see their problem and how susceptible they perceive themselves to be. This is known as:
A. the health belief model
B. the transtheoretical model
C. motivational health theory
D. adherence
A. the health belief model
Becker and Rosenstock’s (1984) work that resulted in their health belief model was concerned
with how people make decisions about their health. They concluded that a person’s motivation to engage in healthy behaviours depended on how severe they saw their problem and how susceptible they perceived themselves.
Interprofessional education does not promote:
A. collaborative practice
B. role rivalry
C. effective interpersonal relationships
D. partnerships
B. role rivalry
Recent evidence from the World Health Organization suggests that one way of achieving effective partnerships and collaborative practice is by delivering interprofessional education. By different professionals learning together, they are able to learn ‘from and about each other’ (WHO 2010 p 7), which in turn will enhance their partnerships in practice leading to improved health outcomes for the person at the centre of care.
Clients are more likely to cooperate with healthcare if the care is delivered using:
A. the health belief model
B. a case-based approach
C. person-centred care
D. financial incentives
C. person-centred care
Unfortunately, the health service industry is still largely based on medical diagnosis and treatment of disorders, rather than the client. Where health professionals use a person-centred care approach clients are more likely to cooperate in their care.
Problems with clients adhering to medical advice suggest the need for:
A. individualising treatment aims
B. improved patient education
C. better communication between patients and health professionals
D. all the above
D. all the above
Writers covering a wide range of health issues have described problems in adherence, coming to the conclusion that there is a need for individualising treatment aims, improved patient education aimed at prevention rather than treatment and better facilitation of communication between patients and health professionals.
____________ defines the relationship between the health professional and the client. It suggests greater client choice through collaboration and respect for each other’s contributions.
A. Concordance
B. Compliant
C. Adherence
D. Tolerance
A. Concordance
The term compliance itself has been criticised because of its paternalistic or even coercive implication. The writers suggest the alternative term ‘adherence’, believing it has a stronger implication of choice by a patient and defines the relationship rather than the behaviour between the health professional and the client based on collaboration and respect for each other’s contributions
How people make decisions about their health is explained by:
A. the health belief model
B. compliance
C. the transtheoretical model
D. all the above
A. the health belief model
The health belief model was conceived by Becker and Rosenstock (1984) and is concerned with how people make decisions about their health. Becker and Rosenstock concluded that a person’s motivation to engage in healthy behaviours depends on how severe they see their problem and how susceptible they perceive themselves to be.
What are some problems with labelling a patient as ‘noncompliant’?
A. The label can stay with the patient through their treatment history.
B. It can become a self-fulfilling prophecy.
C. Patients may receive inadequate treatment because of the label.
D. All the above.
D. All the above.
The danger is the strong possibility that a patient may then be perceived as such for the rest of their treatment history. It then can become a self-fulfilling prophecy: other health professionals expect a person to have a particular attitude to treatment and relate to them in such a way that leads the patient to demonstrate that attitude.
How much people see themselves as being in control of their lives is called:
A. external locus of control
B. internal locus of control
C. controlling
D. none of the above
B. internal locus of control
Rotter’s (1966) locus of control (LOC) was a tool designed to measure how much people saw themselves to be in control of their lives (internal LOC) in comparison with being under the control of other influences such as other people or chance (external LOC).
If people see their lives as being under the control of others or due to chance, then this is called:
A. external locus of control
B. internal locus of control
C. chance control
D. controlling
A. external locus of control
Rotter’s (1966) locus of control was a tool designed to measure how much people saw themselves to be in control of their lives (internal LOC) in comparison with being under the control of other influences such as other people or chance (external LOC).
Which of the follwing isn’t cited as a reason that clients may not do what they have been advised by a health professional, such as taking medication?
A. Adverse effects of medication or forgetting
B. Cost
C. They dislike the health professional
D. Lack of support
C. They dislike the health professional
Issues that influence patient actions include: side effects and costs; treatment difficulties; fatalism or resistance to control; forgetting to take medication; and little external support.
What attributes of a health professional can be affected when labels are used to describe a person?
A. Perceptions
B. Attitudes
C. Behaviour
D. All the above
D. All the above
The term or label we use to describe a person can significantly evoke different perceptions, attitudes and behaviour towards that person.
What elements should be considered when assessing and managing a client under the model of person-centred practice?
A. social, environmental and psychological
B. social, gender and sexuality
C. environmental, age and gender
D. psychological, religion and age
A. social, environmental and psychological
Person-centred practice attention is paid to all elements of the person (the ‘whole’), taking into account the wider context of the person’s lifestyle such as those social, environmental and psychological factors that may contribute to the assessment and management of the health issue.
Barriers to effective person-centred practice can include:
A. organisational support
B. health professionals believing they know what’s best for the client
C. too many resources
D. agreeing on all aspects of care
B. health professionals believing they know what’s best for the client
The literature shows that time constraints, lack of resources, differing agendas, organisational constraints and a belief they ‘know best’ as reasons for health professionals being unable to deliver person-centred practice (van Weel-Baumgarten 2010). While some of these may seem inevitable, particularly in light of the increasing pressure to undertake the growing number of tasks, paperwork and staff shortages, health professionals should question if this is truly saving time and money in the longer term.
The higher a person’s internal locus of control, the more likely they are to see themselves as able to manage their own health.
A. True
B. False
A. True
A person’s internal locus of control (LOC) refers to their belief that responsibility for reinforcing a particular behaviour is controlled by the self, so the higher a person’s internal LOC, the more likely they are to see themselves as able to manage their own health.
