Psychosocial Dimensions Of Care

Question 1

the pattern of expected changes in thinking, feelings, and behaviors that occur in response to the diagnosis of cancer is defined as

Answer 1

emotional distress

Question 2

the risk factors for emotional distress include

Answer 2

disease stage and treatment plan, social attitudes about cancer and support, emotional age and coping ability

Question 3

what treatment approaches are commonly available for emotional distress,?

Answer 3

psychological support, individual or family Psychotherapy, spiritual counseling, support groups, relaxation training, guided imagery, occupational therapy, pharmacologic management

Question 4

the problems that unrecognized emotional distress May develop into

Answer 4

chronic emotional distress, development of depression, anxiety, somatic sentence i e. GI disturbance, dizziness, headache, interference with ADLs, decreased compliance

Question 5

what interventions may be recommended to decrease emotional distress?

Answer 5

provide safe, supportive environment, allow patient to discuss thoughts, feelings, fears, empathetic listening, encourage relaxation techniques

Question 6

what are the major psychiatric disorders that need to be assessed for in the patient with emotional distress?

Answer 6

anxiety, depression, suicidal ideation

Question 7

a universal system of symbols and beliefs learned and shared among Generations defines

Answer 7

culture

Question 8

what effects are generally determined based on cultural background?

Answer 8

language, food practices, symptom management, birth rituals, family relationship, illness beliefs, Health practices, spiritual orientation, death rituals

Question 9

what factors may become barriers and cultural competence?

Answer 9

ethnocentrism, stereotyping

Question 10

loss of purpose, beliefs, and Trust are indicative of what kind of distress?

Answer 10

spiritual

Question 11

when patients refuse to participate in decision-making regarding their care, ignore recommendations, and become withdrawn they are demonstrating

Answer 11

powerlessness

Question 12

changes in thinking, feeling and behaving that occur in response to loss of a valued object or person defines

Answer 12

grief

Question 13

the ways in which a group of individuals adapt and change over time is the definition of

Answer 13

acculturation

Question 14

the biggest factor in determining cancer incidence is

Answer 14

poverty level

Question 15

what is the first step in developing a cultural awareness program in an institution?

Answer 15

assessing our own values

Question 16

believing that death is inevitable and there is very little that a person can do to change his circumstances is known as

Answer 16

fatalism

Question 17

believing that the forces of nature must be in harmony is a _________ health View

Answer 17

holistic

Question 18

believing that health and illness is controlled by Supernatural forces is seen as a _________ view

Answer 18

magico-religious

Question 19

leaving that life and life processes are controlled by physical and biochemical process that can be manipulated by humans is the _________ health view

Answer 19

biomedical

Question 20

____________are a good starting point in assessing the beliefs and practices that are shared by a group

Answer 20

generalizations

Question 21

ethnicity

Answer 21

the way a cultural group perceives itself

Question 22

understanding a patient’s ____________background is critical for nurses to provide the best care possible

Answer 22

cultural

Question 23

the belief in the inherent superiority of One’s Own ethnic group or culture is called what?

Answer 23

ethnocentrism

Question 24

a __________ is an often oversimplified or biased assumption to characterize the typical individual of a group

Answer 24

stereotype

Question 25

one of the most important factors to providing culturally competent care is for the nurse to maintain good _______________ with the patient

Answer 25

communication

Question 26

using touch, body language, and facial expressions are all examples of what kind of communication?

Answer 26

nonverbal

Question 27

what are the three categories of personal space?

Answer 27

social Zone several feet from the body personal Zone 1.5 - 3 feet from the body intimate Zone 1.5 feet or closer to the body

Question 28

social environment

Answer 28

the environment developed by humans as contrasted with the natural environment

Question 29

what are the two most important factors in Social organization?

Answer 29

family, religion

Question 30

what are the three types of time orientation found in different cultures?

Answer 30

past emphasis on past events present little concern for long-term issues future emphasis on scheduling and planning

Question 31

a type of Health belief for people believe that don't asses and disease are inflicted by a higher power or Supernatural force is called what?

Answer 31

magico-religious belief

Question 32

this type of Health believe holds the view that there must be a Harmony and balance within oneself to be healthy

Answer 32

holistic belief

Question 33

this type of medicine and health practice often has a Healer who performs rituals and administers treatments

Answer 33

folk medicine

Question 34

the more Western Health belief involving the thought that treatments, surgeries, and medicines cure health problems is called what?

Answer 34

scientific Health belief

Question 35

people of which kind of ancestry are more likely to have Tay-Sachs disease?

Answer 35

Jewish

Question 36

sickle cell disease is most frequently found in what group of people?

Answer 36

African Americans

Question 37

biologic variations contribute to a person's ________ to a certain disease

Answer 37

susceptibility

Question 38

true or false there are state and federal laws protecting discrimination regarding cancer-related employment

Answer 38

true

Question 39

when diagnosed with cancer people often have deeper and more intense __________ needs

Answer 39

spiritual

Question 40

______________ distress or uneasiness of mine caused by fear of danger or Misfortune accompanied by an autonomic response

Answer 40

anxiety

Question 41

the stressors of a cancer diagnosis, treatment, and prognosis often cause what kind of distress

Answer 41

emotional

Question 42

true or false ones personality does not typically contribute to how he or she will cope with cancer

Answer 42

false

Question 43

depression

Answer 43

a condition of General emotional dejection and withdrawal including strong feelings of sadness and hopelessness

Question 44

when a patient is depressed it is important to acknowledge and treat the ________ cause of the depression

Answer 44

underline

Question 45

those who have cancers involving the ______ ______ ________ hold a higher risk of developing depression

Answer 45

central nervous system

Question 46

when One Believes they did not have influence over their outcome they are experiencing a loss of __________ control

Answer 46

personal

Question 47

to maintain a person's sense of personal control it is important to include them in what process regarding their treatment and care?

Answer 47

decision making process

Question 48

grief

Answer 48

mental and emotional suffering or distress over Affliction or loss

Question 49

true or false cancer patients are at risk of developing social dysfunction where they are unable to adequately interact in social situations

Answer 49

true

Question 50

body image

Answer 50

an intellectual or perceived image of what one's body is or should be like

Question 51

weight loss or gain, scars, and body function changes can all affect a person's _________image

Answer 51

body

Question 52

which three types of diagnosis or treatment related changes have a large effect on one's body image?

Answer 52

psychosocial changes, physical changes, cognitive changes

Question 53

the loss of hair is called what?

Answer 53

alopecia

Question 54

true or false alopecia only refers to hair lost on the scalp

Answer 54

false

Question 55

when one is diagnosed with cancer it can put his or her entire family at risk for developing social_________

Answer 55

dysfunction

Question 56

Rehabilitation

Answer 56

education and treatment to help individuals achieve maximum function and well-being within their environment

Question 57

true or false it is important for family members, health professionals, and the client to all participate in the rehabilitation process

Answer 57

true

Question 58

open those living cancer will cope better if they are connected with others dealing with a similar _________

Answer 58

diagnosis

Question 59

what kind of setting is an important part of the rehabilitation process?

Answer 59

goal

Question 60

as a nurse it is important to educate cancer patients about available __________ in the community to assist with coping

Answer 60

resources