Q's Ch 21

Question 1

Define “Sick role” theory

provide an Ex:

Answer 1

Is a way of explaining the particular rights and responsibilities of those who are ill. … Parsons saw the sick role as a form of deviance, or going against societal expectations, because an ill person has different patterns of behavior than the normal.

Question 2

Stage of Pre-contemplation

Answer 2

-In this stage, the person does not recognize or is in denial about the need to stop smoking.
His comment about the uncle who smoked all of his life and died at age 95 of natural causes demonstrates his refusal to acknowledge the problem.

Question 3

the contemplation stage

Answer 3

the patient is thinking about it but is ambivalent about making the needed change

Question 4

preparation stage

Answer 4

the patient makes small improvements in the behavior

Question 5

action stage

Answer 5

the patient makes the needed change in behavior, and in the maintenance stage, the patient continues the changed behavior

Question 6

relapse stage

Answer 6

the patient feels guilt, anger, and disappointment at reengaging in the unwanted behavior.

Question 7

open-ended question EX:

Answer 7

1) “Please tell me about what you have been experiencing while taking Prozac,”
2) “What do you think is the impact of your drinking on your family?”

Question 8

Premise for open-ended question

Answer 8

an open-ended question is meant to encourage the patient to speak freely

Question 9

obsessive-compulsive personality

Answer 9

(OCPD) is a personality disorder characterized by excessive concern with orderliness, perfectionism, attention to details, mental and interpersonal control, and a need for control over one’s environment, which interferes with flexibility, openness to experience, and efficiency

Question 10

Histrionic Personality

Answer 10

1) Histrionic personality disorder (HPD) disorder characterised by a pattern of excessive attention-seeking emotions, usually beginning in early adulthood, including inappropriately seductive behavior and an excessive need for approval.
2) Only use Closed-Ended Question for this personality type (limits responsiveness)

Question 11

Passive-aggressive Personality

Answer 11

behavior include: bitterness and hostility toward other peoples’ requests. intentionally delaying or making mistakes when dealing with other peoples’ requests. having a cynical, pessimistic, or aggressive demeanor

Question 12

Dependent Personality

Answer 12

(DPD) is an anxious personality disorder characterized by an inability to be alone. People with DPD develop symptoms of anxiety when they’re not around others. They rely on other people for comfort, reassurance, advice, and support.

Question 13

Closed-ended question

Answer 13

Limits pt’s responsiveness

Used with Histrionic Personality types

Question 14

Pt adherence to TX is associated with ?

Answer 14

Adherence is also associated with symptomatic illnesses, older physicians, acute illnesses, and simple management schedules

Question 15

“Sick role” theory applies to what type of Pt’s

Answer 15

1) Applies mainly to middle-class patients with acute physical illnesses
2) It includes the expectation of care by others, lack of responsibility or becoming ill, and exemption from one’s usual responsibilities. It undervalues social support networks.

Question 16

To encourage a patient to smoke less, the physician should first

Answer 16

1) determine how willing he is to stop
smoking
2) A support Group or Medication (Bupropion) is useful for motivated Pt’s

Question 17

Ex; of Interview Technique of Validation

Answer 17

“It can be really hard for people to stop smoking,”

Question 18

When is a Pt is most like to file a Malpractice suit?

Answer 18

1) patient is most likely to file a malpractice suit if she has poor communication with the doctor.
2) The severity of the illness, the possible financial rewards of a lawsuit, and pressure from family members to sue are unlikely to lead to a lawsuit when a patient likes the doctor.