Week 3 - CH. 4,6, & 10

Which of the following is the most therapeutic expression of warmth and caring? A. " This must be so hard for you. Is there anything I can do to assist?" B. "I feel sorry for you" C. "It could be worse!" D. "Chin up, I know someone who survived this disease!"

A. " This must be so hard for you. Is there anything I can do to assist?"

Which of the following statements is a roadblock to communication? A. "Everything will work out the way it is supposed to!" B. "You feel afraid of the unknown." C. "I can only imagine how hard that was for you." D. "Could your fear be caused by the unknown reaction?"

A. "Everything will work out the way it is supposed to!"

Which of the following is a closed question? A. "When you move your foot, does it hurt?" B. "What foods cause your indigestion?" C. "When do you experience pain? D. "What actions bring on your productive cough?"

A. "When you move your foot, does it hurt?"

Which of the following is generally viewed as a life-altering illness? A. Cancer B. Influenza C. Pneumonia D. Gastroenteritis

A. Cancer

"Do you mean you feel tired?" This statement is an example of ___. A. Clarifying B. Repeating C. Paraphrasing D. Reflecting

A. Clarifying

Match the defense mechanism with the characteristic Make up for a deficit A. Compensation B. Denial C. Displacement D. Projection E. Sublimation

A. Compensation

Which of the following terms means an awareness of others' situations? A. Empathy B Sympathy C. Sincerity D. Judgment

A. Empathy

Which of the following means being real and honest with others? A. Genuineness B. Sympathy C. Self esteem D. Self-image

A. Genuineness

Which of the following is a short-term goal? A. Going to a graduation one month away B. Seeing a grandchild born in eight months C. Completing a college education in four years D. Buying a new car next year

A. Going to a graduation one month away

What is a conversation between a healthcare care professional and a person in need called? A. Helping interview B. Friendship C. Casual encounter D. Informational interview

A. Helping interview

In which culture do people hold the belief that to tell someone he is dying is to curse him? A. Hmong B. Mexican American C. Korean American D. Asian

A. Hmong

Which therapeutic response is appropriate for infants and toddlers? A. Hold them and speak soothingly B. Discuss treatment plans and provide options C. Allow them to make decisions about their healthcare D. Allow for privacy and respect their modesty

A. Hold them and speak soothingly

A helping interview consists of which three components? A. Orientation, identification, resolution B. Introduction, identification, conclusion C. Orientation, conversation, resolution D. Introduction, identification, solution

A. Orientation, identification, resolution

"You feel you cannot talk to the doctor because she will be angry you stopped taking the medicine." This statement is an example of ___. A. Paraphrasing B. Reflecting C. Sympathy D. Empathy

A. Paraphrasing

Which of the following is most important when faced with life-altering illness? A. Positive attitude B. Insurance type C. Education level D. Size of the medical practice

A. Positive attitude

Match the typeof roadblock to communication to the statement. Everything happens for a reason. A. Reassuring cliché B. Requiring explanation C. Defending D, Criticizing

A. Reassuring cliché

What is the best way to emotionally support a client with life-altering illness? A. Refer the client to a support group B. Prescribe antidepressants C. Tell the client to rely on relatives support D. Keep appointment short

A. Refer the client to a support group

"You feel like you cannot talk to the doctor about the problem." This statement is an example of ___. A. Reflecting B. Empathy C. Sympathy D. Clarifying

A. Reflecting

What is the term for internal perceptions or external events that cause the body to protect itself? A. Stressors B. Stress C. Sympathetic nervous system D. Parasympathetic nervous system

A. Stressors

Which body system is responsible for preparing the body for fight or flight? A. Sympathetic nervous system B. Parasympathetic nervous system C. Cardiovascular system D. Musculoskeletal system

A. Sympathetic nervous system

To respond to the emotional state of others and acknowledge their feelings is known as ___. A. Sympathy B. Empathy C. Sincerity D. Judgment

A. Sympathy

Is fever an acute or chronic condition?

Acute

Is influenza an acute or chronic condition?

Acute

Is tonsillitis an acute or chronic condition?

Acute

WRITTEN ANSWER Describe effective communication strategies for gathering information, educating patients, and the importance of applying these skills.

Asking the appropriate questions at the appropriate times to gather information, filling in the gaps of information for each client so they are well informed, and breaking down any questions they may have. Giving them appropriate resources for their needs. This is very important to alleviate any type of anxiety or stress they may have for any kind of news they are receiving.

An illness with rapid onset, severe symptoms, and a short duration is what type of illness? A. Chronic Illness B. Acute Illness C. Life=Altering Illness D. Painful Illness

B. Acute illness

Defense mechanisms are A. Always health to use in stress situations B. An attempt to protect oneself by blocking an emotionally painful experience C. A conscious recognition of the cause of discomfort D. Generally easy for the health professional to analyze

B. An attempt to protect oneself by blocking an emotionally painful experience

Match the defense mechanism with the characteristic Refusal to acknowledge A. Compensation B. Denial C. Displacement D. Projection E. Sublimation

B. Denial

In the helping interview, the person needing help (vs. the person giving help) typically feels A. Powerful B. Frightened or embarrassed C. Happy D. Gratified or relieved

B. Frightened or embarrassed

What are the three components of the helping interview? A. Greeting, identifying clients problem, and the professionals visit B. Orientation of each other, identifying the problem, and resolution of problem C. Open communication, hearing the problem, and clinic follow-up D. Orientation, open-communication, and resolution of problem.

B. Orientation of each other, identifying the problem, and resolution of problem.

Which is involved with palliative care? A. Curing the illness B. Providing relief without curing the illness C.Relieving anxiety D. Prolonging life

B. Providing relief without curing the illness

Match the typeof roadblock to communication to the statement. Why did you do that? A. Reassuring cliché B. Requiring explanation C. Defending D. Criticizing

B. Requiring explanation

The clients says, "I cannot control my disease!" The health professional responds, "How is your mother doing?" This is an example of what roadblock? A. Defending B. Shifting C. Reassuring cliche D. Requiring explanation

B. Shifting

An individual will have which response during the fight-or-flight stage of stress? A. Apathy and lack of energy B. Low blood pressure C. Anger and frustration D. Constricted pupils

C. Anger and frustration

Match the typeof roadblock to communication to the statement. The doctor will never agree to that. A.Reassuring cliché B. Requiring explanation C. Defending D. Criticizing

C. Defending

Match the defense mechanism with the characteristic Shifting the emotion from one thing to another A. Compensation B. Denial C. Displacement D. Projection E. Sublimation

C. Displacement

Hans Selye's general adaption syndrome theory proposes that adaption to stress occurs in how many stages? A. Two stages B. Three stages C. Four stages D. Five stages

C. Four stages

When conducting the helping interview, what is the best for the health care professional to do? A. Have the client sit on the examination table. B. Address the client informally to ease his/her anxiety C. Have the client not disrobe during the interview orientation D. Dress casually yourself so the client is not intimidated

C. Have the client not disrobe during the interview orientation

Stressors are A. Always of short duration B. A nonspecific response requiring a person to make some type of change C. Internal perceptions or external events that cause the body to respond D. Both a danger and an opportunity

C. Internal perceptions or external events that cause the body to respond

The therapeutic response to adolescents coming into the medical clinic should include A. Offering them a pillow to punch or materials to draw a picture to express their feelings B. Discussing the benefits of a healthy lifestyle C. Respecting their privacy needs and respect for modesty D. Addressing them by using their full name

C. Respecting their privacy needs and respect for modesty

The orientation phase of the helping interview should find the health care professional using which of the following skills? A. Sharing observations, acknowledging feelings, clarifying and validating, reflecting and paraphrasing B. Giving advice, requiring explanations, seeking approval, correcting, and defending. C. Showing warmth, being genuine, establishing trust, and expressing sympathy/empathy and sincerity D. Introducing client to the clinic, reviewing client's medical chart, discussing billing procedures, and monitoring insurance claims

C. Showing warmth, being genuine, establishing trust, and expressing sympathy/empathy and sincerity

Which of the following is true of psychological effects of illness? A. Personal relationships will not change. B. Learning more about the diagnosis only exacerbates feelings of concern. C. The client who is normally thoughtful and kind may speak harshly to caregivers. D. Illness always causes the client to slump into deep depression.

C. The client who is normally thoughtful and kind may speak harshly to caregivers.

Why can it be problematic to assign responsibility of administering medications to a family member? A. They want to hurt the patient B. It is illegal C. They fear the patient may become addicted to the medication D. They are confused

C. They fear the patient may become addicted to the medication

Is arthritis an acute or chronic condition?

Chronic

Is cancer an acute or chronic condition?

Chronic

Which statement would NOT be a roadblock to communication? A. "Everything will be OK after the doctor sees you," B. "There is no way that you could be sweating that much!" C. "Why did you behave in that way with your daughter?" D. "We care about you and your health and understand you are going through a difficult time."

D. "We care about you and your health and understand you are going through a difficult time."

Which statement describes an indirect statement? A. Does not require the client to enlarge upon the response B. Can usually be answered with a yes or a no C. Encourages clients to identify more of the problem D. Calls for a client response without the client feeling questioned

D. Calls for a client response without the client feeling questioned

Match the typeof roadblock to communication to the statement. You shouldn't feel that way. A. Reassuring cliché B. Requiring explanation C. Defending D. Criticizing

D. Criticizing

Which response is not a way to decrease stress? A. Aerobic activity B. Planning ahead and being organized C. Mediation D. Enjoying caffeine or alcohol often

D. Enjoying caffeine or alcohol often

Match the defense mechanism with the characteristic Attributing ones own thoughts to another person A. Compensation B. Denial C. Displacement D. Projection E. Sublimation

D. Projection

Which is the best strategic therapeutic consideration for older adults? A. Empower with choices B. Educate and instruct caregiver C. Emphasize prevention D. Provide educational and resource materials

D. Provide educational and resource materials

Match the defense mechanism with the characteristic Redirecting socially unacceptable Impulses A. Compensation B. Denial C. Displacement D. Projection E. Sublimation

E. Sublimation

Clients with life-altering diseases get angry with themselves rather than project their anger to others.

False

During the orientation phase of the helping interview, it is best for the client to be standing when the health professional is seated

False

If a client is experiencing severe anxiety, the health professional should focus on giving the client one detail at a time, and say, "You seem very anxious today."

False

WRITTEN ANSWER List five examples of feelings that are likely to describe giving help

Important, useful, powerful, gratified, and happy.

WRITTEN ANSWER Explain the difference between open and close-ended questions

Open-ended questions are questions that are answered with details. These types of questions typically start with "how", "what", or "could", giving the client the ability to answer with more detail. For example, an open-ended question may sound like, "Could you please explain the pain you're having?" Which an appropriate answer would involve some details. While closed-ended questions are typically short and to the point, typically a yes or no type of question, even a short answer. These types of questions typically start with "do", "is" or "are". For example, a closed-ended question may sound like "Is the pain in your lower back?" Which would be answered with a yes or no, and potentially a short answer such as "No, it's in my upper back".

Health care professionals who criticize may also moralize.

True

If health professionals need to give instructions to a client while he or she is in the exhaustion phase of the stress cycle, the instructions should be written.

True

Men and women react differently to stress.

True

Mild, Moderate, Severe, and Panic are the four levels of anxiety.

True

The basically personality of clients with life-altering illnesses may be changed significantly, depending on their psychological experiences.

True

When working with clients who are dying, health professionals should deal with the present, here and now.

True

Your personal appearance and the appearance of the medical facility are vital keys in the helping interview.

True

WRITTEN ANSWER Explain the difference between moderate anxiety and severe anxiety

With moderate anxiety, the persons focus typically stays on one thing, and not the whole situation, even though their focus is on one particular thing, they are still able to think clearly while with severe anxiety, loss of concentration is a big thing, they will have an inability to truly focus.