Chapter 9 Patients, Providers, and Treatments

Burnout is a(n) _____ risk for anyone who works with needy people. A) assured B) unsystematic C) occupational D) choice-based

C

Communication between a patient and a physician can be eroded by certain _____ behaviors such as inattentiveness. A) afflictive B) abnormal C) provider D) health

C

People who are exposed to fake poison ivy usually develop _____. A) hysteria B) knee spasms C) rashes D) cancer

C

Poor patient-provider communication has been tied to: A) the deteriorating health of the patient. B) poor quality of health related practices by the provider. C) the initiation of malpractice litigation. D) more referrals for the provider who makes no emotional contact.

C

Which of the following best describes the traditional indemnity plan? A) Members select a primary-care physician from the organizations pool of doctors and pay a small fixed amount for each visit. B) A network of doctors offers plan members a discounted rate to visit a specialist. C) Patients select their own doctors and hospitals and pay on a fee-for-service basis. D) Insurance companies or HMOs let members go to doctors and hospitals out of their network for a price.

C

_____ medicine is an approach to treatment that deals with the physical, psychological, and spiritual needs of the person. A) Tropical B) Allopathic C) Holistic D) Osteopathic

C

hypnosis

a pain management technique involving relaxation, suggestion, distraction, and the focusing of attention

colleague orientation

a physician orientation toward gaining the esteem and regard of one's colleagues; fostered by any health care provider arrangement that does not involve direct reimbursement to physicians by patients

homeopathy

a system of alternative medicine that interprets disease and illness as caused by disturbances in a vital life force and treats patients using diluted preparations that cause symptoms similar to those from which the patient suffers

acupuncture

a technique of healing and pain control, developed in China, in which long, thin needles are inserted into designated areas of the body to reduce discomfort in a target area

guided imagery

a technique of relaxation and paint control in which a person conjures up a picture that is held in mind during a painful or stressful experience

chiropractic medicine

a type of medicine that involves performing adjustments on the spine and joints to correct misalignments that are believed to both prevent and cure illness

patient-centered care

care that involves providing patients with information, involving them in decisions regarding care, and consideration of psychosocial issues such as social support needs

placebo effect

the medically beneficial impact of an inert treatment

creative nonadherence

the modification or supplementation of a prescribed treatment regiment on the basis of privately held theories about the disorder or its treatment

nonadherence

the failure to comply fully with treatment recommendations for modification of a health habit or an illness state

In _____ meditation, a person focuses his or her awareness on a single object or on a word or short phrase called a mantra. A) transcendental B) mindfulness C) movement D) zazen

A

In a managed care arrangement, an employer or employee pays an agreed-on monthly rate, and the employee can use health services without incurring additional costs. A) True B) False

A

In a traditional indemnity plan, patients select their own doctors and hospitals and pay on a fee-for-service basis. They don't need a referral to see a specialist. A) True B) False

A

Modifying and supplementing a prescribed treatment regimen to suit oneself is known as _____. A) creative nonadherence B) patient preference C) personal care D) nonmedical adherence

A

Nonperson treatment may be employed at particularly stressful moments to keep the patient quiet, and enable the practitioner to concentrate. A) True B) False

A

Patients often have considerable expertise about their illness especially if it is a recurring or chronic problem. A) True B) False

A

Psychologists who work at hospitals are often involved in pre- and post surgery preparations. A) True B) False

A

A patient who is explaining symptoms to a physician can expect to be interrupted within 23 seconds of beginning their comments. A) True B) False

A

According to traditional Chinese medicine, _____ is considered the vital life force that prevents diseases from occurring. A) zang-fu B) qi C) xue D) jinye

B

Adherence is highest if the patient is told what is expected of them once. A) True B) False

B

An average appointment with the physician usually lasts for _____ minutes. A) 17-20 B) 12-15 C) 7-10 D) 22-25

B

In _____, an employer or employee pays an agreed-on monthly rate, and the employee uses health services without incurring any additional costs. A) self-treatment B) managed care C) nonperson treatment D) creative nonadherence

B

Patients who are not hospitalized are more likely to show problematic psychological symptoms such as anxiety and depression. A) True B) False

B

The medical office is known to be the most favorable setting for effective communication between the physician and a patient. A) True B) False

B

Treatment regimens that must be followed over a long time show high levels of adherence. A) True B) False

B

Which of the following practices is known to have originated in the spiritual traditions of India? A) Chiropractic medicine B) Yoga C) Hypnosis D) Osteopathy

B

Placebos sometimes work by stimulating the release of the body's natural painkillers known as _____. A) leptin B) ghrelin C) oxytocin D) opioids

D

_____ has existed in China for more than 2,000 years. A) Chiropractic medicine B) Hypnosis C) Yoga D) Acupuncture

D

_____ medicine involves performing adjustments on the spine and joints to correct misalignments that are believed to both prevent and cure illness. A) Ayurvedic B) Homeopathic C) Tropical D) Chiropractic

D

complementary and alternative medicine (CAM)

a diverse group of therapies, products, and medical treatments that are not generally considered part of conventional medicine, including prayer, potions, natural herb products, meditation, yoga, massage, homeopathic, natural herb products, meditation, yoga, massage, homeopathic medicines, and acupuncture, among other treatments

yoga

a general term developed from Hindu philosophy for spiritual, mental, and physical discipline that includes breathing techniques, posture, strengthening exercise, and meditation

managed care

a health care arrangement in which an employer or employee pays a predetermined monthly fee to a health care or insurance agency that entitles the employee to use medical services at no additional (or a greatly reduced) cost

placebo

a medical treatment that produces an effect in a patient because of its therapeutic intent and not its nature

preferred-provider organization (PPO)

a network of affiliated practitioners that has agreed to charge preestablished rates for particular medical services

traditional Chinese medicine

an ancient approach to healing developed in China that focuses on keeping life force (qi) in balance through technique such as meditation, massage, and herbal medicine

ayurvedic medicine

an ancient approach to healing developed in India that focuses on balance among the mind, body, and spirit

holistic medicine

an approach to treatment that deals with the physical, psychological, a spiritual needs of the person

double-blind experiment

an experimental procedure in which neither the researcher nor the patient knows whether the patient received the real treatment or the placebo until precoded records indicating which patient received which are consulted; designed to reduce the possibility that expectations for success will increase evidence for success

health maintenance organization (HMO)

an organizational arrangement for receiving health care services, by which an individual pays a standard monthly rate and then uses services as needed at no additional or at greatly reduced cost

dietary supplements

preparations that contain nutrients, such as vitamins, minerals, or fiber, in amounts that are as high or higher than the Institute of Medicine's daily recommendations

integrative medicine

the combination of practices of alternative medicine and conventional medicine

private, fee-for-service care

the condition under which patients privately contract with physicians for services and pay them for services rendered

adherence

the degree to which an individual follows a recommended health related or illness-related recommendation