Deck 4: Patient Perspectives

Question 1

Because you realize that patients view and describe medical experiences within the ongoing stream of their life events, you listen patiently while Mr. Morris tells you about the last time someone drew blood from him, including the fact that his wife passed out during the experience. Mr. Morris's way of viewing and talking about medical concerns is best described as:

A) The Voice of Medicine
B) The Voice of Lifeworld
C) The Therapeutic Voice
D) The Vocabulary of the Untrained

Answer 1

B
Explanation: The Voice of Lifeworld is concerned with feelings and events.

Question 2

"I will treat cancer the way I have treated all other challenges in my life. I will proceed with life as usual. I won't let this change me." According to Kathy Charmaz's stages of identity management, this is a common sentiment during which stage?

A) Restored self
B) Contingent personal identity
C) Salvaged self
D) Supernormal identity

Answer 2

D
Explanation: Supernormal is a stage of identify management in which a person with a serious illness is determined not to let the illness stop them from being better than ever.

Question 3

is a relatively enduring set of characteristics that define a person.

A) Characterization
B) Personal identity
C) Biopsychosocialism
D) Personality coefficient

Answer 3

B
Explanation: A person's identity might involve being a student, son, daughter, parent, athlete, kind, smart, energetic, or so on.

Question 4

"This all started when I went on vacation. I noticed that my eyes were especially sensitive to the sun. I figured it was because the sun was brighter in Florida. But then my eyes kept hurting, even after we got home." The tendency of patients to define health concerns within the context of their everyday activities is called:

A) The Voice of Lifeworld
B) The Therapeutic Voice
C) The Voice of Pharmacology
D) A Healing Vocabulary

Question 5

According to Kathy Charmaz's stages of identity management, during long-term illnesses:

A) People in the supernormal identity stage have accepted the effects of the illness and developed new (even improved) identities for themselves.
B) During the contingent personal identity stage, people admit they cannot do everything they could do before the illness.
C) In the salvaged-self stage, people refuse to admit that the illness affects their identity at all.
D) All of these are true.

Question 6

All of the following are required by informed consent laws EXCEPT:

A) Patients must be informed about treatment risks, benefits, and options.
B) Patients must be deemed capable of understanding the information provided to them.
C) Patients must be informed that they can cease medical treatments if they wish.
D) Patients who consent to medical treatments waive their right to sue for malpractice.

Question 7

Which of the following best describes the Voice of Lifeworld?

A) It is usually focused on specific details.
B) We learn to speak it gradually as we become accustomed to medical settings.
C) It is typically focused more on feelings than on evidence.
D) Health professionals are usually more adept at it than patients are.

Question 8

Which of the following best represents information in your textbook concerning patients' cooperation with treatment advice?

A) Patients who do not follow treatment advice deserve whatever happens to them.
B) Effective care providers ask patients' feedback about diagnosis and treatment advice.
C) Medical compliance is the biggest issue inflating health care expenditures in the United States today.
D) Most patients are in denial about the causes of their illnesses.

Question 9

According to Kathy Charmaz's stages of identity management, what stages do people with chronic illnesses usually experience?

A) Denial, anger, acceptance, coping, redefined self
B) Precontemplation, contemplation, decision-making, acting
C) Supernormal identity, restored self, contingent personal identity, salvaged self
D) Denial, resentment, soul searching, return to previous self

Question 10

Before you have your wisdom teeth removed, you are asked to sign paperwork indicating that you understand the risks involved and are willing to undergo the procedure. This is best described as:

A) Informed consent
B) Iterative health literacy
C) Compulsory cooperation
D) A process of biomedical convergence

Question 11

You are asked to review patient satisfaction research and make a presentation to your colleagues. Which of the following best describes the conclusions of research about patient satisfaction?

A) Patients judge care providers on the following factors (in order of importance): technical skills, good bedside manner, high-tech facilities, clean waiting rooms and exam rooms.
B) Patients more often judge care providers on how they communicate than on their technical skills.
C) Patients look for the Four C's: cooperation, consent, coercion, and competence.
D) The keys to patients' satisfaction with their care providers are affordable prices, convenience, and visible results.

Question 12

You are in charge of tracking how often and how thoroughly patients at the clinic where you work follow medical advice. Based on what you read in the text, what is average around the United States?

A) Patients follow medical advice completely about 50% to 60% of the time.
B) Patients follow medical advice except in rare circumstances.
C) About 75% of patients follow medical advice, although they may not agree with it.
D) Well-educated patients are more likely to follow medical advice than undereducated patients.

Question 13

Before undergoing cardiovascular testing, Mrs. Henderson is given a stack of forms to read and sign. You notice that she seems to have difficulty reading the forms, although she signs each one. Based on informed consent laws:

A) The medical center cannot be sued because the staff showed Mrs. Henderson the potential outcomes, regardless of whether she understood them or not.
B) Medical professionals are responsible for making sure Mrs. Henderson understands the treatment information provided to her.
C) Once Mrs. Henderson signs the consent forms, she cannot change her mind about undergoing the procedures described.
D) Once she has signed the forms, Mrs. Henderson will not be allowed to sue the medical team.

Question 14

When a good friend of yours is diagnosed with arthritis, he doesn't want his friends at college to know. "People think of it as an old-person disease," he says. "I think my friends will look at me differently if they know I have it." He is experiencing a threat to his:

A) Social identity
B) Psychological reactance
C) Ego permeability
D) Rhetorical salvation

Question 15

Soon after your uncle had a stroke, he proclaimed that he would be "climbing mountains in no time." Since then, he is not quite as optimistic, but he still feels that the stroke won't change him. He has moved from the _________ stage of identity management to the ________ stage.

A) salvaged; restored
B) grandiose; contingent
C) denial; realist
D) supernormal; restored-self

Question 16

Your friend William has agreed to take part in a medical study. William has signed all the paperwork and wonders: If he doesn't do well, can he still withdraw from the study? Based on the book's coverage of informed consent laws, you are able to tell him:

A) He may withdraw from the study at any time.
B) He may withdraw only after the study is at least 30% complete.
C) He may withdraw from the study if he is willing to pay an early withdrawal fee.

Question 17

Which of the following is the best example of the Voice of Lifeworld?

A) I have a sharp pain in my right elbow.
B) I have been feeling pain for 10 days.
C) The pain in my arm interferes with my ability to do school work.
D) I have a family history of weak joints.

Question 18

Having survived a heart attack, your colleague Robin accepts that she will always have to pay close attention to her health, but she says those changes have become a normal part of her life now. When we integrate former aspects of self with current limitations, we have reached the stage called ___________.

A) transformational transaction
B) salvaged self
C) reinforced identity
D) public proclamation

Question 19

Your employer recently surveyed patients to see how often they follow medical advice. The results were discouragingly low. According to your book, all of the following are common reasons for low cooperation rates EXCEPT:

A) The advice may be difficult or impossible for the patient to follow.
B) Patients may disagree with the diagnosis.
C) Patients may perceive that they do not need the treatment or that the treatment has already worked.
D) Based on elaboration likelihood model, patients may ignore medical advice because they have minimal commitment to elaboration.

Question 20

. A patient of yours says that she is a proud member of the "I Survived Malaria" club. We adopt a identity when we simultaneously define an illness and our alignment toward it.

A) semantic
B) tertiary
C) quasi-collaborative
D) symmetrical

Question 21

Patients typically judge care providers more on their interpersonal skills than on their technical skills.

Question 22

Many people prefer the term "patient cooperation" to "patient compliance," because cooperation implies that patients are active participants in medical care, not just obedient parties expected to comply with "doctor's orders."

Question 23

Physicians' reputations and hospital privileges may be damaged by treatment failures, even if patients involved have not followed their medical advice.

Question 24

If patients do not follow medical advice, they lose their opportunity to sue physicians and other caregivers for malpractice.

Question 25

The Voice of Medicine and the Voice of Lifeworld overlap to a large extent when the goal is preventing disease and injury rather than just treating them.

Question 26

People often leave the doctor's office already knowing they cannot or will not follow through with treatment advice.

Question 27

In the Tuskegee Syphilis Study, African American men were enrolled without their knowledge in a medical experiment.

Question 28

In the "Agony of Uncertainty" case study, a 65-year-old man feels pressured into agreeing to a procedure he doesn't fully understand.

Question 29

Patients often communicate in hesitant and nonassertive ways because they are uncertain what is expected of them and afraid to seem rude or ignorant.

Question 30

The Voice of Lifeworld is primarily oriented to evidence, measurement, and precision.

Question 31

As you describe your concerns, you have the sense that the nurse is waiting for you to get to the point, as he considers it. Explain the ways that a patient's philosophy of health and illness traditionally differs from that of health professionals.

Question 32

Part of your new job involves improving patient satisfaction at the clinic where you work. Based on research about patient preferences, describe some steps you might take to make sure you are meeting patients' expectations.

Question 33

Your Aunt Penny was recently diagnosed with diabetes. Name and describe the four stages in Kathy Charmaz's model of identity management during chronic illness. For each state, create a statement your aunt might make that illustrates her feelings during that stage.