Deck 9: Patients, Providers, and Treatments

Question 1

Rita is trained in traditional nursing and has also received special training in primary care.She is affiliated with a group of private practice physicians and sees her own patients.Her responsibilities involve providing routine medical care, prescribing treatment, and attending to the chronically ill.Rita is a _____.

A)lay practitioner
B)nurse practitioner
C)physician's assistant
D)counselor

Answer 1

nurse practitioner

Question 2

Patient depersonalization usually results in:

A)progressive patient-provider communication.
B)emotional protection for the provider.
C)sexism in medical practice.
D)low quality of technical care.

Answer 2

emotional protection for the provider.

Question 3

Which of the following treatments is more likely to be employed during stressful moments to keep the patient quiet and to enable the practitioner to concentrate?

A)Aversion therapy
B)Nonperson treatment
C)Chiropractic medicine
D)Polarity therapy

Answer 3

Nonperson treatment

Question 4

Patients who are seeking treatment for psychological disorders usually evoke:

A)positive thoughts about their environment.
B)equally serious physical symptoms.
C)positive reactions from physicians.
D)negative reactions from physicians.

Question 5

Dissatisfied patients are more likely to:

A)seek treatment that satisfies their emotional needs.
B)use varied medical services in the future.
C)comply with proper treatment recommendations.
D)schedule frequent medical checkups.

Question 6

_____ patients usually present an exaggerated picture of their symptoms.

A)Geriatric
B)Neurotic
C)Low-risk
D)Rising-risk

Question 7

Health care providers frequently resort to baby talk because:

A)they realize that patients are ill and are not in the right frame of mind to interact as adults.
B)they often underestimate their patients' level of understanding about an illness.
C)they assume that all their patients are completely unaware of medical terms.
D)they are trained to use baby talk with children who come for treatment.

Question 8

Which of the following is a reason for the lack of learning opportunities for providers?

A)Lack of feedback from patients
B)Negative feedback from patients
C)Negative attitudes of the provider
D)Patients' fear of the provider

Question 9

In which of the following conditions is a patient likely to re-visit a physician after initial treatment?

A)When the treatment has failed
B)When the treatment has been successful
C)When the patient has forgotten to give feedback to the physician
D)When the patient is dissatisfied with the provider

Question 10

Older patients are less likely than younger patients to:

A)be resuscitated in emergency rooms.
B)survive automobile accidents.
C)seek medical care when required.
D)suffer from traumatic stress disorders.

Question 11

Physicians prefer to treat an acute illness compared to a chronic illness because:

A)acute illnesses require less than two physician consultations.
B)chronic illnesses can increase a physician's distress over having to give bad news.
C)acute illnesses pose uncertainties and raise questions about diagnosis.
D)chronic illnesses pose uncertainties and raise questions about prognosis.

Question 12

Which of the following is an effective way of improving adherence to a treatment?

A)Developing a checklist only for the patients to follow
B)Restricting pharmacists from providing counseling along with prescription medication
C)Making adult literacy a national priority
D)Writing prescriptions on paper

Question 13

When patients do not adopt the behaviors and treatments that their providers recommend, it results in _____.

A)malingering
B)appraisal delay
C)negative affectivity
D)nonadherence

Question 14

Which of the following diseases is known to have high treatment adherence among patients?

A)Sleep disorders
B)Diabetes
C)HIV
D)Pulmonary disease

Question 15

____ is an example of a provider behavior that can potentially erode communication between a patient and a physician.

A)Enthusiasm
B)Inattentiveness
C)Baby talk
D)Probing

Question 16

Shirley had gone for a routine medical check-up, and her doctor found that she had unregulated cell growth which is an indicator of malignant neoplasm (cancer).The doctor met Shirley and told her that he suspected a malignant neoplasm in her body that has not yet been located.However, the doctor also mentioned that the infection may spread to other parts of the body through the lymphatic system.The doctor asked Shirley to undergo a few tests and start therapy and medication immediately.Although, Shirley understood that she had a serious condition, she was not very clear on what the doctor meant.In this case, the doctor is:

A)acquiring informed consent from the patient.
B)using jargons to explain a condition.
C)using baby talk with the patient.
D)applying a nonperson treatment.

Question 17

In which of the following cases does a patient feel ignored by a physician?

A)When the physician is systematically diagnosing and treating the patient
B)When the physician prescribes bed rest and over-the-counter medications
C)When the physician is clear about the patient's medical history
D)When an admitted patient is visited by the physician twice a day

Question 18

When patients lack basic skills needed to adhere to medical prescriptions, comprehend the meaning of their risk factors, or interpret the results of tests from physicians, it is known as _____.

A)faulty communication
B)health illiteracy
C)negative information
D)ethical dilemma

Question 19

Qualities of the interaction between a practitioner and a patient can perpetuate:

A)healthy communication.
B)faulty communication.
C)feelings of discomfort in the practitioner.
D)neuroticism in the patient.

Question 20

According to the _____ plan, patients select their own doctors and hospitals and pay on a fee-for-service basis.

A)students' medical
B)preferred-provider organization
C)traditional indemnity
D)point-of-service

Question 21

Which of the following is a component of burnout?

A)Optimism
B)Energy
C)Cynicism
D)High efficacy

Question 22

_____ involves the humanitarian side of medicine, and it deals with the orientation of the nursing staff.

A)Coping
B)Care
C)Cure
D)Core

Question 23

The _____ model makes it evident that, for practicing good health behaviors and adhering to treatment, one needs the right information, motivation to adhere, and skills to perform a behavior.

A)biopsychosocial
B)transtheoretical
C)health-belief
D)information-motivation-behavioral skills

Question 24

Children who are hospitalized often get dependent when they are on bed rest and rely on staff.This is likely to lead to _____.

A)sublimation
B)projection
C)repression
D)regression

Question 25

Low IQ predicts:

A)better treatment adherence.
B)early mortality.
C)faulty communication with the physician.
D)higher health literacy.

Question 26

The three goals of a hospital's functioning:

A)are valid only in government hospitals.
B)have a hierarchical order of importance.
C)can create conflicting demands.
D)are mutually exclusive.

Question 27

Which of the following best defines cure as a function in a hospital?

A)Maintaining the infrastructure and developing the premises for future growth
B)Performing treatment actions to restore patients to good health
C)Ensuring that a patient's emotional and physical state is in balance
D)Ensuring the smooth functioning of the system and the flow of resources, services, and personnel

Question 28

Which of the following is the least used complementary and alternative medicine therapy among U.S.adults?

A)Natural products
B)Chiropractic
C)Guided imagery
D)Yoga

Question 29

_____ is concerned with ensuring the smooth functioning of the system and the flow of resources, services, and personnel.

A)Care
B)Cure
C)Core
D)Coping

Question 30

In which of the following conditions is treatment adherence likely to be highest?

A)When a person has low IQ
B)When a person lives in a cohesive family
C)When a person has no money
D)When a person supplements a prescribed treatment

Question 31

In 2007, it was found that _____ is the sixth biggest cause of death in the United States.

A)hospital infection
B)common cold
C)trachea
D)urticaria

Question 32

_____ can result from personal theories about a disorder and its treatment.

A)Secondary gains
B)Negative affectivity
C)Creative nonadherence
D)Faulty communication

Question 33

_____ is the most commonly used complementary and alternative medicine therapy among U.S.adults.

A)Progressive relaxation
B)Prayer
C)Deep breathing
D)Chiropractic

Question 34

Adherence is likely to be highest when advice is perceived to be _____.

A)social
B)psychological
C)vocational
D)medical

Question 35

Which of the following is a factor that aggravates burnout?

A)High perceptions of success
B)Excessive feedback
C)Too much time spent with clients
D)High sense of autonomy

Question 36

Dietary interventions, which include foods that shift the _____ balance, are a staple of traditional Chinese medicine.

A)dong quai
B)qoi
C)yin-yang
D)gu qui

Question 37

When a physician's advice is perceived to be vocational, the adherence rate is around _____ percent.

A)52
B)66
C)90
D)76

Question 38

Which of the following best describes the administrative line in a private hospital?

A)It involves emergency first aid, physiotherapy, and dietetics.
B)It conducts follows-up on behaviorally disturbed patients.
C)It is based on technical skill and expertise.
D)It runs the business of the hospital.

Question 39

The first line of authority in a private hospital which is based on technical skill and expertise is the _____.

A)paramedical line
B)medical line
C)administrative line
D)behavioral care line

Question 40

_____ is an infection that results from exposure to disease in a hospital setting.

A)Anthrax
B)Amoebiasis
C)Balantidiasis
D)Nosocomial

Question 41

A study conducted by Hall and colleagues found that both male and female physicians preferred female patients.

Question 42

_____ is an alternative medical practice that draws on the body's ability to heal itself.

A)Allopathy
B)Homeopathy
C)Naturopathy
D)Osteopathy

Question 43

Acupuncture not only cures an illness, but also has a(n) _____ effect.

A)cannabis
B)analgesic
C)psychosomatic
D)agonizing

Question 44

The duration of a typical physician's assistant program is two years.

Question 45

_____ is a meditative procedure that is especially useful in controlling discomfort related to cancer.

A)Guided imagery
B)Chiropractic
C)Progressive relaxation
D)Hypnosis

Question 46

_____ is the most common dietary supplement used by the U.S.population.

A)Folic acid
B)Calcium
C)Vitamin D
D)Multivitamin

Question 47

A(n) _____ is a medical procedure that produces an effect in a patient because of its therapeutic intent and not because of its chemical or physical nature.

A)ablation
B)angiogram
C)autopsy
D)placebo

Question 48

_____ meditation teaches people to strive for a state of mind marked by awareness, focus on the present moment, and acceptance and acknowledgement without becoming distracted or distressed.

A)Heart rhythm
B)Guided visualization
C)Mindfulness
D)Transcendental

Question 49

A _____ diet restricts vegetarian consumption primarily to grains, cereals, and vegetables, and it requires greater attention to nutritional content.

A)macrobiotic
B)vegan
C)kangatarian
D)flexitarian

Question 50

Patient-centered care involves providing patients with information, involving them in decisions regarding care, and considering psychosocial issues such as social support needs.

Question 51

An overdose of _____ supplements is associated with an increased mortality risk among older women.

A)folic acid
B)citric acid
C)calcium
D)iron

Question 52

In traditional Chinese medicine, _____ is used to manipulate the flow of qi.

A)chiropractic
B)osteopathy
C)massage
D)guided imagery

Question 53

Mindfulness meditation is known to be an effective treatment for a functional disorder known as _____.

A)autophagia
B)fibromyalgia
C)encopresis
D)pica

Question 54

In the United States, drug taking is a _____ behavior.

A)normative
B)provider
C)health
D)positive

Question 55

Acupuncture usually triggers the release of _____.

A)oxytocin
B)dopamine
C)endorphins
D)ghrelin

Question 56

The placebo response is so powerful that no drug can be marketed in the United States unless it has been evaluated against a placebo.The standard method for so doing is termed a _____ experiment.

A)single-blind
B)double-blind
C)health
D)positive

Question 57

_____ treats patients using diluted preparations that cause symptoms similar to those from which the patient suffers.

A)Homeopathy
B)Ayurveda
C)Traditional Chinese medicine
D)Dietary supplements

Question 58

Faulty communication between a patient and a provider can lead to malpractice suits.

Question 59

Which of the following techniques is included in the practice of yoga?

A)Brisk walking
B)Aerobics
C)Tai chi
D)Posture enhancing

Question 60

When a patient pays the provider directly for his or her services, a colleague orientation is developed.

Question 61

List reasons why the health care practitioner can be an effective agent of behavior change.

Question 62

What does the setting imply in the nature of patient-provider communication?

Question 63

Patient A is preoperative.If the roommate is post-operative, patient A is likely to have better pre-and post-operative adjustment.

Question 64

Patients are remarkably good at predicting their adherence to treatment regimens.

Question 65

Briefly explain patients' contributions to faulty communication.

Question 66

Explain the placebo as a methodological tool.

Question 67

People turn to CAM therapies after their disorders have been successfully treated by traditional medicine.

Question 68

The functioning of a hospital typically revolves around the goals of cure, care, and core.These goals are discrete and never in conflict.

Question 69

Poor communication leads to nonadherence of treatment and potential initiation of malpractice litigation.

Question 70

Your brother calls to inform you that his nine-year-old son is being hospitalized due to a fracture.What advice would you give your brother to minimize any adverse reactions that your nephew might experience while being hospitalized?