Deck 14: The Impact of Illness on Patients and Their Families

Question 1

Which of the following was not identified in consideration of individuals having to come to terms with general chronic illness?

A) Disruption
B) Uncertainty
C) Striving for recovery
D) Dysphoria

Answer 1

Dysphoria

Question 2

Taylor (1983) argued for a cognitive adaptation model, what is different in this model from a stage model of response?

A) The cognitive adaption model must be also done in stages, there is no difference
B) A sense of control is non-essential in a cognitive adaption model
C) There is no sequence to the themes/events
D) Finding meaning will not help to gain control or enhance self-esteem

Answer 2

There is no sequence to the themes/events

Question 3

In Kiecolt-Glaser et al., (1994) elderly caregivers of a spouse with Alzheimer's disease had _______ immune functioning than healthy same age matched controls.

A) the results were inconclusive
B) the same
C) lower
D) higher

Answer 3

lower

Question 4

"I'm just my mom's daughter/son looking after her. But if I'm speaking to somebody I'll say I'm her carer because that's what I'm doing. It's a role that I'm playing" is an example of a caregiver who has:

A) Rejected the caregiver identity.
B) Absorbed a partial caregiver identity.
C) Enforced their identity.
D) Embraced the caregiver identity.

Question 5

Couple identity partially _______ the effect of perceived overload, relational changes, and loss of independence.

A) increases
B) mediates
C) decreases
D) has no effect on

Question 6

Wives of MI patients tend to 'protect' their partners from negative information, thought and feelings which can lead to:

A) Increased distress for the patient.
B) Increased distress for both patient and caregiver.
C) Decreased distress for the patient.
D) Decreased distress for both patient and caregiver.

Question 7

A significant contributor to patients resuming pre-illness functioning, morbidity, and disability in disease such as cardiovascular disease is

A) depression
B) anxiety
C) social life
D) academic performance

Question 8

In the study of caregivers of persons with Alzheimer's disease, improvements to their physical and mental health were associated with what of type coping response (Goode et al., 1998)?

A) Emotion-focused coping
B) Avoidant coping
C) Cognitive avoidance coping
D) Approach coping

Question 9

According to Orbell et al. (1993), what positive outcomes of caring have not been identified?

A) Sense of fulfilment
B) Feeling useful
C) Increased feelings of closeness
D) Increased immune function

Question 10

Benefits of social support and caring in a person with illness include:

A) less adherence to treatment
B) more distress over emotions
C) reduced all-cause mortality
D) lower physiological functioning

Question 11

Ethnic minority groups motivation for caregiving is different from white caregivers in what way?

A) Ethnic minority groups place less value on collectivism
B) Ethnic minority groups place more value on collectivism
C) Ethnic minority groups place more value on individualism
D) Ethnic minority groups place more value on extrinsic motivations

Question 12

McCubbin and Patterson (1983) did not identify what in their parental coping strategies study?

A) Coping by maintaining and focusing on family life and the relationships therein
B) Coping by trying to maintain wellbeing through the use of social relationships
C) Coping by keeping up their own relationships with health professionals outside of their children's illness
D) Coping by having relationships with medical staff and parents of other ill children

Question 13

In Lowe, Norman and Bennett's (2000) study about coping following a heart attack, what was the most common method of coping used in patients?

A) Emotion focused
B) Avoidance focused
C) Problem focused
D) Acceptance focused

Question 14

Stress in the family is a pressure that can disrupt or change the 'family system'. There are 3 stages in a continuum of adaptation (McCubbin & Patterson 1982) including:

A) Resistance, restructuring and consolidation.
B) Resistance, restructuring and communication.
C) Resistance, communication and consolidation.
D) Communication, restructuring and consolidation.

Question 15

Caregiving characteristics and responses have been shown to influence caregiving outcomes. Name one that has NOT been shown as of yet.

A) Relationship
B) Gender
C) Personality
D) Social support

Question 16

What percentage of the Australian population identify as carers?

A) 18.3%
B) 11.6%
C) 42%
D) 56.3%

Question 17

There is a large body of evidence suggesting that care giving has a negative physiological consequence. What is it?

A) Reduced immune function
B) Increased rates of diabetes
C) Increased white blood cells
D) Reduced red blood cells

Question 18

According to Thompson and Pitts (1992), over caring for patients may cause them to experience reduced

A) depression
B) self-efficacy
C) anxiety
D) disability

Question 19

Caring satisfactions as identified by Kinney et al. (1995) and Kramer (1997) do NOT include:

A) Sense of fulfilment.
B) Feeling useful.
C) Healthier lifestyle.
D) Increased feelings of closeness.

Question 20

Banthia et al. (2003) reported that the quality of a relationship may _______ the effects of individual coping.

A) benefit from
B) Become worse as a result of
C) alter
D) moderate