Deck 35: Patient Coaching With Health Promotion

Question 1

Using Erikson's Psychosocial Development Stages, what stage is a 1-year-old child in?

A) Industry versus inferiority
B) Autonomy versus shame and doubt
C) Trust versus mistrust
D) Identify versus role confusion
E) Generativity versus stagnation

Answer 1

Trust versus mistrust

Question 2

Beth has accepted that she has type 2 diabetes. What would be an appropriate adaptive interaction for the medical assistant to do?

A) Use therapeutic communication techniques to acknowledge the patient's feeling.
B) Work with the healthcare team regarding the patient's requests.
C) Encourage the patient to use community and healthcare resources to help ease the change process.
D) Provide handouts that explain the disease and treatment.
E) Provide coaching on aspects of the disease and self-care management.

Answer 2

Provide coaching on aspects of the disease and self-care management.

Question 3

Using Erikson's Psychosocial Development Stages, what stage is a 17-year-old girl in?

A) Intimacy versus isolation
B) Autonomy versus shame and doubt
C) Trust versus mistrust
D) Identify versus role confusion
E) Generativity versus stagnation

Answer 3

Identify versus role confusion

Question 4

The psychomotor domain involves learning through

A) assisting with a procedure.
B) emotions and attitudes.
C) reading written words.
D) listening to what is said.
E) A and D

Question 5

Sara just found out she has breast cancer and needs to go through surgery and chemotherapy. Sarah refuses to accept the facts. What state of grief is she in?

A) Anger
B) Bargaining
C) Depression
D) Denial
E) Acceptance

Question 6

Tom's wife has diabetes and he has come to terms with the situation. What state of grief is he in?

A) Anger
B) Bargaining
C) Depression
D) Denial
E) Acceptance

Question 7

Zach is in the depression stage of grief. What would be an appropriate adaptive interaction for the medical assistant to do?

A) Use therapeutic communication techniques to acknowledge the patient's feeling.
B) Work with the healthcare team regarding the patient's requests.
C) Encourage the patient to use community and healthcare resources to help ease the change process.
D) Provide handouts that explain the disease and treatment.
E) Provide coaching on aspects of the disease and self-care management.

Question 8

What is true regarding the health belief model?

A) Explains what factors influence a person's health belief and practices
B) The first part of the model deals with a person's perception of the severity of the disease.
C) The third part of the model deals with the person's perception of his or her chances of developing a disease.
D) The second part of the model deals focuses on whether the person will take preventive actions.
E) All of the above

Question 9

Using Erikson's Psychosocial Development Stages, what stage is a 75-year-old adult in?

A) Industry versus inferiority
B) Ego integrity versus despair
C) Trust versus mistrust
D) Identify versus role confusion
E) Generativity versus stagnation

Question 10

The medical assistant can coach patients on community resources. Which of the following would be considered community resources coaching?

A) Coaching on preparations for a diagnostic test
B) Coaching on medications prescribed for a disease
C) Coaching on where to purchase medical supplies
D) Coaching on oral self-exam
E) B and C

Question 11

Betsy is in the denial stage of grief. What would be an appropriate adaptive interaction for the medical assistant to do?

A) Use therapeutic communication techniques to acknowledge the patient's feeling.
B) Work with the healthcare team regarding the patient's requests.
C) Encourage the patient to use community and healthcare resources to help ease the change process.
D) Provide handouts that explain the disease and treatment.
E) Provide coaching on aspects of the disease and self-care management.

Question 12

The medical assistant can coach patients on disease prevention. Which of the following would be considered disease prevention coaching?

A) Preparations for a colonoscopy
B) Hygiene practices to little children
C) Self-management of diabetes
D) Information on recommended vaccines
E) B and D

Question 13

The medical assistant can coach patients on health maintenance. Which of the following would be considered health maintenance coaching?

A) Information on routine screenings
B) Preparations for a mammogram
C) Breast self-exam technique
D) Information on nicotine cessation
E) A and C

Question 14

What is true regarding coaching to help increase compliance or adherence with the treatment plan?

A) The medical assistant can coach the patient on home cares.
B) The medical assistant can help the patient understand information from the visit.
C) The medical assistant can coach the patient on the follow-ups.
D) The medical assistant can coach the patient on self-management of the disease.
E) All of the above

Question 15

Which of the following would be a barrier to learning in the psychomotor domain?

A) Sensory limitations
B) Memory issues
C) Stress and pain
D) Tremors and paralysis
E) A and D

Question 16

The cognitive domain involves learning through

A) hands on practice.
B) adapting to one's ability.
C) mental processes.
D) watching demonstrations.
E) our emotions and values.

Question 17

The act of sticking to something.

A) Compliance
B) Cessation
C) Adherence
D) Coaching

Question 18

Which of the following would be a barrier to learning in the cognitive domain?

A) Tremors and paralysis
B) Anxiety and denial
C) Sensory limitations
D) Language barriers
E) C and D

Question 19

With the cognitive domain, what is a way to help patients remember critical information?

A) Provide written step-by-step directions for the patient to follow.
B) Give timely feedback on the patient's performance.
C) Consider cultural customs in your coaching.
D) Present information in small chunks and in a clear well-organized manner.
E) B and D

Question 20

When the medical assistant adapts the coaching to the patient, what must be considered?

A) Developmental level
B) Cultural diversity
C) Communication barriers
D) All of the above
E) A and C

Question 21

What should the medical assistant address when coaching a patient on an MRI?

A) Identify if the patient is claustrophobic.
B) Patient should not use any deodorant prior to the test.
C) Identify if the patient has artificial heart valves, pacemaker, and a cochlear implant.
D) All of the above
E) A and C

Question 22

What statement is not true?

A) The guaiac fecal occult blood test requires a blood sample for testing.
B) The fecal immunochemical test uses antibodies to detect human hemoglobin protein.
C) Patient preparation is required for a colonoscopy.
D) Certain foods must be avoided before the guaiac fecal occult blood test can be done.
E) A guaiac fecal occult blood test should be done every year from age 50 to 75.

Question 23

When working with a patient who has impaired hearing, what strategy should the medical assistant use?

A) Face the person when speaking.
B) Ensure the room has adequate light.
C) Make sure the patient is wearing glasses or contacts if needed.
D) Have the patient repeat back important information.
E) A and D

Question 24

Beth is teaching a patient about foot care. What would not be included in the coaching?

A) Check shoes for damaged areas or stones before putting them on.
B) Check feet when taking off shoes.
C) Wash feet daily with lukewarm water and soap.
D) Use the foot to check the bathwater temperature.
E) See medical care immediately for foot sores.

Question 25

What is a risk factor for skin cancer?

A) Work outdoors
B) Brown eyes
C) Brown hair
D) Darker skin tones
E) A and C

Question 26

What strategy would work when coaching a 21-year-old adult?

A) Use engaging simple tools to communicate information (e.g., DVDs and gaming software).
B) Provide privacy and independence.
C) Identify motivating factors.
D) Use familiar words and simple demonstrations.
E) Communicate using simpler language and speak clearly.

Question 27

What is not a common sign of drug abuse?

A) Very energetic and talks fast
B) Tired and sad
C) Change in eating patterns
D) Missing work
E) Normal reaction time

Question 28

What strategy would work when coaching a 16-year-old girl?

A) Use engaging simple tools to communicate information (e.g., DVDs and gaming software).
B) Provide privacy and independence.
C) Identify motivating factors.
D) Use familiar words and simple demonstrations.
E) Communicate using simpler language and speak clearly.

Question 29

A symptom of oral cancer includes

A) white patches in the mouth.
B) long-term sore throat.
C) bleeding in the mouth.
D) lump in the throat.
E) All of the above

Question 30

What statement is true?

A) Blood pressure checks should be done every 2 to 4 years for adults 18 to 40 years old.
B) Blood pressure checks should be done twice a year for adults over 40 years of age.
C) Adults should have their cholesterol checked every 5 years.
D) Type 2 diabetes mellitus screening should be done every 5 years starting at age 35.
E) Patients age 40 to 80 should have a colonoscopy done every 10 years.

Question 31

A drink of alcohol is classified as a

A) 8 ounces of beer.
B) 1 ounce of liquor.
C) 4 ounces of wine.
D) 12 ounces of beer.
E) 8 ounces of wine.

Question 32

What is a topic for disease prevention coaching?

A) Teaching school-age children about hand washing
B) Teaching teens on how to prevent sexually transmitted infections
C) Teaching parents about vaccines their children could receive
D) Teaching adults about the risks of e-cigarettes
E) All of the above

Question 33

What is a warning sign for breast cancer?

A) A change in the skin (e.g., puckering)
B) Hard area inside the breast
C) Change in the size of the breast
D) Pain that doesn't go away
E) All of the above

Question 34

What is a symptom of testicular cancer?

A) Swollen testicle
B) Painless lump on or in the testicle
C) Low back pain
D) Breast growth or soreness
E) All of the above

Question 35

When working with a patient who has a language barrier, what strategy should the medical assistant use?

A) Be respectful and courteous.
B) Use simple phrases and define any medical terminology used.
C) Use an interpreter.
D) Use pictures and models during the coaching session.
E) All of the above

Question 36

Which of the following types of skin cancer is curable?

A) Melanoma
B) Basal cell
C) Squamous cell
D) All of the above
E) B and C

Question 37

Colon cancer screenings typically start at age _______.

A) 25
B) 30
C) 45
D) 50
E) 65

Question 38

What is true regarding the Cologuard Stool DNA test?

A) Stool samples are collected by the patient.
B) A computer is used to determine if there is blood in the stool.
C) A computer determines if there are cancer or precancerous cells present.
D) No patient preparation is required.
E) All of the above

Question 39

What is a sign of elder neglect?

A) Lack of proper living condition
B) Unexplained sexually transmitted infection
C) Sudden change in personality
D) Symptoms that mimic dementia
E) Fractures and dislocations

Question 40

Most oral cancers occur after age _____.

A) 30
B) 40
C) 50
D) 60
E) 70

Question 41

What does not occur with cold therapy?

A) Vasodilation
B) Decreased tissue metabolism
C) Increase in blood viscosity
D) Increase in blood clotting
E) Localized numbness

Question 42

What is not a correct technique to use when fitting axillary crutches?

A) When the hands are on the handgrip, the elbows should be bent 30 to 45 degrees.
B) Fit crutches so they are 1 to 1.5 inches below the armpit.
C) When fitting crutches, place the tips 4 to 6 inches to the side and front of each foot.
D) The handgrips should be near the top of the hip line.
E) The handgrips should be near the wrist when the hands are at the side.

Question 43

What is the starting point for each crutch gait?

A) Moving the dominant foot forward
B) Moving the dominant hand with the crutch forward
C) With the tripod position
D) With the crutch tips at the side of the feet
E) With the crutch tips behind the feet

Question 44

What would increase the risk of falling when using assistive devices?

A) Wearing shoes with rubber soles
B) Throw rugs in the walkway
C) Taking a step before getting one's balance
D) All of the above
E) B and C

Question 45

What crutch gait would have this sequence: move the right crutch and the left foot forward and then move the left crutch and the right foot forward?

A) Swing through crutch gait
B) Swing to crutch gait
C) Two-point crutch gait
D) Three-point crutch gait
E) Four-point crutch gait

Question 46

Sam was non weight bearing on his left foot. What crutch gait would Sam use?

A) Swing through crutch gait
B) Swing to crutch gait
C) Two-point crutch gait
D) Three-point crutch gait
E) Four-point crutch gait

Question 47

What condition would not be treated with heat therapy?

A) Sinus congestion
B) Localized abscess
C) Menstrual pain
D) Shin splints
E) Arthritis

Question 48

Which statement is not true?

A) A pap test is used to screen for cervical cancers.
B) A pap test should not be done during the menstrual period.
C) For 48 hours prior to the pap test, do not douche or tub bathe.
D) For 48 hours prior to the pap test, refrain from sexual intercourse.
E) For 48 hours prior to the pap test, do not use vaginal creams or foams.

Question 49

What is the most common type of crutches?

A) Forearm crutches
B) Hands-free crutches
C) Extension crutches
D) Lofstrand crutches
E) Axillary crutches

Question 50

How long should a cold or hot pack be applied?

A) 10 to 15 minutes
B) 15 to 20 minutes
C) 20 to 25 minutes
D) 25 to 30 minutes
E) 30 to 45 minutes

Question 51

What is not a correct technique when fitting and using a walker?

A) With the arms at the side of the body, the top of the walker grip should be near the crease in the wrist.
B) With the hands on the grips, the elbows should be bent 15 degrees.
C) The patient should wear shoes during the fitting.
D) When fitting the walker, the patient's feet should be 12 to 18 inches behind the back legs of the walker.
E) B and D

Question 52

Seven days prior to a guaiac fecal occult blood test, the patient should

A) stop taking aspirin, ibuprofen, and vitamin C supplements.
B) not eat red meat.
C) not eat melons.
D) not eat broccoli and radishes.
E) B, C, and D

Question 53

Which patient would have a high risk for tissue injury with hot or cold applications?

A) A 6-month-old child
B) An 84-year-old adult
C) A patient with peripheral vascular disease
D) All of the above
E) A and B

Question 54

What would not be considered a dry application?

A) Heating pad
B) Chemical hot or cold pack
C) Ice bag
D) Hot compress
E) C and D

Question 55

Susy has a cast on her left leg. What is an abnormal sign or symptom that she should report to the provider?

A) Both feet are the same color and temperature.
B) She has the "pins and needles" sensation in her right foot.
C) She cannot move her left toes.
D) She has swelling in her right foot.
E) Her right foot is colder than the left foot.

Question 56

Tom had a stroke and has lost the use of his left hand. What type of walker would he use?

A) Knee walker
B) Two-wheel walker
C) Rollator
D) Hemi walker
E) Standard walker

Question 57

What statement is incorrect?

A) Isometric contractions change the muscle length.
B) Isotonic contractions cause movement at the joint.
C) Isotonic contractions occur with walking and lifting weights.
D) Isometric contractions occur when pushing against a stable object.
E) A and D

Question 58

Jane injured her foot and needs to remain off it. She doesn't want to use crutches. What type of walker would be an alternative assistive device for her?

A) Knee walker
B) Two-wheel walker
C) Rollator
D) Hemi walker
E) Standard walker

Question 59

What statement is incorrect?

A) Heat lamp therapy is used to kill pathogens and heal tissue.
B) Paraffin therapy is used for arthritis.
C) Ultrasound therapy can be done by a medical assistant.
D) RICE therapy is used for orthopedic injuries.
E) After 72 hours, moist heat is used for ankle sprains.

Question 60

What crutch gait would have this sequence: move the right crutch forward, then the left foot forward, followed by the left crutch forward, and lastly bring the right foot forward?

A) Swing through crutch gait
B) Swing to crutch gait
C) Two-point crutch gait
D) Three-point crutch gait
E) Four-point crutch gait

Question 61

What is correct regarding a patient navigator?

A) Also called patient advocate
B) Guides patients through the healthcare system
C) Identifies and attempts to eliminate barriers to care
D) Work closely with the healthcare team and the patient
E) All of the above

Question 62

A person who identifies patients' barriers works closely with the healthcare team and patients, and guides the patients through the healthcare system.

A) Health coach
B) Patient coach
C) Patient navigator
D) Medical assistant
E) All of the above