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| 1 | |
Quality of life findings for chronic illnesses are |
| | A) | usually similarly evaluated by the health provider, patient, and the family members. |
| | B) | currently assessing the effects of the disease, and studying to see if its treatment interferes with the activities of daily living. |
| | C) | currently focusing on the psychological status of the patient. |
| | D) | currently focusing on the pain reduction in order to improve all other areas of a patient's life. |
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| 2 | |
As a health psychologist, it is important to understand immediate responses to a chronic disease diagnosis because |
| | A) | the way a patient responds will dictate future treatment outcomes. |
| | B) | it is best to wait for treatment interventions until after the patient has adjusted to the chronic aspect of the diagnosis. |
| | C) | patients are most likely to find that their regular coping strategies are not effective and they need understanding and acceptance during this time. |
| | D) | patients need to be left alone until they indicate a willingness to accept their diagnosis. |
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| 3 | |
Anxiety is a problem |
| | A) | for patients, since it is intrinsically debilitating. |
| | B) | for patients, since it predicts poor outcomes of treatments. |
| | C) | for providers, since anxiety might increase over time and interfere with the positive outcomes of treatments. |
| | D) | a and b |
| | E) | all of the above |
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| 4 | |
One of the main reasons that depression is difficult to diagnosis in the chronically ill is |
| | A) | fatigue, weight loss, and sleeplessness may be symptoms of the disease. |
| | B) | men are more likely to exhibit different signs of depression chronic illnesses. |
| | C) | providers are treating the chronic illness and forgetting about the psychological health of the patient. |
| | D) | all of the above |
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| 5 | |
One of the most significant drawbacks to support groups is that |
| | A) | they have not been researched extensively. |
| | B) | people do not want to go because they fear no one in the group will truly understand their symptoms. |
| | C) | they have not been available to all patients from a variety of walks of life. |
| | D) | emotional support feels good, but does not translate into adherence. |
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| 6 | |
Patient education programs typically include all of the following EXCEPT |
| | A) | coping skills that improve functioning and adherence. |
| | B) | reduced anxiety by acquiring knowledge about the disease. |
| | C) | increase patient's feelings of powerlessness and understand that their fate rests with their physician. |
| | D) | reduced pain and depression complaints. |
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| 7 | |
Individual therapy as intervention with chronically ill patients is |
| | A) | similar in almost all ways to therapy with patient's who have primarily psychological complaints. |
| | B) | mainly different because the therapist must have a comprehensive understanding of the patient's illness. |
| | C) | requiring the therapist to be more flexible in scheduling the patient when the patient requests treatment. |
| | D) | to confront all of the patient's defense mechanisms in order for the patient to truly cope with the chronic illness. |
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| 8 | |
Chronically ill children are especially problematic since |
| | A) | they may not understand that the illness is not a punishment for their behaviors. |
| | B) | they may not be able to follow the treatment regimen without help from adults, thus making them feel less self confident. |
| | C) | the treatments may result in isolating situations. |
| | D) | all of the above |
| | E) | a and c |
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| 9 | |
The caregiving role is |
| | A) | a highly valued role by both the family member with the chronic illness and the caregiver. |
| | B) | often a threat to the caregiver's health by reduced immunity functions and overall health. |
| | C) | stressful and most times ends in divorce or estrangement from the chronically ill person. |
| | D) | seen as the role of women with men and children rarely providing care to chronically ill family members. |
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| 10 | |
Chronic illnesses impact on sexuality is |
| | A) | best left to physicians to address since they have extensive training in this area. |
| | B) | not that important since being alive ought to be enough for anyone. |
| | C) | important and attention ought to be addressed to it with practical, insightful, and quality of life issues addressed by health care providers. |
| | D) | that most chronically ill patients report feeling sexually aroused and request information on how to contain their sexual urges. |
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