The Patient In The Treatment Setting
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Ettner studied the the relationship between continuity of care and health behaviours of patients. Which of these is not a finding from this study?
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There is a significant difference in health behaviours between those who have a regular physician and those that do not in terms of all health behaviours.
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Factors that inhibit a physician's ability to counsel a patient include time constraints, patient receptiveness, willingness to alter behaviours and the difference in stress placed on the importance of lifestyle rather than medical issues.
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Having a regular physician significantly and positively influences drug and alcohol abuse.
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Regular physician care increases the number of checkups and preventative health measures.
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Public health factors have a greater impact on health behaviours than regular patient-physician relationships.
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Score 90% or greater to pass the quiz. All answers are taken from the BHSc wiki.
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- 2.
The patient-physician relationship has evolved over the course of history. In the past, the relationship was considered paternal because of high physician power and low patient power. Today, we see a movement toward a mutual relationship characterized by:
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High patient power and high physician power.
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High patient power and low physician power.
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Low patient power and low physician power.
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Low patient power and high physician power.
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Moderate power from both the patient and physician.
Correct Answer
A. High patient power and high physician power.Explanation
The correct answer is high patient power and high physician power. This means that in the present day, the patient-physician relationship is characterized by a balance of power between both parties. Patients have more autonomy and involvement in their healthcare decisions, while physicians still maintain their expertise and authority in providing medical advice and treatment. This shift towards a mutual relationship reflects the importance of patient-centered care and shared decision-making in modern healthcare.Rate this question:
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- 3.
Beach et al examined the quality of the patient-provider relationship and care in patients with HIV. Which of these outcomes is not associated with an understanding health care provider?
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The patient experiences a higher quality of life.
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The patient tends to alter their lifestyle choices.
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The patient has a longer followup.
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The patient has more positive beliefs about highly active antiretroviral therapy.
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The patient has a higher adherence rate to their treatment plan.
Correct Answer
A. The patient tends to alter their lifestyle choices.Explanation
The patient tends to alter their lifestyle choices is not associated with an understanding health care provider. The study conducted by Beach et al examined the quality of the patient-provider relationship and care in patients with HIV. The outcomes associated with an understanding health care provider include a higher quality of life for the patient, longer follow-up, more positive beliefs about highly active antiretroviral therapy, and a higher adherence rate to their treatment plan. However, there is no mention or indication in the question or context that an understanding health care provider would lead to the patient altering their lifestyle choices.Rate this question:
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- 4.
Adler considered the sociophysiology of caring as it relates to health. Which of these principles of a meaningful relationship does not contribute to a positive influence on health?
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Empathy is a basic component in a caring relationship.
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A relationship consists of reaction feedback loops that are mutual.
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Empathy is both an experience and a physiological state.
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Physiological state changes can be influenced, therefore health can be influenced.
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A relationship forces the patient to consider their health a greater priority.
Correct Answer
A. A relationship forces the patient to consider their health a greater priority.Explanation
The given options are discussing principles of a meaningful relationship that contribute to a positive influence on health. However, the statement "A relationship forces the patient to consider their health a greater priority" does not directly relate to the principles of a meaningful relationship. It is more about the patient's personal responsibility and mindset towards their health, rather than a principle of a caring relationship.Rate this question:
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- 5.
In a study conducted by dos Santos on pulmonary tuberculosis and treatment delay a number of findings were elucidated. Which of the following is not a finding from this study?
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The knowledge of tuberculosis prior to disease contact did not affect total delay in seeking treatment.
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The ease of access to health care settings did not decrease delays in seeking treatment.
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The factors associated with a delay in treatment are specific to patient delay more so than health services delay.
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The increased treatment delays are associated with unemployment and general attitude toward health.
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The decreased treatment delays are associated with a positive attitude toward prevention and early care.
Correct Answer
A. The factors associated with a delay in treatment are specific to patient delay more so than health services delay.Explanation
The study conducted by dos Santos on pulmonary tuberculosis and treatment delay found that the factors associated with a delay in treatment are not specific to patient delay more so than health services delay.Rate this question:
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- 6.
Bond et al examined the Assertive Community Treatment (ACT) for people with severe mental illness. Which of these factors is the major deterrent against implementing the ACT program?
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There are more effective programs in place already.
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The program is too focused on short term gains.
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The benefits per patient outweigh the cost in terms of resources.
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The program is considered fiscally costly overall.
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The program keeps patients institutionalized for a long period of time.
Correct Answer
A. The program is considered fiscally costly overall.Explanation
The major deterrent against implementing the ACT program is that it is considered fiscally costly overall.Rate this question:
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- 7.
Tiet examined the treatment setting and how it affects the health of those patients with a substance use disorder. Which of the following is not one of the findings from the article?
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Severe drug abusing patients experienced better outcomes following in-patient treatment.
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Severe alcohol abusing patients experienced better outcomes following in-patient treatment.
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Less severe drug abusing patients experienced better outcomes following out-patient treatment.
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Less severe alcohol abusing patients experienced better outcomes following out-patient treatment.
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All populations with a substance use disorder experienced better outcomes following in-patient treatment.
Correct Answer
A. All populations with a substance use disorder experienced better outcomes following in-patient treatment.Explanation
The article found that severe drug abusing patients experienced better outcomes following in-patient treatment, severe alcohol abusing patients experienced better outcomes following in-patient treatment, and less severe drug abusing patients experienced better outcomes following out-patient treatment. However, the article did not find that less severe alcohol abusing patients experienced better outcomes following out-patient treatment.Rate this question:
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- 8.
Foster et al examined obese patients' perceptions of treatment outcomes. Which of the following is FALSE?
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Obese patients often expect weight loss outcomes that highly exceed their realistic treatment outcomes.
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Initial body weight is the strongest predictor of disappointed, happy and acceptable weights.
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Heavier participants choose higher absolute weights.
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Race and age are strong contributors to patients perceptions of weight outcomes.
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Mood has an effect on patient perceptions of expected weight outcomes.
Correct Answer
A. Race and age are strong contributors to patients perceptions of weight outcomes.Explanation
The statement that race and age are strong contributors to patients' perceptions of weight outcomes is false. The other statements are all true based on the findings of Foster et al's study. Obese patients often have unrealistic expectations of weight loss outcomes, initial body weight is a strong predictor of patients' satisfaction with their weight, heavier participants tend to choose higher absolute weights, and mood can influence patients' perceptions of expected weight outcomes.Rate this question:
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- 9.
Battaglia et al examined trust in the patient-provider relationship as it relates to survivors of intimate partner violence. Which of these behaviours does not consistently develop trust?
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Communication.
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Professional competency.
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Practice style.
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Emotional equality.
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All of the above behaviours develop trust.
Correct Answer
A. All of the above behaviours develop trust.Explanation
All of the mentioned behaviors - communication, professional competency, practice style, and emotional equality - consistently develop trust in the patient-provider relationship, according to Battaglia et al's examination.Rate this question:
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- 10.
Lynn noticed that she had blood in her urine. She instantly realized that she should seek medical care. Because she had many business appointments booked, she delayed two days before phoning the doctor's office for an appointment. This is an example of a(n):
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Illness delay.
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Scheduling delay.
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Behavioural delay.
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Medical delay.
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Appraisal delay.
Correct Answer
A. Behavioural delay.Explanation
Lynn's delay in seeking medical care despite noticing blood in her urine is an example of a behavioral delay. This means that her decision to postpone contacting the doctor's office was influenced by her own behavior or actions. In this case, Lynn's busy schedule and the prioritization of her business appointments caused her to delay seeking medical attention.Rate this question:
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- 11.
All of the following contribute to a depersonalizing experience in the hospital except:
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Wearing a hospital gown.
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Admittance to ICU.
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Having your sister present during procedures.
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Being referred to by ailment.
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Medical professionals entering hospital rooms without knocking.
Correct Answer
A. Having your sister present during procedures.Explanation
The presence of a sister during procedures does not contribute to a depersonalizing experience in the hospital. Depersonalization is often caused by factors such as wearing a hospital gown, being referred to by ailment, medical professionals entering rooms without knocking, and admittance to the ICU. Having a familiar person like a sister present can actually provide comfort and support, making the experience more personal.Rate this question:
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- 12.
Complete the following sentence so that it is a TRUE statement:People described as high monitors/ low blunters ______________.
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Are so named because their role in monitoring the health care system.
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Are predicted to use less health care services because they are slower to notice symptoms.
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Are known for ignoring threat-relevant information.
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Are more likely to visit a health professional with less severe medical problems than blunters while reporting equivalent levels of dysfunction and distress.
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All of the above options are correct.
Correct Answer
A. Are more likely to visit a health professional with less severe medical problems than blunters while reporting equivalent levels of dysfunction and distress.Explanation
People described as high monitors/low blunters are more likely to visit a health professional with less severe medical problems than blunters while reporting equivalent levels of dysfunction and distress. This means that high monitors/low blunters are more attentive to their health and seek medical help earlier for less severe issues compared to blunters, even though they may experience similar levels of dysfunction and distress.Rate this question:
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- 13.
Joan developed severe abdominal pain. Although she recognized that she was seriously ill, Joan waited four hours before deciding to go to the hospital. Minutes later she was in a taxi. She then spent another two hours waiting to see a doctor.The four hour patient delay would be called a(n)___________ and the two hour delay would be called a(n)_______________.
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Illness delay; medical (scheduling) delay.
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Behavioural delay; appraisal delay.
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Appraisal delay; medical (treatment) delay.
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Illness delay; appraisal delay.
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Medical delay; illness delay.
Correct Answer
A. Illness delay; medical (scheduling) delay.Explanation
The four hour patient delay is referred to as an "illness delay" because it is the time that Joan waited before deciding to go to the hospital despite recognizing that she was seriously ill. The two hour delay is called a "medical (scheduling) delay" because it is the time Joan spent waiting to see a doctor once she arrived at the hospital.Rate this question:
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- 14.
Complete the blank:"Medical students' disease" is an example of a ________ that influences whether a person will recognize a symptom.
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Cultural difference.
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Situational factor.
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Stress factor.
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Mood.
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Delay behaviour.
Correct Answer
A. Situational factor.Explanation
"Medical students' disease" refers to a phenomenon where medical students, after studying a particular disease, start to perceive themselves as having the symptoms of that disease. This is an example of a situational factor because the students' environment and situation (their exposure to medical knowledge and studying) influences their perception and recognition of symptoms. The situational factor in this case is the students' immersion in medical education, which shapes their perception and interpretation of symptoms.Rate this question:
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- 15.
Clark played poker last night with his friends, drinking lots of beer and getting only 3 hours of sleep. When he woke, he thought about how boring his factory job was and how tired he felt. He also noticed the onset of a headache. "I'll call in sick today so that I can get some sleep and feel better for the rest of the week." After he called in sick, he went back to sleep.This scenario is an example of:
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A "secondary gains" of illness, as he is freed from going to work.
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How anxiety and depression can produce physical symptoms.
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The "worried well," who are people who perceive minor symptoms as serious.
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Options B and C are both correct.
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All of the above options are correct.
Correct Answer
A. A "secondary gains" of illness, as he is freed from going to work.Explanation
The scenario presented in the question describes Clark's decision to call in sick after a night of poker and lack of sleep. This decision can be seen as an example of "secondary gains" of illness because Clark sees it as an opportunity to be freed from going to work. By calling in sick, he can get some sleep and feel better for the rest of the week, which he perceives as a benefit or gain from being ill.Rate this question:
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- 16.
Patients often judge their quality of care on the manner in which their care is delivered. Which of the following statements are true?
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One explanation for why this is true is because most patients lack the knowledge base to judge the technical quality of care.
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A warm, confident and friendly health professional is more likely to be judged as a competent than cool and aloof.
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Technical quality of care and the manner in which care is delivered are actually unrelated.
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Options A and B are true.
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Allo of the above are true.
Correct Answer
A. Allo of the above are true.Explanation
Patients often judge their quality of care based on the manner in which it is delivered because they may not have the knowledge or expertise to assess the technical quality of care. A warm, confident, and friendly health professional is more likely to be perceived as competent by patients compared to someone who is cool and aloof. The statement that the technical quality of care and the manner in which care is delivered are unrelated is false. Therefore, options A and B, which state that both patients' lack of knowledge and the influence of the manner in which care is delivered are true, are correct. Hence, the correct answer is "All of the above are true."Rate this question:
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- 17.
The 17th century French playwright Moliere once described the patient-provider relationship thusly:The king: "You have a physician. What does he do?"Moliere: "Sire, we converse. He gives me advice which I do not follow and I get better."This excerpt is an illustration of which concept?
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Depersonalization of the patient.
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Neuroticism.
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Worried well.
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Delay behaviour.
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Nonadherence.
Correct Answer
A. Nonadherence.Explanation
This excerpt is an illustration of the concept of nonadherence. Moliere describes the patient-provider relationship as a conversation where the physician gives advice that the patient does not follow, yet the patient still gets better. This suggests that the patient is not adhering to the physician's advice or treatment plan, but still experiences improvement.Rate this question:
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- 18.
Which factor is the greatest cause of nonadherence?
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Patients' uncooperative personalities.
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Poor communication.
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Forgetfulness.
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Ignorance.
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Lack of motivation.
Correct Answer
A. Poor communication.Explanation
Poor communication is the greatest cause of nonadherence because when healthcare providers fail to effectively communicate with patients, it can lead to misunderstandings, confusion, and lack of clarity regarding treatment plans and instructions. This can result in patients not following through with their prescribed medications or therapies, leading to nonadherence. Improving communication between healthcare providers and patients can help address this issue and improve patient adherence to treatment plans.Rate this question:
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- 19.
In June 1962, a mysterious epidemic broke out in the dressmaking department of a southern textile plant. The symptoms varied but usually included nausea, numbness, dizziness and occasional vomiting.A few required hospitalization but most were simply excused from work for several days.Almost all of the affected workers reported being bitten by some kind of gnat or mite. However, careful inspection of the plant turned up only a small variety of insects that could not have caused the reported symptoms. Investigators also noted that the epidemic occured at a very busy time in the year and that many employees harbored severely anxious feelings.This historical case can be an illustration of the concept(s) of?(If you are interested in this case, look up the 1979 article called "An investigation of apparent mass psychogenic illness in an electronics plant." in the Journal of Behavioural Medicine.)
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The "secondary gains" of illness, including the ability to rest and take time off work.
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Somaticization, which is when individuals express distress and conflict through bodily symptoms.
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The "worried well".
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Options A and B are both correct.
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Options B and C are both correct.
Correct Answer
A. Options A and B are both correct.Explanation
This historical case can be seen as an illustration of the concept of "secondary gains" of illness, as the affected workers were excused from work for several days. It can also be seen as an example of somaticization, as individuals expressed distress and conflict through bodily symptoms. Both concepts are applicable in this case, suggesting that options A and B are both correct.Rate this question:
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- 20.
Miller, Brody and Summerton found that individuals who are high monitors sought help for milder problems than what low monitors brought to their physicians. What might be the reason for this?
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High monitors are also more likely to attent to internal bodily symptoms.
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High monitors are more likely to take risks.
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High monitors anticipate that they will recover slower than low monitors. Therefore, they visit with milder symptoms so that they can recover on an equal basis.
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High monitors are less likely to become ill, which is why they have milder symptoms.
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High monitors are more likely to be afraid of menial tasks.
Correct Answer
A. High monitors are also more likely to attent to internal bodily symptoms.Explanation
The reason for high monitors seeking help for milder problems than low monitors could be that high monitors are more likely to attend to internal bodily symptoms. This means that they pay more attention to and are more aware of any physical discomfort or changes happening within their bodies. As a result, they may be more proactive in seeking medical help even for relatively mild symptoms, in order to address any potential health issues early on.Rate this question:
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Jun 04, 2024Quiz Edited by
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Dec 03, 2008Quiz Created by
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