RTPM UPDATED FINAL EXAM ACTUAL QUESTIONS AND
ANSWERS GRADED A+
✔✔What is anxiety and depression - ✔✔Anxiety: response to perceived threat
Depression: response to perceived loss
(Lead to poor Tx compliance, slow recover, poor QoL)
✔✔3 methods of screening - ✔✔1) Clinical observation
2) Reports from patient/ friends/ relatives
3) Standard questionnaires
(Chinese: embarrassing, not to seek help, hide feelings)
✔✔Psychological and somatic S/S of daily observation - ✔✔Psychological: Irritability,
suicidal thinking, reduced self-esteem
Somatic: Fatigue, reduced appetite, insomnia
✔✔Functions of communication - ✔✔Fostering healing relationships
Exchanging information
Responding to emotions
✔✔Communication in Palliative Care - ✔✔Comfort, Open-ended question, Body
language, Facial expression, Listening, Reflecting, Summarizing
(Non-verbal: touching, facial expression, eye contact, tone of voice)
✔✔Psychological disorders associated with cancer - ✔✔Anxiety disorder: Panic
disorder
Stress-related disorder: Post-traumatic stress disorder
Mood disorder: Depression
Substance abuse, anorexia, insomnia
✔✔Psychological interventions - ✔✔Supportive psychotherapy
Therapeutic support group
Cognitive behavioral therapy
Electroconvulsive therapy
✔✔Rationale & Mechanism of cognitive behavioral therapy - ✔✔Systemic errors in
conscious thinking
Tend to interpret events negatively
Help Px aware of distorted thought & change
Improve behavior & mood
Stimulus->
Thoughts-Emotions-Physical response-Behavior
✔✔4 outcome measures of psychosocial therapy - ✔✔1) Performance status
2) Compliance to Tx
, 3) Ability to work
4) Morbidity & Mortality
(Tx compliance: enhance continuity of care, improve QoL)
✔✔What to consider when implementing psychosocial care - ✔✔1) Raise awareness in
psychosocial care
2) Standard of care (identify need & link to service)
3) Healthcare provider
4) Patient & Family education
5)
✔✔Potential roles of RT - ✔✔1) Early identification of high-risk group
2) Information + Emotional support
3) Early referral
✔✔How to assess QoL - ✔✔Obtain from Px personal feelings
Largely depends on SE & subjective feelings, perception, attitude
✔✔Why fatigue and Mx - ✔✔Due to poor nutrition, weight loss, sleep disturbance,
concurrent pathology
Exercise
1) Endorphin release
2) Improve mood by regular exercise & better sleep quality
3) Mediation in motion
✔✔Referral by RT - ✔✔Low distress case-> FU by psychologist/ clinical social worker
High distress case-> Psychiatrist
✔✔How to answer if complementary Tx is useful - ✔✔Look for scientific evidence,
Not pertly from feedback
Refer for potential drug interaction, allergy
Evidence-based medicine
✔✔2 types of pain - ✔✔1) Nociceptive
Due to actual tissue damage
Detection of harmful stimuli
2) Neuropathic
Due to damage of body neuron
Pain signal send to CNS (shooting, stabbing)
✔✔Perception of pain is influenced by - ✔✔Context, attention, anxiety, memory,
expectation
(Pain as a symptom; find cause and fix it)
ANSWERS GRADED A+
✔✔What is anxiety and depression - ✔✔Anxiety: response to perceived threat
Depression: response to perceived loss
(Lead to poor Tx compliance, slow recover, poor QoL)
✔✔3 methods of screening - ✔✔1) Clinical observation
2) Reports from patient/ friends/ relatives
3) Standard questionnaires
(Chinese: embarrassing, not to seek help, hide feelings)
✔✔Psychological and somatic S/S of daily observation - ✔✔Psychological: Irritability,
suicidal thinking, reduced self-esteem
Somatic: Fatigue, reduced appetite, insomnia
✔✔Functions of communication - ✔✔Fostering healing relationships
Exchanging information
Responding to emotions
✔✔Communication in Palliative Care - ✔✔Comfort, Open-ended question, Body
language, Facial expression, Listening, Reflecting, Summarizing
(Non-verbal: touching, facial expression, eye contact, tone of voice)
✔✔Psychological disorders associated with cancer - ✔✔Anxiety disorder: Panic
disorder
Stress-related disorder: Post-traumatic stress disorder
Mood disorder: Depression
Substance abuse, anorexia, insomnia
✔✔Psychological interventions - ✔✔Supportive psychotherapy
Therapeutic support group
Cognitive behavioral therapy
Electroconvulsive therapy
✔✔Rationale & Mechanism of cognitive behavioral therapy - ✔✔Systemic errors in
conscious thinking
Tend to interpret events negatively
Help Px aware of distorted thought & change
Improve behavior & mood
Stimulus->
Thoughts-Emotions-Physical response-Behavior
✔✔4 outcome measures of psychosocial therapy - ✔✔1) Performance status
2) Compliance to Tx
, 3) Ability to work
4) Morbidity & Mortality
(Tx compliance: enhance continuity of care, improve QoL)
✔✔What to consider when implementing psychosocial care - ✔✔1) Raise awareness in
psychosocial care
2) Standard of care (identify need & link to service)
3) Healthcare provider
4) Patient & Family education
5)
✔✔Potential roles of RT - ✔✔1) Early identification of high-risk group
2) Information + Emotional support
3) Early referral
✔✔How to assess QoL - ✔✔Obtain from Px personal feelings
Largely depends on SE & subjective feelings, perception, attitude
✔✔Why fatigue and Mx - ✔✔Due to poor nutrition, weight loss, sleep disturbance,
concurrent pathology
Exercise
1) Endorphin release
2) Improve mood by regular exercise & better sleep quality
3) Mediation in motion
✔✔Referral by RT - ✔✔Low distress case-> FU by psychologist/ clinical social worker
High distress case-> Psychiatrist
✔✔How to answer if complementary Tx is useful - ✔✔Look for scientific evidence,
Not pertly from feedback
Refer for potential drug interaction, allergy
Evidence-based medicine
✔✔2 types of pain - ✔✔1) Nociceptive
Due to actual tissue damage
Detection of harmful stimuli
2) Neuropathic
Due to damage of body neuron
Pain signal send to CNS (shooting, stabbing)
✔✔Perception of pain is influenced by - ✔✔Context, attention, anxiety, memory,
expectation
(Pain as a symptom; find cause and fix it)
