HSC 300 MAIN EXAMINATION SET 2026 QUESTIONS
AND SOLUTIONS RATED A+
✔✔health care reform disadvantages - ✔✔- will challenge current infrastructure
- initial cost to ramp up the health care system
- insurance rates have increased from 1.7-21% making them unaffordable for some
- many are now underinsured
- ACA does not do enough documented immigrants must have insurance but dont
qualify for medicaid for up to 5 years
- ACA does not do enough of eliminating fraud and waste
✔✔dualistic treatment - ✔✔- a dualistic view of health is that mind and body are
separate this view is still largely believed today in western medicine
- medicine deals with physical health concerns
- while mental health concerns are usually forwarded to psychologists, social workers
etc
✔✔holistic treatment - ✔✔- holistic treatment views health as an overall connection
between the mind, body, soul as well as the environment
- common in traditional chinese medicine
- includes chiropractic, acupuncture, massage therapy etc
✔✔power differentials - ✔✔- interactions within health care providers often have issues
with power, specifically unequal power
- physicians cannot treat a pt without their consent, nor are pt's required to follow their
medical advice
✔✔knowledge and power - ✔✔- one key issue with pt provider communication is the
issue of knowledge and access to information
- there are times when health care professionals are not not allowed to divulge medical
information
✔✔therapeutic privilege - ✔✔- is the prerogative sometimes granted to physicians to
withhold information from patients if they feel that disclosing the information would do
more harm than good
✔✔questions + directives - ✔✔- health processionals traditionally have used talking
time to ask questions and give directives
✔✔blocking - ✔✔- is a process by which people steer talk away from certain subjects
- dr's often do this to limit pt complaints and to avoid their emotional disclosure
- in research analyzing pts with lung cancer, drs displayed empathy on 10% of the time
during visits usually at the end
- practitioners may be at a loss for what to say or are fearful they will say the wrong
thing
, ✔✔patronizing behavior - ✔✔- drs are often accused of patronizing pts and treating
them as if they are inferior
- withholding information from pts
- speaking down to pts
- shrugging off their feels as childish or inconsequential
✔✔collaborative communication model - ✔✔- is the opposite of the traditional
communication model
- involves the participants proactive desire to treat each other as peers as equals
- focuses on open discussions of health options and making mutually satisfying
decisions
✔✔the emerging model - ✔✔- in the 90's there was a shift away from the find it and fix it
model, to more of an outcome based model
- shift occurred bc of chronic disease requires more of a broad approach could no
longer employ find it and fix it
- physicians have to have more dialogue with the pts to determine what is the cause
and to treat the cause
✔✔the problem of nonadherence - ✔✔- simply giving pts advice to take medications or
make lifestyle changes is often not effective
✔✔skill builder
motivational interviewing - ✔✔- is a counseling method that helps people resolve
ambivalent feelings and insecurities to find the internal motivation they need to change
their behavior
- can be incorporated into routine pt care
- it has been applied to diabetes to encourage pts to discuss behaviors associated with
self management
✔✔skill builder
dialogue - ✔✔- good dialogue is another technique to improve pt provider
communication
✔✔skill builder
narrative medicine - ✔✔- revolves around the pts narrative or story
- helpful with new encounters
✔✔skill builder
healing envionments - ✔✔- the medical offices are key to setting the tone and
encouraging healing
- simple changes such as paint color, artwork, interesting light fixtures, different seating,
etc can help
AND SOLUTIONS RATED A+
✔✔health care reform disadvantages - ✔✔- will challenge current infrastructure
- initial cost to ramp up the health care system
- insurance rates have increased from 1.7-21% making them unaffordable for some
- many are now underinsured
- ACA does not do enough documented immigrants must have insurance but dont
qualify for medicaid for up to 5 years
- ACA does not do enough of eliminating fraud and waste
✔✔dualistic treatment - ✔✔- a dualistic view of health is that mind and body are
separate this view is still largely believed today in western medicine
- medicine deals with physical health concerns
- while mental health concerns are usually forwarded to psychologists, social workers
etc
✔✔holistic treatment - ✔✔- holistic treatment views health as an overall connection
between the mind, body, soul as well as the environment
- common in traditional chinese medicine
- includes chiropractic, acupuncture, massage therapy etc
✔✔power differentials - ✔✔- interactions within health care providers often have issues
with power, specifically unequal power
- physicians cannot treat a pt without their consent, nor are pt's required to follow their
medical advice
✔✔knowledge and power - ✔✔- one key issue with pt provider communication is the
issue of knowledge and access to information
- there are times when health care professionals are not not allowed to divulge medical
information
✔✔therapeutic privilege - ✔✔- is the prerogative sometimes granted to physicians to
withhold information from patients if they feel that disclosing the information would do
more harm than good
✔✔questions + directives - ✔✔- health processionals traditionally have used talking
time to ask questions and give directives
✔✔blocking - ✔✔- is a process by which people steer talk away from certain subjects
- dr's often do this to limit pt complaints and to avoid their emotional disclosure
- in research analyzing pts with lung cancer, drs displayed empathy on 10% of the time
during visits usually at the end
- practitioners may be at a loss for what to say or are fearful they will say the wrong
thing
, ✔✔patronizing behavior - ✔✔- drs are often accused of patronizing pts and treating
them as if they are inferior
- withholding information from pts
- speaking down to pts
- shrugging off their feels as childish or inconsequential
✔✔collaborative communication model - ✔✔- is the opposite of the traditional
communication model
- involves the participants proactive desire to treat each other as peers as equals
- focuses on open discussions of health options and making mutually satisfying
decisions
✔✔the emerging model - ✔✔- in the 90's there was a shift away from the find it and fix it
model, to more of an outcome based model
- shift occurred bc of chronic disease requires more of a broad approach could no
longer employ find it and fix it
- physicians have to have more dialogue with the pts to determine what is the cause
and to treat the cause
✔✔the problem of nonadherence - ✔✔- simply giving pts advice to take medications or
make lifestyle changes is often not effective
✔✔skill builder
motivational interviewing - ✔✔- is a counseling method that helps people resolve
ambivalent feelings and insecurities to find the internal motivation they need to change
their behavior
- can be incorporated into routine pt care
- it has been applied to diabetes to encourage pts to discuss behaviors associated with
self management
✔✔skill builder
dialogue - ✔✔- good dialogue is another technique to improve pt provider
communication
✔✔skill builder
narrative medicine - ✔✔- revolves around the pts narrative or story
- helpful with new encounters
✔✔skill builder
healing envionments - ✔✔- the medical offices are key to setting the tone and
encouraging healing
- simple changes such as paint color, artwork, interesting light fixtures, different seating,
etc can help
