CMN 462 - Exam 1 UPDATED ACTUAL Questions and
CORRECT Answers
Restitution Narrative - basic story: anyone who is sick wants to be healthy again
- Yesterday I was healthy, today I am sick, but tomorrow I will be healthy again
- Example: I caught a bad cold last week and had to stay home from work. I
rested, drank plenty of fluids, and took some medicine. By the weekend, I was
feeling completely better and back to my usual routine
- related concept: sick role
- When someone gets sick they have expectations of others and others have
expectations of them.
What is uncertainty Inability to make sense of, assign value to, or predict the
outcomes of events because of a lack of sufficient cues
uncertainty exists when - Situations are ambiguous, unpredictable, or probabilistic
- Information is unavailable or inconsistent
- When people feel unsure in their knowledge
Uncertainty Management Theory - Individuals experience different types of uncertainty
- Individuals appraise uncertainty for meaning
- Communication is a primary tool for managing uncertainty
- Emphasis on MANAGEMENT (coping by seeking or avoiding information)
Medical uncertainty - Little information about the cause of symptoms
- Complex decisions about the medical risk vs.
benefits of procedure (e.g., organ transplant)
- Unknown availability of treatment (e.g., receiving an
organ in time)
- Learning new medication regimens, that may need
to be followed for a lifetime
- Unpredictable future health outcomes
, personal uncertainty -Wondering about one's ability to contribute
meaningfully to society
-Reconceptualizing oneself as someone who has a
chronic illness
-Limited ability to make future plans
-Conflicting role of caregiver and care receiver (e.g.,
how am I going to raise my kids if I'm sick?)
social uncertainty -Barrage of questions from others
-Stigmatizing remarks (e.g., being classified as
"disabled")
-Potential for romantic relationships
3 types of uncertainty appraisal - Negative (i.e., danger)
- Positive (i.e., beneficial)
- Neutral (i.e., inconsequential)
Negative Appraisal of Uncertainty Inability to predict the future progression of disease seen as a source of distress
positive appraisal of uncertainty Preference for uncertainty of nature of illness over diagnosis of a fatal diagnosis
neutral appraisal of uncertainty Uncertainty response is indifference or uncertainty is deemed irrelevant
what can you do to manage uncertainty 1. Seeking or avoiding information (direct, indirect)
2. Social support (helps with challenges and helps me think about challenges
differently)
3. Adapting to chronic illness (learning to accept)
4. Managing the management (what to do when the above
strategies are complicated by the nature of info and the people involved)
From Becker, why are narratives important? What Narratives help us to control the chaos of having an illness, culture can affect our
ideologies drive how we experience and narrate our narratives and how we control illness
health in the US?
Dean & Davison (2018): From the findings, how do - uncertainty experienced is mostly negative (fear, anxiety, confusion)
previvors experience uncertainty (positive, negative, - previvors can experience positive or neutral when properly supported
neutral)? - uncertainty improves when patients receive: clear information, emotional
support, decision partnership, social support
Dean & Davison (2028): How do health care providers four ways previvors manage uncertainty through providers: providers as
assist previvors in the management of uncertainty? informational sources, providers as decision making partners, providers for
supportive communication, providers as referral sources for social support
providers as informational sources - BRCA knowledge/expertise
- Clear explanations in lay terms
- Time spent explaining results
- Take-home resources
- Next-step guidance
- Information reduces uncertainty
CORRECT Answers
Restitution Narrative - basic story: anyone who is sick wants to be healthy again
- Yesterday I was healthy, today I am sick, but tomorrow I will be healthy again
- Example: I caught a bad cold last week and had to stay home from work. I
rested, drank plenty of fluids, and took some medicine. By the weekend, I was
feeling completely better and back to my usual routine
- related concept: sick role
- When someone gets sick they have expectations of others and others have
expectations of them.
What is uncertainty Inability to make sense of, assign value to, or predict the
outcomes of events because of a lack of sufficient cues
uncertainty exists when - Situations are ambiguous, unpredictable, or probabilistic
- Information is unavailable or inconsistent
- When people feel unsure in their knowledge
Uncertainty Management Theory - Individuals experience different types of uncertainty
- Individuals appraise uncertainty for meaning
- Communication is a primary tool for managing uncertainty
- Emphasis on MANAGEMENT (coping by seeking or avoiding information)
Medical uncertainty - Little information about the cause of symptoms
- Complex decisions about the medical risk vs.
benefits of procedure (e.g., organ transplant)
- Unknown availability of treatment (e.g., receiving an
organ in time)
- Learning new medication regimens, that may need
to be followed for a lifetime
- Unpredictable future health outcomes
, personal uncertainty -Wondering about one's ability to contribute
meaningfully to society
-Reconceptualizing oneself as someone who has a
chronic illness
-Limited ability to make future plans
-Conflicting role of caregiver and care receiver (e.g.,
how am I going to raise my kids if I'm sick?)
social uncertainty -Barrage of questions from others
-Stigmatizing remarks (e.g., being classified as
"disabled")
-Potential for romantic relationships
3 types of uncertainty appraisal - Negative (i.e., danger)
- Positive (i.e., beneficial)
- Neutral (i.e., inconsequential)
Negative Appraisal of Uncertainty Inability to predict the future progression of disease seen as a source of distress
positive appraisal of uncertainty Preference for uncertainty of nature of illness over diagnosis of a fatal diagnosis
neutral appraisal of uncertainty Uncertainty response is indifference or uncertainty is deemed irrelevant
what can you do to manage uncertainty 1. Seeking or avoiding information (direct, indirect)
2. Social support (helps with challenges and helps me think about challenges
differently)
3. Adapting to chronic illness (learning to accept)
4. Managing the management (what to do when the above
strategies are complicated by the nature of info and the people involved)
From Becker, why are narratives important? What Narratives help us to control the chaos of having an illness, culture can affect our
ideologies drive how we experience and narrate our narratives and how we control illness
health in the US?
Dean & Davison (2018): From the findings, how do - uncertainty experienced is mostly negative (fear, anxiety, confusion)
previvors experience uncertainty (positive, negative, - previvors can experience positive or neutral when properly supported
neutral)? - uncertainty improves when patients receive: clear information, emotional
support, decision partnership, social support
Dean & Davison (2028): How do health care providers four ways previvors manage uncertainty through providers: providers as
assist previvors in the management of uncertainty? informational sources, providers as decision making partners, providers for
supportive communication, providers as referral sources for social support
providers as informational sources - BRCA knowledge/expertise
- Clear explanations in lay terms
- Time spent explaining results
- Take-home resources
- Next-step guidance
- Information reduces uncertainty
