CMN 260 - EXAM 2 QUESTIONS & ANSWERS
What is the definition of physician-centered communication? - Answer -health
professionals do most of the talking, choose conversational topics
What are the characteristics of physician-centered communication? - Answer -
assertiveness, knowledge, and power
planetree model - Answer -model of health care with a more humanistic approach to
health care; nonprofit; named after hippocrates tree
What is a doorknob disclosure? - Answer -an uncomfortable, painful, or embarrassing
revelation offered at the end of a meeting or conversation, usually by someone who's
about to exit
What is blocking? - Answer -steering away from subjects - topic shifts or questions
Why do people block? - Answer -to avoid emotional disclosures and control the
situation
What is collaborative communication? - Answer -the preferred form of communication,
neither patient or care-giver centered, there is more dialogue from both sides
voice of lifeworld - Answer -concerned with health and illness as they related to
everyday experiences, the script most people are familiar with and use
voice of medicine - Answer -physician "talk", scientific
Why do patients not always follow medical advice? (reasons for non-adherence) -
Answer -1. medical recommendations may be impossible or impractical
2. patients may not agree with assessment or advice
3. perceive no effect from treatment or symptoms stop
4. unpleasant side effects
Under informed consent, are medical professionals responsible for making sure patients
understand the treatment information provided to them? - Answer -yes
What was the Tuskegee syphilis study? - Answer -studied 600 men who tested positive
for syphilis, did not tell them their illness, when penicillin was discovered they did not
offer it to them, many died
What do patients want? - Answer -- attentiveness and respect
- convenience
- sense of control
- genuine warm and honesty
, informed consent - Answer -- patients must be fully aware of known treatment risks,
benefits, and options
- patients must be deemed capable of understanding such information and making
responsible decisions
Why is informed consent important? - Answer -people have children, some people
have mental disabilities; also syphilis study gone wrong
What are the four ethical principles of medicine? - Answer -1. respect for autonomy
2. non-maleficence
3. beneficence
4. justice
What does socialization mean? - Answer -process of learning how to behave
appropriately within a community, explicit vs. implicit rules, voice of medicine
stress - Answer -physical and psychological responses to overwhelming stimuli, major
contributor to burnout
burnout - Answer -combination of factors, emotional exhaustion - feeling drained; no
motivation, no compassion, depersonalization, reduced sense of personal
accomplishment
What is the number one reason for medical mistakes? - Answer -communication - poor
communication between staff, sloppy handwriting, etc.
health disparities - Answer -differences in the quality of care received by minorities and
non-minorities who have equal access to care AND when there are no differences
between these groups in their preferences or needs for treatment
health inequalities - Answer -avoidable gaps in health or health determinants between
segments of the population
- race/ethnicity
- income
- education
- sex/gender
- geographic location
health literacy - Answer -the degree to which individuals have the capacity to obtain,
process, and understand basic health information and services needed to make
appropriate health decisions
What are some of the ways health literacy is assessed? - Answer -vocabulary, reading
comprehension, numeracy skills
What is the definition of physician-centered communication? - Answer -health
professionals do most of the talking, choose conversational topics
What are the characteristics of physician-centered communication? - Answer -
assertiveness, knowledge, and power
planetree model - Answer -model of health care with a more humanistic approach to
health care; nonprofit; named after hippocrates tree
What is a doorknob disclosure? - Answer -an uncomfortable, painful, or embarrassing
revelation offered at the end of a meeting or conversation, usually by someone who's
about to exit
What is blocking? - Answer -steering away from subjects - topic shifts or questions
Why do people block? - Answer -to avoid emotional disclosures and control the
situation
What is collaborative communication? - Answer -the preferred form of communication,
neither patient or care-giver centered, there is more dialogue from both sides
voice of lifeworld - Answer -concerned with health and illness as they related to
everyday experiences, the script most people are familiar with and use
voice of medicine - Answer -physician "talk", scientific
Why do patients not always follow medical advice? (reasons for non-adherence) -
Answer -1. medical recommendations may be impossible or impractical
2. patients may not agree with assessment or advice
3. perceive no effect from treatment or symptoms stop
4. unpleasant side effects
Under informed consent, are medical professionals responsible for making sure patients
understand the treatment information provided to them? - Answer -yes
What was the Tuskegee syphilis study? - Answer -studied 600 men who tested positive
for syphilis, did not tell them their illness, when penicillin was discovered they did not
offer it to them, many died
What do patients want? - Answer -- attentiveness and respect
- convenience
- sense of control
- genuine warm and honesty
, informed consent - Answer -- patients must be fully aware of known treatment risks,
benefits, and options
- patients must be deemed capable of understanding such information and making
responsible decisions
Why is informed consent important? - Answer -people have children, some people
have mental disabilities; also syphilis study gone wrong
What are the four ethical principles of medicine? - Answer -1. respect for autonomy
2. non-maleficence
3. beneficence
4. justice
What does socialization mean? - Answer -process of learning how to behave
appropriately within a community, explicit vs. implicit rules, voice of medicine
stress - Answer -physical and psychological responses to overwhelming stimuli, major
contributor to burnout
burnout - Answer -combination of factors, emotional exhaustion - feeling drained; no
motivation, no compassion, depersonalization, reduced sense of personal
accomplishment
What is the number one reason for medical mistakes? - Answer -communication - poor
communication between staff, sloppy handwriting, etc.
health disparities - Answer -differences in the quality of care received by minorities and
non-minorities who have equal access to care AND when there are no differences
between these groups in their preferences or needs for treatment
health inequalities - Answer -avoidable gaps in health or health determinants between
segments of the population
- race/ethnicity
- income
- education
- sex/gender
- geographic location
health literacy - Answer -the degree to which individuals have the capacity to obtain,
process, and understand basic health information and services needed to make
appropriate health decisions
What are some of the ways health literacy is assessed? - Answer -vocabulary, reading
comprehension, numeracy skills
