Psychosocial Factors

Question 1

What factors have a positive influence on recovery?

Answer 1

• belief pt has control regarding treatment
• inclusion in goal setting
• high level of engagement
• Feeling respected
• Empowerment
• Education

Question 2

Phase models of psychosocial adaptation

Answer 2

Shock
Anxiety
Denial
Depression
Internalized Anger
Externalized hostility
Acknowledgment
Adjustment

Question 3

Strategies for pt success

Answer 3

• praise small gains
• be supportive/realistic
• teach self-control techniques
• educate patients
• help pt form positive body image

Question 4

How to interact with Type A personality

Answer 4

High achievers. Give HEP - “you tell me what I’m suppose to do and I’ll do it! “

Question 5

How to interact with Authoritative personality

Answer 5

Engage in problem solving (have them involved in the program more, what do you think needs to be addressed? Let them try their way, with the caveat if it doesn’t work, you need to try my way. If their way works whatever as long as its safe

Question 6

How to interact with Perfectionistic personality

Answer 6

help patient find pleasure in accomplishing simple things

Question 7

How to interact with passive-aggressive personality

Answer 7

place responsibility for progress on patient, have patient make decisions about treatment, summarize progress

Question 8

Positive coping

Answer 8

Seeking control and information, expressing emotional reactions, seeking social interactions

Question 9

Negative coping

Answer 9

avoiding control and info, repressing emotions, withdraw from social interactions

Question 10

External Locus of Control

Answer 10

Other people or outside factors have control over outcomes .
Have stress and anxiety in rehab.

Question 11

Internal Locus of Control

Answer 11

• Person can affect his/her own circumstances

- Quicker recovery, better motivation, more hope, more energy

Question 12

Types of Anxiety Scales

Answer 12

Hassels & Holmes

Question 13

How to interact with someone with anxiety

Answer 13

• Cognitive restructuring
• Assist with problem solving
• Treatment in familiar, calm, comfortable setting
• Help patient transform anxiety into physical activity; repetitive motor task
• Set clear boundaries

Question 14

How to address anxiety

Answer 14

• Relaxation Response
• Guided Imagery
• Desensitization; situational exposure exercises
• Cognitive-Behavioral therapy

Question 15

What is denial?

Answer 15

Defense mechanism, protects patient from having to confront overwhelming implications of illness or injury at once

Question 16

How might patients with denial act?

Answer 16

may have unrealistic, wishful goals for recovery

Question 17

What is acute stress disorder?

Answer 17

symptoms that range in duration 2 days to 4 weeks

Question 18

Acute PTSD time frame

Answer 18

less than 3 mo

Question 19

Chronic PTSD time frame

Answer 19

> 3 mo

Question 20

How to help patients with PTSD

Answer 20

Help patients build positive self-efficacy

• Cognitive restructuring
• Development of healthy coping skills
• Learning/using relaxation response

Question 21

Who to refer to with depression

Answer 21

Psychiatrist if suicidal ideation or significant impairment of life roles
less severe- psychologist or social work

Question 22

Warning signs of possible suicide

Answer 22

• Direct or indirect comments about suicide
• A plan to commit suicide
• Writing a suicide note
• Preoccupation with death
• Excessive risk taking and an careless attitude
• Final preparations; writing a will, giving away possessions
• Self hatred
• Substance Abuse
• Agitation and Violence
• Hypersexuality