ADULT EXPERIENCES

Question 1

Biographical disruption refers to:
A) A break in employment
B) A shift in body image
C) Illness disrupting one’s life story and self-identity
D) A pause in education

Answer 1

C) Illness disrupting one’s life story and self-identity

Question 2

Chronic illness can lead to:
A) Disruption of taken-for-granted aspects of life
B) Strengthened daily routines
C) better financial outcomes
D) Elimination of personal responsibility

Answer 2

A) Disruption of taken-for-granted aspects of life

Question 3

A common response during early illness experience is:
A) Increased clarity of mind
B) Enhanced memory
C) Confusion and disorientation
D) Complete detachment from reality

Answer 3

C) Confusion and disorientation

Question 4

Which of these is not one of LeMaistre’s six emotional stages?
A) Crisis
B) Acceptance
C) Anger
D) Isolation

Answer 4

B) Acceptance

Question 5

The anger stage often includes:
A) Rational acceptance
B) Blame directed inward
C) Improved health
D) Feelings of gratitude

Answer 5

B) Blame directed inward

Question 6

What happens in the reconstruction stage?
A) Developing new competencies and self-image
B) Return to pre-illness life
C) Complete physical recovery
D) Refusing further treatment

Answer 6

A) Developing new competencies and self-image

Question 7

In the renewal stage, patients:
A) Ignore their illness
B) Create new options and self-definitions
C) Return to hospital care
D) Deny limitations

Answer 7

B) Create new options and self-definitions

Question 8

Bowlby’s first stage of grief is:
A) Depression
B) Bargaining
C) Numbing
D) Acceptance

Answer 8

C) Numbing

Question 9

Which phase involves yearning for the lost person or state?
A) Disorganization
B) Searching
C) Depression
D) Resolution

Answer 9

B) Searching

Question 10

Hospitals are considered “total institutions” because:
A) They allow complete freedom
B) They support patient-led care
C) They control most aspects of daily life
D) They are social clubs

Answer 10

C) They control most aspects of daily life

Question 11

What often causes feelings of depersonalization in hospitals?
A) Choice of meals
B) Wearing street clothes
C) Robotic communication and loss of privacy
D) Personalized care

Answer 11

C) Robotic communication and loss of privacy

Question 12

How do practitioners sometimes misinterpret patients’ desire for control?
A) As confusion
B) As assertiveness
C) As being difficult
D) As patient compliance

Answer 12

C) As being difficult

Question 13

Monitors” as coping styles are defined by:
A) Avoiding all information
B) Seeking and needing detailed information
C) Avoiding doctors
D) Always staying quiet

Answer 13

B) Seeking and needing detailed information

Question 14

“Blunters” cope best when:
A) Given more control
B) Given excessive detail
C) Given minimal information
D) Put in group therapy

Answer 14

C) Given minimal information

Question 15

A person who want to relinquish control is known as

A) impersonator
B) delegator
C) Activist
D) Delegator

Answer 15

D) Delegator

Question 16

Provision of general information:
A) Reduces stress in all patients
B) Has no effect on satisfaction
C) Is the strongest predictor of patient satisfaction
D) Confuses most patients

Answer 16

C) Is the strongest predictor of patient satisfaction

Question 17

Allowing patients to bring companions during exams:
A) Is helpful over 80% of the time
B) Violates privacy
C) Increases confusion
D) Leads to dependence

Answer 17

A) Is helpful over 80% of the time

Question 18

Learned helplessness results when:
A) Patients always succeed
B) Patients are empowered
C) Nurses provide too much help
D) Patients experience repeated uncontrollable stress

Answer 18

D) Patients experience repeated uncontrollable stress

Question 19

Empowering care encourages:
A) Dependency
B) Passive behavior
C) Learned mastery
D) Emotional breakdowns

Answer 19

C) Learned mastery

Question 20

Disempowering care fosters:
A) Motivation
B) Adaptability
C) Helplessness
D) Autonomy

Answer 20

C) Helplessness

Question 21

A major concern during MRI scans is:
A) Heat exposure
B) Radiation poisoning
C) Claustrophobia
D) Poor lighting

Answer 21

C) Claustrophobia

Question 22

MRI motion artifacts can:
A) Improve accuracy
B) Be harmless
C) Distort scan quality
D) Eliminate diagnosis

Answer 22

C) Distort scan quality

Question 23

False positives in mammography:
A) Are extremely rare
B) Don’t affect psychological outcomes
C) Can increase anxiety and perceived risk
D) Always indicate cancer

Answer 23

C) Can increase anxiety and perceived risk

Question 24

Children undergoing MRI:
A) Often experience significant distress
B) Experience less fear than adults
C) Are rarely distressed
D) Are not required to be scanned

Answer 24

a) Often experience significant distress

Question 25

Stigma is a barrier to: A) Patient satisfaction only B) Health-seeking and treatment adherence C) Education D) Sleep quality

Answer 25

B) Health-seeking and treatment adherence

Question 26

Health stigma is particularly harmful to: A) Men only B) Affluent patients C) Indigenous populations D) Hospital administrators

Answer 26

C) Indigenous populations

Question 27

The Health Stigma and Discrimination Framework aims to: A) Encourage stereotyping B) Improve stigma through policy and research C) Deny social barriers D) Replace healthcare access

Answer 27

B) Improve stigma through policy and research

Question 28

Hospital admission processes affect: A) The cost of care B) Psychological response and perception C) Visitor hours D) Nutrition

Answer 28

B) Psychological response and perception

Question 29

Which of the following is not a way to reduce depersonalization? A) Wearing personal clothing B) Using impersonal communication C) Respecting privacy D) Encouraging personalization

Answer 29

B) Using impersonal communication

Question 30

Patients may form bonds with each other through: A) Strict isolation B) Shared jokes and solidarity C) Avoidance D) Ignoring symptoms

Answer 30

B) Shared jokes and solidarity

Question 31

A risk of heavy reliance on peer support in hospital is: A) Total recovery B) Improved coping C) Difficulty readjusting post-discharge D) Better self-knowledge

Answer 31

C) Difficulty readjusting post-discharge

Question 32

Biographical disruption may prompt questions like: A) “When is lunch?” B) “Why me?” C) “What’s on TV?” D) “Who am I voting for?”

Answer 32

B) “Why me?”

Question 33

The primary influence on a patient’s reaction to illness includes all EXCEPT: A) Social support B) Severity C) Horoscope D) Personality

Answer 33

C) Horoscope

Question 34

Respect through communication in hospitals is especially tied to: A) Wait times B) Women’s satisfaction C) Financial aid D) Meal plans

Answer 34

b

Question 35

What is learned helplessness primarily a result of? A) Excessive training and preparation B) Constant frustration and lack of control in stressful situations C) Overconfidence in one's abilities D) Supportive and empowering environments

Answer 35

B) Constant frustration and lack of control in stressful situations

Question 36

What type of care is associated with fostering learned helplessness in patients? A) Empowering care that fosters independence B) Disempowering care that fosters dependence C) Care that encourages self-management D) Care focused on patient education

Answer 36

B) Disempowering care that fosters dependence

Question 37

What are potential risks for patients exhibiting learned helplessness? A) Increased motivation and resilience B) Norepinephrine depletion and general erosion of health C) Enhanced coping mechanisms D) Improved cardiovascular health

Answer 37

B) Norepinephrine depletion and general erosion of health