Exam Flashcards

1
Q

Trait vs. state

A

Trait - longer period of time

state - depends on external environment (ex. more aggressive in heat)

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2
Q

What is the Barnum Effect

A

Social experiment where everyone got the same result after completing a survey
- result seems specific - acc uses vague details resulting in people being able to adjust it for them

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3
Q

What are the dimensions of the The Big Five (aka the OCEAN model)?

A
  • Openness to experience
  • Conscientiousness
  • Extraversion
  • Agreeableness
  • Neuroticism
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4
Q

What are the components of the HEXACO test?

A
  • Honesty-Humility
  • Emotionality
  • eXtraversion
  • Agreeableness
  • Conscientiousness
  • Openness
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5
Q

What is the dark Triad?

A

narcissism, Machiavellianism, psychopathy

inverse relationship with Honesty-humility

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6
Q

Where do you put superscripts when citing in text?

A

Outside - periods, quotation marks, commas

Inside - colons, semicolons

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7
Q

What grade level should health information be written at?

A

Grade 8

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8
Q

What is the strongest predictor of an individual’s health status?

A

Literacy skills

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9
Q

How to write in patient friendly language

A

Tone = conversational (friendly but professional)
Language - straightforward (do not use artificial language)
Use personal pronouns
Active voice
Use shorter sentences
Avoid medical terminology and acronyms

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10
Q

Active voice

A

subject + verb + object
Example: Anna painted a house
(passive: The house was painted by Anna)

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11
Q

How many words in a sentence? How many words in a paragraph?

A

< 20 words, no more than 6 sentences

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12
Q

How to reduce sentence length

A
  1. Remove clutter (am of the opinion that -> think)
  2. Eliminate qualifiers (very, exactly)
  3. Remove redundancies (personal opinion)
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13
Q

How do you target the skim and scan reader?

A
  1. Short
  2. White space
  3. Headings
  4. Use charts to show similarities and differences
  5. Use pictures
  6. Use bullet points
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14
Q

How should prescriptions bottles be labeled?

A
  • Important information should appear at the top:
  • Patient’s name
  • Brand and generic drug name
  • Drug strength
  • Instructions for use
  • Less important information should appear at the bottom:
  • Pharmacy name and phone number
  • Prescriber name
  • Refill information
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15
Q

Notes for prescription labeling

A

Use numbers instead of writing them:
write “Take 2 tablets in the morning” rather than “Take two tablets in the morning”

Explicitly convey when and how many:
write “Take 1 tablet in the morning and 1 tablet in the evening” rather than “Take 1 tablet twice daily”

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16
Q

Checklist for improving usability of health information:

A

1) Identify the intended users
2) Limit the number of messages
3) Use plain language and limit jargon
4) Focus on behaviour (i.e. use active voice)
5) Check for understanding (use the teach back or “show me” method)
6) Supplement with pictures where appropriate

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17
Q

What are characteristics of good documentation?

A

1) Factual
2) Complete
3) Current (timely)
4) Organized

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18
Q

What is a SOAP note?

A

Template for sharing information among health care professionals

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19
Q

What is “S” in SOAP

A

Subjective
- What the patient tells you
• e.g., symptoms as expressed by the patient or caregiver

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20
Q

What is “O” in SOAP

A

Objective
- Measurements acquired through the 5 senses
• e.g., blood pressure, heart rate, temperature, skin colour
- Results from diagnostic testing

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21
Q

What is “A” in SOAP

A

Assessment
- Description of drug-related problem(s) prioritized according to importance
• e.g., “_____ is at risk of _____ because of _____ and requires _____”

  • List and briefly discuss therapeutic alternatives
    • Considering the safety, efficacy, cost & convenience of each
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22
Q

What is “P” in SOAP

A

Plan
- Detailed action plan for the patient and health care team
• e.g., stop ‘XYZ’; start ‘ABC’; monitor for ‘N’ days
- Use strong verbs as first word
• Begin, continue, eliminate
• Inform, counsel, educate
• Monitor, follow up

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23
Q

What are the four temperaments and how are the represented in Pharmacy?

A

Guardians/SJ/Yellow
- overrepresented

Artisans/SP/Red
- underrepresented

Idealists/NF/Blue

Rationals/NT/greens

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24
Q

Learning Styles for SJs/Guardians/Golds

A
Yes:
Clear, precise, concrete instructions
Structured courses and programs 
Traditional style of teaching – the instructor is the “expert” 
Multiple choice exams

No

  • Abstract, unstructured lectures and courses
  • “Winging it”
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25
Learning Style for SPs/Artisans/Oranges
``` YES Hands-on exercises Activity and movement Presenting Competition ``` NO All lecture, few breaks Rigidly structured assignments and classes
26
Learning style for NFs/Idealists/Blues
``` YES Group work Classes and assignments that stimulate imagination Essay style exams ``` NO Classes with lots of criticism of self or others Multiple choice exams
27
Learning Styles for NTs/Rationals/Greens
YES Courses that are “intellectual” and involve theory Courses that demand logical thinking and problem solving Complex topics Independent study NO Do not suffer fools well Subjects/assignments perceived as irrelevant
28
What are the 3 types of learning styles
1. Visual 2. Auditory 3. Kinesthetic
29
Learning style of visual learners
- most common learning style (65%) — Learn by seeing and reading — Think in pictures — Make outlines and lists — Especially sensitive to non-verbal cues — Write information over & over to memorize Traditional lecture style is not completely effective for this group
30
Learning style for auditory learners
Learn by listening and speaking— Especially sensitive to tone and speech nuances Read out loud or talk to themselves Create mnemonics and repeat information over & over to memorize Traditional lecture style is generally effective for this group
31
Learning style for Kinesthetic learners
- most common in children Learn by touching and doing Prefer learning a skill to acquiring information Multitask well Need frequent breaks May study with music on; movement facilitates learning Traditional lecture style is difficult for this group
32
What are the 3 types of speeches
- Impromptu - extemporaneous (not scripted) - memorized/prepared
33
What is an informative presentation
Goal - facilitate learning content - fact-based role - teacher
34
What are key considerations for informative presentations
audience, content, organization, delivery
35
What is the Tell Em Rule
1. Intro - Tell ’em what you’re going to tell ’em 2. Body - Tell 'em 3. Conclusion - Tell ’em what you told ’em
36
What is the most important element in a presentation
1. Intro (have 15s to grab attention)
37
What is Albert Mehrabian’s Communication Model
- 55% of communication = non-verbal - 38% = words - 7% = tone
38
What is persuasive communication
Goal - encourage action Content - Often includes an emotional element or problem-solving Role - motivator
39
What is the WIFM principle?
WHATS IN IT FOR ME?
40
Keys to Effective Selling
1) Know the target audience • Determine what they need 2) Demonstrate how your solution meets their needs • Including their logical and emotional needs 3) Establish your credibility and that of your “product” • Using reliable evidence and references 4) Create urgency to act NOW
41
Aristotle methods to make argument compelling
1. Logic/logos - facts/evidence 2. Credibility/ethos - reference to experts or reputation 3. Emotion/pathos - urgency/emotional appeal
42
What is the rule of threes?
Use a list of three or structure of 3 to make something stick
43
What is prioritized in an Op-ed
1. Logic 2. Credibility 3. Emotion
44
What is prioritized in a presentation?
1. Emotion 2. Credibility 3. Logic
45
What is the stages of change model
- used in motivational interviewing - patients commitment to change increases as stage of change increases 1. pre-contemplation 2. contemplation 3. preparation 4. action 5. maintenance
46
What are the main components of interpersonal communication
``` Audience-sensitive language – Organization Nonverbal Active listening Empathy Questioning Assertiveness ```
47
Elements of nonverbal communication
1. eye contact 2. body movements 3. facial expressions 4. appearance 5. personal space 6. touch (hand shaking)
48
What is the active listening process
1. attending 2. understanding 3. evaluating 4. responding (empathetically) 5. remembering
49
What is a closed question
Produces one-word answer | - starts with Are, do, did, who, when, where, which, will, is, etc
50
What is an open question
Produce lengthier and sometimes more time-efficient responses - start with... How, why, in what way, etc.
51
Combining Questions
``` 1) CLOSED QUESTIONS You want to establish direction & ease into conversation 2) OPEN QUESTIONS You want info 3) PROBING QUESTIONS You want detail 4) Closed questions ```
52
Why do men vs. women communicate
Men communicate to establish position/status | Women communicate to create closeness/rapport
53
What is the health belief model
A persons belief of threat severity/susceptible and belief of effectiveness of action = likelihood in taking action Action depends on individual perceptions and modifying factors (age, sex, education, etc.)
54
What is the social cognitive theory
Describes human behaviour in a 3 way reciprocal model: - Behaviour, personal factors, environmental influences - people learn from own experiences, and actions/consequences of others - role models and reinforcement influence health behaviour
55
What is the social ecological model
individual -> interpersonal -> organizational -> community -> public policy
56
Patient Care Process
Collect -> assess -> plan -> implement -> follow-up
57
PPCP: what to collect and assess?
Patient: Physical & cognitive abilities, Confidence, Learning style Environment: confidential, comfortable
58
PPCP: how to effectively implement
- use variety of educational methods | - individualize teaching based on patient
59
How to teach infants
Teaching should be directed at the caregiver
60
Teaching toddlers and preschool children
2-6 years of age - should be included in discussions - use simple terms to explain what medication is for and why it is important to take it
61
Teaching school aged children
- 7-12 years old - give more details about how a medication works - empower them to have more autonomy in taking medications - allow questions
62
Teaching adolescents
- 13 years old to adulthood - consider communicating without parent present (builds trust) - can typically give educational messages
63
Teaching older adults
- may learn at slower rate, have different perspectives, suffer from visual or auditory impairments - use lower tone and increased volume - present one concept at a time and speak slowly - use visual aids
64
How to use an EpiPen
1. Remove from tube 2. Form a fist around pen, "blue to the sky, orange to the thigh" 3. Remove the blue cap by pulling straight up (avoid twisting) 4. Inject into upper thigh muscles (medication can be injected through clothing) - swing and press firmly into thigh until you hear a click, count to three before removing 5. if after 5-15 minutes dont feel better/feel worse, a second epi-pen can be used 6. repeat back how to use 7. instructions are also on the pen and on website
65
How to counsel on EpiPen if patient is a child
- need epipen junior - require weight - deliver info to caregiver
66
How to use a metered-dose inhaler
1. remove cap over mouth piece 2. shake well 3. hold inhaler with thumb and index finger 4. exhale, put mouthpiece between teeth, use lips to form a seal 5. take a deep steady breath and press canister to spray medication 6. continue taking deep breath, then hold breath and remove device from mouth 7. hold breath for as long as possible, then exhale 8. to take second puff, repeat steps starting by shaking inhaler
67
How to use a metered-dose inhaler if patient is a child or has dexterity issues
- use spacer or aero chamber
68
How to use eye drops
1. wash hands 2. remove cap, lay it on side on a clean tissue to prevent contamination 3. tilt head back, and pull eyelid down 4. approach eye from the side to prevent poking 5. look up and hold dropper 1 inch from eye 6. squeeze bottle to instill 1 drop 7. release eyelid and look down 8. close eye for at least 30s (can hold medial corner of eye to prevent draining into tear duct) 9. wash hands 10. if instilling another drop, wait 3-5 mins (wait 5-10 mins if using diff medication)
69
Spiriva handihaler vs. spiriva respimat
- handihaler may require increased dexterity (requires loading capsule) - handihaler requires greater respiratory capacity since inhaling dry powder vs mist from respimat
70
How to use rectal suppositories
1. wash hands 2. if suppository feels soft, can harden by running under cool water or leaving in fridge for a few minutes 3. remove suppository from wrapper (can wear gloves too) 4. Can lubricate tip using water-soluble jelly or tap water 5. Lay on side (bottom leg straight out and top leg pointed towards tummy) 6. Lift butt cheek, and insert suppository (pointed end first) about 1 inch into rectum 7. Stay laying for 5 minutes 8. wash hands
71
Potential complicating factors
- Patient-related factors that decrease ability to use device (e.g., dexterity/coordination issues, reduced inspiratory capacity, etc.) - Cost of medications delivered by device - Patient unable to attend pharmacy in person
72
How to use HandiHaler
1. Flip off the lid of the handihaler 2. Flip open the mouthpiece 3. Remove capsule from package and insert into centre chamber 4. Close the mouth piece until you hear it click 5. Press the green button on the side 6. Sit up straight and exhale 7. Seal lips around mouthpiece 8. Breath in slowly and deeply 9. Remove handihaler from mouth and keep holding breath for at least 10s 10. Breath out normally 11. Take another breath from handihaler to make sure you get all the medicine (seal lips, deep breath, hold breath, exhale) 12. Remove empty capsule and close mouthpiece and lid 13. Wash hands
73
How to use Respimat
1. assemble: - Press the safety catch to remove clear base - Push narrow end of cartridge into the inhaler - Put clear base on Priming: 2. Hold the inhaler upright with cap closed 3. Turn base in direction of arrows until it clicks 4. Open the cap 5. Point inhaler down and press dose release button 6. Repeat 3 more times Using Respimat: 7. Turn the clear base in direction of arrows until "click" 8. Open cap 9. Breath out 10. Close lips around mouthpiece 11. Take a slow deep breath and press dose release button 12. Remove inhaler from mouth and hold breath for 5-10 seconds 13. Breath out 14. Close cap