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CMN 260 > exam 2 > Flashcards

exam 2 Flashcards

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1
Q

research parts

A

abstract, introduction, method, results, discussion

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2
Q

Therapeutic privilege

A

doctors can withold info from patient if they think disclosing something will do more harm than good

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3
Q

blocking

A

providers avoid talking about bad things, shift convo to good, or other ways to prevent exchange of health information

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4
Q

doorknob disclosure

A

patients reveal main concerns as doctor is leaving

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5
Q

model of collaborative interpretation

A

health comm is most effective when patients are decision makers

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6
Q

patient as a central construct

A

the goal is to minimize reliance on medicine and maximize importance of everyday health

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7
Q

Motivational interviewing and its steps

A

communicate to elicit behavioral change in patient while respecting choice - establish rapport, assess readiness, assess confidence and motivation, help patient identify problems/ solutions, identify next actions

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8
Q

voice of lifeworld

A

communication that is concerned with health/illness as their relation to everyday experiences (patient pov)

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9
Q

voice of medicine

A

communication through compassion and concern for accuracy and practicality (provider pov)

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10
Q

personal identity, social identities, tertiary identity

A

who am i? which societal groups do i belong to? Who am i due to this illness?

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11
Q

supernormal identity (1)

A

person feels illness will not prevent them from being better than ever (denial)

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12
Q

restored self (2)

A

less optimistic than beginning, but feels that illness will not significantly change them

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13
Q

contingent personal identity (3)

A

sees their abilities and identity changed because of the illness

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14
Q

salvaged self (4)

A

person integrates aspects of former self with current limitations imposed by illness

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15
Q

patient cooperation

A

how effectively they follow medical advice - bad cooperation for many different reasons

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16
Q

informed consent

A

patients must be aware of all health info and capable of understanding (aware of risks/benefits, know that they can stop treatment)

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17
Q

medical mistakes

A

most caused by miscommunication

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18
Q

expedient care

A

going fast without cutting corners

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19
Q

ambiguity

A

being open to more than one interpretation (dont know if it is good or bad)

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20
Q

ambivalence

A

having mixed feelings or contradictory ideas about something (dont know how you feel about something)

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21
Q

Brashers - “culture of chronic illness)

A

people are either “chronically ill” or “worried well”

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22
Q

uncertainty reduction theory

A

people strive to reduce uncertainty in interactions (uncertainty is negative) - 3 strategies (passive, active, interactive) - critiques (limited to initial interaction, central assumption questionable, uncert not always negative)

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23
Q

passive strategy (uncertainty)

A

observing someone in their natural environment while being unnoticed

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24
Q

active strategy (unceratinty)

A

action to reducing uncertainty but without personal direct contact (asking soemone about them)

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25
interactive strategy
directly communicating with someone to reduce uncertainty
26
uncertainty management theory
uncertainty is a fundamental and pervasive part of the human experience, reducing uncertainty is one potential outcome for dealing with it (its not always bad, diff for everyone)
27
uncertainty managment strat 1 - avoid relevant information
avoidance, selective attention (hearing what you want to), withdraw
28
uncert management strat 2 - cognitive reappraisal
thinking about the situation differently (level of importance, think about level/meaning of uncertainty)
29
uncert management strat 3 - seek social support
get support from others, talk, can cause less personal feelings of control or relational uncertainty
30
intersectionality theory
a person's social position combines micro level personal identities (age, race) with macro-level sociocultural patterns (sexism, racism, power). no category affects more than others, assumptions are bad, health campaigns should target multiple identities at once
31
socioeconomic status
combo of income, education, employment level - has an effect on health
32
food deserts
areas with limited access to quality food - increase risk of chronic diseases
33
health literacy
individuals' ability to access, understand and apply health info - 1 in 2 americans are low - must understand language, have access to info, be interested, be able to discusss, know how to implement info, have good hearing/vision to recieve info
34
provider diversity
doesn't reflect overall population - more white and asian doctors, 54.2% women, average age 48
35
social accomodation theory
people mirror others when they respect them
36
convergence
mirroring others gestures, tone, vocab, etc (social accom theory)
37
divergence
acting differently, shows dislike (social accom theory)
38
overaccomodation
exaggerated response to a percieved need, can be offensive - talking slow to older ppl (social accom theory)
39
social concordance
measures shared attributes between physicaans and patients - creates better communication, longer visits - (opposite of discordance)
40
International medical graduates (imgs)
trained outside the us or canada, fufill physician shortage, could have communication barriers
41
healthcare disparities
differences in quality of care from people who have equal access to care, no difference btwn groups in treatment preference or needs - different from accesibility
42
explicit bias
bias where people are consciously aware - using language or discriminating intentionally - some forms are more sociallly acceptable
43
implicit bias
bias that is unconscious - based on culture, social norms, experiences - result of patterns of thinking, brain overall
44
implicit association test
tests subconscious bias - many limitations (internal valdidty (rep of truth), reliablility)
45
aversive racism
high implicit bias, low explicit - more subtle behaviors, beliefs originating from childhood
46
percieved support
perception of caring/being cared for
47
enacted support
act of caring/being cared for
48
instrumental support
sharing tasks and resources
49
informational support
seeking/sharing info
50
network support
connecting people, support groups
51
emotional support
comforting someone (listening, supportive messages, physical touch)
52
esteem support
helping someone feel valued
53
stress-buffering hypothesis
social support can shield the negative effects of stress - any type of support is effective and reduced stress
54
main effect model
social support has a positive outcome, regardless if stress is involved
55
optimal matching model
people benefit when they get the type of support that fits the situation
56
support gaps
support deficit, support surplus, oversupport - best outcomes are when quantity of support wanted is what is recieved
57
stigma
attitude reducing an individual to a group assumption - always negative - 3 extensions (social concensus, percieved stigmatized trait, transferred stigma - ppl around person get stigmatized)
57
reasons for stigmatizing
to distinguish themselves, protect themselves, identity engulfment
57
pain catastrophizing
exaggerating pain - could hurt support
58
identity engulfment
defining a person by their stigmatized trait
58
negative social sanctions
punishing behavious in response to others' expressed undesirable stigmatized traits
59
positive social sanctions
rewarding behaviors in response to others' expressed desirable stigmatized traits

CMN 260 (3 decks)

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