Deck 11: Listening and Health

Question 1

The average amount of time a patient can talk before being interrupted by a physician is

A) 6-11 seconds.
B) 18-23 seconds.
C) 31-42 seconds.
D) 45-59 seconds.

Answer 1

B

Question 2

When Mr. Grisson visits the doctor, he usually leaves without fully understanding the doctor's directions. In addition, he has problems reading his prescription information, and he has little understanding of what his medical insurance covers. Mr. Grisson could be described as having

A) low health literacy.
B) low paternalism.
C) high consumerism.
D) high reflective listening.

Answer 2

A

Question 3

People who have difficulty following directions on the prescription bottles may

A) be paternalistic.
B) not be good listeners.
C) have low health literacy.
D) use high reflective listening.

Answer 3

C

Question 4

Marco is likely to research his illness symptoms online and bring ideas to his doctor, demonstrating

A) a defensive approach.
B) a paternalist approach.
C) a consumeristic approach.
D) a reflective approach.

Question 5

Someone who always follows their doctor's instructions and never questions those instructions may have a _________ approach to the doctor-patient relationship.

A) paternalist
B) fearful
C) consumeristic
D) fraternal

Question 6

Patients who feel they are basically buying a service from their physician are most likely holding a ___________ orientation toward their doctors.

A) paternalist
B) fearful
C) fraternal
D) consumeristic

Question 7

According to the predominant approach to counseling, the person in a counseling relationship who can best determine the way to solve a patient's problem is

A) a personal mentor.
B) a close family member.
C) the patient's therapist/counselor.
D) the patient.

Question 8

Which of the following techniques for counselors is most related to listening for emotionally charged language?

A) Empathy building
B) General reflection/echoing
C) Selective reflection
D) Open-ended questions

Question 9

When therapists paraphrase a client's statement, they are engaging in

A) Open-ended questions
B) Empathy building
C) General reflection/echoing
D) Selective reflection

Question 10

According to Gassmann and Grawe, the best therapists are able to

A) paraphrase the conversation succinctly.
B) ask open-ended questions.
C) solve patient problems.
D) assess patient strengths.

Question 11

Regarding the use of the medical system, women are more likely than men to

A) visit a doctor because they need someone to listen objectively.
B) ignore a provider's treatment regimen.
C) develop a consumeristic approach toward patient-provider interactions.
D) change physicians if their healthcare provider has poor listening skills.

Question 12

A nurse says to a patient, "Come on, Miss Flannigan. I see it's time to reassess your blood pressure medication. How are you feeling, honey?" This best demonstrates

A) rapportism.
B) elderspeak.
C) paralanguage.
D) seniortalk.

Question 13

A physician who spends more time discussing x-ray results and treatment options rather than asking what issues might have caused the injury is focusing on

A) the voice of the lifeworld.
B) the voice of technology.
C) the voice of reflection.
D) the voice of medicine.

Question 14

About 91% of questions asked during a health interview are asked by the

A) physician.
B) nurse.
C) patient.
D) lab tester.

Question 15

Doctors who DO NOT develop ongoing relationships with their patients will likely experience

A) higher job independence.
B) higher job burn-out.
C) higher expressions of empathy.
D) higher immediacy.

Question 16

The third step in the QuEST model addresses

A) asking patients how they are doing.
B) determining the best plan for treatment.
C) interpreting what the patient says.
D) Answering patient questions.

Question 17

It can be argued that the most important factor to building provider-patient respect is establishing

A) a client base.
B) interactive communication patterns.
C) mutuality in conversations.
D) trust.

Question 18

In terms of the doctor-patient relationship, adolescents and adults differ on the importance of __________ when sharing health information.

A) attraction
B) listening
C) confidentiality
D) trust

Question 19

Which of the following ways to improve the healthcare provider-patient relationship applies more to healthcare providers than patients?

A) Listen more than you talk.
B) Take steps to ensure understanding.
C) Understand your schemata.
D) Be assertive.

Question 20

One nonverbal way in which patients might indicate to a physician that they are about to make an important disclosure is by

A) head nodding while talking.
B) a long pause while talking.
C) talking rapidly.
D) interrupting the physician.

Question 21

According to your text, what percentage of patients claim they did not tell their physician everything they wanted to during their appointment?

A) 20
B) 45
C) 75
D) 90

Question 22

Good communication affects your psychological and physical health.

Question 23

The most prevalent approach to counseling today is a paternalistic approach.

Question 24

Reflection is a skill used by therapists to consider their own schemata before drawing conclusions about patient issues.

Question 25

Gassman and Grawe found that the best therapists remind clients of their strong points and point out support available to them.

Question 26

A patient is more likely to understand and process a message from a doctor when the message regards a serious diagnosis.

Question 27

Women are more likely to visit the doctor than men.

Question 28

Interpersonal attractiveness can affect patient-doctor communication.

Question 29

Teresa considers herself a very healthy person, so when she receives a diagnosis of pre-diabetes, she is likely to change her personal schema about her health.

Question 30

Min is from mainland China. Because she approaches healthcare from an Eastern culture, she is more likely to emphasize strong patient-physician interaction than Kathryn, who is from the United States.

Question 31

Patients should use indirect questions in order to improve communication with physicians.

Question 32

"I think all of the stress I am under is causing my migraines" is an example of an indirect question.

Question 33

Most medical schools provide patient-provider communication training.

Question 34

In most health interviews, more questions are asked by physicians than by patients.

Question 35

Patient satisfaction is more dependent on clinical skills than communication skills.

Question 36

Having an understanding of one's health schemata is more important for patients than for healthcare providers.

Question 37

Dr. Buckner should take notes when her patient stutters because stuttering is sometimes a nonverbal cue that a patient needs to disclose something important.

Question 38

The QuEST model includes steps of educating and talking.

Question 39

Difficulty understanding prescription instructions could indicate low
____________________.

Question 40

Abram always does what his doctor tells him to do. He most likely has a(n) __________
approach to patient-provider interactions.

Question 41

Graybar and Leonard argue that __________ is the foundation of psychotherapy.

Question 42

Dr. Elsa is a therapist. When she restates what her patient is saying to signal she is listening, she is using a communication skill called __________.

Question 43

__________ are more likely to have a consumeristic approach during doctor's visits, demonstrating one of the differences gender can have on health interactions.

Question 44

Cultures with a holistic approach to health refer to the life force of energy in the body as
__________.

Question 45

Employees at a nursing home who call residents "honey" and speak to them slowly are using
__________.

Question 46

Both doctors and patients should be aware of __________ that might impact their interactions and information processing.

Question 47

Patients should be __________, asking questions about symptoms openly and directly.

Question 48

Ari discusses with his doctor some of his reasons for stress-related illness, addressing some of the monetary issues within his family. Ari is using the voice of the __________.

Question 49

Research indicates that__________ percent of physicians were not exposed to a communication class during medical school.

Question 50

The QuEST model to address patient dissatisfaction includes questioning, evaluation, setting a course of action, and __________.

Question 51

__________ helps generate respect and is strongly related to patient reports of good health.

Question 52

Demonstrating __________ is especially important in situations when addressing the health and treatment of children and the elderly.

Question 53

Breakdowns in health communication affect patients psychologically and __________.

Question 54

Describe three ways low health literacy can affect individual health care.

Question 55

Identify a result of physicians being associated with a managed care system.

Question 56

Discuss at least two differences in a paternalist and consumeristic approach to the patient-physician relationship.

Question 57

How can one's schema towards personal health affect one's listening?

Question 58

How might interpersonal attraction affect health communication?

Question 59

Identify two things patients can do nonverbally to ensure they have their physician's attention.

Question 60

According to the text, physicians face two roles, and balancing these roles can be problematic. What are these roles, and how might they present problems?

Question 61

Doctors who develop ongoing relationships with patients can experience positive outcomes in their profession. Identify at least two of these positive results for doctors.

Question 62

What are the steps in the QuEST model?

Question 63

What three factors appear to predict patient satisfaction in a physician, nurses, and hospital staff?

Question 64

How can a physician demonstrate attention and interest in their patients? Provide examples to support your answers.

Question 65

Identify and describe the most prevalent approach to counseling today.

Question 66

What are distress markers, and how are they important to physicians?

Question 67

How is the Recall step of the Listening MATERRS model important for health related interactions?

Question 68

Therapists use five distinct communication skills to help improve and demonstrate listening. Identify and describe each of these skills, addressing how each is related to listening.

Question 69

Identify and explain at least four factors that affect how patients interact with physicians.

Question 70

The text provides several tips for health workers and volunteers. Describe four of these tips and specifically explain how each can help improve relationships with patients.