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MICN201 Behavioural Medicine Exam Questions And Answers
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MICN201 Behavioural Medicine ExamQuestions And Answers
What is cognitive dissonance? - Answer Conflicting beliefs between what is good for us
and what we want.
What is catastrophising? - Answer Often seen in chronic pain, catastrophising is an
exaggerated negative response that leads to more pain and distress.
What is adherence like for hypertension medication? - Answer Since the condition has
no symptoms and the medication has side effects, the adherence to medication is low.
What is adherence like for diabetes medication? - Answer Lots monitor blood glucose
but only a small amount maintain good control of glucose levels. There are few
symptoms early on, and major changes in dietary behaviour are hard.
What is adherence like for HIV medication? - Answer They have one of the most
complicated prescription regimes and therefore it is difficult to take as prescribed.
What are some patient related factors effecting adherence? - Answer
Education/knowledge about the medication, beliefs, stress, forgetfulness, support,
feeling of hopelessness.
What are some doctor related factors effecting adherence? - Answer Lack of training,
empathy, communication, doctor's own beliefs.
What are the 5 stages of change? - Answer Precontemplation, contemplation,
preparation, action and maintenance/relapse.
, What happens in the Precontemplation stage of change? - Answer They have not yet
considered doing anything.
What should a doctor do for a patient that is in the Precontemplation stage of change? -
Answer They should develop a partnership with the patient and find out what the patient
knows and wants.
What happens in the Contemplation stage of change? - Answer The person is aware
they have a problem, and is thinking about doing something about it in the next few
months.
What should a doctor do for a patient that is in the Contemplation stage of change? -
Answer The doctor should try to persuade the patient to make the change, in a
supportive, non-authoritarian way. They should provide both the pros and the cons to
the patient.
What happens in the Preparation stage of change? - Answer The person has made a
commitment to change and are planning to take action within the next month or so.
What should a doctor do for a patient that is in the Preparation stage of change? -
Answer The doctor should assist the patient to formulate goals, record baseline data
and identify barriers to change.
What happens in the Action stage of change? - Answer The person carries out their
proposed lifestyle changes, monitoring their own behaviour to see if they are making
progress. This can last for many months, especially if gradual changes are being made.
What should a doctor do for a patient that is in the Action stage of change? - Answer The
doctor should monitor the patient's progress and provide ongoing support, assisting the
patient to overcome barriers
What happens in the Maintenance/Relapse stage of change? - Answer The person is
working on maintaining the successful changes of the action phase. This stage can last
indefinitely.
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