Behavior Change and Emotion Theories
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Questions and Answers

Which of the following statements best describes the contemplative stage of behavior change as outlined by Prochaska and DiClemente?

  • Determination
  • Integration of behavior change into a person's life
  • Struggling with ambivalence (correct)
  • None of the options above
  • Which of the following behaviors are part of active listening?

  • maintain eye contact
  • nodding and making eye contact.
  • asking for clarification
  • all of the above (correct)
  • What would be the best physician response to elicit a change talk in the following situation? Physician: "How confident are you on a scale of 0 to 10 that you can make this change?" Patient: "About a 4."

  • So, you're about a 4
  • Why are you not a 10?
  • Why are you a 4 and not a 0?
  • You've got some confidence, but not a lot. (correct)
  • Which of the following statements is correct according to the James-Lange theory of emotion?

    <p>Physiological arousal of the body occurs before the conscious interpretation of an emotion. (C)</p> Signup and view all the answers

    Which is NOT part of active listening?

    <p>Give advice (A)</p> Signup and view all the answers

    When someone incorrectly believes he or she is receiving a real treatment and reports an improvement in his or her condition, it is called...

    <p>Placebo effect (A)</p> Signup and view all the answers

    Among the different stages characterizing the mechanism for changing risky health behaviors, Pre-contemplation is when:

    <p>the patient experiences health related issues but has not gone to see the physician, yet. (C)</p> Signup and view all the answers

    Within the framework of motivational interviewing as explained in class: when a physician argues that a patient's behavior needs to change, the patient often responds by:

    <p>arguing against change. (A)</p> Signup and view all the answers

    Which of the following is NOT consistent with the Motivational Interviewing approach?

    <p>Confronting denial (B)</p> Signup and view all the answers

    Physician's statement #h represents

    <p>a failure to roll with resistance</p> Signup and view all the answers

    What causes autism?

    <p>There is no single cause of autism (C)</p> Signup and view all the answers

    According to the Cannon-Bard theory of emotion,

    <p>there is a different pattern of physiological activity for each emotion. (D)</p> Signup and view all the answers

    Which of these is an unconditioned stimulus?

    <p>Shock (C)</p> Signup and view all the answers

    When would you use closed questions?

    <p>When you do not want the person to keep talking (B)</p> Signup and view all the answers

    The Motivational Interviewing approach is:

    <p>directive but patient-centered (B)</p> Signup and view all the answers

    Which of the following is NOT a Motivational Interviewing-consistent strategy for handling resistance?

    <p>argument (C)</p> Signup and view all the answers

    Self-efficacy is:

    <p>the belief that you will be able to accomplish a specific task (D)</p> Signup and view all the answers

    Which of the following is NOT considered a source for self-efficacy?

    <p>Genetic predisposition (B)</p> Signup and view all the answers

    The statement, "You're very determined, even in the face of discouragement. This change must really be important to you." is an example of

    <p>Affirmation (C)</p> Signup and view all the answers

    Patient-Centeredness is best defined as:

    <p>Providing care that is respectful of and responsive to individual patient preferences, needs and values (B)</p> Signup and view all the answers

    Paralanguage or paraverbal communication refers to:

    <p>the vocal messages of pitch, rate, and loudness. (A)</p> Signup and view all the answers

    When a patient expresses anger about a physician's colleague, which of the following statements would be the most appropriate response?

    <p>Tell me what concerns you have and how you were treated (A)</p> Signup and view all the answers

    Empathic understanding is which ONE of the following?

    <p>Empathic understanding is the ability to feel with patients, as opposed to feeling for patients (C)</p> Signup and view all the answers

    In patient-doctor communication, what is the difference between reflecting and paraphrasing?

    <p>Reflecting goes on to check how the person is feeling, not just checking you understand (A)</p> Signup and view all the answers

    Negative reinforcement can be defined as: Stimulus ______ contingent upon a response, which ______ the future probability of that response.

    <p>Removed, increases (D)</p> Signup and view all the answers

    In which of the following conditions involving the use of placebos have NO real changes been detected in the patient...

    <p>Parkinson's (B)</p> Signup and view all the answers

    First Impressions are based on the following three items:

    <p>Appearance, Presentation, Dress (B)</p> Signup and view all the answers

    Which is NOT a principle of nonverbal communication?

    <p>Nonverbal communication is ambiguous. (A)</p> Signup and view all the answers

    Learning by trial and error is called

    <p>operant conditioning (C)</p> Signup and view all the answers

    One difference between verbal and nonverbal communication is that verbal communication is

    <p>usually continuous. (B)</p> Signup and view all the answers

    You visit a new friend for the first time and as you enter his apartment his cat hisses and jumps on you from above the doorway. This happens for several nights. Then one evening you come in for a visit and at the sound of the cat's hiss you jump briskly to one side and the cat lands on the floor next to you. The cat's hiss is the:

    <p>Unconditioned stimulus (C)</p> Signup and view all the answers

    Signup and view all the answers

    Study Notes

    Behavior Change Stages (Prochaska & DiClemente)

    • Contemplative stage is described as integrating behavior change into daily life.
    • Contemplative stage involves struggling with ambivalence.

    Active Listening Behaviors

    • Maintain eye contact
    • Nodding and making eye contact
    • Asking for clarification
    • Combining all of the above

    Physician Response to Elicit Change Talk

    • A suitable response to a patient rating their confidence at 4 out of 10 is, "You've got some confidence, but not a lot."

    Emotion Theories (James-Lange)

    • The James-Lange theory proposes physiological arousal occurs before the conscious interpretation of an emotion

    Active Listening vs. Other Skills

    • Giving advice is NOT a part of active listening.

    Placebo Effect

    • Incorrectly believing that a treatment is real and experiencing improvement describes the placebo effect.

    Precontemplation Stage (Health Behavior Change)

    • The precontemplation stage is when a patient has identified relevant issues but has not yet consulted a physician

    Motivational Interviewing

    • Motivational interviewing involves a lack of argumentation
    • It emphasizes supporting the patient's self-efficacy
    • Rolling with resistance is a key technique in motivational interviewing

    Diagnosing Addiction

    • A physician's statement like "You have to admit you are powerless" demonstrates a failure to roll with resistance.

    Autism Causes

    • There's no single cause of autism; it's not attributed to maternal lack of bonding, a single gene, or poor prenatal nutrition.

    Emotion and the Autonomic Nervous System

    • The autonomic nervous system doesn't react in ways that are specific to emotions.

    Unconditioned Stimuli

    • A shock is considered an unconditioned stimulus.

    Motivational Interviewing Approach

    • A non-directive, patient-centered approach is consistent with motivational interviewing.
    • Avoiding argumentation and supporting self-efficacy are key elements to the approach.
    • Confronting denial is NOT consistent with this approach.

    Self-Efficacy

    • Self-efficacy is the confidence in one's ability to execute behaviors necessary to produce specific performance attainments. It is not simply the belief that one can accomplish anything or a humanistic theory.

    Factors Influencing Self-Efficacy

    • Mastery experiences, social modeling, and physiological/emotional states are factors that influence self-efficacy.

    Patient-Centered Care

    • Patient-centered care involves respecting patient preferences, needs, and values.

    Paralanguage (Paraverbal Communication)

    • Paralanguage encompasses vocal elements such as pitch, rate, and volume.

    Responding to Patient Anger

    • When a patient expresses anger at a colleague, a suitable response is to facilitate their concerns and how they were addressed.

    Empathetic Understanding

    • Empathetic understanding involves feeling with patients, not for them, and requires genuine concern for their experiences.

    Reflecting vs. Paraphrasing

    • Reflecting checks for understanding by slightly changing the phrasing; paraphrasing repeats the main points.

    Negative Reinforcement

    • Negative reinforcement increases a behavior by removing an aversive stimulus.

    Non-Real Change from Placebos

    • No real change in patients has been observed for some conditions who were exposed to placebos.

    First Impressions

    • First impressions are based on appearance, presentation, and communication style.

    Nonverbal Communication

    • Nonverbal communication occurs even if language is not used; it isn't always deliberate.

    Learning by Trial and Error

    • Learning is said to be trial and error when new things are tried, learning from the failures to avoid repeating them.

    Verbal vs. Nonverbal Communication

    • Verbal communication is typically more deliberate than nonverbal communication.

    Classical Conditioning

    • Classical conditioning is linked to conditioned and unconditioned stimuli.

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    Description

    Explore key concepts related to behavior change stages, active listening, and emotion theories like the James-Lange theory. This quiz covers techniques for eliciting change talk and the placebo effect in health behavior. Test your understanding of these psychological frameworks.

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