Disability and Chronic Illness Quiz

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Questions and Answers

What is the primary definition of disability as outlined in the lesson?

A temporary loss of function due to illness

A complete inability to communicate with others

A condition that only affects the elderly

Damage to physical, mental, or spiritual functions affecting daily activities (correct)

Which of the following is NOT a key focus area in psychosocial adaptation to chronic illness and disability?

Body image

Financial planning (correct)

Stress

Crisis

Which term describes the process of adjusting to the changes brought on by chronic illness?

Cognitive dissonance

Psychosocial adaptation (correct)

Physical rehabilitation

Emotional intelligence

Elisabeth Kübler-Ross is known for outlining which concept related to chronic illness?

The stages of grief Signup and view all the answers

Which of these conditions is an example of a disability?

Cerebral palsy Signup and view all the answers

What aspect of psychosocial adaptation deals with feelings of uncertainty?

Uncertainty and unpredictability Signup and view all the answers

Which factor can increase the stress of individuals living with chronic illness or disability?

Frequent health crises Signup and view all the answers

What is a common psychological response experienced by people with disabilities?

Feelings of guilt or shame Signup and view all the answers

Which of the following emotional reactions is typically associated with chronic illness?

Sorrow Signup and view all the answers

What is a common behavioral reaction individuals may have when facing chronic illness?

Support search Signup and view all the answers

Which factor significantly influences an individual's psychosocial response to chronic illness?

Physical disease characteristics Signup and view all the answers

How does the onset of a chronic disease typically impact a person's psychological adaptation?

It creates ongoing stress and struggle Signup and view all the answers

Which factor significantly influences a person's reaction to disease?

Cultural characteristics Signup and view all the answers

Which of the following best describes the effect of individual characteristics on responses to chronic illness?

They can influence emotional and coping reactions Signup and view all the answers

What is a key aspect of effective communication from healthcare providers to patients?

Maintaining confidentiality Signup and view all the answers

What does social withdrawal signify in the context of chronic illness?

A coping mechanism for dealing with illness Signup and view all the answers

What is the effect of expressing anger in healthy ways on a person's psychological state?

It helps reduce anger and facilitates healing. Signup and view all the answers

What is recommended to enhance a patient's psychosocial adaptation to chronic illness?

Encouraging expression of feelings like anger Signup and view all the answers

Which psychosocial aspect might manifest as feelings of insufficiency in chronic illness patients?

Low self-esteem and perceived inability to manage the illness Signup and view all the answers

Which approach maintains hope while encouraging realistic acceptance of a chronic illness?

Balancing hope with realistic expectations Signup and view all the answers

What role do environmental factors play in an individual's psychosocial responses to chronic illness?

They may exacerbate stress and coping difficulties Signup and view all the answers

Which emotional response is often felt by individuals experiencing bargaining during illness?

Guilt and regret. Signup and view all the answers

What are common feelings associated with depression in individuals with chronic illness?

Despair and hopelessness. Signup and view all the answers

How should psychological support be tailored to patients experiencing loss or grief?

Integrating therapy and support during mourning reactions Signup and view all the answers

What should healthcare providers avoid doing to foster a trusting environment?

Being inflexible in their approach Signup and view all the answers

How can lack of sleep or excessive sleep be interpreted in the context of depression?

It serves as a sign of underlying depression. Signup and view all the answers

What is crucial for improving quality of life in patients with chronic illnesses?

Providing psychological and social harmony Signup and view all the answers

What does the stage of acceptance involve for individuals dealing with significant loss?

Acknowledging the reality and living with the consequences. Signup and view all the answers

What role does a patient's psychological state play in their health process?

It can speed up the progression of the disease. Signup and view all the answers

What is a common misconception about depression in individuals with chronic illness?

It is always a sign of a severe mental illness. Signup and view all the answers

What should be considered alongside feelings of depression in individuals who are experiencing it?

The intensity and context of the depression. Signup and view all the answers

What benefit can come from counseling for someone experiencing intense depression?

It can aid in processing feelings and promote healing. Signup and view all the answers

What is a primary aim of special education for individuals with special educational needs?

Development of personal personality Signup and view all the answers

How does special education assist individuals in coping with their conditions?

By developing coping strategies for stress Signup and view all the answers

Which of the following is NOT an aim of psychological support in rehabilitation nursing?

Enhancing competition among patients Signup and view all the answers

What parallel levels might affect the treatment of patients with chronic illnesses?

Stress and depression levels of the family Signup and view all the answers

What is one possible effect of group therapies for patients dealing with disabilities?

Improved self-esteem through shared experiences Signup and view all the answers

Which factor is mentioned as affecting an individual's psychosocial responses to diseases?

Comprehensive support network Signup and view all the answers

What psychological aspect is emphasized in rehabilitation to help individuals regain control in their lives?

Development of internal control perception Signup and view all the answers

What overall goal does special education strive to promote in the community?

Mutual acceptance and equal social development Signup and view all the answers

What is considered the ultimate psychosocial outcome in rehabilitation practice for individuals dealing with chronic illness or disability?

Post-CID quality of life Signup and view all the answers

Which of the following best describes the intrapersonal domain of quality of life?

Health and feelings of wellbeing Signup and view all the answers

What is the significance of the shock/denial response in coping with a chronic illness or injury?

It allows time for processing the emotional impact. Signup and view all the answers

Why is anger considered a necessary emotion in the healing process for patients with chronic illness?

It serves as a coping mechanism for unresolved feelings. Signup and view all the answers

Which of the following is NOT a component of the interpersonal domain of quality of life?

Work activities Signup and view all the answers

What does the bargaining stage in Kübler-Ross' stages of grief typically involve?

Seeking to negotiate a way out of their distress. Signup and view all the answers

What typically happens as denial fades in the psychosocial adaptation process?

Real feelings begin to surface. Signup and view all the answers

Which statement accurately represents a feature of emotional responses like anger in chronic illness?

Anger can direct energy towards recovery. Signup and view all the answers

Study Notes

Course Information

Course: Rehabilitation Nursing
Course Code: HEY413E
Course Week: 6
Course Day and Time: Tuesday (12:00 to 13:50)
Course Credits: 2
Examination Type: Mcqs
Instructor: Dr. Hina Zahoor
Instructor Email: [email protected]
Instructor Room: 305
Office Hours: 9:00 to 5:00
GBS Link: https://gbs.gelisim.edu.tr/ders-detay-5-160-6267-1
ALMS Link: https://lms.gelisim.edu.tr/almsp/u/Home/Index
AVISIS Link: https://persis.gelisim.edu.tr/Default.aspx

Weekly Learning Outcomes

Understand psychosocial adaptation and individual adjustment to illness/disability.
Identify illness-related stressors and their effect on patients' well-being.
Recognize crisis effects on individuals’ mental/emotional state.
Analyze self-concept’s influence on coping mechanisms during illness/recovery.
Comprehend Elisabeth Kübler-Ross' 5 stages of grief in patients facing loss/terminal illness.
Develop strategies to support emotional stability in rehabilitation, enhancing recovery.
Apply interventions addressing emotional/psychological needs during rehabilitation.
Facilitate adaptive coping mechanisms to improve patients' quality of life during recovery.
Evaluate psychological support methods to enhance patient outcomes and well-being.

Course Policies

Attendance is mandatory for all scheduled lectures.
Be responsible and come to class on time.
Be disciplined and avoid talking to friends during class.
Mobile phones are not allowed in class.

Topics for the Last Lesson

Goals of Rehabilitation for Chronic Conditions
Types of Rehabilitation Interventions
Multidisciplinary Approach
Key Focus Areas for Different Conditions
Recent Rehabilitation Technology Trends

Topics for Today's Lesson

Psychosocial Adaptation to Chronic Illness and Disability

Daily Flow

12:00-12:50: Psychosocial Adaptation, Stress, Crisis, Self-concept
13:00-13:50: Elisabeth Kübler-Ross' 5 stages of grief; Factors affecting psychosocial responses to diseases; Aims of psychological support in rehabilitation nursing

Psychosocial Adaptation to Chronic Illness and Disability

Disability: loss of health due to damage, disorder, deficiency of bodily, mental, or spiritual functions. Inability to work, self-handle, or communicate.
Disabilities include: difficulty seeing, hearing, speech impediments, walking, bathing, dressing, eating, housework, Alzheimer's, dementia, autism, cerebral palsy, dyslexia; increased risk of depression/anxiety.
Psychosocial adaptation: adapting harmoniously to life's changes, enhancing well-being and long-term survivorship.
Key concepts in psychosocial adaptation to chronic illness and disability (CID): stress, crisis, loss and grief, body image, self-concept; uncertainty/unpredictability; quality of life.
Stress: increased frequency/severity of stressful situations in individuals with CID.
Sources of stress: daily threats to physical/mental well-being, bodily integrity, independence, autonomy; family, social, vocational roles; future goals/plans; economic stability
Crisis: sudden/progressive medical impairments/disabilities (e.g., myocardial infarction, spinal cord injury) or life-threatening diagnoses that are highly traumatic.
Psychological consequences are long-lasting, leading to PTSD
Loss and grief: mourning process for lost body/function after CID onset; patient exhibits feelings of grief, bereavement, and despair; chronic sorrow depicts experience of individuals with CID.
Body image: unconsciously held schema of one's body. Impact of diseases like CID can affect perceptions of physical appearance/capabilities.
Self-concept: body image and self-identity are linked. Individuals with CID also experience social affectation reflected in their bodies
Uncertainty and unpredictability of the disease process affects individuals psychologically, specifically from heightened levels of perceived uncertainty about a medical condition such as cancer or MS, this leads to decreased psychosocial adaptation.
Quality of life (QOL): the ultimate psychosocial outcome of rehabilitation practice; a global, multifaceted construct, incorporates intrapersonal, interpersonal, and extrapersonal domains.
CID-Triggered Responses: Shock/denial, anger, bargaining, depression, acceptance. (These are stages of grief and apply to the response to chronic illness.)
Emotional reactions: anxiety, fear, anger, strength-weakness, sadness, sorrow, insufficiency, failure, guilt, hope-despair, depression, projection, pathological addiction/regression.
Behavioral Reactions: support search, expertise in disease, hiding, loneliness, social withdrawal/isolation, nonadherence to treatment.
Factors affecting psychosocial responses to illness: 1. Factors related to the patient's physical disease (sudden/slow onset; life-threatening/non-threatening); 2. Factors related to the individual's characteristics (life history, experiences, personality, defense mechanisms, coping mechanisms); 3. Environmental factors (society's view of the disease, marital status, family dynamics, social value judgments, and cultural characteristics.)
Psychological Support: Empathic attitude towards the patient/family. Friendly/supportive communication consistent with ethical principles. Building a sense of trust and flexibility. Respecting patient confidentiality; correcting any incorrect information. Encouraging free expression of feelings, thoughts, and concerns. Strengthening communication/social interactions. Cultivating a sense of self-control in their lives and realistic acceptance/hope for oneself. Allowing time for adaptation to the illness. Psychosocial support to the patients/relatives is effective. Group therapy and medication that regulate the nervous system may be helpful to the patient.

Additional Information

Recommended Daily Studies: McPherson, K, Gibson, BE & Leplege, A 2015, Rethinking Rehabilitation: Theory and Practice, CRC Press, NW, Florida. Hoeman, SP 2008, Rehabilitation Nursing: Prevention, Intervention and Outcomes, 4th edn, Mosby, St Louis, United States.
References: Provided with reference information

Next Week's Topic

Cardiac Rehabilitation Nursing 1

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Description

Test your knowledge about the definitions and concepts related to disability and psychosocial adaptation to chronic illnesses. This quiz explores key focus areas in understanding how individuals adjust to changes brought about by chronic conditions. Challenge yourself with questions about the psychological responses and factors affecting individuals living with disabilities.