Chapter 9 Questions

Question 1
Most patients
1
are good judges of the technical quality of the medical care they receive.
consider medical treatment to be of high technical quality if the provider is nice.
feel that the technical quality of medical care is somewhat more important than the manner in which
it is provided.
judge the quality of care by the amount of time they spend with a care provider.
do not associate quality of care with the manner it is received.
Question 2 Problems with the structure of health care delivery system in Canada include
specialized care requires a referral
many Canadians do not have a family physician
long wait times
specialized care requires a referral, not enough family physicians, and long wait times
not enough use of complementary and alternative medicine
Question 3 The philosophy that health is a positive state to be actively achieved, not merely the absence
of disease
is not prevalent in Western medicine.
acknowledges physical and psychological influences but not spiritual influences on health.
is holistic health.
is a traditional therapy in Western medicine.
None of these answers are correct.
Question 4
According to the text, one of the changes in the philosophy of health care
4
delivery that affects patient-provider relationships

Western medicine's resistance to nontraditional therapies such as meditation and biofeedback.
in response to increased consumerism among patients, medical students become less egalitarian in
their relationships with patients during the course of medical training.
that provider-patient relationships are becoming more egalitarian.
that a holistic view of health is not practical in Western society.
that a patient should not question or even discuss their care with their provider beyond what is
necessary.
Question 5 The study by N' Chrin'n and colleagues (2011) found that although 72 percent of patients
being discharged felt that they had a good understanding of their diagnoses,
one-half did not follow-through with their doctor's recommendations.
older patients and those with cognitive impairments were less likely to have a clear understanding.
younger patients were more likely to falsely report their level of comprehension.
compared to women, men were less likely to follow-through with their doctor's recommendation.
more than half of the patients studied sought a second opinion to clarify the original diagnosis.
Question 6 Efforts to identify the personalities of physicians who communicate effectively have revealed
that
interest in people is the only reliable indicator of physician sensitivity.
there is no one reliable characteristic that predicts good communication skills.
physicians scoring high on extraversion are effective communicators.
there are multiple reliable indicators of physician sensitivity.
physicians scoring high on extraversion are effective communicators and there are multiple reliable
indicators of physician sensitivity.
Question 7 The placebo effect

accounted for much of the success of early medical treatments but is seldom an important aspect of
modern medical care.
accounts for improvements in the patient's psychological state but is unrelated to actual physiological
changes.
has been observed in both patients and providers.
is powerful but of short duration.
accounts for about 15% of a drug's effect.
Question 8 Researchers examining the links between the Big Five Factors and placebo responding has
found that
people scoring low in agreeableness were more likely to experience placebo effects.
people scoring low in openness were more likely to experience placebo effects.
people scoring high in conscientiousness were more likely to experience placebo effects.
people scoring high in neuroticism were more likely to experience the placebo effects.
people scoring high in extraversion were more likely to experience placebo effects.
Question 9 If both treatments are considered equally effective, in which of the following scenarios are
you most likely to see a larger placebo response for Patient A over Patient B?
Patient A receives a vitamin pill; Patient B receives a vitamin injection
Patient A receives treatment from a new doctor at a clinic; Patient B receives treatment from her
shaman (traditional healer)
Patient A takes a green stimulant pill; Patient B takes a red stimulant capsule
Patient A takes Buckley's Mixture cough syrup; Patient B takes a no name brand cough syrup
in none of these scenarios would patient A experience a larger placebo response over Patient B
Question 10 The presence of a placebo effect is reflected in the importance placed by the medical
community on
double-blind studies.
prospective studies.
retrospective studies.
drug studies.
pilot studies.

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Question 1

consider medical treatment to be of high technical quality if the provider is nice.

do not associate quality of care with the manner it is received.

many Canadians do not have a family physician

long wait times

not enough use of complementary and alternative medicine

is a traditional therapy in Western medicine.

None of these answers are correct.

delivery that affects patient-provider relationships

that provider-patient relationships are becoming more egalitarian.

that a holistic view of health is not practical in Western society.

there is no one reliable characteristic that predicts good communication skills.

physicians scoring high on extraversion are effective communicators.

there are multiple reliable indicators of physician sensitivity.

Question 7 The placebo effect

has been observed in both patients and providers.

is powerful but of short duration.

accounts for about 15% of a drug's effect.

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