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Surgical Patients Need Us: Psychological Preparation Improves Outcomes - Test
by William W. Deardorff, Ph.D., ABPP

Please note that printing this page does not constitute proof of completion of the course. After successfully completing this test, you may purchase your Certificate of Completion and print it immediately or have it mailed to you.

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1. The field of psychoneuroimmunology (PNI) investigates the _____________.	Help
psychological modulation of will power psychological modulation of immune function immunological modulation of psychological function immunological modulation of cognitive function

2. The meta-analytic study of PNI by Segerstrom and Millers (2004) supported the conclusion that stressful experiences alter features of the immune system function.	Help
True False

3. The immune system has two primary functions, _____________ and ___________ .	Help
to distinguish self and non-self, destroy foreign substances identified as non-self to distinguish self and non-self, destroy substances identified as self to destroy foreign substances identified as non-self, help with digestion to destroy foreign substances identified as self, to distinguish self and non-self

4. The stages of wound healing include all of the following except:	Help
Inflammation vasoconstriction platelet activation infection

5. Studies have shown that stress _____________ wound healing.	Help
inhibits enhances has no effect on all of the above

6. Smoking is suspected to slow wound healing after surgery due to all of the following except: ________.	Help
decreased blood flow to the injured tissue increased carbon monoxide decreased proliferation of cells within the extracellular matrix coughing from the smoke

7. Aside from smoking and alcohol, ____________ and ____________ have also been found to adversely affect surgical outcome.	Help
physical deconditioning, age physical deconditioning, insurance coverage gender, age gender, insurance coverage

8. All of the following are benefits of psychological preparation for surgery except _________ .	Help
decrease patient distress deceased patient satisfaction reduced reports of pain shorter stay in the hospital

9. Psychological preparation for surgery programs are based upon all of the following models except __________.	Help
informative preparations cognitive behavioral approaches empowerment and self-efficacy psychodynamic theories

10. When using informative preparations and educational interventions, one must be cognizant of ________ .	Help
the patient's coping style: information-seeking versus blunting the surgery that is being planned whether the surgery will be outpatient or inpatient unconscious conflicts

11. __________ is the belief that one can effectively perform a given behavior and that the behavior will result in the desired outcome.	Help
narcissism self-efficacy empowerment self-esteem

12. The negative consequences of a patient comparing his or her own post-operative progress with others who are doing better is termed ___________ .	Help
unilateral comparison downward comparison upward comparison indirect comparison

13. The most comprehensive model of surgery preparation is the ____________ model.	Help
informative biopsychosocial empowerment cognitive behavioral

14. An ______________ does better with more information while an _____________ does better with less information.	Help
information-seeker, information-avoider information-avoider, information-seeker information-skeptic, information-optimist information-optimist, information-skeptic

15. It has been found that medical procedure consent forms (e.g. surgery) are often written at the ___ level of readability.	Help
3rd grade 6th grade 9th grade 12th grade or higher

16. When gathering information on the Internet, websites with domains ending in ____, _____, and _____ are probably the most trustworthy.	Help
edu, org, com edu, org, tv net, org, gov edu, org, gov

17. Characteristics of "self-talk" include all of the following except _________.	Help
highly believable to the person occurs as a specific, discrete message is easy to "turn off" and ignore is unique to the individual

18. In the ABCDE model, "D" represents _______ .	Help
disruptive thoughts disputing thoughts dysfunctional behavior dysmorphic body image

19. Imagining the worst possible scenario and then acting as if that will actually happen is ____________ style of thinking	Help
catastrophizing filtering black and white thinking overgeneralization

20. Focusing on the negative aspects of a situation to the exclusion of any positive elements options is ____________ style of negative self-talk.	Help
catastrophizing filtering black and white thinking overgeneralization

21. The relaxation response causes actual physical changes including all of the following except:	Help
decreased blood pressure decreased slow brain waves decreased heart rate decreased rate of breathing

22. Common obstacles to relaxation practice include all of the following except:	Help
no time to relax its boring no place to relax one's clothes being too tight

23. When a person is under hypnosis, another individual can control his or her mind.	Help
True False

24. Imagery has been used for:	Help
deepening relaxation enhancing healing improving sleep all of the above

25. One of the most common medical errors made in the hospital is ________ .	Help
medication error surgical error not getting a private room not getting the correct meal

26. Of the four types of communication styles, ____________ is likely to be the most effective in surgery preparation issues.	Help
submissive assertive aggressive passive-aggressive

27. Assertiveness training in surgery preparation includes all of the following except:	Help
using "I" statements learning to say "No" keeping requests simple being sure to raise your voice above the other person

28. Surgery preparation and psychosocial intervention might include _________ .	Help
family friends work all of the above

29. Spiritual issues are important to a great number of pre-surgical patients but largely ignored as part of surgery preparation.	Help
True False

30. Spiritual beliefs can enhance surgical outcome for all of the following reasons except.	Help
helping the patient feel punished by God giving the patient a sense of meaning and purpose helping the patient set healthy priorities giving the patient comfort in the face of crisis

31. Uncontrolled pain can lead to negative bodily responses that can impede wound healing.	Help
True False

32. The two major advances in the way pain medications are scheduled include _________ and ________.	Help
time-contingent dosing, patient-controlled analgesia time-contingent dosing, as-needed (prn) dosing time release medication, as-needed (prn) dosing time release medication, time-contingent

33. Non-medication pain control techniques include all of the following except:	Help
opioids cognitive-behavioral and relaxation techniques massage and exercise TENS

34. __________ is a well known property of all narcotics.	Help
Tolerance Pseudotolerance Addiction Pseudoaddiction

35. A patient can develop tolerance and physical dependence on a medication and not be addicted to it.	Help
True False

36. ________________ is a psychological dependence on the medication for its psychic effects.	Help
Tolerance Pseudotolerance Physical dependence Addiction

37. Integrating surgery preparation into your practice should include:	Help
targeting specific surgery types offering the program at a local hospital forming close relationships with surgery groups All of the above

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Surgical Patients Need Us: Psychological Preparation Improves Outcomes - Test by William W. Deardorff, Ph.D., ABPP

Surgical Patients Need Us: Psychological Preparation Improves Outcomes - Test
by William W. Deardorff, Ph.D., ABPP