Illinois Physician Ebook Continuing Education

The Intersection of Pain and Culture ____________________________________________________________

50. In cultures in which pain is believed to be part of the human experience, individuals tend to cope with pain A) through holistic treatments.

56. In Chinese cultures, pain may be attributed to an imbalance of yin and yang, with help sought A) through a shaman.

B) in places where people have died. C) through mental health counseling. D) through acupuncture and herbal medications.

B) by seeking to strengthen religious devotion. C) with stoicism and a high degree of self-control. D) through vocal expressions and group involvement.

57. Which of the following is considered a societal/ institutional barrier to effective pain management in racial and ethnic minority groups? A) Racism B) Fear of substance misuse C) The subjective nature of pain D) Lack of healthcare professionals’ training regarding the intersection of pain and culture 58. Which of the following statements regarding unidimensional pain scales is TRUE? A) The numerical rating scale has poor sensitivity. B) All unidimensional pain scales consist of information gained from an objective assessment of the patient. C) A problem with the verbal descriptor scale is that the descriptors may only be an artificial assessment of perceived pain. D) Generally, patients have more challenges understanding the verbal descriptor scale than the visual analog or numeric rating scales. 59. In the context of pain treatment, which of the following is a main component of empowerment? A) Education B) Passive listening C) Avoidance of optimism and hopeful thinking D) Establishing a clear treatment plan and team before engaging the patient 60. Which of the following counseling techniques can help patients understand how cognitions can influence pain and related behaviors? A) Reframing B) Guided imagery C) Identification of cognitive distortions D) All of the above

51. The term “pain response” refers to

A) the body’s reaction to painful stimuli. B) verbal and nonverbal expressions of pain. C) cultural expectations of communicating pain. D) the way in which pain is interwoven with spirituality. 52. Which of the following attributes characterizes communication styles of low-context cultures? A) Use of nonverbal cues B) Listening to the underlying message C) Focus on the explicit information in the message D) Focus on the relationship between the two parties 53. Which of the following is considered a high-context culture? A) Hispanics B) African Americans C) Asian/Pacific Islanders D) All of the above 54. Which of the following is an example of a passive pain coping strategy? A) Wishful thinking B) Attempt to stay busy C) Place energies into a productive activity D) Continue with normal activities of daily living 55. According to the Cultural Determinants of Help Seeking Model, all of the following influence how help is sought, EXCEPT: A) Traditions

B) Social context dynamics C) Perceptions and labeling D) Interpretations of meaning

Course Code: MDIL05IP

73

MDIL1526

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