Which of the following models calls for a political response to disability?
- A. Social
- B. Medical
- C. Activist
- D. Collaborative
Correct Answer: A
Rationale: The social model of disability, conversely, sees disability as a socially created problem and not an inherent attribute of an individual. The social model perspective calls for a political response, because the problem is created by an unaccommodating physical environment brought about by attitudes and other features of the social environment.
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According to the World Health Organization's ICF Bio-Psycho-Social Model, which of the following factors is an environmental contextual factor?
- A. Social background
- B. Behaviour pattern
- C. Social attitudes
- D. Coping style
Correct Answer: C
Rationale: Contextual factors are composed of external environmental factors (e.g. social attitudes, architectural characteristics, and legal and social structures, as well as climate, terrain, and so forth). The other choices represent internal personal factors (e.g. gender, age, coping styles, social background, education, profession, past and current experience, overall behaviour pattern, character, and other factors that influence how disability is experienced by the individual.
Which of the following is an example of multimorbidity?
- A. Chronic obstructive pulmonary disease and a urinary tract infection
- B. Lung cancer and pneumonia
- C. Chronic kidney disease and appendicitis
- D. Diabetes and exacerbation of rheumatoid arthritis
Correct Answer: D
Rationale: Multimorbidity is the simultaneous occurrence of several chronic medical conditions, which may or may not be related to each other, in the same person. Pneumonia, urinary tract infection, and appendicitis are all acute conditions.
Which of the following is a characteristic of health-related hardiness known as 'challenge'?
- A. Confidence to appraise a health stressor
- B. Ability to modify responses to health stressors
- C. Viewing a health stressor as an opportunity for growth
- D. Optimal psychosocial adaptation to a health stressor
Correct Answer: C
Rationale: Challenge is the anticipation of change. The person with health-related hardiness, when confronted with a health stressor, possesses sufficient self-mastery and confidence to appraise and modify responses appropriately (control) and cognitively reappraises the health stressor so it is viewed as stimulating and beneficial or an opportunity for growth (challenge).
Which of the following statements is true related to nonmodifiable risk factors for chronic illness?
- A. Cannot be changed
- B. Requires intervention in order to change
- C. Can be altered to benefit health outcomes
- D. Can be changed with patient perseverance
Correct Answer: A
Rationale: Nonmodifiable risk factors cannot be changed. Requiring intervention in order to change, altering, and changed with perseverance all indicate that change is possible.
What is the most influential source of self-efficacy?
- A. Mastery
- B. Affective states
- C. Verbal persuasion
- D. Vicarious experience
Correct Answer: A
Rationale: Four primary influences shape an individual's self-efficacy beliefs: mastery; vicarious experience; verbal persuasion and other social influences; and physiological and affective states that help us judge our capability and our vulnerability to dysfunction. Mastery reflects a belief about whether or not 'we have what it takes to succeed' and is considered the most influential source of self-efficacy.
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