CBM CBM Psychological & Psychosocial Support 2 — Questions and Answers
Question 1: Procedural anxiety during dressing changes in burn patients is best managed using which approach?
- Combining pharmacologic anxiolysis with non-pharmacologic strategies such as virtual reality or guided imagery (Correct answer)
- IV benzodiazepines alone
- Rapidly completing dressing changes to minimize exposure time
- Patient restraint to prevent movement
Correct answer: Combining pharmacologic anxiolysis with non-pharmacologic strategies such as virtual reality or guided imagery
Multimodal procedural anxiety management combining pharmacologic and non-pharmacologic strategies (VR, music therapy, guided imagery) is most effective at reducing pain and anxiety during dressing changes.
Question 2: Children who sustain burn injuries are at elevated risk for which long-term psychological outcome compared to adults?
- Academic difficulties, social withdrawal, and behavioral problems related to PTSD (Correct answer)
- Higher rates of substance abuse
- Increased risk of bipolar disorder
- More rapid resolution of PTSD symptoms
Correct answer: Academic difficulties, social withdrawal, and behavioral problems related to PTSD
Pediatric burn survivors face disruption to critical developmental periods, leading to academic difficulties, peer relationship challenges, and behavioral problems tied to trauma responses.
Question 3: Family members of burn patients commonly experience which psychological condition that warrants dedicated clinical attention?
- Secondary traumatic stress and caregiver burnout (Correct answer)
- Antisocial personality disorder
- Conversion disorder
- Selective mutism
Correct answer: Secondary traumatic stress and caregiver burnout
Family caregivers witness traumatic events and the prolonged suffering of their loved ones, placing them at high risk for secondary traumatic stress, anxiety, and burnout.
Question 4: The 'return to community' phase of burn rehabilitation is most challenging psychologically because of which factor?
- Social stigma, staring, and unsolicited comments about visible scars in public settings (Correct answer)
- Physical pain that worsens outside hospital
- Loss of nursing support for wound care
- Requirement to resume employment
Correct answer: Social stigma, staring, and unsolicited comments about visible scars in public settings
Public interactions expose survivors to unwanted attention, staring, and insensitive remarks about their appearance, triggering social anxiety, avoidance, and reduced community participation.
Question 5: Which burn survivor population has been found to have the highest rates of pre-injury psychiatric comorbidity?
- Patients with self-inflicted burns (Correct answer)
- Pediatric scald burn patients
- Occupational flame injury patients
- Sunburn patients requiring hospitalization
Correct answer: Patients with self-inflicted burns
Self-inflicted burn patients have markedly elevated rates of pre-existing depression, suicidality, borderline personality disorder, and other psychiatric conditions.
Question 6: Motivational interviewing (MI) is most useful in the burn rehabilitation context for addressing which patient behavior?
- Ambivalence about adhering to compression garments and scar management regimens (Correct answer)
- Acute suicidal ideation
- Delirious agitation in the ICU
- Post-operative nausea
Correct answer: Ambivalence about adhering to compression garments and scar management regimens
MI helps therapists explore and resolve patient ambivalence about uncomfortable but necessary scar management treatments, improving long-term adherence.
CBM CBM Psychological & Psychosocial Support 2
Procedural anxiety during dressing changes in burn patients is best managed using which approach?