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GP U2 Pro Practice
S6: The concept of a patient-centred approach
| Question | Answer |
|---|---|
| living in accordance with your own values is known as ? C | Congruence |
| seeing the person’s world from their perspective is known as ? E | Empathy |
| accepting and showing respect for the person is known as ? UPR | Unconditional positive regard |
| An appropriate environment is one where which 3 core-conditions are present | Congruence , Empathy , Unconditional positive regard |
| what type of interviewing helps to allay feelings of ambivalence by accepting doubts as a natural, valuable part of the process | Motivational interviewing |
| what is the rationale of motivational interviewing | to allow people to be persuaded and motivated by themselves |
| what style of interviewing would be used in Motivational interviewing | Conversational |
| what interviewing technique helps people to talk themselves into changes that are based on their own values | Motivational interviewing |
| how do a lot of ‘helpers’ fall into the trap of jumping in to fix a problem | by using their values and approach as opposed to thinking in the clients shoes |
| a collaborative, conversational style of helping is known as ? MI | Motivational interviewing |
| Where must you ensure a clients motivation comes from ? | form themselves |
| At consultation what two important things must be addressed about how their program can progress ? M&B | Motivations and barriers |
| Name some motivators (reason to change) | More Energy, Lose Weight, Feel Better |
| Name some barriers | Feeling Depressed, No time, To Tired |
| Which consulting skill in Motivational Interviewing requires you to support people through their decision-making process in an attentive, empowering way ? HH | Helpful Helping |
| The essence of motivational interviewing is to understand which two things ? M&B | Motivations and barriers |
| It is essential that you focus on motivation rather than trying to enforce what to soon ? | change |
| which conversations focus on motivation and are helpful ? | Why |
| Why are closed conversation questions unhelpful ? | They request a yes/no answer and stop conversation flow |
| What kind of questions are good way to start a consultation? | open questions |
| Open questions begin with the words: “How?” and “Why?” For example: “How are you?”, why are open questions a good idea ? | They elicit an open response, rather than a simple “yes” or “no” answer. |
| In a consultation, we need to be mindful of what information we set out to gather and avoid asking so many questions, why ? | dont want the client feeling interrogated! |
| which statements are used to recognise a person’s attributes or acknowledge the positive actions they have taken ? A | Affirming statements |
| which listening technique is a way of showing empathy | Reflective |
| Reflective listening is a way of showing empathy. It achieves this by repeating the words the person uses which is known as ? SR | simple reflection |
| Reflective listening is a way of showing empathy by using statements that show an understanding of what the person has said rather than repeating their words is known as ? CR | complex reflection |
| Reflective listening uses which two types of refelction SR & CR | simple reflection + complex reflection |
| Which statements are effective for reframing negative thoughts when people are lacking in confidence. AS | Affirming statements |
| “You tried golf to see if you liked it” is an affirming statement; TRUE/FALSE | TRUE: It’s a positive acknowledgement that the client tried a new sport. This could be important for motivation and encouragement if he sees giving up as a failure. |
| “You want to feel better” is an example of reflective listening. TRUE/FALSE | TRUE: Repeating the client’s statement shows empathy in recognising its importance. It can also be used to encourage reflective conversation. |
| “I bet you wish you had kept playing golf” + “Having a beer is more important than exercise” could be judged as what type of statement | judgemental |
| Example of a good consultation summarising statement... | “On one hand you would like to feel better and have more energy and lose some weight (CHANGE), yet, on the other hand, you feel tired and when you get home you want to sit down, have a beer and relax (NO CHANGE) |
| describe a mindset that imposes the helper’s value system on people, rather than appreciating the clients own. CPR | Conditional positive regard - These would be damaging to your working relationship |
| Conditional positive regard example.... | a parent loves and supports his child as long as the child maintains A grade average and helps out on household chores |
| SMART for goal setting | Specific Measurable Achievable Relevant or rewarded Time-framed |
| What are the benefits of SMART goal setting | It is a strategic, logical approach. |
| What is the term used to describe the extent to which we believe our actions can influence our destiny | ‘Locus of control’ (Rotter 1950s) |
| which type of people believe that they can take control of their lives. They’re more likely to take action as they’re self-motivated, committed and determined. | People with an internal locus |
| which type of people take a fatalistic view and believe life to be a matter of luck which is outside their control. | People with an external locus |
| which type of locus people who lack motivation to change as they don’t see how it will help. They need more support in making lifestyle changes, and more encouragement through the process | People with an external locus |
| you think you can make a difference and take control of your life through your actions is a person with what type of locus ? | Having an internal locus |
Created by:
LeeNelson
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