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MOP CH 3-5

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Question
Answer
CEU's   continuing education units, $70 or $75 yearly to keep certification  
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reasons medical assistants are preferred   scope of practice and versatility  
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CMA   425 score to pass, 3 hours about 200 questions, computerized about 18 months ago, require paperwork 90 days before test, and $125 for test if taken within 6 months of graduating if not $225  
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RMA   70 score to pass, 3 hours about 200 questions, takes 4-6 weeks to get entry requirements for test, $100 for test  
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profit sharing   at end of year when the books are done employees given percent of profit  
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judicial review board   go to if asked to leave externship and cant do anything for 6 months including graduating  
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facial expression   must be very careful and maintain focus and calm  
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Projection   Externalization of personal feelings onto another who may not be involved with issue  
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Denial   Unable to cope with issue so avoids confrontation by denying existence of problem  
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Regression   Going back to childlike state, replacing won’t with can’t is good gauge for this mental state  
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Repression   Blocking a problem from the mind and changing subject when mentioned  
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Verbal Aggression   Verbal attack on another person without addressing original complaint  
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Compensation   Makes up for one behavior by stressing another, often used as excuse for not accomplishing task  
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Rationalization   Offering excuses for actions and trying to convince others behavior was justified, have excuses for everything  
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Apathy   Seems to lack emotion but in reality it’s a type of repression trying to block a problem out  
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Displacement   Venting of hostile feelings somewhere other than where it should be directed  
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Physical avoidance   Very painful event so any representation of the event is avoided  
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Sarcasm   Comes from Greek word sarkasmos meaning to tear flesh or bite lips, biting edge added to words to cause pain  
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close ended questions   yes, no, or maybe response, very narrow answer response, and used when specific answer needed  
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open ended questions   more like a conversation  
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communication channels   verbal, facial expressions, gestures, drawing pictures, any way to get message across  
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phobias   big fears or exaggerated fears, learned type of behavior usually from parents  
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panic disorders   truly afraid of something, breathing picks up, some have such strong fear they cant move, paper bag puts carbon dioxide back in and slows breathing  
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antisocial behavior   cant distinguish between right and wrong these people can only think about what they want  
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depressive disorder   emotional, physical, or both and can lead to death  
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defense mechanisms   how we handle stress, can be with verbal aggression, projection, sarcasm, compensation, physical avoidance, regression, apathy, rationalization, displacement, repression, or denial  
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how to deal with verbal aggression   dont feed the fire  
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conflict   comes from everyone having different personality traits, avoid if possible if cannot ask how problem can be resolved  
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boundaries   different for each person, types are space, pet names, and preference of being called by first or last name  
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allied health fields   occupational disciplines involved with the delivery of healthcare to assist physicians with the diagnosis, treatment, and care of patients  
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benefits   services or payments provided under plan or agreement and other options that may be offered to employees of company or organization  
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cross-training   training in more than area so that a multitude of duties may be performed or so substitutions of personal may be made in emergency  
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fastest growing occupation for the period from 2002 to 2012   Medical assisting  
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Offices need flexible medical assistants who can handle both   administrative and clinical duties  
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The first medical assistants were probably   neighbors lending a helping hand  
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The need for both administrative skills and clinical skills emerged as   record keeping and other business details became more vital in physician offices  
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Schools began offering training programs for medical assisting in   late 1940s  
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Medical assistant organizations began developing in 1950, and   certifying examinations followed soon after  
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The most descriptive term for the professional medical assistant   versatile  
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Duties of the medical assistant vary from office to office and   within the same clinic  
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Medical assistants are found in   physicians’ offices, chiropractors’ offices, podiatrists’ offices, hospitals, surgery centers, and freestanding emergency centers  
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Scope of Practice Defined   The performance of delegated clinical and administrative duties within the supervising physician’s scope of practice consistent with the medical assistant’s education, training, and experience  
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2 Major Categories of Duties Performed by Medical Assistants   Clinical and Administrative  
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Clinical Duties   medical histories, explaining treatment procedures, preparing and assisting examination, collecting and preparing lab specimens, instruction, preparing and administering medications, drawing blood, electrocardiograms, sutures and changing dressings  
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Administrative Duties   computer applications, telephones, greeting, medical records, billing and coding, appointments, arrangement of hospital and lab services, and correspondence  
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Career in Medical Assisting offers   flexible career, no mandatory retirement age, attractive to nontraditional students, computerization and technical advances made more positions available, and valuable asset to the physician’s office  
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Medical Assisting is the fastest growing occupation as determined by   Department of Labor’s Occupational Outlook Handbook  
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growth of medical assistant field is projected to continue through   the year 2012  
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Sixty percent of medical assistant positions are in   physician offices  
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Statistics and trends in salary and compensation can be found on   Department of Labor’s Occupational Outlook Handbook website  
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Benefits That May Be Offered to Medical Assistants   Health insurance, Life insurance, Dental insurance, vision insurance, Cafeteria benefits,Profit sharing, Stock options, Various discounts, Vacation and sick time, Paid holidays, and Membership to credit unions  
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truism   money is a byproduct of the services rendered  
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Professional Appearance have   positive psychological effect on patients and influence the public relations image of the entire office  
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Good health requires   adequate sleep, eating balanced meals, exercise, and healthy lifestyle  
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good grooming   personal cleanliness, avoidance of cologne and perfumes, conservative makeup, clear or no nail polish, nails at conservative length, attractive uniform or scrubs, clean shoes, limited jewelry, and no facial or tongue piercings name badge in place  
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Classroom Training for medical assistant   private career institutions or community colleges and lead to certificate, diploma, or associates degree  
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during the course of a day of training as medical assistant most programs offer   theory, administrative, and clinical education  
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Externships and Internships word use   The terms “externship” and “internship” are interchangeable and are used in different parts of the country  
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Externships and Internships defined   designed to offer the student a chance to put skills to work with real patients and provide valuable experience before graduation  
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The internship site will provide a supervisor, and this person should be   first point of contact for the intern throughout the time at the site  
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extern should   open to constructive criticism, take initiative and be team player, treat the externship as probationary period, and be open to learning skills or techniques that are different from what classroom taught  
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General Rules to Remember as extern   must gain trust of those at site, general duties assigned before difficult duties, read job description at site, ask supervisor whenever questions arise, stay busy, ask for additional duties if ur work done, show responsibility and dependability  
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as a medical assistant Never   breach patient confidentiality, pursue romantic relationships with co-workers or patients, use any drug sample without permission, borrow from petty cash, expect physician to treat family or friends, ask for prescription  
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Continuing Education Includes   reading literature related to area employed, attending educational seminars, meetings, conventions, and taking advantage of CEUs  
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Professional Organizations can help the medical assistant   grow personally and professionally, keep abreast of current trends, demonstrate seriousness about career, promote profession, receive benefit offers, and gain CEUs.  
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American Association of Medical Assistants (AAMA)   organized in 1956, State associations and District of Columbia, based in Chicago, Illinois, Established national certification program, and Offers CMA exam  
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recertification is required every 5 years as medical assistant and can be done through   reexamination or CEUs  
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American Medical Technologists (AMT)   certification examination begin in 1970s, other certifications they offer are Certified Office Laboratory Technician (COLT) and Registered Phlebotomy Technician (RPT), and national headquarters Park Ridge, Illinois  
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AMT Events   publication targeted toward medical assistants and other disciplines certified by AMT  
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National Healthcareer Association offers certifications as   Certified Medical Administrative Assistant (CMAA), Certified Clinical Medical Assistant (CCMA), Certified Billing and Coding Specialist (CBCS), and Certified Medical Transcriptionist (CMT)  
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characteristics   distinguishing traits, qualities, or properties  
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competent   having adequate or requisite capabilities  
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demeanor   behavior towards others, outward manner  
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discretion   having or showing good judgment or conduct especially in speech  
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disseminated   to disburse  
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drug of choice   drug an abuser uses most frequently to satisfy the craving for a certain feeling  
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initiative   to cause something to happen  
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morale   mental and emotional condition  
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persona   personality a person projects in public  
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reproach   expression of rebuke or disapproval  
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work ethics   set of values based on moral virtues of hard work and diligence and reliability is most important  
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Meaning of Professionalism   exhibiting generally businesslike manner and conforms to technical or ethical standards of a certain profession  
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why professionalism is important   patient trust and confidence are in those they deem to be professional, Attitudes are conservative in the medical field  
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Characteristics of Professionalism   Loyalty, Dependability, Courtesy, Initiative, Flexibility, Credibility, Confidentiality, and Attitude  
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flexibility   ability to adapt to a wide variety of situations  
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credibility   perceived as competence of a person leading to the belief they can be trusted  
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Obstructions to Professionalism   Personal Problems and Baggage, Rumors and “the Grapevine”, Personal Phone Calls and Business, Office Politics, and Procrastination  
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how to deal with Personal Problems and Baggage   Take a moment to discuss the situation with supervisors, and Use discretion when talking about the issues at hand  
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visitors to medical personal at work should never enter patient areas but be directed to   reception area as a waiting room  
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Office Politics   positive or negative, Positive can lead to promotions and wage increases, Negative can lead to dissention and low employee morale  
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Procrastination   sign of the fear of failure, Never put off duties that can be done immediately, and Divide projects into small segments  
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Professional attributes   Teamwork, Time Management, Prioritizing, and Goal Setting  
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Teamwork   most important attributes to develop, must work together for good of patients, Never say, “That’s not my job.”  
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Time Management   Use time efficiently, Plan tasks that must be done, and Key to time management is prioritizing  
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Prioritizing   deciding which tasks to do first, make list, Decide must, should, and could, numeric order, letters and numbers, and complete tasks  
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Goal Setting   Reasonable, Measurable, Written down, Monitored for progress, set for all areas of life, and Celebrated when reached  
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Knowing the Facility and Its Employees   important to know people and their general job in medical facility, so patients can be referred to most knowledgeable personal  
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Documentation   write legibly, be complete, state facts, never use sarcasm, and make corrections as directed  
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Note Taking   Always have pen and paper ready for note taking in meetings and seminars, and Keep a small pad and pen in a pocket for quick notes  
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Communication   The success of any business is related to its ability to communicate effectively  
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abuse   use of illegal drugs or misuse of prescription and OTC drugs  
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addiction   compulsive use of substance despite its negative and sometimes dangerous effects  
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substance abuse also called alcohol abuse   repeated and excessive use of substance, despite its destructive effects to produce pleasure and escape reality  
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National Institute on Alcohol Abuse and Alcoholism (NIAAA)defines alcohol abuse as having 4 symptoms   craving, loss of control, physical dependence, and tolerance  
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craving   strong urge or need to drink  
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loss of control   inability to stop drinking once it has begun  
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physical dependence   withdrawal symptoms after drinking such as shakiness, nausea, sweating, and anxiety  
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tolerance   need to increase amount taken in to get same effect  
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adage   saying often in metaphoric form that embodies common observation  
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ambiguous   capable of being understood in two or more possible senses or ways  
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animate   to fill with life and give spirit  
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battery   offensive touching or use of force on a person without their consent  
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caustic   marked by sarcasm  
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congruent   conforming to the circumstances or requirements of a situation  
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decodes   recognizes a message and interprets  
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encodes   converts a message into code  
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encroachments   actions that advance beyond the usual or proper limits  
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enunciate   the act of being very distinct in speech  
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externalization   attribution of an event or occurrence to causes outside oneself  
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litigious   prone to engage in lawsuits  
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malediction   speaking evil or the calling of a curse  
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perception   capacity for comprehension  
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physiologic noise   physiologic interferences with the communication process  
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pitch   highness or lowness of sound  
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proxemics   study of nature, degree, and effect of the spatial separation individuals naturally maintain  
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stereotype   something conforming to a fixed or general pattern  
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subtle   difficult to understand or perceive  
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thanatology   study of death  
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vehemently   in a manner marked by forceful energy  
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volatile   easily aroused  
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The medical assistant’s interpersonal skills help to set   tone of the office  
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Interpersonal skills and human relations intersect and the successful medical assistant will   work to improve both sets of skills throughout his or her career  
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The Patient’s Perception   critically important, may not be accurate but just as important as what is actually happening  
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First Impressions   more than physical appearance or dress, remain in thoughts, includes attitude, compassion, and the smile  
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Introductions   introduce yourself, smile, wear name badge, show patient around office and introduce staff members, and put patient at ease  
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Communication Paths   verbal and nonverbal  
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Verbal Communication   enunciate, eye contact, use appropriate body language and volume, and show concern  
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Tone of voice is very important in communication   Never be sarcastic, inappropriate remark followed by just kidding, and take care not to hurt feelings  
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Patients Need Tender Care   may have great concerns, be very apprehensive, or be fearful  
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Listen to Patients   let patients do most of talking, dont offer personal info, and if must share positive experience but briefly  
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Nonverbal Communication   Body language, Gestures, Mannerisms, and Eye movement  
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Body Language   partly instinctive, taught, and imitative  
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Conservative Appearance   preferred to avoid blocks in communications  
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Posture and Positioning can signal   Depression, Anger, Excitement, Fear, or An appeal for help  
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Channels can be   Spoken words, Written messages, or Body language  
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Feedback   Verbal expression, Body language, or Nod of understanding  
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preventions of listening   thoughts, situations, conversation seems meaningless, to many messages at once, anger, exhaustion, or prejudged speaker and feel no need to listen  
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Conflict can   Be beneficial, Be constructive, Promote stronger understanding and deeper levels of intimacy  
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Assertion   Stating or declaring positively, often forcefully or aggressively  
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Nonassertion   The inability to express needs and thoughts or the refusal to express them  
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Crazymakers: passive-aggressive communication   avoider, psuedoaccomodator, guilt-maker, subject changer, distracter, mind reader, trapper, crisis tickler, gunnysacker, trivial tyrannizer, beltliner, joker, blamer, contract tyrannizer, kitchen sink fighter, withholder, and benedict arnold  
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The Avoider   Refuses to fight and keeps from facing the problem at hand  
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The Pseudoaccommodator   Refuses to face up to a conflict by either giving in or pretending nothing is wrong  
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The Guiltmaker   Tries to make his or her partner feel responsible for causing pain  
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The Subject Changer   Escapes facing up to aggression by shifting the conversation when it approaches an area of conflict  
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The Distracter   Attacks other parts of his or her partner’s life rather than expressing feelings of dissatisfaction  
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The Mind Reader   Refuses to allow partner to express feelings and goes into an analysis of what “really meant.”  
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The Trapper   Sets up desired behavior, then attacks that behavior once it manifests  
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The Crisis Tickler   Brings what is bothering him or her almost to the surface but never quite expresses true feelings  
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The Gunnysacker   Does not immediately respond to anger then Directs pent-up frustrations on unsuspecting partner  
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The Trivial Tyrannizer   Does things that will bother the partner instead of honestly sharing his or her own resentments  
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The Beltliner   Hits the partner below the psychologic belt  
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The Joker   Kids around when the partner wants to be serious, instead of expressing true feelings  
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The Blamer   More interested in finding fault than in resolving a conflict  
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The Contract Tyrannizer   Will not allow relationships to change from the way they once were  
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The Kitchen Sink Fighter   Brings up things that are totally off the subject instead of dealing with the issues at hand  
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The Withholder   Punishes the partner by holding something back, building up greater resentment  
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The Benedict Arnold   Gets back at partners by sabotage, failing to defend them and encouraging ridicule toward them  
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communication during anger   One of the most difficult times to communicate, Expression of anger is usually healthy and not expressing it can lead to all types of health problems  
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dealing with patients with shock   never leave them alone, watch carefully, and make sure person with trusted relative or friend when leaving  
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Five Stages of Grief   Denial, Anger, Bargaining, Depression, and Acceptance  
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Maslow’s Hierarchy of Needs   has 5 levels, basic level is food, rest, sleep, water, air, sex, 2nd level relates to safety, 3rd level relates to social needs, 4th level relates to self-esteem, and 5th level is self-actualization  
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Two Main Phases of Sleep   non–rapid eye movement (NREM) rapid eye movement (REM)  
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non–rapid eye movement (NREM)   Four stages, during which the body slows down and relaxes  
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rapid eye movement (REM)   Deep sleep when dreaming, Brain is highly active, Eyes move rapidly, and Occurs in the last hours of sleep  
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