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Week 7
AR (Exam 2)
| Question | Answer |
|---|---|
| What is counseling? | an interactive process to understand the unique characteristics and circumstances of an individual; facilitate positive change in situations where individuals are coping with challenging life situations |
| What are the different types of counseling? | educational/informational, personal adjustment (emotional/social), Assertiveness |
| When do the different types of counseling happen? | each type can happens to the same time of a session |
| What are the basic goals of counseling? | communicate empathy, promote self-efficacy, engage patients in identification and self management of concerns, and foster adherence or compliance with treatment |
| How can clinicians offer patient centered counseling? | establish a therapeutic relationship, encourage patient/family to share experiences, use empathy to develop understanding, and promote family/patient self-efficacy/self-management |
| What is the Medical Model of rehabilitation counseling? | focuses on diagnostic testing and a program or device to "fix" the problem that is offered by the provider |
| What is the Biopsychosocial Model of rehabilitation counseling? | focuses on both diagnostic and unique impacts and needs of patient/family with goals jointly determined |
| What is a major contributing factor in treatment success? | patient-practitioner therapeutic relationships |
| What is the cognitive component of empathy? | the ability to gain an accurate view of individual's experience or feelings |
| What is the affective component of empathy? | the ability to acknowledge and offer support |
| What are the two components of empathy? | cognitive and affective |
| What are the results of empathy? | patient/family feel their concerns have been heard and are more satisfied with care, leads to mutually determined care plan and higher likelihood of treatment compliance |
| How does one complete the medical model? | gather info using a history form focused on etiology and progression along with other test data, follow-up counseling focuses on clinician's treatment goals |
| How do we encourage patient narratives? | use open-ended statements and questions; use nonverbal communication that encourages patients to talk |
| What types of nonverbal communication encourages patients to talk? | a private area, face-to-face communication, good eye contact, body language of a listener, waiting for a response |
| How are counseling skills obtained? | through learning them and practicing |
| How does one develop empathy? | practice listening and reflecting the statements and feelings expressed |
| What is informational counseling? | inform about the disorder and options for managing the disorder; present informally as a dialogue, use explicit categorization |
| What is personal adjustment counseling? | acknowledge psychological and social difficulties that may be associated with the disorder |
| What two types of counseling tend to occur during the same counseling session? | informational and personal adjustment counseling |
| What is the cognitive approach of personal adjustment counseling? | modify the thought process |
| What is the behavior approach of personal adjustment counseling? | modify the behavior/action |
| What is the affective approach of personal adjustment counseling? | modify the emotions |
| What are the ABCs of the cognitive approach of personal adjustment counseling? | activation event, belief, and consequence |
| What is an example of the ABCs of the cognitive approach of personal adjustment counseling? | girlfriend will see patient as old if he gets hearing aids (A/B), patient does not want to wear hearing aids because girlfriend will think he is old (C), dispute negative feelings/find more positive view |
| What are the key components to the behavioral approach of personal adjustment counseling? | behaviors can be unlearned, desensitization, reduce negative reaction thru repeated exposure, identify physical stress, introduce relaxation techniques |
| What are the key components to the affective approach of personal adjustment counseling? | show unconditional, positive regard and empathy |
| What is psychosocial support? | people in the life of the individual that can offer emotional support and assistance in coping with hearing loss (family, support groups) |
| What are different types of disorder related stress? | adjusting to disorder and society's reaction to disorder, feeling inadequate, feeling isolated, having negative self-image |
| What can support groups help with? | alleviating different types of disorder related stress |
| What are the consequences for a frequency communication partner of someone with a hearing loss? | feelings of frustration regarding communication difficulties, need for frequent communication strategies, may initiate evaluation and treatment of the disorder |
| What are the parts of the support group paradigm? | learn how disorder impacts life, recognize negative perceptions of disorder, change self-perceptions to gain confidence, and treatment conducted in small groups |
| What is the problem solving model? | identify a problem situation, explore obstacles to communicate, share possible solutions |
| What is a passive response to communication difficulties? | don't act or withdrawl from situation |
| What is an aggressive response to communication difficulties | blame others |
| What is a passive-aggressive response to communication difficulties? | take no direct action but intend negative consequence |
| What is an assertive response to communication difficulties? | be direct and respectful in advising |
| What is problem resolution? | define desired outcome, identify possible solutions select solution, evaluate solution, modify as needed |
| What is assertiveness training in AR? | enhance communication between person and partner, remind others of disorder, and request others use effective communication strategies |