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Exam 1
Counseling in Audiology
85
Audiology
Graduate
09/27/2018

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Term
Non-professional Counseling:
-___ or speech-language pathologist
-___-specific
-Focus on ___ and ___
-No searches for ___ or ___
-Focuses on ___ ___
Definition
Audiologist; Discipline; here and now; causes; etiologies; problem solving
Term
Professional Counseling:
-___ health professionals
-Involves ___ and/or ___ ___
-Focuses on ___ experiences
-Searches for ___/___
-Focuses on ___ personality
Definition
Mental; psychotherapy; prescription medications; past; causes/ etiologies; restructuring
Term
Which of the following is not a characteristic of non professional counseling?
A. Focusing on the here and now
B. Looking for causes and etiologies
C. Focuses on problem solving
D. Discipline specific
E. None of the above
Definition
B
Term
Which of the following is least affected by cultural bias?
A. Obtaining a tympanogram
B. Administering a self-assessment scale
C. Speech recognition testing
D. Asking questions on a case history
E. None of the above
Definition
A
Term
Person-Centered Counseling has been developed mostly by…
Definition
Rogers
Term
Who mainly developed the behavioral counseling theory?
Definition
Skinner
Term
Who developed the cognitive counseling theory?
Definition
Ellis
Term
This counseling theory is known as the humanistic approach where the patient knows best. The counselor is not considered the expert.
Definition
Person-centered counseling
Term
Counselor Characteristics: Defined as being genuine in clinical interactions and not practice at a professional distance or be “phony.” In other words, a counselors words and deeds must be consistent with their inner feelings and motivations.
Definition
Congruence
Term
Counselor Characteristics:
Defined as “valuing the client” without criticism
regarding what the client has said or felt. Does not mean the counselor has to agree with the client, but just accept them “warts and all” by: Assuming the client’s goodwill, refraining from judgment, and keeping the client’s agenda in focus
Definition
Unconditional positive regard
Term
Counselor Characteristics:
Defined as putting oneself in another’s place or “walking a mile in their shoes"
Definition
Empathy
Term
Accepting your patient “warts and all” is known as…
Definition
Unconditional positive regard
Term
Which of the following has been called a directive approach?
A. Patient-centered approach
B. Behavioral counseling approach
C. Cognitive-rational counseling approach
D. Psychotherapy
Definition
B
Term
What counseling theory is based on operant conditioning and is a directive approach?
Definition
Behavioral counseling
Term
What counseling theory has patients examine irrational beliefs that give rise to self-defeating thoughts and behaviors and that helps them to place their life experiences in realistic perspective
Definition
COGNITIVE (RATIONAL-EMOTIVE) COUNSELING THEORY
Term
The 3 goals of the initial interview:
-Establish a ___ ___ with the patient
–Elicit ___ information
–___ the patient’s behavior
Definition
positive relationship; pertinent; Observe
Term
An ___, ___ – style interview may be better than restrictive direct questions
Definition
open; conversational
Term
Which of the following behaviors does not facilitate communication?
A. Reducing barriers
B. Write things down
C. Leaning forward to show interest
D. Employing purposeful head nodding
E. None of the above
Definition
B
Term
Which of the following characteristics are indicative of patient-centered communication?
A. Clinician asking mostly questions and patient answering them
B. Equal proportion of statements, questions, and responses between parties
C. Clinician have significantly greater “talk time” than patient
D. Clinician and patient have equal “talk time”
E. B and D
Definition
E
Term
Which of the following stages of grief reflect “grasping at straws”?
A. Denial
B. Bargaining
C. Depression
D. Shock
E. None of the above
Definition
B
Term
STAGES OF GRIEF (KUBLER-ROSS, 1969):
-___: numbness is a protection
-____: defensive retreat
-___: personal questioning
-___: grasping at straws
-___: mourning
-___: new reality
Definition
Shock; Denial; Anger; Bargaining; Depression; Acceptance
Term
In Erik Erikson’s stages, young adulthood is known as…
Definition
Intimacy vs. Isolation
Term
Erik Erikson's Stages:
-Preschool- 3 to 6 years (___ vs ___): Preschoolers may be inhibited to try things on their own ›
-School age- 6 to 12 years (___ vs ___): Children may feel left behind by their peers in language, academic, and social development
-Adolescence- 12 to 18 years (___ versus ___/___ ___): Adolescent may have difficulty knowing where they belong…Am I in the hearing world or in the Deaf
community? ›
-Young adulthood- 18 to 35 years (___ versus ___): Young adult may have difficulty forming relationships: Will I find a significant other?
Definition
Initiative versus Guilt; Industry versus Inferiority; Identity vs Role/Identity Confusion; Intimacy vs isolation
Term
Which of the following is not a cognitive reaction to grief?
A. High blood pressure
B. Dreaming
C. Disorganization
D. Poor concentration
E. None of the above
Definition
A
Term
What are the 5 cognitive reactions to grief?
Definition
Confusion, disorganization, dreaming, lowered self-esteem, poor concentration, and suicidal contemplation
Term
Which barrier to empathy is "I've heard this all before"
Definition
Habituation
Term
Which barrier to empathy is "All patients with this type of hearing loss experience generally the same types of problems."
Definition
Generalization
Term
Which barrier to empathy is "The patient sounds like my 9:30 appointment."
Definition
Comparing
Term
Which barrier to empathy is "I know what your problem is and if you listen to me, your problems will be solved. OR, You may say that is how you feel but I have more experience in this field so I can say you are overreacting"
Definition
Being right
Term
Which barrier to empathy is "I am thinking about what you are telling me but I am also sorting through my file, dating today’s forms, and writing a memo about a phone call I need to make"
Definition
Multitasking
Term
Which of the following can describe an audiologist who talks to a colleague about an encounter with an elderly patient, “It was like talking to my Dad and I couldn’t believe how my frustrations toward Dad came out in my conversations with the patient!”
A. Counter projections
B. Projections
C. Intellectualizations
D. Reaction formation
E. None of the above
Definition
A
Term
This manifests itself when a person attempts to avoid a feared
response to a situation by strongly endorsing or adopting a conflicting attitude or position
Definition
Reaction formation
Term
This occurs when patients have difficulty expressing their
feelings and talk in the abstract, impersonalizes the situation, or is too theoretical. Men are thought to do this more…
Definition
Intellectualization
Term
This happens when patients overlay the characteristics of previous authority figures onto the audiologist
Definition
Projections
Term
This is brought forth when the audiologist brings past
experiences, immaturities, and unresolved conflicts into relationship with patients
Definition
Counter Projections
Term
What are the names of these 5 help-seeking stages?
1. I DON’T HAVE A PROBLEM
2. I DO HAVE A PROBLEM, BUT I DON’T NEED HELP
3. I HAVE A PROBLEM. I NEED HELP, BUT I DON’T NEED HELP
4. I HAVE A PROBLEM. I NEED HELP. I WANT HELP, BUT I’M NOT READY TO ACCEPT HELP
5. I HAVE A PROBLEM. I NEED HELP. I WANT HELP, AND I’M READY TO ACCEPT HELP
Definition
1. DENIAL
2. RESISTANT TO HELP
3. RELUCTANT TOWARD HELP
4. Nearly accepting of help
5. FULLY ACCEPTING OF HELP
Term
Advantages of including significant others:
-Provides a ___ picture of problems
-Allows expression of ___ ___
-Brings others into the ___ process and onto the ___ team
-___ outcomes at the end
Definition
comprehensive; others’ opinions; adjustment; support; Better
Term
Statements from patients for validation are …
Definition
Affective statements and known as "knocks and the door"
Term
___ ___ is listening with the third ear or the heart and allowing a patient to tell their story by using responses like, "tell me about that...", "what did that feel like?"
Definition
Therapeutic listening
Term
___ ___ is answering a question and going further to get at why a question was asked
Definition
Drilling down
Term
___ is used when patients find themselves overwhelmed
Definition
Waiting
Term
When audiologists take the “don’t worry, be happy” approach, it is also known as…
A. Listening with the third ear
B. Therapeutic listening
C. “Drilling Down”
D. Waiting
E. None of the above
Definition
E
Term
Which of the following is/are important factor(s) in the health belief model?
A. Perceived severity
B. Perceived susceptibility
C. Perceived benefits
D. Perceived barriers
E. All of the above
Definition
E
Term
Outlines the cognitive responses resulting from fear appeals (which can be due to various environmental and interpersonal factors) and can be applied in persuasive communication.
Definition
Protection motivation theory
Term
This model is based on the underlying principle that there are three constructs (i.e., individual’s attitudes and perceived control over the behavior and the subjective norms) which may influence the plans for changes to risky behavior
Definition
Theory of reasoned action
Term
This is an extension of theory of reasoned action with an added construct of perceived behavior control (i.e., self-efficacy – importance of beliefs in one’s own ability to perform)
Definition
Theory of planned behavior
Term
Focuses on the individual’s psychological needs for competence, autonomy and relatedness which may help to identify different motivators for predicting health behavior and for the maintenance of behavior change
Definition
Self-determination theory
Term
Attempts to predict behavior by measuring the interactions that take place within an individual’s social environment
Definition
Social cognitive theory
Term
This model is based on the underlying (i.e., Stages of Change) principle that behavior change is achieved via various stages and focuses on individual’s readiness to make a change
Definition
TRANSTHEORETICAL MODEL
Term
Which of the following is abased on... “Focuses on the individual’s psychological needs for competence, autonomy and relatedness which may help to identify different motivators for predicting health behavior and for the maintenance of behavior change?”
Definition
Self Determination Theory
Term
Motivational Interview Guiding Principles:
-1. ___ ___ – Share your understanding of your clients experience (perception, feelings, desire). This helps clients feel safe and supported
2. ___ ___ ___ – stick with your client and listen to their position. This will allow the client to feel understood so he or she can safely explore options without judgment
3. ___ ___ – explore difference between what the client’s current behavior and expressed future goals. Must be done from the client’s perspective …look for the ambivalence
4. ___ ___ ___– support the client to gain confidence in his or her decisions, making changes, and obtaining goals
Definition
Express Empathy; Roll with Resistance; Develop Discrepancy; Support Self-efficacy
Term
Put these stages of change in order:
A. Active change
B. Contemplative
C. Deterministic
D. Maintenance
E. Pre-contemplative
F. Relapse
Definition
Pre-contemplative, contemplative, deterministic, active change, maintenance, relapse
Term
What type of questions are used in Motivational Interviewing when the audiologist asks:
-How do you feel about your hearing loss?
-What worries you most about it?
Definition
Elicitation of concern
Term
What type of questions are used in Motivational Interviewing when the audiologist asks:
-Do you think you have a hearing loss? How has your HL affected you?
Definition
Problem recognition
Term
What type of questions are used in Motivational Interviewing when the audiologist asks:
-What makes YOU think you may need aids? How do you know you need to do something about your hearing?
Definition
Intention to change
Term
What type of questions are used in Motivational Interviewing when the audiologist asks:
-What is keeping you from getting aids? How do you feel about other’s suggestions on getting aids?
Definition
Self Efficacy-the patients capacity to change
Term
[image]
A. It is called a visual analog scale
B. It is used in Motivational Interviewing
C. It helps to finding a patient’s “tipping point”
D. It is called a Decision Balance Matrix
E. B and D
Definition
E
Term
What is called when a significant other has, “excessive emotional or psychological reliance on a partner, typically one with an illness or addiction”?
Definition
Co-dependency
Term
Which one of the following would be least likely to be used routinely in the clinic?
A. Client Oriented Scale of Improvement (COSI: Dillon, James, & Ginis, 1996)
B. Expected Consequences of Hearing Aid Ownership (ECHO: Cox & Alexander, 2000)
C. Three-Clinic Hearing Aid Selection Profile (Jacobson, Newman, Fabry, & Sandridge, 2001)
D. Characteristics of Amplification Tool (COAT: Sandridge & Newman, 2006)
E. None of the above
Definition
C
Term
Why would you be the least likely to use the Three-Clinic Hearing Aid Selection Profile routinely in clinic?
Definition
It's too long
Term
The ___________ is a subjective hearing aid outcome measure that is administered by the audiologist in two phases: before and after the HAF. They have to identify listening situations in which they struggle the most.
Definition
Client Oriented Scale of Improvement (COSI)
Term
The __________ survey has been designed to measure prefit expectations of hearing aid use. It was developed as a companion instrument to the Satisfaction with Amplification in Daily Life (SADL). It could be used to examine unrealistic expectations a potential hearing aid user may have, in order to direct counseling to address these areas before the hearing aid is issued.
Definition
Expected Consequences of Hearing Aid Ownership ECHO
Term
What are advantages of the ECHO? Disadvantages?
Definition
It's short, normed, and unique for expectations.
Complicated to score.
Term
The goal of this survey is to develop a method to quantify audiologic and non-audiologic characteristics that may help select the best hearing aid options for patients
Definition
Hearing Aid Selection Profile (HASP)
Term
The HASP assess the patient's attitude toward ___, their physical ___ and manual ___, and their overall ___
Definition
technology; functioning; dexterity; lifestyle
Term
Characteristics of Amplification Tool (COAT):
-Short in length so that it could be completed in ___ minutes or less;
-___ to administer and interpret;
-Obtain the critical ___-___ information useful in determining the style and level of technology required by the patient;
-Ideal for counseling during the HA ___ appointment;
-Serve as a measure for clinician ___ in this era of evidence-based practice; and
-Useful as a ___ tool for student externs.
Definition
10; Easy; non-audiologic; selection; accountability; teaching
Term
The COAT is all about hearing aid ___
Definition
preferences
Term
What is/are other names for informational counseling?
Definition
Patient education and content counseling
Term
Providing handouts and open-captioned CDs for patients and family members to access at home is called…
Definition
off-site learning
Term
What self-assessment scale has the patient nominate and prioritizes difficult communication situations to focus on and then rate after the hearing aid fitting.
Definition
COSI
Term
What self-assessment scale measures satisfaction with amplification: The COSI, ECHO, HASP, COAT
Definition
None of the above
Term
What self-assessment scale was developed by the same group that invented the HASP
Definition
COAT
Term
What self-assessment scale has reality norms?
Definition
ECHO
Term
What self-assessment scale is the most popular?
Definition
The COSI
Term
is the stage in which the patient is still in denial about their problem.
Definition
Precontemplation
Term
is the stage in which the patient is ambivalent in that they acknowledge the problem, but are resistant to change.
Definition
Contemplation
Term
is the stage in which the patient is more open to change than they are resistant to change.
Definition
Determination
Term
is the stage during which the patient takes steps to change and do.
Definition
Action
Term
is the stage when patients must sustain their efforts to change.
Definition
Maintenance
Term
is the stage in which the patient chooses not to continue the effort to change and returns to the original state.
Definition
Relapse
Term
WHAT CAN YOU DO TO START A PROCESS OF CHANGE?
Definition
Use a motivational interviewing protocol
Term
signifies that acknowledgement of an existence of a significant issue.
Definition
Problem recognition
Term
indicates an uneasiness of a particular condition.
Definition
Expression of concern
Term
indicates an uneasiness of a particular condition.
Definition
Intention of change
Term
expresses a belief in one’s ability to accomplish a goal.
Definition
Degree of self-efficaacy
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