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Exam 2 Study Guide
Counseling in Audiology
64
Audiology
Graduate
11/01/2018

Additional Audiology Flashcards

 


 

Cards

Term
What are the main ingredients for a successful hearing aid fitting?
Definition
Trust and self-motivation
Term
An attraction toward a desired possession or goal accompanied by an aversion of the same desire
Definition
Ambivalence
Term
This model consists of audiometry, hearing aids, hearing aid orientation, real-ear verification, and accessories
Definition
Technocentric model
Term
This model consists of patient story, self-assessment, strategies, technology, auditory-visual training, verification, and consumer support
Definition
Patient-centered model
Term
What does the World Health Organization Model of the International Classification of Functioning, Disability and Health consist of?
Definition
-Health condition
-Body structures and function
-Activity
-Participation
-Environmental factors
-Personal factors
Term
COSI:
-Phase One: before the hearing aid fitting, the patient identifies listening situations that he/she would like to have ___ with amplification. It is critical that audiologists push their patients to be ___ about the situations that they nominate
-Phase Two: after the hearing aid(s) is/are fit, the patient rates: The change in ___ ___ for the identified listening situation is recorded.
Definition
improved; specific; hearing function
Term
-The ECHO survey has been designed to measure ___ expectations of hearing aid use.
-It was developed as a companion instrument to the _________________.
Definition
prefit; Satisfaction with Amplification in Daily Life (SADL)
Term
-The ECHO could be used to examine ___ expectations a potential hearing aid user may have, in order to direct ___ to address these areas before the hearing aid is issued.
-This may prevent unnecessary ___ with the experience of hearing aid use.
Definition
unrealistic; counseling; disappointment
Term
ECHO:
-Advantages?
-Disadvantage(s)?
Definition
-Short, normed, and unique for expectations
-Complicated to score
Term
What subjective measure is this describing?
-Jacobson, Newman, Fabry, & Sandridge (2001) describe a different type of prescriptive approach that couples the audiologist’s expertise and knowledge about current hearing aid technology to patient’s:
•Prefitting perceptions
•Belief patterns
•Needs
Definition
HASP
Term
GOAL of the HASP: Develop a method to quantify ___ and ___ characteristics that may help select the best hearing aid options for patients
Definition
audiologic; non-audiologic
Term
Scales of the HASP:
-___ to wear HA
-___ about HA performance
-____ needs
-Importance of ___ appearance to others
-Attitude toward ___ of commercial goods and services
-Attitude toward ___
-___ functioning and manual ___
-___
Definition
Motivation; Expectations; Communication; physical; cost; technology; Physical; dexterity; Lifestyle
Term
HASP:
-The ___ the subscale score, the more favorable outcome on the scale
-People at risk for using hearing aids are those who score low on the following subscales: ___, ___, and ___ needs
-This measure may take too ___
Definition
higher; Motivation, Physical, and Communication Needs; long
Term
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 ___ the HA selection appointment;
-Serve as a measure for clinician ___ in this era of evidence-based practice; and
-Useful as a teaching tool for ___ ___.
Definition
10; Easy; non-audiologic; during; accountability; student externs
Term
What are some patient factors that assist information retention?
Definition
-Familiarity of hearing loss
-Prior expectation of results
-Positive results
-Similar emotional state when recalling information as receiving
-Younger age
-Moderate anxiety level
-Acknowledgement of hearing loss
Term
What are some patient factors that hinder information retention?
Definition
-No prior experience with hearing loss
-Unexpected results
-Negative results
-Different emotional state when recalling information than when receiving information
-Older age
-Stress or high anxiety
-Denial
Term
What patient factor has no effect on information retention?
Definition
Intelligence
Term
What mode of presentation factors assist in information retention?
Definition
-Simple, easy-to-understand format
-Small amount of information
-Information presented first
-Categorization of information
-Verbal and written information presented together
-Specific information provided
Term
What mode of presentation factors hinders in information retention?
Definition
-Complex format
-Large amount of information
-Information that is presented last
-Non-categorization of information
-Presentation of information in verbal or written form only
-General information provided
Term
What are some clinician factors that assist in information retention?
Definition
-Use of simple vocabulary and sentence structure
-Knowledge of parent/patient interests and level of understanding
-Calm manner
-Underscoring of important points
-Sensitivity to cues signaling patient lack of understanding
Term
What are some clinician factors that hinder in information retention?
Definition
-Use of scientific jargon and complex sentence structure
-Lack of awareness of parent/patient interests
-Over-anxious manner
-No underscoring of important points
-No sensitivity to cues regarding parents’/patients’ understanding
Term
Poorly timed information, too much information, or both
Definition
Content trap
Term
If audiologists are not careful, information provided to patients may be ___-___ and not address their underlying ___/___ or ___ needs
Definition
ill-timed; motives/ emotions; informational
Term
auditory presentation of information predominates health-care exchanges
Definition
Auditory learning
Term
using diagrams, charts, and models to supplement the auditory message and enhance information
Definition
Visual learning
Term
Using motoric responses that enhance learning such as:
-Having parents plot their child’s audiogram during the audiologic evaluation
-Allow patients to demonstrate skills with hearing aids
Definition
Kinesthetic learning
Term
providing handouts and open-captioned CDs for patients and family members to access at home
Definition
Off-site learning
Term
Frequent pitfalls hindering patient education:
-Using words our patients don’t ___
-Explaining more ___ than patients can remember
-Conveying information ___ to patients’ questions
-Failing to ask if information is ___
-Providing information without helping patients ___ it to their lives
Definition
understand; detail; unrelated; understood; apply
Term
Sharing information
Definition
Knowledge idssemination
Term
Doing something with the information
Definition
Knowledge implmentation
Term
information (3 or 4 details at a time)
Definition
Chunk
Term
information flow (what is beginning, intermediate, or advanced levels?)
Definition
Pace
Term
information to convert working memory to long-term memory
Definition
Review
Term
verbal instructions with a checklist or other handout
Definition
Back-up
Term
Is the degree with which an individual can obtain, process, and understand basic health information; the cognitive and social skills that determine the motivation and ability of an individual to gain access to, understand, and use information in ways that promote and maintain good health
Definition
Health Literacy
Term
What is the first goal for counseling families with children with hearing loss?
Definition
First goal is to set the stage for a strong foundation for the child within the home environment
Term
Benefits of the ELF for Parents:
-Offers guidance and opportunity for ___ of child at home
-Collects ___
-___ diagnosis of hearing loss
Definition
observation; data; Confirms
Term
Benefits of the ELF for Audiologists:
-Establishes “___ ___ of test results”
-Earn parents’ ___
-Begin ___
Definition
two owners; trust; partnership
Term
What objective measure is based on the testing the listening bubble with varying distances and varying loudness levels?
Definition
The ELF
Term
The ELF:
parents develop an awareness of how having the TV always on ___ the child’s perception of other sounds
Definition
limits
Term
Other Benefits of the ELF:
-Opportunities for parents to discover how their child ___ to sounds in the environment.
-Developing a meaningful bank of observations that make hearing loss ‘___’
Definition
responds; real
Term
ELF:
-The ELF gives the parents something “to do” to feel like they are ___ their child
-The ELF can be a ___ ___ with early intervention and/or following the diagnosis
-Results of the ELF can be a source of ___ for following through with hearing aids or earmolds
-Encourage the parents to tune into ___ ___ over time
-Can involve ___ caregivers in different environments
-The ELF also provides parents with a clear way of describing their child’s ___ of hearing loss
Definition
helping; first activity; motivation; auditory development; all; level
Term
The ELF:
-Informally the audiologist and parent can observe ___ in the size of the listening bubble with amplification.
-Formally, the ELF can be scored with each ___ having a point value (if parents are interested)
-Audiologist, parent or early interventionist can score and ___ over time (involve Dads!)
-Reveals improvements in perception of ___ input or across ___
-The ELF also has a separate form for parents to complete __-__ weeks after new amplification is fit
Definition
improvements; activity; compare; quiet; distance; 1-2
Term
About ___% of babies with genetic hearing loss have a "syndrome"
Definition
20
Term
More than ___ forms of syndromic hearing loss, in which distinctive associated clinical features are a constant (or at least an occasional) feature, have been characterized
Definition
300
Term
Inheritance Patterns of HL:
-Autosomal recessive: __ to __%
-Autosomal dominant: __ to __%
-X-linked: __ to __%
-Mitochondrial: __%
Definition
75 to 80; 25 to 30; 1 to 2; 1
Term
Joint Committee on Infant Hearing Year 2007 Position Statement: Each child diagnosed with a permanent hearing
loss must be referred for ___ ___
Definition
genetic counseling
Term
How do parents view genetic counseling?
Definition
Hearing parents think it's important and culturally Deaf parents do not think it's important
Term
4 Reasons for Genetic Counseling:
-Provide ___ and ___ information
-Provide ___ for the family as they deal with the information
-___ the family to make decisions in accord with their given situation and belief system
-To avoid ___ (e. g., second child born with the same disorder prior to accurate diagnosis of the first child)
Definition
medical; genetic; support; Empower; litigation
Term
What are the 3 healthcare professionals who are qualified for genetic counseling?
Definition
-Clinical geneticist (MD)
-Genetic counselor (MA)
-RN with training in genetics (MA)
Term
What are 4 reasons that a consult is sought?
-To determine ___ of the hearing loss
-To determine likelihood of ___
-To determine potential for co-existing physical or medical ___ currently present that may develop
-___ traits for current or future
Definition
cause; progression; disorders; Inheritance
Term
Information Needed for Genetic Counseling:
-Previous ___ records
-Detailed medical and family history generally covering at least ___ generations including grandparents, aunts, uncles, cousins, as well as ___ and ___
-Other family members’ ___ records may be requested or these relatives may be asked to come for medical examination
-Special ___ or ___ tests may be required
-Both parents and any siblings may be asked to have ___ tested
Definition
medical; three; parents; siblings; medical; medical; laboratory; hearing
Term
is our perception of our traits, attitudes, abilities, and social natures or the way we describe ourselves
Definition
Self-concept
Term
Parents primary need is to talk with ________________________.
Definition
other parents whose children also have hearing loss
Term
What source of support is there for parents whose children have specific disorders, like LVAS?
Definition
Face-to-face within a city (parent support groups) and online communities
Term
Infancy and toddlerhood are ___ periods for the development of self-concept
Definition
vulnerable
Term
What are the four critical characteristics for success?
Definition
-Confidence
-Friendliness
-Good peer relationships
-Ability to tackle and persist at challenging tasks
Term
What are three critical skills for children for preschool?
Definition
-Age-appropriate language development
-Ability to listen to instructions
-Attentiveness
Term
What are three sources of poor self-concept?
Definition
-Communication problems
-“Feeling different”
-Wearing amplification
Term
Loeb and Sarigiani HL vs Vision Impairment:
-More ___ with how they perceived themselves compared to children with vision impairments or no impairments: ___ likeable, Overly ___, Socially ___, Have a harder time ___ ___, and often weren’t chosen as ___
Definition
dissatisfied; Less; shy; isolated; making friends; playmates
Term
Can you recognize the four negative stereotypes of children with severe to profound hearing loss?
Definition
-Compulsive
-Egocentric
-Rigid
-Selfish
Term
Lag in ___ development is associated with poor social skills
Definition
language
Term
Social Competence involves the following skills:
-Understanding ___, motivations, and needs of ___ and others
-___
-Ability to tolerate ___
-Appreciation of one’s own ___ and ___ and those of others
-Maintaining healthy ___ with others
Definition
feelings; self; Flexibility; frustration; culture; values; relationships
Term
-___ is based on strategies and problem solving that leads students to making their own decisions about the best solution
-___ is based on what we believe students need to be successful…
Definition
Empowering; Enabling
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