2.0: Counseling Flashcards
What are the stages of grief?
Shock Denial Anger Guilt Bargaining Depression Acceptance Advocacy
During the shock stage, the clinician should let the client ____________ the ______________.
Set the pace
What can a clinician ask to address fears during the denial stage?
“What would the diagnosis mean if it were correct?”
During the anger stage, on whom might the client take his anger out?
The clinician
During this stage, the client may express that he feels like a burden to others.
Guilt Stage
This stage is often a “hidden stage”, characterized by foot dragging and grasping at straws.
Bargaining
Stage when a client mourns the loss of an ideal
Depression
T/F: A clinician should do everything possible to cheer up a client during the depression stage.
False. Clinician should not point out silver lining to the cloud when client is still in the cloud.
This stage is when a client is able to view disability as separate from self.
Acceptance
What should a clinician do during the acceptance stage?
Help identify strengths and needs
Connect client with resources and support groups
Formulate plan of continued action
Which stage is the ultimate goal for AR?
Advocacy
T/F: All clients reach the advocacy stage.
False
What are the two types of counseling that an clinician should provide?
Personal Adjustment Counseling
Informational Counseling
This type of counseling deals with feelings and attitudes.
Personal Adjustment Counseling
This type of counseling deals with dissemination or sharing of information
Informational Counseling
What might be included in Information Counseling?
Audiogram Specific phonemic effects of HL Importance of visual input Speaker differences Speechreading ALDs Communication Strategies Resources
What might pre-fit counseling involve?
Understanding loss
Understanding options
Finances
Rehab
What might post-fit counseling involve?
Maintenance Use Assessment of Improvement Verification of fit Aided results ALDs SLP/AR therapy refer
What are some key attributes of a facilitator?
Accurate Empathy (understand underlying feelings)
Unconditional Positive Regard (accept patients for who they are)
Genuineness
In AR counseling, a clinician should keep the content of the counseling related to what topic?
Communication
T/F: When a clinician knows that a client will benefit, they should try to “sell” the client on the HAs.
False. Clinician should steer clear of selling and rely on information and research based counseling.
What are the components of the Negative Feedback Loop, triggered by Hearing Loss?
Withdrawl
Negative Reactions
Emotional Distress
What type of relationships lie in the center of the Negative Feedback Loop?
Social Relationships
What other individual factors might influence a client’s reaction to HL?
Emotional State (psycho-emotional profile) Mental Health Temperament (extrovert, introvert, assertive, passive, etc.)
