2.0: Counseling

Question 1

What are the stages of grief?

Answer 1

Shock 
Denial 
Anger
Guilt
Bargaining
Depression
Acceptance
Advocacy

Question 2

During the shock stage, the clinician should let the client ____________ the ______________.

Answer 2

Set the pace

Question 3

What can a clinician ask to address fears during the denial stage?

Answer 3

“What would the diagnosis mean if it were correct?”

Question 4

During the anger stage, on whom might the client take his anger out?

Answer 4

The clinician

Question 5

During this stage, the client may express that he feels like a burden to others.

Answer 5

Guilt Stage

Question 6

This stage is often a “hidden stage”, characterized by foot dragging and grasping at straws.

Answer 6

Bargaining

Question 7

Stage when a client mourns the loss of an ideal

Answer 7

Depression

Question 8

T/F: A clinician should do everything possible to cheer up a client during the depression stage.

Answer 8

False. Clinician should not point out silver lining to the cloud when client is still in the cloud.

Question 9

This stage is when a client is able to view disability as separate from self.

Answer 9

Acceptance

Question 10

What should a clinician do during the acceptance stage?

Answer 10

Help identify strengths and needs
Connect client with resources and support groups
Formulate plan of continued action

Question 11

Which stage is the ultimate goal for AR?

Answer 11

Advocacy

Question 12

T/F: All clients reach the advocacy stage.

Answer 12

False

Question 13

What are the two types of counseling that an clinician should provide?

Answer 13

Personal Adjustment Counseling

Informational Counseling

Question 14

This type of counseling deals with feelings and attitudes.

Answer 14

Personal Adjustment Counseling

Question 15

This type of counseling deals with dissemination or sharing of information

Answer 15

Informational Counseling

Question 16

What might be included in Information Counseling?

Answer 16

Audiogram 
Specific phonemic effects of HL
Importance of visual input 
Speaker differences 
Speechreading 
ALDs 
Communication Strategies 
Resources

Question 17

What might pre-fit counseling involve?

Answer 17

Understanding loss
Understanding options
Finances
Rehab

Question 18

What might post-fit counseling involve?

Answer 18

Maintenance
Use 
Assessment of Improvement
Verification of fit
Aided results 
ALDs 
SLP/AR therapy refer

Question 19

What are some key attributes of a facilitator?

Answer 19

Accurate Empathy (understand underlying feelings)
Unconditional Positive Regard (accept patients for who they are)
Genuineness

Question 20

In AR counseling, a clinician should keep the content of the counseling related to what topic?

Answer 20

Communication

Question 21

T/F: When a clinician knows that a client will benefit, they should try to “sell” the client on the HAs.

Answer 21

False. Clinician should steer clear of selling and rely on information and research based counseling.

Question 22

What are the components of the Negative Feedback Loop, triggered by Hearing Loss?

Answer 22

Withdrawl
Negative Reactions
Emotional Distress

Question 23

What type of relationships lie in the center of the Negative Feedback Loop?

Answer 23

Social Relationships

Question 24

What other individual factors might influence a client’s reaction to HL?

Answer 24

Emotional State (psycho-emotional profile) 
Mental Health
Temperament (extrovert, introvert, assertive, passive, etc.)

Question 25

A client’s ability to advocate for themselves and be independent. A goal of AR.

Answer 25

Self-Sufficiency

Question 26

A client’s self-perception does not coincide with reality, reducing the probability of acceptance

Answer 26

Dissonance

Question 27

What happens to the quality of life if HL goes untreated in the elderly person?

Answer 27

Quality of Life is negatively affected: 
Sadness/Depression
Worry/Anxiety 
Paranoia 
Insecurity/Fearful 
Reduction in Participation

Question 28

What are types of reasons that an individual with HL might not use hearing aids?

Answer 28

Denial
Consumer Concerns
Stigma/Vanity

Question 29

What is the most common reason cited for not using a hearing aid?

Answer 29

Belief that they do not need hearing aids (69%)