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Aural Rehab - Lectures - Unit 2 > 2.00 - Adjustment Counseling & Psychosocial Issues > Flashcards

2.00 - Adjustment Counseling & Psychosocial Issues Flashcards

0
Q

Does everyone go through a grieving process?

A

No

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1
Q

What are the ​​Stages of Grief?

8

A

Shock

Denial

Anger

Guilt

Bargaining

Depression

Acceptance

Advocacy

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2
Q

Do some people postpone when they go through the grieving process?

A

Yes

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3
Q

Are the grieving stages always gone through in order?

A

No

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4
Q

Can Numbness be a sign of shock?

A

Yes

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5
Q

Can Bewilderment be a sign of shock?

A

Yes

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6
Q

Can the inability to make decisions be a sign of shock?

A

Yes

“I don’t remember a thing the doctor said after I heard my child was deaf”

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7
Q

If a Clinician feels like their client is in shock, should they give the client time to absorb the news?

A

Yes

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8
Q

If a Clinician feels like their client is in shock, should they avoid forcing information?

A

Yes

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9
Q

If a Clinician feels like their client is in shock, should they let the client set the pace?

A

Yes

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10
Q

If a Clinician feels like their client is in shock, should they be patient?

A

Yes

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11
Q

Can emotional defensive mechanisms be a sign of denial?

A

Yes

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12
Q

Can the inability to succumb to logic be a sign of denial?

A

Yes

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13
Q

Can denial lead someone to reject their diagnosis, the implications of it, and the permanence of it?

A

Yes

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14
Q

If a patient is in denial, should the clinician acknowledge the family may have difficulty accepting the diagnosis?

A

Yes

(If a patient is in denial, should the clinician discuss underlying fears
Ask family what the diagnosis would mean if it were fake)

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15
Q

Can Resentment be a sign of anger?

A

Yes

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16
Q

Can the loss of the illusion that life is fair be a sign of anger?

A

Yes

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17
Q

Can feeling betrayed be a sign of anger?

A

Yes

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18
Q

Can assigning blame be a sign of anger?

A

Yes

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19
Q

If a client is expressing the anger stage of grief, should clinicians take it personally?

A

No

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20
Q

If a client is expressing the anger stage of grief, should clinicians take abuse?

A

No

If patients starts tearing in to you, excuse yourself and draw a line

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21
Q

If a client is expressing the anger stage of grief, should clinicians avoid being defensive and/or judgmental?

A

Yes

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22
Q

If a client is expressing the anger stage of grief, should clinicians allow client to express their feelings?

A

Yes

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23
Q

If a client is expressing the anger stage of grief, should clinicians realize that the expression of anger is critical to moving through the grief cycle?

A

Yes

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24
Q

Can feeling at fault for deafness be a sign of guilt?

A

Yes

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25
Q

Can condemning one’s self without evidence be a sign of guilt?

A

Yes

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26
Q

Can feeling like a burden to others be a sign of guilt?

A

Yes

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27
Q

Can the fear of asking questions be a sign of guilt?

A

Yes

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28
Q

If a client is experiencing guilt, should the clinician acknowledge the confusion that can arise due to lack of information?

A

Yes

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29
Q

If a client is experiencing guilt, should the clinician acknowledge that self-blame is normal?

A

Yes

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30
Q

If a client is experiencing guilt, should the clinician ask client how s/he is doing?

A

Yes

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31
Q

Can grasping at straws be a sign of the Bargaining Stage?

A

Yes

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32
Q

Can feelings of desperation be a sign of the Bargaining Stage?

A

Yes

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33
Q

Can making unrealistic demands be a sign of the Bargaining Stage?

A

Yes

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34
Q

Can making promises to god, professionals one’s self, etc. be a sign of the Bargaining Stage?

A

Yes

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35
Q

Should clinicians be aware that the bargaining stage is often a hidden stage and that the client may not talk about this openly?

A

Yes

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36
Q

Should clinicians be aware that the bargaining stage may manifest itself as lack of follow through (“foot dragging”)?

A

Yes

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37
Q

Can mourning the loss of an ideal be a sign of depression?

A

Yes

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38
Q

Can realizing the diagnosis is real be a sign of depression?

A

Yes

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39
Q

Can difficulty sleeping, concentrating be a sign of depression?

A

Yes

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40
Q

Can lack of energy be a sign of depression?

A

Yes

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41
Q

Can decreased interest in other life events be a sign of depression?

A

Yes

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42
Q

If a client is experiencing depression, should clinicians try to “cheer up” clients?

A

No

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43
Q

If a client is experiencing depression, should clinicians listen to the client’s concerns, worries?

A

Yes

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44
Q

If a client is experiencing depression, should clinicians be understanding?

A

Yes

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45
Q

If a client is experiencing depression, should clinicians possibly refer the client to a mental health service provider?

A

Yes

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46
Q

Can focusing on strengths rather than on limitations be a sign of acceptance?

A

Yes

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47
Q

Can focusing on strengths and abilities be a sign of acceptance?

A

Yes

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48
Q

Can establishing goals be a sign of acceptance?

A

Yes

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49
Q

Can viewing one’s disability as separate from self be a sign of acceptance?

A

Yes

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50
Q

To help clients find acceptance, should clinicians help clients identify strengths and needs?

A

Yes

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51
Q

To help clients find acceptance, should clinicians help connect parents with other parents who have a child that is Hard of Hearing/Deaf?

A

Yes

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52
Q

To help clients find acceptance, should clinicians provide their clients information about options?

A

Yes

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53
Q

To help clients find acceptance, should clinicians help their clients formulate a plan of action?

A

Yes

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54
Q

Can working toward improved skills be a path towards self advocacy?

A

Yes

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55
Q

Can working toward better access to services be a path towards self advocacy?

A

Yes

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56
Q

Can working toward a sense of self worth be a path towards self advocacy?

A

Yes

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57
Q

Can working toward participation in aural rehab be a path towards self advocacy?

A

Yes

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58
Q

To help clients learn self advocacy, should clinicians provide clients information and support as needed?

A

Yes

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59
Q

To help clients learn self advocacy, should clinicians work with other service providers?

A

Yes

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60
Q

To help clients learn self advocacy, should clinicians be aware of recurring grief stages?

A

Yes

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61
Q

What is Informational & Adjustment Counseling?

A

Counseling used by clinicians to help clients accept hearing loss.

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62
Q

What does Informational & Adjustment Counseling focus on?

2

A

Helping patients learn to…

 - Handle specific communication problems 
 - Increase effectiveness of inter-personal skills.
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63
Q

What is Informational Counseling?

A

Disseminating or sharing of information.

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64
Q

What is Personal Adjustment Counseling?

A

Dealing with feelings and attitudes

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65
Q

Could understanding one’s Audiogram be part of Informational Counseling?

A

Yes

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66
Q

Could understanding the effects of hearing loss on communication (vowels and consonants) be part of Informational Counseling?

A

Yes

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67
Q

Could understanding the importance of visual input be part of Informational Counseling?

A

Yes

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68
Q

Could understanding the impact of speaker differences be part of Informational Counseling?

A

Yes

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69
Q

Could understanding the benefits and limitations of speechreading be part of Informational Counseling?

A

Yes

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70
Q

Could learning about Assistive Listening Devices (ALDs) be part of Informational Counseling?

A

Yes

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71
Q

Could learning Communication Strategies be part of Informational Counseling?

A

Yes

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72
Q

Could Community Resources and self-help groups be part of Informational Counseling?

A

Yes

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73
Q

Do Audiologists get reimbursed for the time they spend with patients?

A

No

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74
Q

If a person has made an appointment with an audiologist, does this mean that they have accepted their HL?

A

No

Many are there just to appease family/friends

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75
Q

_________ is considered to be a major part of AR with hearing aids.

A

Hearing Aid Orientation

76
Q

What is PRE-Fit Amplification Counseling?

5

A

Understanding HL

Understanding and identifying affect from the loss

Understanding options in surgical and nonsurgical technology

Finances/technology

Rehabilitation input

77
Q

What is POST-Fit Amplification Counseling?

7

A

Maintenance of device

Use of device

SCALE or assessment of improvement

Verification of fit

Aided results

Assistive devices

SLP/AR therapy referral

78
Q

What is Accurate Empathy?

A

Understanding the true feelings that underlie a patient’s statement.

Responding (with reflection) to patient’s feelings, objectively.

Patient: “If she wouldn’t mumble” (blame)
Clinician: “I am sure it is difficult to not understand what is said”

Patient: “Can’t you just write me a prescription?”
Clinician: “I am sure it is frustrating to not have insurance and have to wait to get into a doctor, but…….”

79
Q

What is Unconditional Positive Regard?

A

Accepting patients as they are

Being inclusive of hostility, anger, lack of cooperation

80
Q

What is Perspective Taking?

A

Take another’s point of view

Involves accurate empathy and unconditional positive regard

81
Q

Can a clinician be more effective when they see the client’s point of view?

A

Yes

Example: Patient that is laid off and has opportunity for hire, if he can hear. But no money for treatment.

82
Q

What is Genuineness?

4

A

Relaxed, friendly attitude to patient.

Respect for their suggestions

Able to accept criticism

Communicate to patient with success

83
Q

Is it important to respect the Deaf Community and individual’s choices on whether or not to mainstream?

A

Yes

84
Q

Should clinicians refer a client to another professional when the client’s need are beyond the clinician’s scope of practice?

A

Yes

85
Q

What is the point of Psychotherapy?

A

Changing a patient’s unconscious patterns and basic way of relating.

86
Q

If you know there is an acceptance factor on the psychology of hearing loss, then use ______/______ counseling to get away from the sales aspect.

A

Information based

Research based

NOT: I know you will do well with these hearing aids, because they are the best on the market.
GOOD: The research demonstrates this is the most appropriate technology to fit your need. With that as a base, there are additional factors you will need to attend to such as….

87
Q

Will the number of people an older person interacts with (and the frequency of these interactions) influence the individual’s ability to function, cope, and improve overall health?

A

Yes

88
Q

Older person that has ______ contacts are less likely to suffer from loneliness and depression and be more interested in participating in AR program.

A

Five or more

89
Q

Will an individuals that does not have frequent communication partners typically seek out AR?

A

No

90
Q

What is the Negative Feedback Loop Triggered by Hearing Loss?

A

Negative Reations

Emotional Distress

Withdraw

91
Q

How can AR help to mitigate negative outcomes of the negative feedback loop?

A

By encouraging patients to become involved in small group activities that are not too demanding on his/her communication skills

92
Q

Can someone’s Emotional State be influenced by hearing loss?

A

Yes

93
Q

Can an individual’s reaction to HL influence their psycho-emotional profile?

A

Yes

94
Q

Is Mental Health important in constructing a profile of someone’s emotional state?

A

Yes

95
Q

Is Temperament important in constructing a profile of someone’s emotional state?

A

Yes

96
Q

Is Sense of Self-sufficiency/Independence important in constructing a profile of someone’s emotional state?

A

Yes

97
Q

Is Self-Concept important in constructing a profile of someone’s emotional state?

A

Yes

98
Q

How does mental health combine with hearing loss?

A

Hearing loss can magnify feelings/emotional states and other existing mental health conditions

Other mental health conditions can magnify the communication related difficulties associated with HL

99
Q

What is Temperament?

A

Refers to stable personality traits

Extrovert vs. introvert, Assertive vs. passive, Optimist vs. pessimist, Easygoing vs. easily frustrated

100
Q

Can temperament affect how someone accepts and works with their hearing loss?

A

Yes

101
Q

What sort of Self-Sufficiency is a hope of AR?

A

Feel more in control during communication situations by using strategies learned in AR

102
Q

Will accepting of new self-image (someone with HL, HA user, etc) influence person’s desire to engage in AR?

A

Yes

103
Q

What is Self-Efficacy?

A

Confidence in performing specific tasks

104
Q

Can helping a person to feel they can be successful in performing a task increase self-efficacy?

A

Yes

105
Q

Can making accurate and convincing statements about the ease of learning a skill increase self-efficacy?

A

Yes

106
Q

Can providing realistic feedback on patient capabilities and efforts increase self-efficacy?

A

Yes

107
Q

Can involving significant others (cautiously) increase self-efficacy?

A

Yes

108
Q

What is the Dissonance theory?

A

Situations where one’s self perception does not coincide with reality

(“I can’t have a hearing loss, I’m in great shape”)

Often these individuals may object to the audiologic findings that do not agree with their own self-perception & self-image

109
Q

After the grief stages, can someone’s sense of normality return?

A

Yes

110
Q

After the grief stages, can someone accept that life goes on, albeit different than before?

A

Yes

111
Q

Is the time frame for acceptance influenced by someone’s Emotional State?

A

Yes

112
Q

Is the time frame for acceptance influenced by someone’s Mental Health?

A

Yes

113
Q

Is the time frame for acceptance influenced by someone’s Temperament?

A

Yes

114
Q

Is the time frame for acceptance influenced by someone’s Self-Sufficiency?

A

Yes

115
Q

Is the time frame for acceptance influenced by someone’s Independence?

A

Yes

116
Q

Is the time frame for acceptance influenced by someone’s Self-Concept?

A

Yes

117
Q

Is the time frame for acceptance influenced by how much support someone receives from their family and friends?

A

Yes

118
Q

What is the Primary Goal for Speech & Hearing Professionals?

A

Encourage self-efficacy (as mentioned above)

119
Q

Should speech and hearing professionals use a patient centered approach guide the individual(s) about real benefits that are available to offset monetary and non-monetary costs?

A

Yes

120
Q

What are the psychological costs of seeking services and adjusting to hearing loss?

(5)

A

Accepting themselves as having a hearing loss,

Dealing with awkwardness for asking for time off from work and having to explain the reason

Adjusting to aging

Embarrassment at entering hearing clinic or wearing hearing aids

Fear that nothing will help

121
Q

“What happens to the quality of life if hearing loss goes untreated in the elderly person?”

2300 seniors surveyed. What did they say?

A

For a month or more during the past year, they had felt worry, tension, and anxiety

All numbers represent percentages of persons w/ the indicted hearing loss who use hearing aids.

122
Q

What are some reasons for Not Using Hearing Aids?

3

A

Denial

Consumer Concerns (Too expensive, don’t work well, etc.)

Stigma/Vanity

123
Q

What is the most common reasons cited for not using a hearing aids?

(5)

A

Don’t feel like they need hearing aids. (69%)

Expense (55%)

Belief that hearing aids do not work (28%)

Lack of confidence in professionals (25%)

Stigma of wearing hearing aids (16-20%)

124
Q

Do most users of hearing aids report significant improvements in the quality of their lives since they began to use hearing aids?

A

Yes

125
Q

Do half or more HA users report better relationships at home and improved feelings about themselves?

A

Yes

126
Q

Do many HA users report improvements in their confidence, independence, relationships, and overall view of life?

A

Yes

127
Q

Do family members of HA users more likely to report improvements?

A

Yes

128
Q

Does communication (the centerpiece of intimacy) suffers when a partner has change of hearing?

A

Yes

129
Q

Are common social-emotional issues that may arise from HL include frustration, impatience, anger, guilt, incompetence, pity and/or anxiety?

A

Yes

130
Q

Can communication difficulties be mistaken for lack of interest or unwillingness to communicate?

A

Yes

131
Q

Can AR improve everyday communication?

A

Yes

132
Q

Can AR intervention support normalization of family relationships?

A

Yes

133
Q

Can AR reduce family’s emotional reactions?

A

Yes

134
Q

Can AR improve communication strategies used?

A

Yes

135
Q

Do the Hearing Impaired need our help to increase Family Awareness?

A

Yes

136
Q

Does hearing loss only affect the hearing-impaired person?

A

No. It affects their families as well.

137
Q

Should families be aware of and alert to the potential consequences of untreated hearing loss? To the benefits of using hearing aids?

A

Yes

138
Q

Should family members who suspect that a relative has a hearing loss actively encourage the person to seek appropriate screening, diagnosis, and treatment?

A

Yes

139
Q

Do the Hearing Impaired need our help in raising awareness among Healthcare Professionals?

A

Yes

140
Q

Should hearing loss should be a routine topic of discussion for older persons and their doctors due to the potential negative consequences of untreated hearing loss on a person’s quality of life and family relationships?

A

Yes

141
Q

Should physicians and other allied health professionals encourage older people to seek appropriate screening, diagnosis, and treatment for HL?

A

Yes

142
Q

Should health professionals be aware that many older adults with significant hearing impairments tend to deny the extent of their hearing loss and to believe that they do not need treatment?

A

Yes

143
Q

Could a simple five-minute questionnaire be administered to patients that could help identify patients in need of referral to a hearing specialist?

A

Yes

144
Q

Do the Hearing Impaired need our help to meet the needs of the Family?

A

Yes

145
Q

Do the HI need our help in accepting feeling of loss?

A

Yes

146
Q

Do the HI need our help in acknowledging differing reactions among family members?

A

Yes

147
Q

Do the HI need our help in finding support from other families?

A

Yes

148
Q

Do the HI need our help in focusing on other children (not HI) in the family?

A

Yes

149
Q

Do the HI need our help in having fun as a family?

A

Yes

150
Q

Do the HI need our help in realizing that grieving is a long process?

A

Yes

151
Q

Do the HI need our help in accepting the need to change directions?

A

Yes

152
Q

Do the Hearing Impaired need our help to meet the needs of the Child?

A

Yes

153
Q

Do HI children need help in talking about feelings?

A

Yes

154
Q

Do HI children need help in facilitating a positive self-concept?

A

Yes

155
Q

Do HI children need help in accepting a hearing device?

A

Yes

156
Q

Do the Hearing Impaired need our help to meet the needs of the Adult?

A

Yes

157
Q

Do adults with HL need our help in keeping their job?

A

Yes

158
Q

Do adults with HL need our help in maintaining social relationships?

A

Yes

159
Q

Do adults with HL need our help in nurturing family relationships?

A

Yes

160
Q

Do adults with HL need our help in interacting with environment?

A

Yes

161
Q

Can Family Support Systems for families with deaf/HI children include home visits?

A

Yes

162
Q

Can Family Support Systems for families with deaf/HI children include individual and group educational program?

A

Yes

163
Q

Can Family Support Systems for families with deaf/HI children include special groups for fathers, siblings, etc.?

A

Yes

164
Q

Can Family Support Systems for families with deaf/HI children include parent-to-parent networks?

A

Yes

165
Q

Can Family Support Systems for families with deaf/HI children include support groups?

A

Yes

166
Q

Can Family Support Systems for families with deaf/HI children include sign language classes?

A

Yes

167
Q

Can Family Support Systems for families with deaf/HI children include lending libraries?

A

Yes

168
Q

Should Clinicians be a good listeners?

A

Yes

169
Q

Should Clinicians be understanding?

A

Yes

170
Q

Should Clinicians show unconditional positive regard?

A

Yes

171
Q

Should Clinicians show warmth?

A

Yes

172
Q

Should Clinicians be genuine?

A

Yes

173
Q

Should Clinicians be honest?

A

Yes

174
Q

Should Clinicians give unbiased information?

A

Yes

175
Q

Should Clinicians be patient?

A

Yes

176
Q

Should Clinicians be flexible?

A

Yes

177
Q

When listening should we use eye contact?

A

Yes

178
Q

When listening should we face the client?

A

Yes

179
Q

When listening should we lean forward a little?

A

Yes

180
Q

When listening should we reflect what the client says?

A

Yes

181
Q

When listening should we read between the lines?

A

Yes

182
Q

Can Habituation be a barrier to effective counseling?

A

Yes

183
Q

Can being right be a barrier to effective counseling?

A

Yes

184
Q

Can multi-tasking be a barrier to effective counseling?

A

Yes

185
Q

As Clinicians, should we focus on the here and now?

A

Yes

186
Q

As Clinicians, should we develop our own support networks?

A

Yes

187
Q

As Clinicians, should we refer clients to a professional therapist when in doubt?

A

Yes

Aural Rehab - Lectures - Unit 2 (8 decks)

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