Ch.4 Effective Communication, Goal Setting, and Teaching Techniques Flashcards
How can a PT have an immediate positive impact on a client’s health?
By creating enjoyable exercise experiences and then gradually progressing the exercise plan by applying program-design strategies that produce results
What is rapport?
A relationship marked by mutual understanding and trust
In the stages of a client-PT relationship, what does the investigation stage focus on?
- Discussing the client’s health, fitness, and lifestyle info
- Discussing test results, physician recommendations
- Discussing client’s goals and exercise history
- Likes and dislikes
In the stages of a client-PT relationship, what does the planning stage focus on?
PT designs the exercise program in partnership w/ the client
In the stages of a client-PT relationship, what does the action stage focus on?
Ability to effectively teach new motor skills
What is cultural competence?
The ability to communicate and work effectively with people from different cultures
How can a PT develop cultural competence?
Taking time to learn about clients’ beliefs, attitudes, values, and lifestyle
What does nonverbal communication consist of?
- Voice quality
- Eye contact
- Facial expressions
- Hand gestures
- Body position
Body language signals- crossed arms
Anger, defiance, or disinterest
Body language signals- feet pointed toward the door, repeatedly looking at watch
Bored or anxious to leave
Body language signals- biting lip
Tension or trepidation
Body language signals- cracking knuckles
Comforting habit
Body language signals- use of a barrier (such as a purse, backpack, brief case
Personal space is being invaded
What can you do when you encounter a difficult client?
- Ask clarifying questions to better understand clients’ perspectives about exercise and what they see as barriers, challenges, and discomforts, as well as what they see as the value/benefit of being more active
- Let client know you have worked with clients like them
What is active listening?
Listening carefully, empathetically, and with an open mind, trying to put him- or herself in the client’s shoes
What is motivational interviewing?
A method of speaking with people in a way that motivates them to make a decision to change their behavior
What is a directing style of communication?
PT takes charge of the conversation and advises a client on what to do, telling him or her how to best proceed, by offering advice and specific direction
What is a guiding style of communication?
PT encourages, supports, and assists the client in the process of change
What is the importance ruler refer to?
Asking the client to rate the level of importance of something on a scale of 1-10
How should a PT respond to a client’s answer of an importance ruler question?
- PT’s should ask a client why they chose a higher number on the ruler, rather than a lower number.
- Provokes change talk rather than sustain talk (reasons for sustaining the current unwanted behavior)
What are the 4 interconnected components of motivational interviewing?
- Collaboration
- Acceptance
- Compassion
- Evocation
What does the OARS of motivational interviewing refer to?
- Open-ended questions
- Affirmations
- Reflective listening
- Summarizing
What is the process of motivational interviewing?
Engaging->focusing->evoking->planning
What happens in the engaging phase of motivational interviewing?
- Personal trainers talk to their clients to understand their perspectives in a nonjudgmental way
- Develop rapport and build a helpful connection & working relationship
What happens in the focusing phase of motivational interviewing?
- Collaborative process wherein the client’s goals are clarified and the direction the client wants to move forward is determined