Ch.4 Effective Communication, Goal Setting, and Teaching Techniques Flashcards

You may prefer our related Brainscape-certified flashcards:
1
Q

How can a PT have an immediate positive impact on a client’s health?

A

By creating enjoyable exercise experiences and then gradually progressing the exercise plan by applying program-design strategies that produce results

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is rapport?

A

A relationship marked by mutual understanding and trust

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

In the stages of a client-PT relationship, what does the investigation stage focus on?

A
  • Discussing the client’s health, fitness, and lifestyle info
  • Discussing test results, physician recommendations
  • Discussing client’s goals and exercise history
  • Likes and dislikes
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

In the stages of a client-PT relationship, what does the planning stage focus on?

A

PT designs the exercise program in partnership w/ the client

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

In the stages of a client-PT relationship, what does the action stage focus on?

A

Ability to effectively teach new motor skills

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

What is cultural competence?

A

The ability to communicate and work effectively with people from different cultures

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

How can a PT develop cultural competence?

A

Taking time to learn about clients’ beliefs, attitudes, values, and lifestyle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does nonverbal communication consist of?

A
  • Voice quality
  • Eye contact
  • Facial expressions
  • Hand gestures
  • Body position
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Body language signals- crossed arms

A

Anger, defiance, or disinterest

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Body language signals- feet pointed toward the door, repeatedly looking at watch

A

Bored or anxious to leave

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Body language signals- biting lip

A

Tension or trepidation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Body language signals- cracking knuckles

A

Comforting habit

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Body language signals- use of a barrier (such as a purse, backpack, brief case

A

Personal space is being invaded

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

What can you do when you encounter a difficult client?

A
  • 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
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is active listening?

A

Listening carefully, empathetically, and with an open mind, trying to put him- or herself in the client’s shoes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What is motivational interviewing?

A

A method of speaking with people in a way that motivates them to make a decision to change their behavior

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What is a directing style of communication?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What is a guiding style of communication?

A

PT encourages, supports, and assists the client in the process of change

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is the importance ruler refer to?

A

Asking the client to rate the level of importance of something on a scale of 1-10

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How should a PT respond to a client’s answer of an importance ruler question?

A
  • 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)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

What are the 4 interconnected components of motivational interviewing?

A
  • Collaboration
  • Acceptance
  • Compassion
  • Evocation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What does the OARS of motivational interviewing refer to?

A
  • Open-ended questions
  • Affirmations
  • Reflective listening
  • Summarizing
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What is the process of motivational interviewing?

A

Engaging->focusing->evoking->planning

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What happens in the engaging phase of motivational interviewing?

A
  • Personal trainers talk to their clients to understand their perspectives in a nonjudgmental way
  • Develop rapport and build a helpful connection & working relationship
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What happens in the focusing phase of motivational interviewing?

A
  • Collaborative process wherein the client’s goals are clarified and the direction the client wants to move forward is determined
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What happens in the evoking phase of motivational interviewing?

A
  • PT elicits the client’s own motivations for change
  • Prompting the client to voice his or her arguments for change
  • Heart of motivational interviewing
  • Redirect sustain talk to change talk
27
Q

What happens in the planning phase of motivational interviewing?

A
  • Collaborate on how to execute change
  • PT helps clients talk through their goals, identify resources to achieve those goals, and set up ways to evaluate how well the plan worked after it is enacted
28
Q

Component of motivational interviewing- collaboration

A
  • The PT functions as a partner in collaboration with the client, based on the recognition that people are the undisputed experts on themselves
  • Allows the client’s ideas to be integrated into how the behavior change should occur
29
Q

Component of motivational interviewing- acceptance

A
  • The PT values the inherent worth and potential of every client through empathy, honoring individual autonomy, and affirming the person’s strengths and efforts
  • Involves respecting the client’s decisions about whether and how the behavior change should occur
30
Q

Component of motivational interviewing- compassion

A
  • The PT demonstrates compassion when he or she deliberately pursues the welfare and best interests of the client, giving priority to the client’s needs
31
Q

Component of motivational interviewing- evocation

A
  • The PT elicits the client’s own motivation for a particular change, instead of telling the client why he or she should change
32
Q

OARS of motivation interviewing- asking Open-ended questions

A
  • Queries asked in a way that allow a client to reflect and elaborate
33
Q

OARS of motivation interviewing- offering Affirmations

A
  • When the PT makes a statement valuing a positive client attribute or behavior
34
Q

OARS of motivation interviewing- Reflective listening

A
  • The skill of active listening whereby the PT seeks to understand the client’s feelings by offering reflections as guesses about the client’s statements
  • Once a reflective statement is given, the client has a chance to either confirm or correct what the PT reflected
35
Q

OARS of motivation interviewing- Summarizing

A
  • When a PT reflects two or more statements said by a client

- Longer version of reflective listening

36
Q

5 Open-ended Practice Questions:

A
  1. Why do you want to make this change?
  2. How might you go about making this change?
  3. What are the 3 best reason for you to do it?
  4. How important is it to you to make this change?
  5. What do you think you will do?
37
Q

3 Things you can say when a client shares a difficult piece of information:

A
  • I am so sorry
  • That must have been very hard
  • I can only imagine how difficult that must have been for you and your family
38
Q

What are the 4 steps of the planning stage?

A
  • Setting goals
  • Generating and discussing alternatives
  • Formulating a plan
  • Evaluating the exercise program
39
Q

What are some key considerations during the goal-setting process?

A
  • Avoid setting too many goals
  • Avoid setting negative goals
  • Set short- and long-term goals, as well as process and performance goals
  • Include client in the process
  • Revisit the goals on a regular basis
40
Q

According to the goal-setting theory, goals affect people’s performance, or inspire behavioral change, through what 4 primary mechanisms?

A
  • Directed attention
  • Mobilized effort
  • Persistence
  • Strategy
41
Q

What does SMART goals stand for?

A
  • Specific
  • Measurable
  • Attainable
  • Relevant
  • Time-bound
42
Q

SMART goals- Specific

A

Goals must be clear and unambiguous, stating precisely what should be accomplished

43
Q

SMART goals- Measurable

A

Goals must be trackable so that clients can see whether they are making progress

44
Q

SMART goals- Attainable

A
  • Goals should be realistically achievable by the individual client
  • The achievement of goal reinforces commitment to the program and encourages the client to continue exercising
45
Q

SMART goals- Relevant

A

Goals must be pertinent to the particular interests, needs, and abilities of the individual client

46
Q

SMART goals- Time bound

A
  • Goals must contain estimated timelines for completion

- Clients should regularly monitor progress toward goals

47
Q

What is a process goal?

A

Something a client does, such as completing a certain number of workouts per week

48
Q

What is a performance goal?

A

Something achieved, like weight loss or a resistance lifted on a strength-training machine

49
Q

What 2 ways does self-monitoring support behavior change?

A
  • It increases the client self-awareness, acts as a mirror giving clients a more objective view of their behaviors
  • May enhance client-PT communication and productive discussion, prompting PT to question what is working and not working
50
Q

What are the 3 stages of motor learning?

A
  • Cognitive
  • Associative
  • Autonomous
51
Q

What happens in the cognitive stage of learning?

A
  • Client is trying to understand the new skill
  • Movements in this stage are often uncoordinated and jerky
  • PT should be using the “tell, show, do” teaching technique
52
Q

What happens in the associative stage of learning?

A
  • Client begins to master the basics and is ready for more specific feedback that will help them refine the motor skill
53
Q

What happens in the autonomous stage of learning?

A
  • Client is performing motor skills effectively and naturally
  • PT is doing less teaching and more observing
  • PT might decide to teach progressions or new exercises or routines
54
Q

Client actions for visual learning:

A
  • Watches intently

- Prefers reading

55
Q

Client actions for auditory learning:

A
  • Listens carefully

- Prefers hearing

56
Q

Client actions for kinesthetic learning:

A
  • Touches or holds

- Prefers to be spotted

57
Q

What are the 3 key points to remember when teaching new motor skills?

A
  • Remind beginners that it takes time and practice to improve motor skills
  • Introduce new skills slowly and clearly
  • Allow clients the opportunity for focused practiced
58
Q

Explain “tell, show, do” teaching style

A
  • Short description of what the client is going to do and why (goal of movement). Include safety measures.
  • Demonstrate for client
59
Q

What is knowledge of results?

A

The type of feedback that provides info on progress

60
Q

What does extrinsic feedback consist of?

A

Reinforcement, error correction, and encouragement that PTs give their clients

61
Q

What does intrinsic feedback consist of?

A

Information that the clients provide themselves based on their own sensory systems (e.g. what they feel, see, or hear)

62
Q

What 3 things should PT feedback do for the client?

A
  • Provide reinforcement for what was done well
  • Correct errors
  • Motivate clients to continue practicing and improving
63
Q

How should feedback be phrased?

A

Positively, pointing out what a client should do (not what they shouldn’t be doing)