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580 Counseling > Chapter 1 > Flashcards

Chapter 1 Flashcards

1
Q

True or false: a large amount of a dietitians time is spent interacting with other people

A

True (patients, students, colleagues, and professionals) - role is varied and challenging

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2
Q

true or false: dietitians need to provide tailored, practical nutritional advice based on the latest scientific research, while at the same time considering carefully how to best communicate with a diverse range of people in different contexts.

A

True

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3
Q

What include communication as a key subject for dietitians

A

Curriculum framework for the pre-registration Education and training of Dietitians, launched in 2013

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4
Q

many dietitians describe their role as

A

one of facilitating behavioral change or of nutrition counseling, and they see themselves guiding others to make appropriate and healthy choices in regards to diet.

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5
Q

Traditionally, communication skills used by dietitians have centered around

A

advising, teaching, informing and instructing

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6
Q

When using a prescriptive approach, the relationship between patient and health provider is based on

A

authority

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7
Q

Most patients prefer ___ and ___ approach

A

individualized and empathetic

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8
Q

prescriptive approach raises issues to

A

compliance and responsibility; allows and encourages patients to relinquish responsibility for their actions; if patients do not comply, they are in a position to blame the dietitian

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9
Q

prescriptive role mimics

A

parent and child roles

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10
Q

if a patient does not follow their advice, dietitians are likely to use methods that

A

allow themselves to be in control such as lecturing

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11
Q

The model Helping People change was used by dietitians to help people

A

lose weight - model introduced the concept of different psychological phases int he process

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12
Q

the continuum of control

A

Least control: counseling
Discussing
Advising
Teaching
Most control: instructing

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13
Q

Motivational interviewing began to

A

provide a framework for exploring and resolving the ambivalence people feel about implementing change

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14
Q

Motivational interviewing is based on the concept of using

A

collaborative counseling to strengthen an individual’s motivation and commitment
-effectiveness depends on helper being able to assist the person they are helping to develop their own resources for change

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15
Q

Cognitive behavioral therapy

A

trach the change process
explore and resolve ambivalence
introduce people to strategies for implementing change

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16
Q

Patient centered medicine was coined by ___ in ___

A

Balint in 1970s

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17
Q

one of hte specific components of the patient centered approach was defined as

A

enhancing the doctor-patient relationship - build rapport with client

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18
Q

what is one the key dimensions of health

A

self efficacy

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19
Q

A patient centered approach has been explicitly linked to communication skills

A

True

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20
Q

list skills dietitians need

A

demonstrate empathy; reflective listening, build rapport, develop motivation, deliver behavioral change techniques

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21
Q

counseling skills intention

A

enhance the performance of their primary professoinal role

22
Q

what type of relationship is discussing and counseling

A

discussing and counseling

23
Q

instructing

A

to get the helpers message across and is practitioner led

24
Q

teaching

A

to ensure the person being helped understands the mateiral

25
Q

advising

A

to tell the person being helped what to do

26
Q

discussing

A

to exchange points of view

27
Q

counseling

A

to understand another to help someone move towards making changes

28
Q

dietitians who can choose to assert control or let go of it will be

A

highly competent

29
Q

dietitians who focus on counseling skills maintain a -___ ego state

A

adult ego state - patient is encouraged to take responsibility for their actions and choices and so is aware that it is their own choice whether or not to follow the information given

30
Q

Portrait of a dietitian using a counseling approach

A

believes humans are unique and that each one knows best for how they feel and believe, even if they are not in accord with her own values. She enables her to trust that her patients are able to use her information in a way thats best for them. She is neither naive nor responsible in her attitude, she is realistic, she accepts that each individual has own difficulties

31
Q

qualities of a good dietitian

A

trustworthy, honest, reliable, a good listener, caring, knowledgeable, competent

32
Q

we demonstrate true caring towards another when we feel ___ towards others

A

empathy

33
Q

when providing care, the dietitian will be offering the patient

A

empathy, consideration, acceptance, time to talk within the limits of the appointment

34
Q

Increasing _____ ____ enables us to learn how we respond emotionally

A

self-awareness ; about becoming more wholly ourselves

35
Q

as self-awareness grows so does___

A

a greater openness to and acceptance of others

36
Q

____ and ___ develop with self-trust

A

imagination and intuition

37
Q

Reflective practice is

A

being able to reflect upon how one has experienced a situation in a structured way

38
Q

reflective practice provides

A

increased learning from an experience or situation
promotion of deep learning
identification of personal and professional strengths
identification of educational needs
further understanding of one’s own beliefs, attitudes and values

39
Q

_____ is the main tool enabling dietitians to greatly improve upon their communication and counseling skills

A

reflective practice

40
Q

Psychoanalytic approach of counseling

A

psychodynamic counseling: belief that unconscious motives ad drives lead us to behave in a certain way
-past experiences of which we are unaware can be relived when we encounter a similar experience

41
Q

psychoanalytic approach encourages the client to

A

explore their past in relation to the present

42
Q

Behavioral approach

A

based on the belief that all behavior is learned and can be unlearned; aims first to identify an undesirable behavior and then to replace it with desired behavior by a scheme of positive reinforcement
-cognitive behavioral

43
Q

humanistic approach to counseling

A

“increase the range of choices and encourage and enable the client to handle this successfully = conecerned with a client’s throughts, behaviors, and feelings and is useful for problems concerning sel-image when someone believes they are powerless to change their circumstances

44
Q

humanistic counseling is based on

A

the idea that their actions are determined by their unconscious

45
Q

Transactional analysis was founded by and is termed

A

Eric Berne; Parent Adult Child Ego

46
Q

systemic therapy aim

A

help those taking part to develop a different perspective on their problem and discover alternative strategies for coping - group or family is considered a dynamic system

47
Q

Neuro-linguistic programming was developed by

A

John Grinder and RIchard Bandler

48
Q

Mindfulness

A

approach centered around bringing the focus of attention into the present-moment without judgement; can be valuable to increase self-awareness

49
Q

What treatment is recommended for adults with recurrent depression and adults with Type II diabetes?

A

Mindfullness-based CBD - emobdied teaching

50
Q

barriers that make it harder for dietitians to use counseling skills

A

lack of confidence, need for further training, lack of management support

580 Counseling (8 decks)

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