Chapter 4: Aspects of the Helping Process

Question 1

What about boundaries is fundamental to counseling and psychotherapy

Answer 1

establishing and adhering to boundaries
-keeping to time and being on track
-knowing one’s own limitations
-maintaining confidentiality

Question 2

How to clarify time and keep structure is formed

Answer 2

talk to patient about time in the beginning of the appointment - say we

Question 3

The Code of Professional Practice states that dietitians are

Answer 3

ethically, morally, and legally obliged to safeguard confidential information relating to service users

Question 4

The ethics Framework for Good Practice in Counseling and Psychotherapy regards confidentiality as

Answer 4

an obligation arising from the clients trust and restricts and disclosure of confidential information about clients to furthering hte purposes for which it was originally disclosed

Question 5

A health professional who ensures that their patients knows the ___ to which they are being offered confidentiality is providing a good standard of care

Answer 5

extent

Question 6

Questions concerning confidentiality applies to both ___ and ___ communication

Answer 6

written and verbal

Question 7

guidelines to giving referrals

Answer 7

-Invite the patient to decide what is best for themselves
-Pass the patient on as thought they were a precious gift, not an unwanted present
-Focus on offering the referral, not ordering
-Make sure the patient understands the referral is not a rejection but an honest attempt to meet their needs

Question 8

Three main stages of helping process

Answer 8

1. one of helping someone to tell their story: clarify and identify problem
2. Helping someone clarify what they need and want: gain a different perspective, identify patterns in feelings and thoughts
3. Concerned with developing strategies to achieve goals: making decisions and coming up with plans for taking action

Question 9

what phrase can be used to clarify what patient wants/needs

Answer 9

What If

Question 10

What is an undervalued resource in creating a future without the problem

Answer 10

imagination

Question 11

What stage is the patients commitment likely to be tested

Answer 11

Stage 3: planning ways to achieve goals

Question 12

How can a dietitian help when the patient seems to be making no progress and despairs of achieving the goal

Answer 12

Review
Encourage
Support

Question 13

Prochaska and DiClemente model of change

Answer 13

1. Not interested in changing
2. Thinking about change
3. Preparing to change
4. Making change
5. Maintaining changes
6. Relapsing
   -can help dietitian target intervention

Question 14

Relapse became less of a ____ and more of an _____ to provide appropriate support for this stage

Answer 14

disappointment and more of an opportunity

Question 15

Why has there been debate about the Prochaska and DiClemente model

Answer 15

about its efficacy when applied to eating behavior due to multi-factural nature of these misgivings

Question 16

dietitians who are familiar with motivational interviewing will focus on giving

Answer 16

feedback and advice

Question 17

In accordance with accepted counseling practice, the practioner who uses motivational interviewing will be

Answer 17

=seeking to understand another’s frame of reference through active listening
-able to express acceptance and affirmation
-eliciting and acknowledging the patient’s own beliefs thoughts and feelings about change
-Monitoring the patients readiness to change and working with them at their pace

Question 18

when the dietitian can sensibly apply the skills of ____ and ___< thereby demonstrating the core conditions, they may find the patient willing to explore their ambivalence about changing their behavior

Answer 18

listening and reflective responding