Chapter 4 Power Differentials and Active Listening skills (page 11)

Question 1

What types of influencing factors can affect the quality of your care or influence your assessment for your client?

Answer 1

**Your opinion of their lifestyle choices
Your opinion of their religion
Your financial status
Your mood at present
Your energy level **

Question 2

The practitioner is always responsible for the power differential and its balance. How can your client tip the power scale to their side and now have more control of your therapeutic relationship than the practitioner?

Answer 2

Invading your boundaries and the practitioner does not stop it.
Asking you to rearrange your schedule to accommodate them.
Pushing you to add an extra body part that would make you go over the time limit.
You owing them money.
Another health care worker telling you how to perform your treatment!
The client brings the pr actitioner coffee before the treatment.

Question 3

What are common myths about “listening”?

Answer 3

It is passive.
It comes naturally.
All those listening receive the same messages.
Listening is just hearing.

Question 4

What are some examples of how the practitioner can abuse the power differential?

Answer 4

Treating beyond scope of practice or competency.
Giving opinions when not asked by the client.
Giving opinions on matters that they know nothing about when asked by the client.
Failing to recognize the dignity of the client.
Making gener al or broad statements in which the client will accept whole heartedly without question.
Abusing the clients trust in your knowledge.
Comments on their body.
Making a client late for their scheduled appointment time.
You are responsible for the therapeutic relationship and your client’s well being.

Question 5

Identify the aspects of active listening.

Answer 5

Courteous
Analytical
Directed
Being interested
Understanding
Paraphrasing
Verbal cognitive
Verbal affective
Responding

Question 6

_____________ – being able to interpret what has been said to you.

Answer 6

Understanding

Question 7

What is the most important aspect of active listening?

Answer 7

Paraphrasing

Question 8

This skill is saying back to the client, in a succinct manner, what you believe they have told you. This helps the therapist to be corrected by the client about what was said, or it may allow the client to elaborate or alter their statement in order to clarify their story/intent.

Answer 8

Paraphrasing

Question 9

The therapist should _________; show by your demeanor and questions that you are in fact listening to them.

Answer 9

Be interested - Empathetic

Question 10

This is referred to as _______. This is repeating back to the client the facts of their story in an orderly succinct manner, using their words as much as possible in order to show your understanding of what they have told you. Repeat back their story or remark as a question.

Answer 10

Verbal Cognitive

Question 11

_________ – Do not interrupt the client, let them have their say; or if the client is wandering then gently bring them back to the point; when you question use open-ended questions. Never argue with the client.

Answer 11

Courteous

Question 12

To be __________ during the interview is to get the overall picture without prematurely focusing on only certain details, or prejudging the situation.

Answer 12

Attentive (to all that the client says)

Question 13

This skill is practised by listening for specific kinds of information and noting and arranging them into categories, to be focused on later.

Answer 13

Analytical

Question 14

The interviewer is practising being ________ by noting when the client is giving you the answer to a question. Not letting the client or yourself stray from the main point too far, too long (while waiting to see the relevance).

Answer 14

Directed

Question 15

Often referred to as _______, which means to leave the open-ended type of questioning and becoming more closed-ended or more and more specific in your questioning until clarification is reached. Then _________ or returning to the open-ended attentive listening.

Answer 15

Funneling

Funneling Back

Question 16

____________ is to be able to paraphrase or repeat back how the client felt about things in order to clarify those feelings.

Answer 16

Verbal Affective

Question 17

This is done both verbally and non-verbally: As the practitioner is actively listening and then paraphrasing the story as events, the attentiveness, interest and concern is shown to the clients in both how the practitioner talks to them, and in a non-verbal manner.

Answer 17

Responding