Chapter 9 - Psychosocial Intervention and Patient Care

Question 1

What does LEARN stand for in counseling?

Answer 1

Listen
Elicit
Acknowledge
Reccomend
Negotiate

Question 2

What does OARS stand for in counseling?

Answer 2

Open - ended questions
Affirming
Reflecting
Summarizing

Question 3

What are the five stages of change (transtheoretical model)

Answer 3

1. Precontemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenace that leads to Termination

Question 4

What are the nine strategies for implementing a change

Answer 4

• consciousness raising
• social liberation
• emotional arousal
• self-reevaluation
• commitment
• countering
• environment control
• reward
• helping relationships

Question 5

What strategy can be used when trying to enhance a patient’s motivation to change?

Answer 5

Motivational interviewing

Question 6

What are the four principles of Motivational interviewing

Answer 6

1) express empathy
2) develop discrepancy
3) roll with resistance (no arguing)
4) support self-efficacy

Question 7

What are Heil’s 10 indicators of a successful recovery

Answer 7

1. Know the game
2. Goal-directed thinking
3. Focused attention
4. controlled emotional intensity
5. precise skill execution
6. training intensity
7. performance over pain
8. calculated risk taking
9. mental toughness
10. self-actualization

Question 8

What are three mental skills techniques?

Answer 8

relaxation
imagery
positive self-talk

Question 9

What are the five key elements of achieving cultural competence?

Answer 9

1. value diversity
2. have the capcity for cultural self-assessment
3. be aware of the inherant dynamics when cultures interact
4. institutionalize cultural knowledge
5. develop appropriate adaptations for service delivery

Question 10

What are three situations that require an immediate emergency intervention?

Answer 10

1. risk of suicide as assessed by medical professional
2. child or elder abuse
3. psychotic disorders where patient cannot care for themselves