EBP EXAM 2:4

Question 1

List 3 reasons communication is important to therapist-client interactions.

Answer 1

· Collaboration (working together)
· Building rapport (show interest/caring, ask questions, body language)
· Working alliance (developing goals for the client, shared process)

Question 2

What is the role of the client in therapy?

Answer 2

· Shared decision making

· Made up of values, preferences, lifestyle, knowledge of unique situation

Question 3

What does effective communication require?

Answer 3

· Relevant, accurate messages
· Messages framed to enable decision making and action (Descriptive, Assessment, Intervention evidence)
· Messages that are comprehensible (easily understood, simplified)

Question 4

Describe the optimal environment for effective communication?

Answer 4

· No distractions (or as few distractions as possible)

· Privacy (HIPAA)

Question 5

Describe the effective communication cycle.

Answer 5

•	Sender communicates by asking open-ended questions, uses active listening & paraphrasing. This info then goes to the receiver
•	The receiver then gives feedback, which goes back to the sender
•	Open ended questions
o	Explain how 
o	Fill in the blank 
•	Active listening 
•	Paraphrasing
•	Check for their understanding

Question 6

List steps to effective evidence-based communication.

Answer 6

· Who is the decision maker? (the client and/or caregiver(s), manager, funder)
· What are the decisions?
· Gather and interpret evidence according to decision maker’s needs (asking PICO question, search evidence, appraise evidence, synthesize evidence, interpret evidence)
· Formulate a possible answer
· Translate and communicate the evidence

Question 7

When communicating with clients, what messages do therapists need to convey?

Answer 7

• Content (answer or possible answer, suggestions for concrete actions or options)
• Characteristics (nontechnical, simple, concrete language; tailored to the decision maker; organized around the clinical question, brief and concise)
• Consider (checking for comprehension, facilitating absorption and discussion)

Question 8

What are the characteristics of effective communication with clients?

Answer 8

• Nontechnical simple concrete language
• Tailored to the decision maker
• Organized around the clinical question
• Brevity / conscious

Question 9

List two techniques to remember when communicating with clients.

Answer 9

• Checking for comprehension

* Facilitating absorption & discussion

Question 10

List steps to effective communication with clients specifically.

Answer 10

• Explain shared decision making
• Listen to client as they weight options
• Determine desired client involvement
• Listen to clients values, preferences, life situations
• Ensure client understanding
• Determine priorities

Question 11

List four points to include when communicating with clients.

Answer 11

• Validate the importance of client and family decision-making
• Summarize treatment outcome in clear, simple language
• Clarify if the evidence is weak
• Offer to discuss costs and benefits

Question 12

When the evidence is uncertain, how can you communicate it to clients?

Answer 12

• Give heavier emphasis to studies with stronger evidence
• Be cautious of studies with sample sizes less than 60
• Conflicting studies: consider potential reasons
• Advise client of biases or limitations in the evidence
• Lack of evidence: rely on greater use of expert opinion and clinical reasoning
• Provide guidance without certainty (not for sure, not 100% guaranteed)