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aural rehab exam 1 > exam 1 > Flashcards

exam 1 Flashcards

1
Q

What is informational counseling?

A

information given to the patient about hearing loss, related restrictions and recommended steps for management

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2
Q

How much info do patients forget from appointments?

A

40-80% and remember 1/2 of that incorrectly

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3
Q

What are examples of information provided in an informational counseling session?

A

nature and degree of HL, listening device technology, relevant steps of plan, services/resources available

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4
Q

What is explicit organization?

A

clinician specifies the topics that will be covered and announces each one before talking

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5
Q

What is personal adjustment counseling?

A

focuses on the acceptance of hearing loss

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6
Q

What are the five stages of grief?

A

-Denial
-Anger
-Depression
-Bargaining
-Acceptance

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7
Q

What are the goals of personal adjustment counseling?

A

management of communication difficulties, decreased stress related issues, increased self motivation

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8
Q

Less ________, more ____________ in personal adjustment counseling

A

talking, listening

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9
Q

What is communication mismatch?

A

Giving someone info when they wanted an emotional response

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10
Q

What is the Cognitive Behavioral approach to counseling?

A

relies on intellectual means for addressing problems related to hearing loss, faulty thought processes are assumed to underlie emotional responses. Combo of intellectual and behavioral therapy

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11
Q

What is the fully behavioral approach to counseling?

A

helps identify and help change potentially self-destructive or unhealthy behaviors

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12
Q

What is the affective approach to counseling?

A

centers on feelings and fostering emotional adjustment to HL, creates an empathetic, accepting environment in which patient can evaluate self-concepts and their reactions to HL

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13
Q

What is motivational interviewing?

A

a style of interaction that facilitates client’s readiness to change and compliance with therapy participation

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14
Q

What is the Stages of Change model?

A

an integrative model of intentional behavior change

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15
Q

What are the 6 stages for the stages of change model?

A

precontemplation, contemplation, preparation, action, maintenance, termination

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16
Q

What is the precontemplation stage?

A

they typically don’t see the solution because they can’t see the problem, resist change, denial and avoidance are common, feel situation is hopeless

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17
Q

What is the contemplation stage?

A

begin to acknowledge and understand problem, seek solutions, fear of failure holds them back, transition to next stage marked by focus on solution

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18
Q

What is the preparation stage?

A

they are ready to take action, start to make small leaps towards change

19
Q

What is the action stage?

A

have changed their behavior, modified bad behavior/surroundings and changes are more visible

20
Q

What is the maintenance stage?

A

have maintained their behavior change for a while, and intend to keep it that way

21
Q

What is the termination stage?

A

they have no desire to return to their unhealthy behavior, this is rarely reached and people tend to stay in maintenance stage

22
Q

What is the collaborative approach to motivational interviewing?

A

focusing on specific behavior change that is needed

23
Q

What is the evocative approach to motivational interviewing?

A

“what’s right with you” focus to active resources for achieving personal goals

24
Q

What is the honor patient autonomy approach to motivational interviewing?

A

requires detachment and recognition that people make choices about their lives

25
Q

What does DARN stand for in terms of motivational interviewing?

A

Desire, Ability, Reasoning, Need

26
Q

What is self-efficacy?

A

confidence in the ability to use a new behavior and remain engaged following failure

27
Q

Why is a hearing impairment a public health concern?

A

the incidence is high, about 3 in 1000 newborn babies diagnosed with HL, that increases with age
and
the prevalence is high as well, 2 million under 18 years have hearing loss and it is 3rd leading chronic disability

28
Q

What is the 3 Tier Model of Service Provision?

A

Levels of services provided to individuals

29
Q

What is Tier 1 in the 3 tiered model?

A

Primary services: targeted at entire population, provide support and education before problems occur

30
Q

What is Tier 2 in 3 tiered model?

A

targeted at those identified as being in need, prevents escalation

31
Q

What is tier 3 in 3 tiered model?

A

provide intervention for those affected

32
Q

What is ADA?

A

Americans w/ Disabilities Act

33
Q

What does the ADA do?

A

provides civil rights and equality to those with disabilities

34
Q

What are the 10 essential services?

A

Assessment: monitor health, diagnose and investigate, research determinants of health
Policy Development: educate, develop policy and laws
Assurance: enforce policies, train providers, evaluate

35
Q

What is the role of SLPs and AuDs in Tier 1?

A

education, advocacy, policy development

36
Q

What is the role of SLPs and AuDs in Tier 2?

A

hearing testing for those who fail screenings, hearing aid or cochlear implants, counseling

37
Q

What is the role of SLPs and AuDs in Tier 3?

A

-speech, language, and literacy testing/therapy

38
Q

What is the individual-collectivism cultural dimension?

A

relates to a societal characteristic; identifies the extent to which people are put into groups

39
Q

What is the power-distance cultural dimension?

A

refers to the extent to which less powerful members of organizations accept and expect unequal power distribution

40
Q

What is the masculinity-femininity cultural dimension?

A

refers to distribution of values between genders

41
Q

What is the uncertainty avoidance cultural dimension?

A

level of comfort people have with unstructured situations

42
Q

What is the indulgence vs restraint cultural dimension?

A

extent to which a society allows free gratification of basic and natural human desires related to enjoying life and having fun

43
Q

What is cultural competency?

A

need to move away from belief that one’s way of life is superior to others

aural rehab exam 1 (1 decks)

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