Exam 2: difficult situations

Question 1

4 categories under denial

Answer 1

Defense mechanism
Anger
Minimization of problem
New demand on resources

Question 2

what is term for: people not ready to admit that a problem exists and begin remedying the situation

Answer 2

defense mechanism

Question 3

re: what RB has found: who is the first one to tell a parent there is a problem with their CH?

Answer 3

RB/us/SLP

Question 4

re: what RB has found: parents may get mad and not believe you/slp about CH but _______

Answer 4

seed is planted

Question 5

re: what RB has found: when do parents finally believe it (diagnosis/problem with CH)

Answer 5

when they hear it again and again

Question 6

family members of patients with a recent neurological insult may do what?

Answer 6

refuse to believe that the patient will not return to exactly who s/he was before

Question 7

acceptance of the permanence of the disability is a kind of process that unfolds how?

Answer 7

unfolds gradually

Question 8

what is term for: people fear change, are uncertain, or don’t want to take a deeper and more truthful look at themselves/situation

Answer 8

resistance

Question 9

what are these examples of?
“we have a problem but we are a special case”
“I have a problem but I will overcome it”
lots of energy into proving professionals are wrong

Answer 9

resistance

Question 10

what is term for: very emphatic form of resistance

Answer 10

rejection

Question 11

what is term for: client tells you to your face that you are wrong

Answer 11

rejection

Question 12

rejection or resistance: active, expressed unwillingness to agree with clinician

Answer 12

rejection

Question 13

how do we respond to rejection?

Answer 13

openly acknowledge the situation: i know you don’t agree and i respect your right to have a diff. opinion. let’s agree to disagree

Question 14

when we experience grief, we experience what?

Answer 14

sorrow and depression- loss

death of a dream/expectation

Question 15

T/F: it is not important to allow people to express grief openly

Answer 15

false: it is important

Question 16

what can we do that helps a client a lot when grieving?

Answer 16

acknowledge reality of loss

don’t rush them through their feelings

Question 17

when is it ok to provide perspective?

Answer 17

later on as time will help

Question 18

re: feelings of inadequacy: people feel _______

Answer 18

overwhelmed

Question 19

re: feelings of inadequacy: people desire to be ______

Answer 19

rescued

Question 20

re: feelings of inadequacy: we need to empower clients/families that they do what?

Answer 20

make the changes

Question 21

re: recurrent themes: areas of particular concern to client; they can’t concentrate until _____

Answer 21

these areas are fully resolved

Question 22

re: overprotection: individuals are _______ and it is ______ ______

Answer 22

shielded; culturally relative

Question 23

re: overprotection: what is the least effective method?

Answer 23

confrontation

Question 24

re: overprotection: engage overprotecting person in helping devise ______ and _______ for more _______ functioning

Answer 24

strategies; methods; independent

Question 25

what is term for: people think their own concerns are paramount; world revolves around them; clinician should drop everything for THEM

Answer 25

entitlement

Question 26

people who are _______ feel they have certain rights and are outraged if these “rights” aren’t responded to immediately

Answer 26

entitled

Question 27

T/F: when dealing with entitled clients, we should give in and apologize

Answer 27

false: be firm with boundaries

Question 28

when dealing with an entitled person, should we take person’s anger personally?

Answer 28

no

Question 29

intellectualization is a defense mechanism where they talk from their ____ not their ____

Answer 29

head; heart

Question 30

what is term for: concealing unresolved feelings of distress and anguish; person appears very knowledgeable

Answer 30

intellectualization

Question 31

for an overly verbal client, we can use ______ and _______

Answer 31

guggles; interpretations