Exam 3: Helping Process Flashcards

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1
Q

Helping Process

  • Principle Goals of Helping
  • Help clients manage _______ in living more effectively and develop more fully.
  • Help clients become better at helping themselves in _____ living.
  • Client-Centered Approach
  • Style of counseling that: takes the client’s _________, features collaboration, and genuine respect for patient opinions.
A

problems

daily

perspective

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2
Q

Basics of Client-Centered Approach

*Ask simple, ____-ended questions that require detailed responses.

*______ and encourage with verbal and nonverbal prompts.

  • Clarify and _______ to ensure that you understand the client.
  • Use ________ listening to help the client see gaps or conflicts between statements related to motivation, goals, and behavior.
A

open

Listen

summarize

reflective

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3
Q

Indicators of a Client-Centered Approach

  • You are speaking ______.
  • The client is talking [more/less?] than you.
  • The client is talking about _______ change.
  • You are listening intently and directing the conversation as needed.
  • The client appears to be making realizations and connections not previously considered.
  • The client is asking for information or _____.
A

slowly

more

behavior

advice

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4
Q

Helping Skills

  • Essential human tools for developing relationships with clients and helping them move toward managing their concerns.
  • Four Basic Skills (ALEP)
  • ________ –> builds relationship
  • _______ –> develops understanding
  • _______ –> demonstrates understanding
  • _______ –> allows for exploration
A

Attending
Listening
Empathy
Probing

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5
Q

Attending

  • Relates to being visibly tuned into clients.
  • Connected to “quality of ________.”
  • Paying attention to verbal and non-verbal messages.
  • Facilitates good ________.
  • Impact of Effective Attending
  • Lets client know that you are there for them.
  • Help establish good rapport.
  • Puts you in a position to be an effective listener.
A

presence

listening

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6
Q

Essential Skills of Attending

  • ____ client
  • At least in the general direction.
  • Adopt an Open ______
  • Crossed arms/legs can indicate decreased attention.
  • Maintain good ___ contact
  • Don’t stare, but don’t look away too often.
  • Try to be relatively ______
  • Fidgeting creates sense of nervousness.
A

Face

posture

Eye

Relaxed

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7
Q

Listening

  • Capturing a message through sense of sound and sight.
  • Goal of all listening: ___________.
  • Elements of Complete Listening
  • Hearing and understanding verbal messages.
  • -Listening requires consideration of events, actions, and feelings.
  • Observing and reading non-verbal behavior
  • -Includes elements such as ______, facial expression, movement, and ____ of voice.
  • Listening to the context.
  • -Includes pulling together themes and social environment.
  • -Helps prevent distortion of meaning.
A

understanding

posture
tone

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8
Q

Empathy

  • Skill that enables helper to communicate their level of __________ to the client.
  • Involves identifying with and understanding the client.
  • Provided by some verbal or non-verbal response.
  • Tips for Improving Empathy
  • Give yourself time to _____.
  • Give _____ and _______ responses.
  • Gear your response to your client.
A

understanding

think

short and frequent

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9
Q

Probing

  • Skill that helps clients talk about _________ and define their concerns more concretely through specific ___________.
  • Required when clients fail to spontaneously explore their _______.
  • Purpose is to provide focus and ________ for the helping process.
A

themselves
experiences

concerns

direction

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10
Q

Probing

*Forms of Probes:
Statements			I am unclear…..
Requests			Tell me how…..
Questions			What do you…..?
Non-verbal prompts	lean, stare gently, etc.

*Statements and requests are preferable to direct questions with goal of building rapport and reducing sense of intrusiveness.

A

Yuh

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11
Q

Helping Suggestions

  • Explain your ____ as a helper.
  • Plan for termination of or change in relationship from the beginning.
  • Say ________ when you don’t know what to say.
  • Individualize your helping efforts.
  • Avoid _______ solving.
  • Summarize.
  • ________ your efforts.
  • Do not assume that change is ______.
  • Consult others when necessary on matters of ethics and scope of practice.
A

role

nothing

problem

Document

simple

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12
Q

Characteristics of Effective Helpers

Empathic			Respectful
Concreteness		Genuineness
Aware of limitations 	Supportive
Good health model	Knowledgeable 
Patient				Sensitive
Flexible 				Clear
Trustworthy
A

Yuh.

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13
Q

Scope of Practice Considerations

*Increased familiarity with “normal” and “abnormal” or “clinical” states of mental health allows for better decisions regarding when to ____ vs. when to _____.

  • Only those who are _______ and have consulted with mental health _________ on matters of screening and referral should address any issues related to mental health.
  • Learn diagnostic criteria and signs/symptoms well.
  • An appropriate concept is – “know thy self.”
  • *Always ___ on the side of referring**.
A

help, refer

educated
professionals

err

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14
Q

Reasons for Referral

  • Indications from client that he/she is ______ to self or others.
  • -Threats with organized plan.
  • Indications that client is _______ himself/herself.
  • Self mutilation and high risk behaviors.
  • Client exhibits explosive anger.
  • Indications of on-going problematic ____ use.
  • Anorexic/Bulimic Behaviors.
  • Indications client may be ________.
  • Self-report of abuse as a child or adult.
  • Physical, Emotional, and/or Sexual.
A

danger

injuring

drug

depressed

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15
Q

Tips for Referral

  • Develop a network of ___________ that you trust for referral.
  • Acquire business cards.
  • Interview them and follow up with clients.
  • __________ all of your efforts to refer a client for the purposes of having evidence.
  • After referral attempt fails be very careful to only provide counsel on matters more directly related to fitness.
A

professionals

Document

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16
Q

Ethical Considerations

  • Efforts to “____ people change” when they would prefer to do otherwise is questionable ethically.
  • The job of fitness professionals is to provide _______ and ________.
  • Individuals have the right to make decisions to live unhealthy lifestyles and we cannot/should not _____ our will onto them – “informed refusal.”
A

make

education and motivation

force

17
Q

Motivational Interviewing

*A contemporary approach to behavior change that focuses on helping an individual arrive at decisions related to change rather than _______ change by way of guilt, coercion, or punishment.

  • Key Elements of Motivational Interviewing.
  • Express _______.
  • Develop Discrepancies.
  • Roll With _________.
  • Support Self-Efficacy.
A

forcing

Empathy
Resistance

18
Q

Principle 1: Express empathy

*Based on mutual ______ and avoidance of professional being perceived as authoritarian.
*Requires careful listening without passing ________.
*Requires that ______ be generated by the client, rather than being imposed.
*Fundamental to the client’s feeling
understood and cared about.

A

respect

judgment

goals

19
Q

Principle 2: Develop discrepancy

  • Based on the notion that a clear depiction of the discrepancy between _______ and _______ behavior motivates change.
  • Involves client recognizing more clearly their personal goals and values.
  • Requires that the client reach their own conclusions on how to proceed.
A

current, desired

20
Q

Principle 3: Roll with resistance

  • Based on the reality that behavior change is a _______ and involves ________ to change.
  • Requires support for and encouragement of client efforts and commitment for change.
  • When resistance develops, work towards another way to proceed.
  • Requires that the professional avoid being confrontational and/or argumentative.
A

process

resistance

21
Q

Principle 4: Support self-efficacy

  • Based on instilling ________ for change which is an important motivator.
  • Requires _________ of goals set by the client that are realistic and appropriate.
  • Involves preparing the client to better cope with challenges and setbacks.
A

confidence

validation