Final Review Package Flashcards
How are paper files protected? electronic?
-locked away
-electronically password protected
how can they be destroyed?
shredded/incinerated
when and who can you discuss patient information with?
-patient
-emergency situation
-subpoena
-client consent
-removing identifying info.
-power attorney
-substitute decision-maker
who can request to see the client file?
-patient
-peer accessor with consent
gossip violates the promise of what?
confidentiality
when can you break confidentiality?
- minor abuse
-self-harm
boundaries are described as:
-protective circles
-separate personal vs. professional relationships
a _____________ is a separation between what is appropriate and what is not.
boundary
__________ has the responsibility of setting the framework for boundaries.
the therapist
The World Health Organization advises ___in ____ (women,_____in ____men) have a history of sexual abuse and may have difficulty understanding appropriate boundaries.
1 in 3 (women, 1 in 5 men)
Boundaries can be many things:
-consent
-draping
-limited sharing
-appropriate talk
-framework
-time
-scope
-fee’s
By establishing and maintaining clear professional boundaries a therapist achieves what?
- safe environment
-reliable - no boundaries overstepped
-professional tone
What are 4 reasons a therapist could discontinue treatment?
-abuse
-outside of scope-
-treatment not indicated
-sexual tension
-patient failure to benifit
Consistency helps to create a safe space. What elements can be included when we discuss consistency in clinical practice?
-ease of action
-location
-hours `
is a therapist in a position of power?
Yes
What could a therapist do to try and balance out the power with a client?
-empowerment of the patient
-establish proper boundaries
-informed consent
-transference
-client-focused
Does an intuitive therapist need boundaries?
Yes
Can intuition replace boundaries?
no
What is a professional – by definition?
advanced body of knowledge, self-governed, ongoing research, and promise to protect the public.
sometimes referred to as a specialized body of knowledge
As RMT do we specialize?
No
how would we discuss dietary advice?
-refer out
-not in our scope
When a therapist does not abide by professional boundaries, it is called a:
boundary crossing or violation
Boundaries support the therapist/client relationship. A lack of boundaries creates _____________ to a healthy relationship.
a barrier
If a therapist were to minimize a patient’s issues and worries, how would this impact the client’s perception of holding a safe space?
negative - judgment may occur or lack of respect
Transference and countertransference can impact a therapeutic relationship. Please discuss.
-unable to connect
-project feelings + triggers
looks,sounds,touch
Transference is not uncommon and is a normal/abnormal response. In theory, however, it simplifies/complicates the roles of the client/therapist and often requires careful boundary establishment and sometimes counseling, on the part of the therapist.
- normal
- complicates
- therapist
Some needs in countertransference could include:
-need to fix/help people
-love
-to be perfect
If in countertransference, seek help such as (list 3)
-therapist
-psychologist
-supervisor
-mentor
Why do you need to seek help when engaged in countertransference?
maintain professional boundaries
Do exchanges with a peer guarantee transference/counter transference will not take place?
no
Discuss the power differential with regard to a therapist’s words, and how they are heard by a client, compared to a family member or casual co-worker.
patients take what their therapist says more - power differential
The power differential is a term that describes what?
who’s in control- ex: a therapist-patient power differential
Pressuring patients to buy products you have available at reception would be taking advantage of which part of your therapeutic relationship?
power differential
The therapeutic relationship has certain components – please list
-power differential
-sole + expressed purpose
- client-focused/ consent
CMTBC says “A Registrant must” do what with regard to informed consent?
a)
- informed consent - treatment plan
- risks/benefits
- empowerment
Muscles can hold emotions from traumatic events – when massage helps them emerge this is known as a ___________ of emotions/muscle memory.
release
Fear from past trauma can cause a client to act out in what ways?
pull away, anger, cry, transference, being critical, demanding , controlling, chatter
Honoring a client who chatters is important for what reasons?
some people process verbally
A professional code of ethics is:
-a set of norms adopted by a professional group to direct choices and behavior.
-helpful in promoting and maintaining the welfare of the client.
-help therapists to comply with both the law and their professional values
Compliance with the law is what type of ethics?
mandatory
You create a ____________ with a patient when you both agree to what you will do together in the therapeutic relationship.
contract
Ethical decision-making requires we first be clear on _________________
our own personal values
What is the purpose of a code of Ethics? (list 3)
-ethical guidance
-protect public
-set boundaries
What is stereotyping?
attribute characters of a person to all people of a group
Dual relationships require _________________ to the client so actual and perceived issues are addressed openly and upfront.
disclosure
Ethics are ___________________________________
questions of right or wrong and judgment
Scope of Practice:
6 No registrant may
(a) prescribe or administer drugs or anesthetics,
(b) treat a recent fracture of a bone,
(c) apply any form of medical electricity, or
(d) move a joint of the spine beyond the limits the body can voluntarily achieve using
a high velocity, low amplitude thrust.
To empathize with a client, could sound like:
“I hear you”
paraphrasing
Validating - “sounds like your going through a lot
List some components of your authentic self:
-closer
-lighter
-fewer feelings of guilt
Counseling and supervision can help a therapist…do what?
sort transference and counter transference
What are some verbal modifiers?
special words that add nuances of meaning to a sentence
-certainly
-only
-merely
-naturally
-now
-later
-sure
Feedback, when helpful, has what components?
time appropriate, specific, constructive
In clinical practice, when stressors overcome one’s ability to cope, what can result in a therapist?
decreased empathy + focus
mechanical touch
Prolonged stress = what symptoms?
fatigue,anxiety insomnia
Breathing techniques can alter/influence what?
mood, behavior, and influence on the parasympathetic nervous system
What are visualization, mindfulness, and entrainment?
method of relaxation- in our scope homecare
Massage is helpful to do what?
homeostasis, human connection, provide a place in health care
