Final Review Package Flashcards

1
Q

How are paper files protected? electronic?

A

-locked away
-electronically password protected

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2
Q

how can they be destroyed?

A

shredded/incinerated

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3
Q

when and who can you discuss patient information with?

A

-patient
-emergency situation
-subpoena
-client consent
-removing identifying info.
-power attorney
-substitute decision-maker

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4
Q

who can request to see the client file?

A

-patient
-peer accessor with consent

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5
Q

gossip violates the promise of what?

A

confidentiality

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6
Q

when can you break confidentiality?

A
  • minor abuse
    -self-harm
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7
Q

boundaries are described as:

A

-protective circles
-separate personal vs. professional relationships

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8
Q

a _____________ is a separation between what is appropriate and what is not.

A

boundary

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9
Q

__________ has the responsibility of setting the framework for boundaries.

A

the therapist

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10
Q

The World Health Organization advises ___in ____ (women,_____in ____men) have a history of sexual abuse and may have difficulty understanding appropriate boundaries.

A

1 in 3 (women, 1 in 5 men)

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11
Q

Boundaries can be many things:

A

-consent
-draping
-limited sharing
-appropriate talk
-framework
-time
-scope

-fee’s

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12
Q

By establishing and maintaining clear professional boundaries a therapist achieves what?

A
  • safe environment
    -reliable
  • no boundaries overstepped
    -professional tone
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13
Q

What are 4 reasons a therapist could discontinue treatment?

A

-abuse
-outside of scope-
-treatment not indicated
-sexual tension
-patient failure to benifit

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14
Q

Consistency helps to create a safe space. What elements can be included when we discuss consistency in clinical practice?

A

-ease of action
-location
-hours `

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15
Q

is a therapist in a position of power?

A

Yes

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16
Q

What could a therapist do to try and balance out the power with a client?

A

-empowerment of the patient
-establish proper boundaries
-informed consent
-transference
-client-focused

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17
Q

Does an intuitive therapist need boundaries?

A

Yes

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18
Q

Can intuition replace boundaries?

A

no

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19
Q

What is a professional – by definition?

A

advanced body of knowledge, self-governed, ongoing research, and promise to protect the public.
sometimes referred to as a specialized body of knowledge

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20
Q

As RMT do we specialize?

A

No

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21
Q

how would we discuss dietary advice?

A

-refer out
-not in our scope

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22
Q

When a therapist does not abide by professional boundaries, it is called a:

A

boundary crossing or violation

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23
Q

Boundaries support the therapist/client relationship. A lack of boundaries creates _____________ to a healthy relationship.

A

a barrier

24
Q

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?

A

negative - judgment may occur or lack of respect

25
Q

Transference and countertransference can impact a therapeutic relationship. Please discuss.

A

-unable to connect
-project feelings + triggers
looks,sounds,touch

26
Q

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.

A
  1. normal
  2. complicates
  3. therapist
27
Q

Some needs in countertransference could include:

A

-need to fix/help people
-love
-to be perfect

28
Q

If in countertransference, seek help such as (list 3)

A

-therapist
-psychologist
-supervisor
-mentor

29
Q

Why do you need to seek help when engaged in countertransference?

A

maintain professional boundaries

30
Q

Do exchanges with a peer guarantee transference/counter transference will not take place?

A

no

31
Q

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.

A

patients take what their therapist says more - power differential

32
Q

The power differential is a term that describes what?

A

who’s in control- ex: a therapist-patient power differential

33
Q

Pressuring patients to buy products you have available at reception would be taking advantage of which part of your therapeutic relationship?

A

power differential

34
Q

The therapeutic relationship has certain components – please list

A

-power differential
-sole + expressed purpose
- client-focused/ consent

35
Q

CMTBC says “A Registrant must” do what with regard to informed consent?
a)

A
  1. informed consent - treatment plan
  2. risks/benefits
  3. empowerment
36
Q

Muscles can hold emotions from traumatic events – when massage helps them emerge this is known as a ___________ of emotions/muscle memory.

A

release

37
Q

Fear from past trauma can cause a client to act out in what ways?

A

pull away, anger, cry, transference, being critical, demanding , controlling, chatter

38
Q

Honoring a client who chatters is important for what reasons?

A

some people process verbally

39
Q

A professional code of ethics is:

A

-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

40
Q

Compliance with the law is what type of ethics?

A

mandatory

41
Q

You create a ____________ with a patient when you both agree to what you will do together in the therapeutic relationship.

A

contract

42
Q

Ethical decision-making requires we first be clear on _________________

A

our own personal values

43
Q

What is the purpose of a code of Ethics? (list 3)

A

-ethical guidance
-protect public
-set boundaries

44
Q

What is stereotyping?

A

attribute characters of a person to all people of a group

45
Q

Dual relationships require _________________ to the client so actual and perceived issues are addressed openly and upfront.

A

disclosure

46
Q

Ethics are ___________________________________

A

questions of right or wrong and judgment

47
Q

Scope of Practice:

A

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.

48
Q

To empathize with a client, could sound like:

A

“I hear you”
paraphrasing
Validating - “sounds like your going through a lot

49
Q

List some components of your authentic self:

A

-closer
-lighter
-fewer feelings of guilt

50
Q

Counseling and supervision can help a therapist…do what?

A

sort transference and counter transference

51
Q

What are some verbal modifiers?

A

special words that add nuances of meaning to a sentence
-certainly
-only
-merely
-naturally
-now
-later
-sure

52
Q

Feedback, when helpful, has what components?

A

time appropriate, specific, constructive

53
Q

In clinical practice, when stressors overcome one’s ability to cope, what can result in a therapist?

A

decreased empathy + focus
mechanical touch

54
Q

Prolonged stress = what symptoms?

A

fatigue,anxiety insomnia

55
Q

Breathing techniques can alter/influence what?

A

mood, behavior, and influence on the parasympathetic nervous system

56
Q

What are visualization, mindfulness, and entrainment?

A

method of relaxation- in our scope homecare

57
Q

Massage is helpful to do what?

A

homeostasis, human connection, provide a place in health care