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Block 2 > M2: Counseling Skills for doctors > Flashcards

M2: Counseling Skills for doctors Flashcards

1
Q

8 Basic counseling skills

A
  1. Listening
  2. Attending
  3. Bracketing
  4. Leading
  5. Reflecting content
  6. Reflecting feelings
  7. Reflecting experiences
  8. Probes
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2
Q

a way of looking and dealing with a patient in which the doctor counselor, without condition (chooses to believe that there’s a good person inside the patient)- regardless of the external qualities of the patient

A

Unconditional Positive Regard

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3
Q

the ability to put oneself in the shoes of another person such that one can see the world from
the eyes of the other and as a result, one can feel what the other person is feeling

A

Empathy

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4
Q

(Consistency) in the doctor-counselor’s feeling actions and words

A

Congruence

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5
Q

a certain (approachability and willingness) to be open to the client

A

Warmth and genuineness

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6
Q

(clear and explicit) in his dealings with the client

A

Concreteness

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7
Q

it is helping the client (Identify present) thought and feelings

A

Immediacy

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8
Q

DON’TS IN THE COUNSELING RELATIONSHIP (G2K)

A
  • Don’t ask “why” questions
  • Don’t use “should” and “ought’s”
  • Don’t blame
  • Don’t invalidate the client’s feeling
  • Don’t automatically compare
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9
Q

metaphorically, this is a matter of (making space) in
one’s mind and one’s heart in order to be able to truly empathize and see the world from the point of
view of the patient

A

Bracketing

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10
Q

Involves (suspending one’s own judgments and feelings and then putting them aside) for a while in order to be able to listen more fully to the patient

A

Bracketing

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11
Q

refers to the non-verbal of the doctor-counselor. All non-verbal must convey a (message of openness and willingness) to listen and understand what the patient is saying

A

Attending

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12
Q

Types of leading

A
  1. Indirect lead

2. Direct Lead

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13
Q

invitation by the doctor-counselor to the patient to (talk about whatever concerns him)

A

Indirect lead

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14
Q

the doctor/counselor chooses direction

in which to go

A

Direct lead

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15
Q

(paraphrasing) in a form of a question

A

Perception checking

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16
Q

oftentimes the patient says a lot of things and behaves in a way that (reflects what he feels), but he never overly states the feelings

A

Reflecting feelings

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17
Q

oftentimes the patient does a lot of non-verbal communication which (reflects some emotional state), but the feeling is not articulated. The doctor counselor can mirror talk the non-verbal behavior back to the patient and ask for clarification as to what the behavior means

A

Reflecting experience

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18
Q

opens new areas, focuses on selected areas
and delves more deeply into a patient’s total
experience.

A

Exploration

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19
Q

An inquiry which aims to know the patient’s private, subjective experience of health and illness

A

Open-ended, spontaneous inquiry

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20
Q

TWO PROCESS OF EXPLORATION

A
  1. Focused exploration (interrogative questioning)

2. Patient Cue Exploration (following through in exploring a patient cue)

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21
Q

Direct and lead the search for information regarding pertinent aspects of a patient’s health story and current needs for care

A

PLANNED EXPLORATION

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22
Q

Pick up and follow through in (exploring a patient cue) indirect disguised ways

A

SPONTANEOUS EXPLORATION

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23
Q

Repetition of key words or phrases

A

One-word phrase

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24
Q

(Explicit requests) for information or elaboration, although a specific topic is often introduced

A

Gentle commands

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25
Q

Provide a broad introduction to topics for discussion. Sometimes referred to as “indirect questions”

A

Open-ended statements

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26
Q

Pitfalls in the Use of Probing Skills (G2K)

A
  • Confuse the patient
  • Shifts the focus of interaction
  • Shows an overbearing position of authority
  • Continuous questions in succession would not give time for the patient to reply
  • “Why” question
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27
Q

6 MOST COMMON BARRIER

A
  1. Distraction
  2. Preoccupation
  3. Too focused on Details
  4. The topic
  5. Rebuttal tendency
  6. The speaker
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28
Q

3 TIPS TO IMPROVE LISTENING SKILLS

A
  1. Show people they matter.
  2. Listen to understand not to respond.
  3. Show the speaker you are following along.
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29
Q

equal worth, absence of blame, non-defensiveness and closeness, it is a frame of mind rather than a skill, developed through being honest with oneself and being prepared to be open with others.

A

Warmth

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30
Q

involves helping the client put into works those things that are just being hinted

A

Concreteness

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31
Q

Current issues are addressed and problem solving can relate directly to (present day issues)

A

Immediacy

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32
Q

How do you reflect content?

A

By paraphrasing or paraphrasing in a form of a question (Like is this what you mean)

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33
Q

Asking “You love your wife and her attentiveness to your needs, but the
attentiveness also irritates you, doesn’t it?” is an example of

A

Reflecting feelings

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34
Q

Asking “While you were talking about your wife, I noticed that you were clenching and unclenching your fist. What do you think that could mean?” is an example of

A

Reflecting experience

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35
Q

“Tell me how are you feeling” is an example of..

A

prompt

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36
Q

Statements like “ so your worried about…’ or .. “and when you are in pain
you usually…”. Is an example of

A

Finish the sentence

37
Q

Convey messages that I’m with you, I’m following

what you’re saying, I want to hear more

A

Minimal encouragement

38
Q

Expressions like “uh huh”, “mm-hum”, and “yes”

A

Minimal encouragement

39
Q

Patient: My son won’t be visiting me while I’m here in the hospital

Doctor: Won’t be visiting?

Patient: Yes, he says he can’t stand the sight and smells of the hospital

Is an example of?

A

One-word phrase

40
Q

“Have you been in the hospital before?”

A

Closed Questions

41
Q

“Do you wear glasses?”

A

Closed Questions

42
Q

“Is your wife coming to visit you tonight?”

A

Closed Questions

43
Q

“Do you have any children?”

A

Closed Questions

44
Q

“Are you feeling nauseous?” (to a patient

recovering from anesthesia)

A

Focused, Closed Questions

45
Q

“Do you ever get dizzy when you get out of bed too

fast?” (to a patient whose blood pressure is low).

A

Focused, Closed Questions

46
Q

“Which of these is correct”?

A

Multiple Choice Questions

47
Q

“How do you describe the pain? Stabbing? Pricking?

Spastic? Sharp or dull?”

A

Multiple Choice Questions

48
Q

“Tell me about your family”

A

Gentle commands

49
Q

“Can you describe that in more detail?”

A

Gentle commands

50
Q

“Tell me more”

A

Gentle commands

51
Q

“Let’s talk about that further”

A

Gentle commands

52
Q

“Tell me what its like for you to be in the hospital”

A

Gentle commands

53
Q

Go on, say what’s on your mind”

A

Gentle commands

54
Q

“So, this is the first time you are having surgery.”

A

Open-ended statements

55
Q

“I wonder how it is being sick when you’ve been so

healthy all your life.”

A

Open-ended statements

56
Q

“I notice from reading your chart that you had a rough night .”

A

Open-ended statements

57
Q

“You’ve been giving yourself insulin for years now.”

A

Open-ended statements

58
Q

→ “So you’re most worried about..”
→ “And when you are in pain you usually…”
→ “Today has been..”
→ “What you really would like to know is..”

These questions are examples of

A

Finishing the sentence statements

59
Q

“If I were in your place, I’d be angry.”

A

Self-disclosure

60
Q

“I don’t handle pain all that well.”

A

Self-disclosure

61
Q

“I guess I’d be wondering, what is wrong with me.”

A

Self-disclosure

62
Q

Sometimes the most effective way to encourage
patients to explore their experiences with doctors, is for
us to share our own thoughts with the patient

A

Self-disclosure

63
Q

Instead of completing a sentence the doctor begins it,
then trails off with an expectation that the patient will
finish the sentence

A

Finishing the sentence statements

64
Q

“How did you sleep last night?”

A

Open-ended questions

65
Q

“What worries you about the surgery?”

A

Open-ended questions

66
Q

“What was your life like before you became ill?”

A

Open-ended questions

67
Q

“How was your visit to the outpatient

department?”

A

Open-ended questions

68
Q

5 Pitfalls in the Use of Probing Skills

A
  • Overuse can confuse
  • Shifts the focus
  • Shows too much authority
  • Continuous question ≠ patient to speak
  • “Why” question
69
Q

Means by which one person helps another to clarify his or her life situation

A

Counseling

70
Q

2 Aim of counselling

A
  1. Free the person

2. Empower the person

71
Q

6 use of counselling in medicine

A
  1. Help describe symptoms
  2. Help in emotion
  3. Help is crises
  4. Help in empowering
  5. Help is advise (HIV)
  6. Help manage health service
72
Q

10 Deficiencies in professional communication (G2K)

A
  1. Fail to greet patient
  2. Fail to give easily available information
  3. Fail to seek clarification
  4. Fail to check understanding
  5. Fail to encourage questions
  6. Fail to spot verbal clues
  7. Fail to tackle personal situation of patients
  8. Fail to get info about patient’s feelings
  9. Failure to make a comfortable environment
  10. Fail to use hypothesis testing
73
Q

sounding board for their ideas plans or suggestions, requires listening and empathic understanding

A

Supportive counseling

74
Q

information about the nature of their health or the lack of it which accurate and understandable

A

Informative counselling

75
Q

this happens in a trainer-trainee relationship or a teacher-student relationship, wherein the teacher is not just concerned about the objective part of the relationship but some personal matters as well.

A

Educational counseling

76
Q

the manager who has also a counselor role has to learn to step back a little and allow the other person to find solutions to his or her own problems.

A

Management counselling

77
Q

undertaken to help someone after a major trauma

A

Post traumatic counseling

78
Q

4 main task of post traumatic counseling

A
  1. Help in accepting reality
  2. Help know that their reaction is normal
  3. Help them adjust and adopt
  4. Help them redirect their emotions
79
Q

spiritual distress as the result of a total inability to invest life with meaning. It can be demotivating, painful, and can cause anguish to the sufferer.

A

Counselling in spiritual distress

80
Q

this occurs of sensitive discussions with the client- the very nature of the material under discussion is painful and brings to surface a great deal of bottled up feelings

A

Counselling in Emotional Distress

81
Q

suggest or recommend a particular line of action

A

Prescriptive Intervention

82
Q

practical suggestions how to increase mobility with the use of the wheelchair is an example of which intervention?

A

Prescriptive Intervention

83
Q

counselor (informs or instructs the client), information is best limited to concrete situations, practical issues

A

Informative intervention

84
Q

“you will probably find that you will have some discomfort in your leg for 3 weeks” is an example of which intervention?

A

Informative intervention

85
Q

challenge the client in some way or draw their attention to a particular type of repetitive behavior

A

Confronting Intervention

86
Q

“I notice that you frequently complain about the way your wife talks to you.” is an example of which intervention?

A

Confronting Intervention

87
Q

enable the client to release tension through the expression of pent up emotion. It should be the client who decides when if such release of emotion occurs.

A

Cathartic Intervention

88
Q

draw the client and encourage him or her to discuss issues further, thus any sort of questions is a ______. Most useful to the health professional.

A

Catalytic Intervention

89
Q

support, validate or encourage the client in some way e.g. I appreciate what you are doing

A

Supportive intervention

Block 2 (12 decks)

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