module 6 communication

Question 1

therapeutic communication improves

Answer 1

relationship
patient provider trust
accuracy
efficiency
supportiveness
health outcomes
satisfaction

Question 2

therapeutic communication bridges gap betwen

Answer 2

evidence based literature and individual patient choice

Question 3

Influences communication

Answer 3

values
culture
religion
social status
gender
age
development
education

Question 4

non-verbal communication

Answer 4

facial expressions
tone
eye contact

Question 5

patient centered approach

Answer 5

• understanding patients perspective on disease process of illness
• interpreting and considering patients psychosocial status
• shared decision making
• valuing patient perspective and values

Question 6

Calgary-cambridge guide: gears

Answer 6

Gears that work together
INITIATING SESSION
- gathering information
- physical exam
- explanation and planning 
CLOSING SESSION

Question 7

calgary-cambridge guide: perspective

Answer 7

biomedical

patients: FIFE questions

Question 8

FIFE questions

Answer 8

F: feelings
- r/t illness, especially fears
I: ideas
- explanations of the cause 
-- "what do you think is going on"
F: functioning
- impact on daily life
E: expectations
- of the NP and the illness

Question 9

Prochaskas stages of change

Answer 9

Pre-contemplation
Contemplation
Preparation
Action
Maintenance
Relapse

Question 10

Prochaskas Pre-contemplation stage

Answer 10

no intention on changing behavior

Question 11

Prochaskas Contemplation stage

Answer 11

aware a problem exists but with no commitment to action

Question 12

Prochaskas Preparation stage

Answer 12

intent on taking action to address the problem

Question 13

Prochaskas Action stage

Answer 13

active modification of behavior

Question 14

Prochaskas Maintenance stage

Answer 14

Sustained change

New behavior replaces old

Question 15

Prochaskas Replase stage

Answer 15

Fall back into old patterns of behavior

Question 16

Adult learning principles

Answer 16

problem-oriented
have experience
internally motivated
ready to learn 
self-directed

Question 17

Motivational interviewing key strategies OARS

Answer 17

Open-ended questions
Affirmations
Reflective listening
Summarize

Question 18

mindfullness

Answer 18

paying attention
on purpose
in the present moment
non-judgmentally
GOAL: take negative thoughts about ones past or fears of the future and listen to emotion and thoughts, recognize feelings that rise and subside, and thoughts are just thoughts.

Question 19

benefits of mindfullness

Answer 19

social and academic performance
improves sleep and self-confidence
improve immune function 
changes maladaptive stress coping
reduced anxiety and depression

Question 20

Motivational interviewing tools

Answer 20

agenda setting: client determines priorities
getting permission
open ended questions
reflective listening
summarizing
eliciting self-motivational statement: change talk
willingness and importance: confidence

Question 21

cognitive behavioral therapy strategies

Answer 21

interactive, short term, problem oriented therapy
Focus: how ones thoughts, feelings, and behaviors interact
Goal: modify unrealistic assumptions and change them by correcting cognitive distortions, reframing negative expectations, improving social skills and problem solving.

Question 22

cognitive behavior therapy steps

Answer 22

1. identify the situation: what made me upset?
2. Name the feeling: what what my response?
3. Determine the thought: what am I thinking that is making me feel this way? How is this a thought problem?
4. Challenge the thought: What evidence do I have for this thought? is there an alternate way to look at the situation?
5. Made a decision: Do things mostly support my thought or not?