S1_L3: Psychological Care In Physical Therapy Flashcards
What is the Instant Calming Sequence
- Uninterrupted breathing
- Positive face
- Balanced posture
- Wave of relaxation
- Mental control
____ is the systematic study of the body and the use of its static and dynamic position as a means of communication.
Kinesics
What are the 5C’s of communication?
- Complete
- Clear
- Concise
- Cohesive
- Courteous
What are the 3 stages of general adaptation syndrome?
- Alarm stage
- Resistance stage
- Exhaustion stage
TRUE OR FALSE: Stress and pain are results of each other.
True
What does CRH stand for?
Corticotropin Releasing Hormones
What does ACTH stand for?
Adrenocorticotropic Hormone
TRUE OR FALSE: Cortisol is positive in nature as it mobilizes glucose and provides constant supply of energy for the body
True. It may be positive or negative in nature.
To treat psychogenic pain, (1)____ and (2)____ may be prescribes as a medication.
- Antidepressants
- Non-narcotic pain killers
What does ANT stand for?
Automatic negative thoughts
____ is nullifies something present as it takes one negative event and uses it to conclude everything else.
Over-generalizing
This is also known as selection abstraction.
Mental filter
What are the 6 steps of progressive relaxation?
- Sit on a chair
- Scrunch up your face then relax
- Tense your arms then relax
- Tense your shoulders and chest then relax
- Tense your legs then relax
- Breathe in relaxation, breathe out tension
Somatic pain comes from the (1)___, (2)___, or (3)____.
- Skin
- Muscle
- Joints
_____ are pain perceived in a different location due to the convergence of pain pathways at the spinal cord level
Visceral pain
____ is the lowest stimulus level as which a person withdraws from the painful stimulus.
Pain tolerance (upper threshold)
____ response refers to a harmful treatment effect that occurs in response to a treatment or intervention that has no intrinsic active ingredient.
Nocebo
This type of pain measure consists of heart rate, blood pressure, and muscle tension.
Physiological measure
Spinothalamic tract is for the (1)___ of pain, whole the spinoreticular tract is for the (2)____ of pain
- Localisation
- Emotional aspect
TRUE OR FALSE: For communication to have any meaning, it must be understood by all parties to the communication
True
___ is the barometer for feelings
Posture
Zone ___ is when a PT is theorising and interpreting what is happening to the pt at present.
3
TRUE OR FALSE:When a patient cries, always give a tissue right away.
False.
This might signal the patient to hold back their tears. Allow them to relieve their tension and wait until the patient asks for one or get it themselves.
Source: Sir Micko
____ is also known as affiliative non-verbal message and creates a more personal relationship
Attending skills
Source: Psychology in the Physical and Manual Therapists
(1)____ is focusing on your feelings and the spotlight shifts to you, while (2)___ is interpreting what the client feels or experiences
- Sympathy
- Empathy
TRUE OR FALSE: PT and practitioner interaction ranged from personal to intimate space.
True
Kind of space used between a speaker and the audience.
Public space
A/an ____ face is a kind of frozen, emotionless, and deadpan emotion similar to a mask.
Impassive
____ physiotherapy uses massage, ultrasound, and hot/cold packs
Passive
____ when a patient tends to downgrade or undermine his/her successes
Negative tunnel vision
Progressive relaxation techniques is also known as
neuromuscular relaxation
This is the natural ending of a treatment when the therapist and client agree that the client’s work, as identified in the treatment plan, is complete
Consensual Termination or Bilateral Natural Endings
TRUE OR FALSE: Endings initiated by the therapist may arise because the student therapist has graduated or finished her term.
True.
Applicable for interns
TRUE OR FALSE: Physical therapists should be giving advices or talk to their patients a lot during sessions to foster a good relationship.
False.
Not all patients are open to advices and too much sharing or communication is not appropriate for a professional relationship.
Fidgeting suggests that a patient may be ___.
Nervous or anxious
How much distance should be given to respect a patient’s intimate space?
0-18 inches
TRUE OR FALSE: Social space should be atleast 5-8ft.
False.
It is between 4-12ft.
____ is a key skill in a physiotherapist’s role for both diagnostic assessment and treatment
Touch
This is a kind of empathetic listening used when PTs sense that there is a lot of emotion connected with a client’s injury or recovery process that is not being expressed verbally
Reflection of Feelings
Part of the 5Cs of Communication that is logical and in order
cohesive
Part of the 5Cs of Communication wherein both parties must consider language barriers
Clear
This is a kind of empathetic listening used to start or end treatment sessions
Summarization
Common manipulations are a means to gain (1) ____, (2)____, (3)____.
- attention
- sympathy
- control and dependence
____ is the unconscious emotional reaction that pts have in a current situation that is based on previous
relationships and experiences
Transference
Amygdala activates the (1)____ to secrete (2)____
until it activates (3)___ and secrete (4)___. Then, (5)____ is activated to release stress hormones for (6)____.
- hypothalamus
- CRH
- pituitary gland
- ACTH
- adrenal cortex
- fight or flight response
____ pain is caused by damage to or abnormal function of the nervous system
neuropathic
____, also known as “physiological” pain, is the most common type of pain following tissue injury.
Nociceptive Pain
Explain how pain sensation from the face gets to the brain.
1st order neurons travel mainly by trigeminal nerve → brainstem → synapse to 2nd order neuron → thalamus
___ fibers conduct at fast speed and are responsible for sharp pain
Myelinated type A
The ____ are defense mechanisms that warns the body of
potential/actual injuries and diseases
Pain pathways
____ is the grouping of gestures, facial expressions, and postures inyo nonverbal statement
Clustering
Enumerate the three types of non-verbal communication
- Proxemics
- Paralanguage
- Kinesics
A/an ____ face may be evident when a person doe snot want to reveal his/her emotions
Expressive
Match the following gesture/mannerism to their respective meaning:
- Finger tapping
- Shrugging shoulders
- Rubbing nose
- Whitened knuckles
- Fidgeting
Choices:
A. Anxiety
B. Rudeness
C. Anger
D. Discouragement
E. Confusion
- B
- D
- E
- C
- A
TRUE OR FALSE: When a patient with dementia is experiencing hallucinations, it’s best to ignore their delusions and distract their feelings.
True.
Ignoring and distracting is most useful when it comes to patients suffering from hallucinations and delusions.
Match the following techniques to their respective goals.
- General leads
- Verbalising the implied
- Voicing doubt
- Restating
- Summarizing
Choices:
A. Fostering description
B. Fostering analysis and conclusion
C. None of the above
- A
- A
- B
- A
- B
Match the following techniques to their respective goals.
- Encouraging evaluation
- Encouraging goal setting
- Suggesting collaboration
- Focusing
- Giving information
Choices:
A. Fostering interpretation of meaning and importance
B. Fostering problem solving and decision making
C. None of the above
- A
- B
- B
- A
- B
Match the following techniques to their respective goal.
- Rehearsing
- Offering self
- Role playing
- Limit setting
- Placing an event in time or sequence
Choices:
A. Fostering completing of plans
B. Fostering interpretation of meaning and importance
C. None of the above
- A
- C
- A
- A
- C
Match the condition with their respective classification of pain.
- Dysmenorrhea
- Gout
- Alcohol
- Virus
- Amputation
A. Nociceptive - somatic
B. Nociceptive - visceral
C. Neuropathic
- B
- A
- C
- C
- C
(1) ____ is a the body’s own natural painkiller that may be released by (2) ___ from the pain.
- Endorphins
- Distraction
Match the following statements with the following cognitive distortions.
- “Either I do it right or not at all.”
- “I never get things right.”
- “I must have COVID since I feel weak.”
- “That doesn’t count.”
- “Out of all my exams, I got 45 in one of my subjects.”
A. Emotional reasoning
B. Disqualifying the positive
C. All or nothing thinking
D. Mental filter
E. Over-generalizing
- C
- E
- A
- B
- D
In thought management, the use of ____ method modifies negative thoughts through guided discovery.
Socratic
Enumerate the 4 criteria for patient care termination.
- Practitioner intuition
- Improved physical and behavioural functioning
- Improved physiological functioning
- Symptom relief
