2.00 - Adjustment Counseling & Psychosocial Issues Flashcards
(188 cards)
0
Q
Does everyone go through a grieving process?
A
No
1
Q
What are the Stages of Grief?
8
A
Shock
Denial
Anger
Guilt
Bargaining
Depression
Acceptance
Advocacy
2
Q
Do some people postpone when they go through the grieving process?
A
Yes
3
Q
Are the grieving stages always gone through in order?
A
No
4
Q
Can Numbness be a sign of shock?
A
Yes
5
Q
Can Bewilderment be a sign of shock?
A
Yes
6
Q
Can the inability to make decisions be a sign of shock?
A
Yes
“I don’t remember a thing the doctor said after I heard my child was deaf”
7
Q
If a Clinician feels like their client is in shock, should they give the client time to absorb the news?
A
Yes
8
Q
If a Clinician feels like their client is in shock, should they avoid forcing information?
A
Yes
9
Q
If a Clinician feels like their client is in shock, should they let the client set the pace?
A
Yes
10
Q
If a Clinician feels like their client is in shock, should they be patient?
A
Yes
11
Q
Can emotional defensive mechanisms be a sign of denial?
A
Yes
12
Q
Can the inability to succumb to logic be a sign of denial?
A
Yes
13
Q
Can denial lead someone to reject their diagnosis, the implications of it, and the permanence of it?
A
Yes
14
Q
If a patient is in denial, should the clinician acknowledge the family may have difficulty accepting the diagnosis?
A
Yes
(If a patient is in denial, should the clinician discuss underlying fears
Ask family what the diagnosis would mean if it were fake)
15
Q
Can Resentment be a sign of anger?
A
Yes
16
Q
Can the loss of the illusion that life is fair be a sign of anger?
A
Yes
17
Q
Can feeling betrayed be a sign of anger?
A
Yes
18
Q
Can assigning blame be a sign of anger?
A
Yes
19
Q
If a client is expressing the anger stage of grief, should clinicians take it personally?
A
No
20
Q
If a client is expressing the anger stage of grief, should clinicians take abuse?
A
No
If patients starts tearing in to you, excuse yourself and draw a line
21
Q
If a client is expressing the anger stage of grief, should clinicians avoid being defensive and/or judgmental?
A
Yes
22
Q
If a client is expressing the anger stage of grief, should clinicians allow client to express their feelings?
A
Yes
23
Q
If a client is expressing the anger stage of grief, should clinicians realize that the expression of anger is critical to moving through the grief cycle?
A
Yes
24
Can feeling at fault for deafness be a sign of guilt?
Yes
25
Can condemning one's self without evidence be a sign of guilt?
Yes
26
Can feeling like a burden to others be a sign of guilt?
Yes
27
Can the fear of asking questions be a sign of guilt?
Yes
28
If a client is experiencing guilt, should the clinician acknowledge the confusion that can arise due to lack of information?
Yes
29
If a client is experiencing guilt, should the clinician acknowledge that self-blame is normal?
Yes
30
If a client is experiencing guilt, should the clinician ask client how s/he is doing?
Yes
31
Can grasping at straws be a sign of the Bargaining Stage?
Yes
32
Can feelings of desperation be a sign of the Bargaining Stage?
Yes
33
Can making unrealistic demands be a sign of the Bargaining Stage?
Yes
34
Can making promises to god, professionals one's self, etc. be a sign of the Bargaining Stage?
Yes
35
Should clinicians be aware that the bargaining stage is often a hidden stage and that the client may not talk about this openly?
Yes
36
Should clinicians be aware that the bargaining stage may manifest itself as lack of follow through (“foot dragging”)?
Yes
37
Can mourning the loss of an ideal be a sign of depression?
Yes
38
Can realizing the diagnosis is real be a sign of depression?
Yes
39
Can difficulty sleeping, concentrating be a sign of depression?
Yes
40
Can lack of energy be a sign of depression?
Yes
41
Can decreased interest in other life events be a sign of depression?
Yes
42
If a client is experiencing depression, should clinicians try to "cheer up" clients?
No
43
If a client is experiencing depression, should clinicians listen to the client's concerns, worries?
Yes
44
If a client is experiencing depression, should clinicians be understanding?
Yes
45
If a client is experiencing depression, should clinicians possibly refer the client to a mental health service provider?
Yes
46
Can focusing on strengths rather than on limitations be a sign of acceptance?
Yes
47
Can focusing on strengths and abilities be a sign of acceptance?
Yes
48
Can establishing goals be a sign of acceptance?
Yes
49
Can viewing one's disability as separate from self be a sign of acceptance?
Yes
50
To help clients find acceptance, should clinicians help clients identify strengths and needs?
Yes
51
To help clients find acceptance, should clinicians help connect parents with other parents who have a child that is Hard of Hearing/Deaf?
Yes
52
To help clients find acceptance, should clinicians provide their clients information about options?
Yes
53
To help clients find acceptance, should clinicians help their clients formulate a plan of action?
Yes
54
Can working toward improved skills be a path towards self advocacy?
Yes
55
Can working toward better access to services be a path towards self advocacy?
Yes
56
Can working toward a sense of self worth be a path towards self advocacy?
Yes
57
Can working toward participation in aural rehab be a path towards self advocacy?
Yes
58
To help clients learn self advocacy, should clinicians provide clients information and support as needed?
Yes
59
To help clients learn self advocacy, should clinicians work with other service providers?
Yes
60
To help clients learn self advocacy, should clinicians be aware of recurring grief stages?
Yes
61
What is Informational & Adjustment Counseling?
Counseling used by clinicians to help clients accept hearing loss.
62
What does Informational & Adjustment Counseling focus on?
| 2
Helping patients learn to...
- Handle specific communication problems
- Increase effectiveness of inter-personal skills.
63
What is Informational Counseling?
Disseminating or sharing of information.
64
What is Personal Adjustment Counseling?
Dealing with feelings and attitudes
65
Could understanding one's Audiogram be part of Informational Counseling?
Yes
66
Could understanding the effects of hearing loss on communication (vowels and consonants) be part of Informational Counseling?
Yes
67
Could understanding the importance of visual input be part of Informational Counseling?
Yes
68
Could understanding the impact of speaker differences be part of Informational Counseling?
Yes
69
Could understanding the benefits and limitations of speechreading be part of Informational Counseling?
Yes
70
Could learning about Assistive Listening Devices (ALDs) be part of Informational Counseling?
Yes
71
Could learning Communication Strategies be part of Informational Counseling?
Yes
72
Could Community Resources and self-help groups be part of Informational Counseling?
Yes
73
Do Audiologists get reimbursed for the time they spend with patients?
No
74
If a person has made an appointment with an audiologist, does this mean that they have accepted their HL?
No
Many are there just to appease family/friends
75
_________ is considered to be a major part of AR with hearing aids.
Hearing Aid Orientation
76
What is PRE-Fit Amplification Counseling?
| 5
Understanding HL
Understanding and identifying affect from the loss
Understanding options in surgical and nonsurgical technology
Finances/technology
Rehabilitation input
77
What is POST-Fit Amplification Counseling?
| 7
Maintenance of device
Use of device
SCALE or assessment of improvement
Verification of fit
Aided results
Assistive devices
SLP/AR therapy referral
78
What is Accurate Empathy?
Understanding the true feelings that underlie a patient’s statement.
Responding (with reflection) to patient’s feelings, objectively.
Patient: “If she wouldn’t mumble” (blame)
Clinician: “I am sure it is difficult to not understand what is said”
Patient: “Can’t you just write me a prescription?”
Clinician: “I am sure it is frustrating to not have insurance and have to wait to get into a doctor, but…….”
79
What is Unconditional Positive Regard?
Accepting patients as they are
Being inclusive of hostility, anger, lack of cooperation
80
What is Perspective Taking?
Take another’s point of view
Involves accurate empathy and unconditional positive regard
81
Can a clinician be more effective when they see the client's point of view?
Yes
Example: Patient that is laid off and has opportunity for hire, if he can hear. But no money for treatment.
82
What is Genuineness?
| 4
Relaxed, friendly attitude to patient.
Respect for their suggestions
Able to accept criticism
Communicate to patient with success
83
Is it important to respect the Deaf Community and individual's choices on whether or not to mainstream?
Yes
84
Should clinicians refer a client to another professional when the client's need are beyond the clinician's scope of practice?
Yes
85
What is the point of Psychotherapy?
Changing a patient's unconscious patterns and basic way of relating.
86
If you know there is an acceptance factor on the psychology of hearing loss, then use ______/______ counseling to get away from the sales aspect.
Information based
Research based
NOT: I know you will do well with these hearing aids, because they are the best on the market.
GOOD: The research demonstrates this is the most appropriate technology to fit your need. With that as a base, there are additional factors you will need to attend to such as....
87
Will the number of people an older person interacts with (and the frequency of these interactions) influence the individual's ability to function, cope, and improve overall health?
Yes
88
Older person that has ______ contacts are less likely to suffer from loneliness and depression and be more interested in participating in AR program.
Five or more
89
Will an individuals that does not have frequent communication partners typically seek out AR?
No
90
What is the Negative Feedback Loop Triggered by Hearing Loss?
Negative Reations
Emotional Distress
Withdraw
91
How can AR help to mitigate negative outcomes of the negative feedback loop?
By encouraging patients to become involved in small group activities that are not too demanding on his/her communication skills
92
Can someone's Emotional State be influenced by hearing loss?
Yes
93
Can an individual's reaction to HL influence their psycho-emotional profile?
Yes
94
Is Mental Health important in constructing a profile of someone's emotional state?
Yes
95
Is Temperament important in constructing a profile of someone's emotional state?
Yes
96
Is Sense of Self-sufficiency/Independence important in constructing a profile of someone's emotional state?
Yes
97
Is Self-Concept important in constructing a profile of someone's emotional state?
Yes
98
How does mental health combine with hearing loss?
Hearing loss can magnify feelings/emotional states and other existing mental health conditions
Other mental health conditions can magnify the communication related difficulties associated with HL
99
What is Temperament?
Refers to stable personality traits
| Extrovert vs. introvert, Assertive vs. passive, Optimist vs. pessimist, Easygoing vs. easily frustrated
100
Can temperament affect how someone accepts and works with their hearing loss?
Yes
101
What sort of Self-Sufficiency is a hope of AR?
Feel more in control during communication situations by using strategies learned in AR
102
Will accepting of new self-image (someone with HL, HA user, etc) influence person’s desire to engage in AR?
Yes
103
What is Self-Efficacy?
Confidence in performing specific tasks
104
Can helping a person to feel they can be successful in performing a task increase self-efficacy?
Yes
105
Can making accurate and convincing statements about the ease of learning a skill increase self-efficacy?
Yes
106
Can providing realistic feedback on patient capabilities and efforts increase self-efficacy?
Yes
107
Can involving significant others (cautiously) increase self-efficacy?
Yes
108
What is the Dissonance theory?
Situations where one’s self perception does not coincide with reality
(“I can’t have a hearing loss, I’m in great shape”)
Often these individuals may object to the audiologic findings that do not agree with their own self-perception & self-image
109
After the grief stages, can someone's sense of normality return?
Yes
110
After the grief stages, can someone accept that life goes on, albeit different than before?
Yes
111
Is the time frame for acceptance influenced by someone's Emotional State?
Yes
112
Is the time frame for acceptance influenced by someone's Mental Health?
Yes
113
Is the time frame for acceptance influenced by someone's Temperament?
Yes
114
Is the time frame for acceptance influenced by someone's Self-Sufficiency?
Yes
115
Is the time frame for acceptance influenced by someone's Independence?
Yes
116
Is the time frame for acceptance influenced by someone's Self-Concept?
Yes
117
Is the time frame for acceptance influenced by how much support someone receives from their family and friends?
Yes
118
What is the Primary Goal for Speech & Hearing Professionals?
Encourage self-efficacy (as mentioned above)
119
Should speech and hearing professionals use a patient centered approach guide the individual(s) about real benefits that are available to offset monetary and non-monetary costs?
Yes
120
What are the psychological costs of seeking services and adjusting to hearing loss?
(5)
Accepting themselves as having a hearing loss,
Dealing with awkwardness for asking for time off from work and having to explain the reason
Adjusting to aging
Embarrassment at entering hearing clinic or wearing hearing aids
Fear that nothing will help
121
“What happens to the quality of life if hearing loss goes untreated in the elderly person?”
2300 seniors surveyed. What did they say?
For a month or more during the past year, they had felt worry, tension, and anxiety
All numbers represent percentages of persons w/ the indicted hearing loss who use hearing aids.
122
What are some reasons for Not Using Hearing Aids?
| 3
Denial
Consumer Concerns (Too expensive, don’t work well, etc.)
Stigma/Vanity
123
What is the most common reasons cited for not using a hearing aids?
(5)
Don't feel like they need hearing aids. (69%)
Expense (55%)
Belief that hearing aids do not work (28%)
Lack of confidence in professionals (25%)
Stigma of wearing hearing aids (16-20%)
124
Do most users of hearing aids report significant improvements in the quality of their lives since they began to use hearing aids?
Yes
125
Do half or more HA users report better relationships at home and improved feelings about themselves?
Yes
126
Do many HA users report improvements in their confidence, independence, relationships, and overall view of life?
Yes
127
Do family members of HA users more likely to report improvements?
Yes
128
Does communication (the centerpiece of intimacy) suffers when a partner has change of hearing?
Yes
129
Are common social-emotional issues that may arise from HL include frustration, impatience, anger, guilt, incompetence, pity and/or anxiety?
Yes
130
Can communication difficulties be mistaken for lack of interest or unwillingness to communicate?
Yes
131
Can AR improve everyday communication?
Yes
132
Can AR intervention support normalization of family relationships?
Yes
133
Can AR reduce family’s emotional reactions?
Yes
134
Can AR improve communication strategies used?
Yes
135
Do the Hearing Impaired need our help to increase Family Awareness?
Yes
136
Does hearing loss only affect the hearing-impaired person?
No. It affects their families as well.
137
Should families be aware of and alert to the potential consequences of untreated hearing loss? To the benefits of using hearing aids?
Yes
138
Should family members who suspect that a relative has a hearing loss actively encourage the person to seek appropriate screening, diagnosis, and treatment?
Yes
139
Do the Hearing Impaired need our help in raising awareness among Healthcare Professionals?
Yes
140
Should hearing loss should be a routine topic of discussion for older persons and their doctors due to the potential negative consequences of untreated hearing loss on a person's quality of life and family relationships?
Yes
141
Should physicians and other allied health professionals encourage older people to seek appropriate screening, diagnosis, and treatment for HL?
Yes
142
Should health professionals be aware that many older adults with significant hearing impairments tend to deny the extent of their hearing loss and to believe that they do not need treatment?
Yes
143
Could a simple five-minute questionnaire be administered to patients that could help identify patients in need of referral to a hearing specialist?
Yes
144
Do the Hearing Impaired need our help to meet the needs of the Family?
Yes
145
Do the HI need our help in accepting feeling of loss?
Yes
146
Do the HI need our help in acknowledging differing reactions among family members?
Yes
147
Do the HI need our help in finding support from other families?
Yes
148
Do the HI need our help in focusing on other children (not HI) in the family?
Yes
149
Do the HI need our help in having fun as a family?
Yes
150
Do the HI need our help in realizing that grieving is a long process?
Yes
151
Do the HI need our help in accepting the need to change directions?
Yes
152
Do the Hearing Impaired need our help to meet the needs of the Child?
Yes
153
Do HI children need help in talking about feelings?
Yes
154
Do HI children need help in facilitating a positive self-concept?
Yes
155
Do HI children need help in accepting a hearing device?
Yes
156
Do the Hearing Impaired need our help to meet the needs of the Adult?
Yes
157
Do adults with HL need our help in keeping their job?
Yes
158
Do adults with HL need our help in maintaining social relationships?
Yes
159
Do adults with HL need our help in nurturing family relationships?
Yes
160
Do adults with HL need our help in interacting with environment?
Yes
161
Can Family Support Systems for families with deaf/HI children include home visits?
Yes
162
Can Family Support Systems for families with deaf/HI children include individual and group educational program?
Yes
163
Can Family Support Systems for families with deaf/HI children include special groups for fathers, siblings, etc.?
Yes
164
Can Family Support Systems for families with deaf/HI children include parent-to-parent networks?
Yes
165
Can Family Support Systems for families with deaf/HI children include support groups?
Yes
166
Can Family Support Systems for families with deaf/HI children include sign language classes?
Yes
167
Can Family Support Systems for families with deaf/HI children include lending libraries?
Yes
168
Should Clinicians be a good listeners?
Yes
169
Should Clinicians be understanding?
Yes
170
Should Clinicians show unconditional positive regard?
Yes
171
Should Clinicians show warmth?
Yes
172
Should Clinicians be genuine?
Yes
173
Should Clinicians be honest?
Yes
174
Should Clinicians give unbiased information?
Yes
175
Should Clinicians be patient?
Yes
176
Should Clinicians be flexible?
Yes
177
When listening should we use eye contact?
Yes
178
When listening should we face the client?
Yes
179
When listening should we lean forward a little?
Yes
180
When listening should we reflect what the client says?
Yes
181
When listening should we read between the lines?
Yes
182
Can Habituation be a barrier to effective counseling?
Yes
183
Can being right be a barrier to effective counseling?
Yes
184
Can multi-tasking be a barrier to effective counseling?
Yes
185
As Clinicians, should we focus on the here and now?
Yes
186
As Clinicians, should we develop our own support networks?
Yes
187
As Clinicians, should we refer clients to a professional therapist when in doubt?
Yes
