All in your feels and head

Question 1

What are the Kubler-Ross stages of grief?

Answer 1

1. Shock - initial paralysis after hearing bad news
2. Denial - trying to avoid the inevitable*
3. Anger - frustrated outpouring of bottled up emotion*
4. Bargaining - seeking in vain for way out*
5. Depression - final realization of the inevitable/emotional reaction to loss*
6. Testing - seeking realistic solutions
7. Accepting - finally finding the way forward/accepting reality of situation*

• = five main stages

Question 2

grieving following the death of a loved one; occurs without unusual circumstances and progressed without incident

Answer 2

classic grief

Question 3

reaction that occurs prior to loss; preparing for the eventual loss of life

Answer 3

anticipatory grief

Question 4

loss that cannot be openly acknowledged or may not be socially sanctioned

i.e. losses involving social stigmas like suicides

Answer 4

disenfranchised grief

Question 5

responses to anticipated or actual external disapproval, ridicule, or scorn; arises from failures to reach goals/ideals; associated with feeling of inadequacy, loss of self esteem

Answer 5

shame

Question 6

responses of self reproach to violation of internal standards; individuals hold themselves responsible for outcome and feel that they should be punished

Answer 6

guilt

Question 7

problem does not exist; rejecting possibility that an even happened

Answer 7

denial (defense mech)

Question 8

re-label loss as gain; expressing a different emotion that you are feeling (smiling when sad)

Answer 8

reaction formation (defense mech)

Question 9

canceling out a distressing experience through reverse action

Answer 9

undoing (defense mech)

Question 10

displacement (defense mech)

Answer 10

find fault with others; redirecting emotions toward someone/something else

Question 11

preventing yourself from feeling an emotion; putting thoughts out of one’s mind

Answer 11

repression (defense mech)

Question 11

trying to learn as much as possible about the situation; avoiding intolerable feelings through abstract, precise thinking with little or no feeling

Answer 11

intellectualization (defense mech)

Question 12

rationalization (defense mech)

Answer 12

finding reasons to explain a situation

Question 13

reverting to a previous state, acting like a child

Answer 13

Regression (defense mech)

Question 14

sublimation (defense mech)

Answer 14

expressing emotions through a positive or productive outlet (i.e. - working out)

Question 15

blaming other people or situation for difficulties the client experiences; projecting feelings they have on somebody else

Answer 15

projection (defense mech)

Question 16

separate feelings from thoughts about event to keep “badness”: within bounds

Answer 16

isolation

Question 17

gather a lot of data and make generalizations based on it; confused until pattern is found

Answer 17

inductive reasoners (intellectual style)

Question 18

deductive reasoners (intellectual styles)

Answer 18

have a rigid framework from which they view reality; disregard information that does not fit in the framework

Question 19

can take information that confirms and challenges their framework; can absorb info quickly to make a decision; tend to neglect feelings

Answer 19

synthesizers (intellectual style)

Question 20

confused reasonsers (intellectual style)

Answer 20

not less intelligent than others but have never learned how to process information; can’t differentiate between important versus trivial information

Question 21

active communicators; respond easily; may use humor and denial as defenses

Answer 21

spontaneous emotional style

Question 22

very articulate but in an intellectual way; feel emotions but deny the importance of feelings; may be impatient with those who show feelings

Answer 22

non expressive emotional style

Question 23

express feelings to a limited extent; may take some drawing out with empathy and questions

Answer 23

reserved emotional style

Question 24

express everything they are feeling, sometimes in overly intense ways; can be demanding and may lack personal boundaries

Answer 24

explosive emotional style

Question 25

Client/Person Centered Model

Answer 25

- Carl Rogers - Respect/unconditional positive regard - Accepting client as they are - Genuineness - Involves congruence: internal feelings match outward expressions - Empathy

Question 26

Five Tenets of REM Genetic Counseling Model

Answer 26

- McCarthy and Veach - Genetic information is key - Client/counselor relationship is integral to genetic counseling - Patient autonomy must be supported - Patients are resilient - Patient emotions make a difference

Question 27

Teaching Approach

Answer 27

Kessler - Major outcome = education - Client's seek information - Informed clients can make autonomous decisions - Cognitive and rational processes form the foundation - Counseling process involves providing all-inclusive, accurate, information - Teaching is the only means to meet the end goal - Relationship is based on authority

Question 28

Addressing the individual, interactions, and intergenerational issues intrinsic to genetic counseling

Answer 28

Intersystems Counseling Model

Question 29

What are the four main GC goals that the REM model aligns with?

Answer 29

1. Understand and support 2. Support and guidance 3. Facilitative Decision Making 4. Patient-Centered Education

Question 30

individual's opposition to process and/or outcome; client behaviors impede the work of genetic counseling; may have once been reluctant and are now more willing but may not be willing to fully participate; say they do not need any help or are there at someone else's urging

Answer 30

resistance

Question 31

client does not want to come for genetic counseling at all

Answer 31

Reluctance

Question 32

patient accurately understands the information but refuses to accept it because it does not make sense

Answer 32

disbelief

Question 33

accepts diagnosis but not all the implications; helps prevent being overwhelmed by emotional impact of the diagnosis

Answer 33

deferral

Question 34

attacks the genetic counselor (or labs) competency as a means for challenging the diagnosis

Answer 34

dismissal

Question 35

unconscious response to real or perceived threat; attempt to maintain some measure of personal control, reduce painful emotions; temporary protection from anxiety, greif, guilt, shame, or other feelings

Answer 35

defense mechanism

Question 36

assuming the attitude or behavior of an idealized person or group; shifts perceptive to someone else's feelings rather than their own

Answer 36

identification (defense mech)

Question 37

all defense mechanisms _______ an attempts to cope

Answer 37

are

Question 38

_____ ______ coping strategies are defense mechanisms

Answer 38

not all

Question 39

tries to change opinion of/challenge the person in charge

Answer 39

confrontative (coping style)

Question 40

acts as if nothing has happened; denial of situation or avoiding thinking about it

Answer 40

distancing (coping style)

Question 41

keeps feelings to oneself; trying to control emotions

Answer 41

self-controlling (coping style)

Question 42

criticizes or blames self

Answer 42

accept responsibility (coping style)

Question 43

hopes for a miracle; not acknowledging the information

Answer 43

escape avoidance (coping style)

Question 44

talks with others in the hope of learning more; turning to other people

Answer 44

seek social support (positive coping style)

Question 45

identifies next steps and follows through on them; plans for future based on situation

Answer 45

planning (positive coping style)

Question 46

tries to see any possible positive results or outcomes; finding good in a bad situation

Answer 46

positive reappraisal (positive coping style)

Question 47

What are the key aspects of facilitating decision making?

Answer 47

information giving and risk communication

Question 48

process by which health care provider collaborates with a patient to make clinical decisions; patient and provider discuss pros and cons of options from their different perspectives

Answer 48

shared decision making

Question 49

search for and logically evaluate alternatives when making decision

Answer 49

rational decision making style

Question 50

reliance on feelings or hunches to make decision

Answer 50

intuitive decision making style

Question 51

search for advice and direction from others when making a decision

Answer 51

dependent decision making style

Question 52

avoidant decision making style

Answer 52

attempts to evade decision-making

Question 53

sense of immediacy and desire to get through the decision-making process as soon as possible

Answer 53

spontaneous decision making style

Question 54

What are methods/tips to assist with decision making?

Answer 54

Have client describe how they have made other big decisions -Facilitate decision-making between couple, engage member who is not participating -Anticipatory scenarios - ask patient how they would react to a positive result -Remind client they do not need to make decision on the spot -Recognize and incorporate cultural values -Suggest patients listen to their instincts and that the best decision is not always the easiest -Encourage patient to seek support and guidance from others

Question 55

developed by Carl Rogers, emphasizes a non-directive approach allowing clients to lead the discussion and discover their own solutions within a supportive, understanding, and empathetic environment.

Answer 55

Client Centered Therapy

Question 56

focuses on challenging and changing unhelpful cognitive distortions and behaviors, improving emotional regulation, and the development of personal coping strategies that target solving current problems.

Answer 56

Cognitive Behavioral Therapy (CBT)

Question 57

focuses on the clients' narrative or story as the primary method of understanding and addressing their issues. Counselors using this method work with clients to reframe their problems into a broader context of their personal story.

Answer 57

Narrative Therapy

Question 58

collaborative, goal-oriented approach that aims to enhance intrinsic motivation and resolve ambivalence about change. It seeks to empower clients by eliciting and reinforcing their own motivations for change, thereby facilitating behavior change and goal attainment.

Answer 58

Motivational interviewing

Question 59

Key reasons why explicit consent is not always required include

Answer 59

court orders and legal proceedings and for public health and safety

Question 60

involves justifying or explaining away one's behavior or feelings.

Answer 60

Rationalization

Question 61

Projection

Answer 61

involves attributing one's own unacceptable feelings or thoughts to others

Question 62

defense mechanism involves refusing to accept reality or acknowledge the truth of a situation.

Answer 62

Denial

Question 63

involves redirecting one's emotions or impulses from their original source to a substitute target.

Answer 63

Displacement