Brown: Chapter 14

Question 1

What is client-centered practice?

Answer 1

an approach to practice that attaches importance to the individual’s values and preferences and respects the expertise that the person brings to the situation in the form of lived experience

Question 2

What is shared decision-making?

Answer 2

Occurs when evidence-based practice and client-centered practice come together

Promotes equality and mutuality between therapist and client, but because therapists are in a position of power, they must create an environment in which collaboration can occur to the extent desired by the patient

Creates a common ground for the confluence of EBP and client-centered practice

Question 3

The process of shared decision-making should begin with…

Answer 3

education

Question 4

Shared decision-making necessitates communication that follows a specific course:

Answer 4

Listen: the therapist listens to the client’s values, preferences, and particular life circumstances.
Speak: in the context of the information provided by the client, the therapist presents options and explains the pros and cons of each.
Listen again: the therapist then listens to the client weigh the options.

The therapist and client continue the discussion, which is focused on ultimately making a treatment decision.

Question 5

What is health literacy?

Answer 5

the degree to which individuals have the ability to find, understand and use in-formation and services to inform health-related decisions and actions for themselves and others

Question 6

4 components of the shared decision-making process

Answer 6

1. The interaction involves at least two people, including the therapist and client.
2. Both individuals take steps to participate in decision-making.
3. Both individuals participate in consensus building.
4. An agreement is reached on the treatment to implement.

Question 7

Who should be involved in the shared-decision making process?

Answer 7

Therapist
Client
Clinical team members
Caregivers

Question 8

What is a decision aid?

Answer 8

Decision aids provide information to the client
to support the decision-making process in the
form of written materials, videos, interactive
Internet presentations, etc.
They increase client involvement, improve knowledge, create a more realistic perception of outcomes, and reduce discretionary surgery.

Question 9

Decision aids generally provide…

Answer 9

1. Explanation of the condition and how interventions can work to target specific aspects of it
2. Identification of the decision that needs to be made, including the different interventions that are available and the option of no intervention
3. Options and potential outcomes based on scientific evidence
4. Questions to help clients clarify their values

Question 10

What are critical factors in a journal club?

Answer 10

Critical factors include making sure the article will be relevant and interesting to the participants, selecting an article that is less than or equal to 10 pages, and making sure the research is of reasonable quality.

Question 11

What is the purpose of a journal club?

Answer 11

One purpose of a journal club is for participants to improve their skills at critiquing the research.

Question 12

What is a community of practice?

Answer 12

A community of practice is a group of people that have a common interest and come together to work toward a common goal.

Question 13

Describe the community component of community of practice.

Answer 13

The community aspect means that participants build relationships so that they can learn from one another.

Question 14

Describe the practice component of community of practice.

Answer 14

The practice component means that the members are practitioners that share a set of competencies and/or knowledge base.