Final Review Package

Question 1

How are paper files protected? electronic?

Answer 1

-locked away
-electronically password protected

Question 2

how can they be destroyed?

Answer 2

shredded/incinerated

Question 3

when and who can you discuss patient information with?

Answer 3

-patient
-emergency situation
-subpoena
-client consent
-removing identifying info.
-power attorney
-substitute decision-maker

Question 4

who can request to see the client file?

Answer 4

-patient
-peer accessor with consent

Question 5

gossip violates the promise of what?

Answer 5

confidentiality

Question 6

when can you break confidentiality?

Answer 6

• minor abuse
  -self-harm

Question 7

boundaries are described as:

Answer 7

-protective circles
-separate personal vs. professional relationships

Question 8

a _____________ is a separation between what is appropriate and what is not.

Answer 8

boundary

Question 9

__________ has the responsibility of setting the framework for boundaries.

Answer 9

the therapist

Question 10

The World Health Organization advises ___in ____ (women,_____in ____men) have a history of sexual abuse and may have difficulty understanding appropriate boundaries.

Answer 10

1 in 3 (women, 1 in 5 men)

Question 11

Boundaries can be many things:

Answer 11

-consent
-draping
-limited sharing
-appropriate talk
-framework
-time
-scope

-fee’s

Question 12

By establishing and maintaining clear professional boundaries a therapist achieves what?

Answer 12

• safe environment
  -reliable
• no boundaries overstepped
  -professional tone

Question 13

What are 4 reasons a therapist could discontinue treatment?

Answer 13

-abuse
-outside of scope-
-treatment not indicated
-sexual tension
-patient failure to benifit

Question 14

Consistency helps to create a safe space. What elements can be included when we discuss consistency in clinical practice?

Answer 14

-ease of action
-location
-hours `

Question 15

is a therapist in a position of power?

Answer 15

Yes

Question 16

What could a therapist do to try and balance out the power with a client?

Answer 16

-empowerment of the patient
-establish proper boundaries
-informed consent
-transference
-client-focused

Question 17

Does an intuitive therapist need boundaries?

Answer 17

Yes

Question 18

Can intuition replace boundaries?

Answer 18

no

Question 19

What is a professional – by definition?

Answer 19

advanced body of knowledge, self-governed, ongoing research, and promise to protect the public.
sometimes referred to as a specialized body of knowledge

Question 20

As RMT do we specialize?

Answer 20

No

Question 21

how would we discuss dietary advice?

Answer 21

-refer out
-not in our scope

Question 22

When a therapist does not abide by professional boundaries, it is called a:

Answer 22

boundary crossing or violation

Question 23

Boundaries support the therapist/client relationship. A lack of boundaries creates _____________ to a healthy relationship.

Answer 23

a barrier

Question 24

If a therapist were to minimize a patient’s issues and worries, how would this impact the client’s perception of holding a safe space?

Answer 24

negative - judgment may occur or lack of respect

Question 25

Transference and countertransference can impact a therapeutic relationship. Please discuss.

Answer 25

-unable to connect -project feelings + triggers looks,sounds,touch

Question 26

Transference is not uncommon and is a normal/abnormal response. In theory, however, it simplifies/complicates the roles of the client/therapist and often requires careful boundary establishment and sometimes counseling, on the part of the therapist.

Answer 26

1. normal 2. complicates 3. therapist

Question 27

Some needs in countertransference could include:

Answer 27

-need to fix/help people -love -to be perfect

Question 28

If in countertransference, seek help such as (list 3)

Answer 28

-therapist -psychologist -supervisor -mentor

Question 29

Why do you need to seek help when engaged in countertransference?

Answer 29

maintain professional boundaries

Question 30

Do exchanges with a peer guarantee transference/counter transference will not take place?

Answer 30

no

Question 31

Discuss the power differential with regard to a therapist’s words, and how they are heard by a client, compared to a family member or casual co-worker.

Answer 31

patients take what their therapist says more - power differential

Question 32

The power differential is a term that describes what?

Answer 32

who's in control- ex: a therapist-patient power differential

Question 33

Pressuring patients to buy products you have available at reception would be taking advantage of which part of your therapeutic relationship?

Answer 33

power differential

Question 34

The therapeutic relationship has certain components – please list

Answer 34

-power differential -sole + expressed purpose - client-focused/ consent

Question 35

CMTBC says "A Registrant must" do what with regard to informed consent? a)

Answer 35

1. informed consent - treatment plan 2. risks/benefits 3. empowerment

Question 36

Muscles can hold emotions from traumatic events – when massage helps them emerge this is known as a ___________ of emotions/muscle memory.

Answer 36

release

Question 37

Fear from past trauma can cause a client to act out in what ways?

Answer 37

pull away, anger, cry, transference, being critical, demanding , controlling, chatter

Question 38

Honoring a client who chatters is important for what reasons?

Answer 38

some people process verbally

Question 39

A professional code of ethics is:

Answer 39

-a set of norms adopted by a professional group to direct choices and behavior. -helpful in promoting and maintaining the welfare of the client. -help therapists to comply with both the law and their professional values

Question 40

Compliance with the law is what type of ethics?

Answer 40

mandatory

Question 41

You create a ____________ with a patient when you both agree to what you will do together in the therapeutic relationship.

Answer 41

contract

Question 42

Ethical decision-making requires we first be clear on _________________

Answer 42

our own personal values

Question 43

What is the purpose of a code of Ethics? (list 3)

Answer 43

-ethical guidance -protect public -set boundaries

Question 44

What is stereotyping?

Answer 44

attribute characters of a person to all people of a group

Question 45

Dual relationships require _________________ to the client so actual and perceived issues are addressed openly and upfront.

Answer 45

disclosure

Question 46

Ethics are ___________________________________

Answer 46

questions of right or wrong and judgment

Question 47

Scope of Practice:

Answer 47

6 No registrant may (a) prescribe or administer drugs or anesthetics, (b) treat a recent fracture of a bone, (c) apply any form of medical electricity, or (d) move a joint of the spine beyond the limits the body can voluntarily achieve using a high velocity, low amplitude thrust.

Question 48

To empathize with a client, could sound like:

Answer 48

"I hear you" paraphrasing Validating - "sounds like your going through a lot

Question 49

List some components of your authentic self:

Answer 49

-closer -lighter -fewer feelings of guilt

Question 50

Counseling and supervision can help a therapist...do what?

Answer 50

sort transference and counter transference

Question 51

What are some verbal modifiers?

Answer 51

special words that add nuances of meaning to a sentence -certainly -only -merely -naturally -now -later -sure

Question 52

Feedback, when helpful, has what components?

Answer 52

time appropriate, specific, constructive

Question 53

In clinical practice, when stressors overcome one’s ability to cope, what can result in a therapist?

Answer 53

decreased empathy + focus mechanical touch

Question 54

Prolonged stress = what symptoms?

Answer 54

fatigue,anxiety insomnia

Question 55

Breathing techniques can alter/influence what?

Answer 55

mood, behavior, and influence on the parasympathetic nervous system

Question 56

What are visualization, mindfulness, and entrainment?

Answer 56

method of relaxation- in our scope homecare

Question 57

Massage is helpful to do what?

Answer 57

homeostasis, human connection, provide a place in health care