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Flashcards in Kine-4114 Lifestyle final Deck (76)
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1

what are the 6 key factors of lifestyle?

1. sleep
2. eating
3. physical activity
4. drinking
5. stress management
6. time management

2

what is therapy?

Definition: "treatment" of physical, mental or social DISORDER OR DISEASE using a structured rehabilitative process.
- implies working with a person to facilitate some kine of change
-use professional skills & counselling skills
-examples: speech, PT, OT, chiro..

3

what is coaching?

Definition: training or development process whereby the coach supports, trains or mentors a person or group of people to achieve certain goals or results
-about the development and use of skills-in sports, leadership, life etc.
-is not about curing disease or disorder
-more about improving performance

4

what is counselling?

definition: "to give advice"; consultation; by a person with expertise or knowledge
-an act- the process of using verbal and non verbal skills to "help" another person
-use communication skills:
*to advise, consult, recommend
*to inform, instruct, guide
*to listen support empathize
*to encourage, urge the adoption of a behavior or action
*to challenge warn caution

5

what are the 6 stages of the counselling process?

1. engagement & relationship building
2. assessment
3. Goal Setting/prescription
4. treatment/intervention
5. process review
6. termination

6

what is counselling as a relationship?(2)

-core to change is the therapeutic relationship
-empathy, respect, acceptance, genuineness

7

what is counselling as a set of interventions? (2)

-methods, strategies such as CBT or MI
-counselors techniques, skills and actions

8

what is counselling as a process? (1)

-change and movement over time

9

what is counselling as a psychological process? (2)

-between the minds of two people: counselor & client
- involves the psychology of the client

10

when counselling you ___ both sides

weigh
(pros vs cons)

11

what are 8 key values?

1. open mindedness
2. respect
3. health & well being
4. care & compassion
5. growth
6. hopefulness
7. challenge
8. learning

12

what are 6 key knowledge?

1. professional expertise
2. biopsychosocial
3. motivation
4. change
5. human behavior
6. ethics

13

what are 6 key skills?

1. communication
2. organization
3. interpersonal
4. interviewing
5. assessment
6. intervention (prescription)

14

biopsychosocial factors in health what are the 5 psychological factors?

1. stress
2. coping tactics
3. personality
4. health related habits
5. reactions to illness

15

biopsychosocial factors in health what are the 6 biological factors?

1. infectious agents
2. environmental toxins
3. genetic predisposition
4. physiological re activity
5. immune response

16

biopsychosocial factors in health what are the 5 social (system) factors?

1. social support
2. health education
3. pollution control
4. sanitation
5. medical care

17

what are the 5 basic communication skills?

1. listening
2. non-verbal
3. questioning
4. silence
5. empathy

18

what are 6 advanced skills?

1. reflecting feelings
2. paraphrasing
3. reframimg
4. summarizing
5. challenging

19

what are the 5 key listening processes?

1. hearing
2. attending
3. understanding
4. interpreting
5. responding

20

what are the 3 levels of listening?

1. superficial level (non-listening)
2. obvious level (listening for rejection)
3. insight level (listening for understanding)

21

what does SOLER stand for?

Squarely (facing)
Open (posture)
Lean (slightly)
Establish eye contact
Relax

22

what is empathy?

the ability to recreate another person's perspective and experience the world from the other's point of view

23

what are the 3 dimensions involved in empathy?

1. cognitive- perspective take & suspend judgment
2. Affective- emotional connection to experience the other's feelings
3. Genuine concern- sincere interest in other's well being

24

what are the 5 ways silence is used in counselling?

1. allow client to collect thoughts
2. provide support to client
3. show respect
4. lower the intensity of emotions
5. control self

25

when reflecting feelings what sort of statement would you make?

I am getting a sense that you are...
it seems that your feelings of... are related to..

26

what is paraphrasing?

feedback that restates in your own words the message you thought the speaker sent

27

what is reframing?

reframing will help you alter the internal representation or the meaning that people interpret from events and conversations (internal and external) that you encounter
-the basis of reframing is learning to separate a person's behaviors from their intention
-changing the way a client sees things; to explore and use alternative ways of seeing the world and understanding what is happening
-you are working in the "meaning" or interpretation of the communication cycle

28

example of reframing questions

so- i am wondering if their might be other reasons that is happening

29

what is summarizing?

providing a summary of what you have heard the other person communicate to you
-so this is what i heard you say first.. second.. third..

30

what is making challenging statements?

the purpose of challenging is to help the client have more information to make better choices or decisions

31

what are 5 areas to challenge?

1. inconsistency
2. distortions in thinking
3. clinging to incorrect information
4. minimizing choices
5. minimizing strengths

32

what is pre-contemplation?

no intention of changing in the foreseeable future.
-person unaware or under ware of their problem

33

what is contemplation?

people are aware of the problem and seriously considering making a change & committing to take action(but no action taken)
may be ambivalent

34

what is preparation?

people intent to take action and do something within the next month. aware of the consequences

35

what is action

people are taking action to make change
6 month process

36

what is maintenance

people continue changing to prevent relapse

37

what are the 10 processes of change?

1. consciousness raising
2. dramatic relief
3. self revaluation
4. environment re-evaluation
5. self liberation
6. social liberation
7. counter conditioning
8. stimulus control
9. contingency management
10. healthy relationships

38

what is consciousness raising?

accessing new info to support change

39

what is dramatic reflief

experiencing negative emotions associated with unhealthy behavior

40

what is self revaluation

understanding the relationship of one's identity and to the change

41

what is self liberation

making commitment to change

42

what is social liberation

social norms have changed in direction of supporting individual change

43

what is counter conditioning

substituting a healthy behavior for a unhealthy behavior

44

what is stimulus control

removing negative cues putting positive cues

45

what is contingency management

rewarding positive behavior

46

what is healthy relationships

using social network to support positive behavior

47

what are the 3 process of relapse?

1. lapse - in maintenance stage and first re-use-can move back to action then to maintenance
2. pro-lapse - time when person who is re-using despite consequences- back at contemplation and experiencing ambivalence
3. retro-lapse - person continues to re-use with no recognition of consequences- back in pre-contemplation stage

48

____ +______ = perceived threat

perceived risk + perceived seriousness = perceived threat

49

Health belief model what are the 4 perceptions?

perceived risk
perceived seriousness
perceived benefits
perceived barriers

50

Health belief model what are the 4 connectors?

1. decision balance
2. self efficacy
3. cues to action
4. perceived threat

51

what does the belief model not take into account?

emotions or feelings

52

what is the righting reflex?

counselor desire to "direct" change & tip the decisional balance- engage in the righting reflex- tells the client what to do, give adivce

53

basic definition for MI

is a collaborative conversation style for strengthening a person's own motivation and commitment to change

54

what are the 4 key principle for MI

partnership
acceptance
compassion
evocation

55

key to partnership

remembering the client is the expert on themselves

56

4 components to acceptance

1. absolute worth-prizing inherent worth and potential- they are a person, a unique individual
2. accurate empathy- active effort to understand, not imposing your own perspective
3. autonomy support-recognizing their right to self direction and the freedom to chose
4. affirmation-recognize and validate the others strengths and efforts

57

key to compassion

the deliberate commitment to pursue the welfare and best interest of the other.

58

key to evocation

start from a strength-based perspective

59

what are the four processes for MI

engage
focusing
evoking
planning

60

what is engaging

developing a helpful connection; a therapeutic relationship, working alliance; basis for everything else

61

what is focusing

focus the direction of conversation about change what change is wanted

62

what is evoking

surfacing the client's motivation for change, client's voice the arguments for change

63

what is planning

start to talk about when and how and less about why; commitment to change & developing a specific plan

64

what does OARS stand for? and what also should be considered

open ended questions
affirming
reflective listening
summarizing

also..
Informing (advising)

65

engaging- listening

understanding the person's dilemma . accurate empathy + active listening = reflective listening

66

what is reflective listening?

response is a guess at what the person means// the meaning
ex. my kids are always bugging me about smoking

67

what are open quetsions

-open them up to offering arguments for change
-evokes from the person

68

what is affirming

-qualities, strengths, efforts and intentions
-self efficacy and confidence
-noticing, recognizing and acknowledging the positive

69

what is reflecting

reflect how they feel what it means

70

what is summarising

drawing together what you have heard-offer it back
- collecting, linking, tranistional

71

what are 3 sources of focus

1. client -what the person coming in door wants
2. setting- particular program/context where help is occurring
3. counselor- what counselor or therapist is good at or has knowledge

72

what are three focus styles

directing
guiding
following

73

focusing- strategy to use (3)

1. elicit/ ask permission- what does client know
2. provide information/ advice
3. elicit understanding/ response from client

74

what does DARN Cats stand for

DARN (preparatory)
desire-what person wants
ability -what person can do
reasons - why person might change
need-hoe urgent is it (when)

CATs (mobilizing)
Commitment
activation
taking steps

75

how do we explore DARN?

OARS
Open ended questions
scaling
exploring
looking at past present future
explore beliefs and values

76

what are the 5 A's

1. ask
2. advise
3. agree
4. assist
5. arrange