Gc Psychosocial

Front 1

Name skill. Reflection of things not directly stated

Back 1

Advanced empathy

Front 2

Name skill. "You say you want testing but you cancelled multiple appointments. Tell me more about that"

Back 2

Confrontation

Front 3

List 6 steps for breaking bad news

Back 3

Plan, assess what is known, assess what is wanted, give a warning, share the news, respond to the reaction

Front 4

Name type of statement. Patient seems upset after result. "I know this is not the news you were hoping for"

Back 4

Empathic statement

Front 5

Outline 3 steps to address a crisis.

Back 5

Acknowledge, communicate, transition (ACT)

Front 6

Prenatal couple. Husband has scar on lip. Couple denies history of birth defects. What technique might you use.

Back 6

Confrontation. " I noticed you have a scar on your lip..."

Front 7

Name technique. Cleft lip identified in fetus and disclosed to couple. Father had cleft lip. He is upset. "I'm wondering if this result is bringing up feelings about your personal experience with cleft lip."

Back 7

Advanced empathy

Front 8

Child with PKU comes with mother. Doctor mentions manufacturer stopped making formula and changes formula. Mother has a melt down. She is reminded that her son is not "normal." Name theory.

Back 8

Chronic sorrow.

Front 9

Describe chronic sorrow.

Back 9

Recurring intense feelings of sadness and grief in those impacted by chronic illness. What is vs. What should have been. Living loss.

Front 10

Patient receives bad news and says. "I have no one to help me and I cant see things getting better." How do you respond?

A) I'm sure things will work out.

B) I'm going to step out and see if the social worker is available.

C) I'm hearing hopelessness. Have you had thoughts of hurting yourself?

D) this is a sign of suicidal thinking and I recommend you get some help

Back 10

C

Front 11

What are 3 risk factors for suicidal ideation?

Back 11

Haplesness, hopelessness, helplessness

Front 12

Which genetics model allows for euthanasia of the genetically defective

Back 12

Eugenics

Front 13

Which genetics model is largely based on empirical observations

Back 13

Medical/preventative

Front 14

Which model of genetics emerged when amnio was first used and some carrier statuses could be tested

Back 14

Decision making

Front 15

Another word for cognitive rules of thumb

Back 15

Heuristics

Front 16

When are heuristics used in gc

Back 16

When decisions need to be made under conditions of uncertainty

Front 17

Define heuristics

Back 17

Cognitive shortcuts molded by prior knowledge and experience

Front 18

Name 3 GC heuristic principles

Back 18

Representativeness, availability, anchoring

Front 19

Woman with previous child with de novo syndrome Z decides to get amnio for syndrome Z in subsequent pregnancy. Name heuristic used

Back 19

Availability

Front 20

The more familiar the disease, the higher the perceived risk. Name heuristic

Back 20

Availability

Front 21

Which heuristic may make it harder for patients to grasp concept of variable expressively

Back 21

Representativeness

Front 22

Preg woman positive screen for DS. Family friend has DS and lives independently. She is okay with having a child with DS because it's not a severe handicap. Name heuristic

Back 22

Representativeness

Front 23

Woman thinks she will get breast cancer because her personality is so similar to her brca pos mother. Name heuristic

Back 23

Representativeness

Front 24

Couple are CF carriers. They have 3 affected children. They feel the RR for next pregnancy is less than 25%. Name heuristic

Back 24

Representativeness

Front 25

Patient thinks his chance of developing dementia is 90%. You give empiric risk of 10%. Patient then says he feels his risk is "less than 50%" name heuristic

Back 25

Anchoring

Front 26

Woman thinks her risk of cancer is 1% because of her healthy lifestyle. You estimate 20% based on fhx. At end of session she feels her risk is 1-10%. Name heuristic

Back 26

Anchoring

Front 27

Patient describes feelings surrounding their mother's death. GC is reminded of her feeling about her mother's death. Name concept

Back 27

Associative counter transference

Front 28

Patient explaining emotions. Phone rings and GC turns away to silence phone. Patient does not continue discussing emotions. Name concept

Back 28

Empathic break

Front 29

Name technique to help patient process bad news

Back 29

Silence

Front 30

Patient has hard time accepting that he is positive for mutation in SMAD4 gene because he does not have symptoms. Name type of reaction

Back 30

Disbelief (not denial)

Front 31

Patient tested positive for KCNQ1 mutation. Did not book cardio appt until 6 months later. Name response

Back 31

Deferral/avoidance

Front 32

Patient tests positive for brca1 mutation. Says the GC doesn't know what shes doing and screwed up the test. Name response

Back 32

Dismissal

Front 33

Patient says theyll donate to charity if their child doesn't inherit the mutation. Name concept

Back 33

Bargaining

Front 34

Patient says "let me be affected instead of my son" name concept

Back 34

Bargaining

Front 35

Patient says they feel like they're living on auto pilot since being diagnosed with NF1. Describe grief response

Back 35

Numbness

Front 36

Pt is angry at GC for disclosing bad news. Name coping style

Back 36

Confronting

Front 37

Pt finds out she is a brca carrier. Says she is fine and doesn't talk about feelings. Name coping style

Back 37

Self controlling

Front 38

Patients child diagnosed with 22qdel and asks if she can be connected with other families. Name coping style.

Back 38

Seeking social support

Front 39

Patients child diagnosed with mcad. He says "they'll probably have a cure soon" name coping style

Back 39

Escape avoidance

Front 40

Patient dx with predisposition to HCM. She discusses lifestyle changes she will make. Name coping style

Back 40

Planning

Front 41

Pt diagnosed with brca1. She says this has made her stronger. Name coping style

Back 41

Positive reappraisal

Front 42

Referral mentioned patient had sibling that died at birth. Patient says she has no siblings. Name psychological defense

Back 42

Repression

Front 43

Patient is found to be CF carrier. Angry at family doc for not making referral sooner. Name psychological defense

Back 43

Displacement

Front 44

Pt feels powerless to change child's diagnosis of CF and spends lots of time doing advocacy work. Name psychological defense

Back 44

Sublimation

Front 45

Husband says wife is angry about false positive for down syndrome but he seems angry. Name psychological defense

Back 45

Projection

Front 46

Husband is mad about result but wife is not. He subtly make her mad about the result as well. Name psychological defense

Back 46

Projective identification

Front 47

Patient says my sister thinks genetic testing is not necessary. Name psychological defense

Back 47

Identification

Front 48

Patient mocks your voice as you're discussing bad news. Name psychological defense

Back 48

Regression

Front 49

Patient very rude to you in clinic. When you call to follow up they ar2 very nice. Name psychological defense

Back 49

Undoing

Front 50

Describe developmental model of student supervision

Back 50

Students have different characteristics and different needs at different stages of development

Front 51

Describe compassion fatigue

Back 51

Lack of emotional strength. Loss of energy. Related to prolonged exposure to witnessing suffering of others

Front 52

Describe burnout.

Back 52

Emotional exhaustion, depersonalization, reduced personal accomplishment. Related to prolonged demanding interpersonal situations and systematic problems

Front 53

Which heuristic is most associated with stereotypes?

Back 53

Representativeness

Front 54

Which heuristic is most associated with memory?

Back 54

Availability

Front 55

Which heuristic is most associated with numbers?

Back 55

Anchoring

Front 56

Define attending

Back 56

Truly focusing on the other person

Front 57

Parent expresses the feel guilty about sometimes wishing the death of their disabled child. What is your approach

Back 57

Acknowledge and normalize

Front 58

What are the 2 main types of coping strategies

Back 58

Problem focused. Emotion focused

Front 59

Couple upset after birth of child with Treacher Collins. They visited family with older child who is doing very well. They now feel better about their situation and the future. Name coping style

Back 59

Positive reappraisal

Front 60

A father rationally accepts the explanation of recessive inheritance for his son's dx of CF but emotionally feels it is related to his past drug use. Name phenomenon

Back 60

Compartmentalization

Front 61

What underlies the question "why did this happen to me' and the presentation of possible causes.

Back 61

The client's search for meaning

Front 62

TF. Psychological defenses are conscious mental processes

Back 62

F. Subconscious

Front 63

Name psychological defense. Repress emotions. Address situation through rational, cognitive processes.

Back 63

Intellectualization

Front 64

Wife feels angry at her husband for passes down NF1 to child but doesn't want him to feel bad. During the session she expresses anger toward the GC for not getting results sooner. Name psychological defense.

Back 64

Displacement

Front 65

Patient avoids being angry at situation by being compliant and agreeable during session. Name psychological defense.

Back 65

Reaction forming

Front 66

Patient feels angry about having child with disability but has learned to repress anger. The patient then acts rudely to the GC causing her to feel angry. Name psychological defense.

Back 66

Projective identification

Front 67

Couple does not accept diagnosis of DS because there are no abnormalities on US. Name phenomenon

Back 67

Disbelief

Front 68

Patient keeps calling to reschedule BRCA results session. Name phenomenon. How do you approach her next phone call

Back 68

Deferral; acknowledge that the info is difficult to face and help her get social or psychological resources for coping

Front 69

If a counselee is using the defense of dismissal, how might this lead to counter transference.

Back 69

Pt attacks legitimacy of GC after receiving bad news and expressed anger toward GC. GC may feel strong emotions that interfere with ability to recognize and respond to dismissal

Front 70

Couple is in phase of shock and numbness. How should the GC approach this

Back 70

Demonstrate empathy. Respect need for withdrawal. Limit information giving. Set stage for further discussion if necessary

Front 71

Woman states she feels shes lost a part of her self after the loss of a pregnancy. Name the type of pain

What is your approach?

Back 71

Narcisisstic injury; provide affirmation of her skills, coping, actions, abilities etc to affirm her self worth

Front 72

What are the 2 types of crises associated with loss

Back 72

Crisis of attachment and crisis of identity

Front 73

You meet with a couple following the loss of a pregnancy with multiple anomalies. You get the sense that they are resenting each other for having different coping mechanisms. Which counseling technique would you use

Back 73

Reframing. Restate how each partner is coping in a positive light to reinforce self image and help them to understand one another

Front 74

A mother mentions that she does not take her child with Crouzon syndrome out in public very often. What may this statement indicate

Back 74

Feelings of shame

Front 75

What is the first step when delivering bad news

Back 75

Forewarning. A statement that helps client to prepare cognitively and emotionally

Front 76

Patient is describing her feelings related to recent miscarriage

GC is reminded of her own experience with miscarriage. Name type of countertransference

Back 76

Associative

Front 77

Pt comes in to receive diagnosis of balanced translocation. GC assumes that the patient may be angry, like the last person she saw for same indication. Name type of countertransference

Back 77

Projection

Front 78

You inform a patient that she tested positive for a BRCA1 mutation. She begins asking about the parking rates and talking about her plans for the future. Identify the issue and what would be your approach.

Back 78

Patient is using distancing coping style. Help bring awareness to copying style. Ex. "How have you managed difficult situations in the past". Do not try to eliminate coping strategy

Front 79

TF. Binarization is a poor method of processing risk figures

Back 79

F. It makes people focus on the most important issue. The possibility of an undesirable outcome

Front 80

Describe how binarization facilitates decision making.

Back 80

Simplifies risk figures. Allows patient to focus on most important issue which is the possibility of an undesirable outcome

Front 81

Patient is an adolescent. GC males an educated guess about the patients feelings or concerns and presents them as her own. "If I were ___ I might feel ____." Name technique

Back 81

Displacement

Front 82

GC asks adolescent patient how she thinks her friend would perceive the situation. Name GC technique.

Back 82

Displacement

Front 83

Patient tries to convince the GC that the test result is wrong. Name coping style

Back 83

Confronting

Front 84

Patient goes on as if nothing happened after GC dislocses positive result. Name coping style

Back 84

Distancing

Front 85

Patient keeps feelings to her self after receiving positive diagnosis. Name coping style

Back 85

Self controlling

Front 86

Patient asks if she can take an extra fact sheet so she can discuss her new diagnosis with her friends. Name coping style

Back 86

Seeking social support

Front 87

Fetus is found to have a heart defect on ultrasound. The mother says she shouldn't have had that glass of wine. Name coping style.

Back 87

Accepting responsibility

Front 88

After receiving diagnosis, patient asks about next steps and when they can expect to be seen by the specialist who will be following them. Name coping style

Back 88

Plan

Front 89

Which involves awareness of having done something wrong, guilt or shame.

Back 89

Guilt

Front 90

Which is associated with a innate sense of being worthless or defective, guilt or shame

Back 90

Shame

Front 91

What is anticipatory guidance

Back 91

Giving info about what to expect in the future in terms of management, psychological impacts etc

Front 92

Name technique. Restating your understanding of what the pt has said

Back 92

Rephrasing

Front 93

Repeating the last phrase of a client's statement as a question

Name technique

Back 93

Reflecting