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93 Cards in this Set
- Front
- Back
Name skill. Reflection of things not directly stated |
Advanced empathy |
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Name skill. "You say you want testing but you cancelled multiple appointments. Tell me more about that" |
Confrontation |
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List 6 steps for breaking bad news |
Plan, assess what is known, assess what is wanted, give a warning, share the news, respond to the reaction |
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Name type of statement. Patient seems upset after result. "I know this is not the news you were hoping for" |
Empathic statement |
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Outline 3 steps to address a crisis. |
Acknowledge, communicate, transition (ACT) |
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Prenatal couple. Husband has scar on lip. Couple denies history of birth defects. What technique might you use. |
Confrontation. " I noticed you have a scar on your lip..." |
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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." |
Advanced empathy |
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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. |
Chronic sorrow. |
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Describe chronic sorrow. |
Recurring intense feelings of sadness and grief in those impacted by chronic illness. What is vs. What should have been. Living loss. |
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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 |
C |
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What are 3 risk factors for suicidal ideation? |
Haplesness, hopelessness, helplessness |
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Which genetics model allows for euthanasia of the genetically defective |
Eugenics |
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Which genetics model is largely based on empirical observations |
Medical/preventative |
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Which model of genetics emerged when amnio was first used and some carrier statuses could be tested |
Decision making |
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Another word for cognitive rules of thumb |
Heuristics |
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When are heuristics used in gc |
When decisions need to be made under conditions of uncertainty |
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Define heuristics |
Cognitive shortcuts molded by prior knowledge and experience |
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Name 3 GC heuristic principles |
Representativeness, availability, anchoring |
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Woman with previous child with de novo syndrome Z decides to get amnio for syndrome Z in subsequent pregnancy. Name heuristic used |
Availability |
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The more familiar the disease, the higher the perceived risk. Name heuristic |
Availability |
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Which heuristic may make it harder for patients to grasp concept of variable expressively |
Representativeness |
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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 |
Representativeness |
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Woman thinks she will get breast cancer because her personality is so similar to her brca pos mother. Name heuristic |
Representativeness |
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Couple are CF carriers. They have 3 affected children. They feel the RR for next pregnancy is less than 25%. Name heuristic |
Representativeness |
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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 |
Anchoring |
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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 |
Anchoring |
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Patient describes feelings surrounding their mother's death. GC is reminded of her feeling about her mother's death. Name concept |
Associative counter transference |
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Patient explaining emotions. Phone rings and GC turns away to silence phone. Patient does not continue discussing emotions. Name concept |
Empathic break |
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Name technique to help patient process bad news |
Silence |
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Patient has hard time accepting that he is positive for mutation in SMAD4 gene because he does not have symptoms. Name type of reaction |
Disbelief (not denial) |
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Patient tested positive for KCNQ1 mutation. Did not book cardio appt until 6 months later. Name response |
Deferral/avoidance |
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Patient tests positive for brca1 mutation. Says the GC doesn't know what shes doing and screwed up the test. Name response |
Dismissal |
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Patient says theyll donate to charity if their child doesn't inherit the mutation. Name concept |
Bargaining |
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Patient says "let me be affected instead of my son" name concept |
Bargaining |
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Patient says they feel like they're living on auto pilot since being diagnosed with NF1. Describe grief response |
Numbness |
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Pt is angry at GC for disclosing bad news. Name coping style |
Confronting |
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Pt finds out she is a brca carrier. Says she is fine and doesn't talk about feelings. Name coping style |
Self controlling |
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Patients child diagnosed with 22qdel and asks if she can be connected with other families. Name coping style. |
Seeking social support |
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Patients child diagnosed with mcad. He says "they'll probably have a cure soon" name coping style |
Escape avoidance |
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Patient dx with predisposition to HCM. She discusses lifestyle changes she will make. Name coping style |
Planning |
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Pt diagnosed with brca1. She says this has made her stronger. Name coping style |
Positive reappraisal |
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Referral mentioned patient had sibling that died at birth. Patient says she has no siblings. Name psychological defense |
Repression |
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Patient is found to be CF carrier. Angry at family doc for not making referral sooner. Name psychological defense |
Displacement |
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Pt feels powerless to change child's diagnosis of CF and spends lots of time doing advocacy work. Name psychological defense |
Sublimation |
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Husband says wife is angry about false positive for down syndrome but he seems angry. Name psychological defense |
Projection |
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Husband is mad about result but wife is not. He subtly make her mad about the result as well. Name psychological defense |
Projective identification |
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Patient says my sister thinks genetic testing is not necessary. Name psychological defense |
Identification |
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Patient mocks your voice as you're discussing bad news. Name psychological defense |
Regression |
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Patient very rude to you in clinic. When you call to follow up they ar2 very nice. Name psychological defense |
Undoing |
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Describe developmental model of student supervision |
Students have different characteristics and different needs at different stages of development |
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Describe compassion fatigue |
Lack of emotional strength. Loss of energy. Related to prolonged exposure to witnessing suffering of others |
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Describe burnout. |
Emotional exhaustion, depersonalization, reduced personal accomplishment. Related to prolonged demanding interpersonal situations and systematic problems |
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Which heuristic is most associated with stereotypes? |
Representativeness |
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Which heuristic is most associated with memory? |
Availability |
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Which heuristic is most associated with numbers? |
Anchoring |
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Define attending |
Truly focusing on the other person |
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Parent expresses the feel guilty about sometimes wishing the death of their disabled child. What is your approach |
Acknowledge and normalize |
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What are the 2 main types of coping strategies |
Problem focused. Emotion focused |
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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 |
Positive reappraisal |
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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 |
Compartmentalization |
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What underlies the question "why did this happen to me' and the presentation of possible causes. |
The client's search for meaning |
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TF. Psychological defenses are conscious mental processes |
F. Subconscious |
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Name psychological defense. Repress emotions. Address situation through rational, cognitive processes. |
Intellectualization |
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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. |
Displacement |
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Patient avoids being angry at situation by being compliant and agreeable during session. Name psychological defense. |
Reaction forming |
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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. |
Projective identification |
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Couple does not accept diagnosis of DS because there are no abnormalities on US. Name phenomenon |
Disbelief |
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Patient keeps calling to reschedule BRCA results session. Name phenomenon. How do you approach her next phone call |
Deferral; acknowledge that the info is difficult to face and help her get social or psychological resources for coping |
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If a counselee is using the defense of dismissal, how might this lead to counter transference. |
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 |
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Couple is in phase of shock and numbness. How should the GC approach this |
Demonstrate empathy. Respect need for withdrawal. Limit information giving. Set stage for further discussion if necessary |
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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? |
Narcisisstic injury; provide affirmation of her skills, coping, actions, abilities etc to affirm her self worth |
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What are the 2 types of crises associated with loss |
Crisis of attachment and crisis of identity |
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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 |
Reframing. Restate how each partner is coping in a positive light to reinforce self image and help them to understand one another |
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A mother mentions that she does not take her child with Crouzon syndrome out in public very often. What may this statement indicate |
Feelings of shame |
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What is the first step when delivering bad news |
Forewarning. A statement that helps client to prepare cognitively and emotionally |
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Patient is describing her feelings related to recent miscarriage GC is reminded of her own experience with miscarriage. Name type of countertransference |
Associative |
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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 |
Projection |
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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. |
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 |
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TF. Binarization is a poor method of processing risk figures |
F. It makes people focus on the most important issue. The possibility of an undesirable outcome |
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Describe how binarization facilitates decision making. |
Simplifies risk figures. Allows patient to focus on most important issue which is the possibility of an undesirable outcome |
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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 |
Displacement |
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GC asks adolescent patient how she thinks her friend would perceive the situation. Name GC technique. |
Displacement |
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Patient tries to convince the GC that the test result is wrong. Name coping style |
Confronting |
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Patient goes on as if nothing happened after GC dislocses positive result. Name coping style |
Distancing |
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Patient keeps feelings to her self after receiving positive diagnosis. Name coping style |
Self controlling |
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Patient asks if she can take an extra fact sheet so she can discuss her new diagnosis with her friends. Name coping style |
Seeking social support |
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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. |
Accepting responsibility |
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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 |
Plan |
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Which involves awareness of having done something wrong, guilt or shame. |
Guilt |
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Which is associated with a innate sense of being worthless or defective, guilt or shame |
Shame |
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What is anticipatory guidance |
Giving info about what to expect in the future in terms of management, psychological impacts etc |
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Name technique. Restating your understanding of what the pt has said |
Rephrasing |
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Repeating the last phrase of a client's statement as a question Name technique |
Reflecting |