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20Q: Effective Counseling = Information + Feelings

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1.  According to the author, counseling in audiology should include:
  1. information-giving only, such as general information about hearing loss
  2. motivating the patient to follow the audiologist's treatment plan
  3. information-giving and managing feelings that may come up as a result of the diagnosis or recommendation
  4. using the Righting Reflex to intervene and steer the patient away from bad choices
2.  The counseling environment should include:
  1. a safe space for patients to share their private feelings and thoughts
  2. welcoming staff
  3. patient rooms that are comfortable, private and where the patient and provider can make eye contact
  4. all of the above
3.  Denial:
  1. serves no purpose and patients in denial should be confronted and snapped out of it
  2. allows a patient time to emotionally ready themselves to deal with an issue
  3. is not typically seen in patients with hearing loss
  4. is the same as ambivalence
4.  My hearing is just fine I can't hear my wife well because she mumbles is an example of:
  1. projection
  2. grief
  3. depression
  4. keen self-awareness
5.  Why might a patient with hearing loss feel ambivalent about hearing aids?
  1. it is a change and many people are ambivalent about change
  2. they may be content with the status quo
  3. they may perceive stigma as a downside of treatment
  4. all of the above
6.  Which of the following is an example of an ambivalent statement?
  1. I want the best hearing aids for my needs
  2. I don't think I have hearing loss
  3. I want to try hearing aids but I hate the thought of someone noticing them
  4. I feel isolated as I no longer go out due to my hearing loss
7.  Motivational interviewing refers to:
  1. a guiding style to behavior change
  2. a direct persuasive way to impact change in others
  3. a way to manipulate a patient to follow the best course of action for him/her
  4. providing information and then referring the patient to a social worker to deal with his or her feelings
8.  Which of the following is NOT a guiding principle of motivational interviewing?
  1. resist the righting reflex
  2. understand your patient's motivations
  3. listen to your patient
  4. always agree with your patient
9.  Microskills for motivational interviewing can be discussed using the acronym OARS, which stands for:
  1. overempathizing, attitude, results, slow talking
  2. open-ended questions, affirmations, reflective listening and summary
  3. open-hearted, analyze, resilience, sensitivity
  4. overindulge, align, readiness, subtlety
10.  A clue that a patient is moving toward change is use of language expressing:
  1. fear, doubt and insecurity
  2. desire, reason, and need
  3. elation and joy
  4. depression and anger

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