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A Rationale for Audiology-Psychology Collaboration in the Management of Patients with Hearing Loss

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1.  Which of the following is the preferred strategy to manage patients with agnosognosia:
  1. L.E.A.P.
  2. Rational emotive therapy
  3. Cognitive behavioral therapy
  4. Gestalt therapy
2.  Taking the time to listen to patients stories of loss may, in the long run, save time because:
  1. It may result in less returned hearing aids
  2. Better rapport increases the likelihood of patient compliance
  3. Most patients have little to say about their emotional lives
  4. Both A and B
3.  An example of a patient ambivalent statement is:
  1. "I hear fine, people mumble."
  2. "The reason I have trouble hearing is the acoustics of the living room."
  3. "I know I may need hearing aids, but my sister's whistle all the time."
  4. Both B and C
4.  Traumatic transference is exemplified by:
  1. A type of ice cream produced by Ben and Jerry
  2. When someone has been traumatized (e.g., by HL) and is later in a situation that reminds him/her of that trauma (e.g, an audiologic appt).
  3. When the patient directs emotional attraction to the audiologist.
  4. Both B and C
5.  Traumatic transference is often accompanied by:
  1. Shame
  2. Anxiety
  3. Joy
  4. Both A and B
6.  In order to mitigate traumatic transference, it is important to:
  1. Wear comfortable clothing
  2. Adopt a one-down, non-expert relational stance
  3. Lessen your perceived power
  4. Both B and C
7.  An example of an Appreciative Ally stance is:
  1. To be curious about how a patient views his/her world and hearing loss
  2. Lecturing the patient on the importance of amplification
  3. Socializing with a patient
  4. Sending a patient greeting cards for important events
8.  Types of self-motivational statements that the audiologist can elicit does NOT include:
  1. Problem recognition
  2. Concern for the problem
  3. Stated intention to change
  4. The patient's spiritual beliefs
9.  Motivational interviewing helps the audiologist manage a patient's:
  1. Level of ambivalence about obtaining hearing aids
  2. Cholesterol level
  3. Relationship with his/her second cousin
  4. Fear of death
10.  An example of responding to feeling is:
  1. "You hear well. People mumble."
  2. "You are frustrated trying to hear your grandchildren"
  3. "You feel angry about your wife nagging you about your hearing"
  4. Both B and C
11.  Which of the following behaviors characterizes the Pre-contemplation stage of change?
  1. Denial of the problem
  2. Passive-aggressive behavior
  3. Acute depression
  4. Sleep disturbance
12.  The righting reflex is:
  1. An emotional patient response during audiometric evaluation
  2. When a practitioner adopts a directing style in recommending treatment when a patient is headed down the wrong path.
  3. When a patient adopts change toward resolving ambivalence
  4. When the practitioner responds appropriately to a feeling statement
13.  The "A" in L.E.A.P. strategy refers to:
  1. Ambivalence
  2. Anxiety
  3. Affirmation
  4. Agree
14.  Which of the following styles of MI are most often employed:
  1. Directing
  2. Guiding
  3. Mix and Match
  4. Following
15.  An example of ability in change talk is:
  1. "I can use hearing protection when using my chain saw if it's going to keep me from having to wear hearing aids"
  2. "I am ready to try hearing aids"
  3. "I want to treat my tinnitus"
  4. "Wearing hearing aids would be good for me"

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