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by: Miracle Borer


Miracle Borer

GPA 3.52

D. McQuilkin

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About this Document

D. McQuilkin
Class Notes
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This 5 page Class Notes was uploaded by Miracle Borer on Monday October 26, 2015. The Class Notes belongs to NURS 210 at University of South Carolina - Columbia taught by D. McQuilkin in Fall. Since its upload, it has received 168 views. For similar materials see /class/229559/nurs-210-university-of-south-carolina-columbia in Nursing and Health Sciences at University of South Carolina - Columbia.

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Date Created: 10/26/15
When the interviewer re ects feeling he or she can predict the client will a experience their emotional state more fully b talk in more depth about their feelings c correct the interviewer39s re ection with a more accurate descriptor d all of these Which of the following is a common quality of both paraphrasing and re ection of feeling a They are both included in feedback to the client b They may be found together in the same statement c They are both used in interviews d All of these Sorting out mixed feelings is best done by a using the exact words of the client b paraphrasing feelings clearly encouraging and then summarizin c noting ambivalent words such as quotconfusionquot and discovering underlying deeper feelings through questioning and re ection of feelin d carefully bringing out additional specifics of the client39s emotional world Assuming you have sufficient trust to help a client increase emotional expression you might try a commenting on their nonverbals b asking them to repeat emotionally loaded words c holding back for an interview or two and avoiding the issue d a and b When the feelings of the client are not fully understandable and seem confused a it is best to ignore the feeling until you understand fully what the client is saying b paraphrase and summarize what you have heard c re ect the feelings as you have heard them but include a checkout for accuracy d all of these Which of the following correctly details the techniques of re ecting feelings sentence stem feeling label content summary past tense checkout b feeling label brief context sentence content tense checkout c sentence stem feeling label brief context tense checkout d feeling label brief context tense checkout closing 9 If your client can begin from a positive base of emotion they may be better able to cope with negative issues a True b False In order to re ect feeling the interviewer must rst identify the presenting emotion Which of the following is NOT a method to identify feelings a Match one of the four primary emotions to client behavior b With a closed question ask the client to supply the missing feeling word c Ask an open question quotHow do you feel about thatquot d Name the feeling expressed implicitly by client behaviors Which of the following emotional styles is accurately defined below a Sensorimotor emotional style These clients experience emotions rather than naming or re ecting them b Abstract dialectic systemic emotional style These clients analyze their emotions rather than experience them c Abstract formal operational emotional style These clients are very good at re ecting their emotions All of these If you are working in management re ection of feeling a is often shortened to a brief acknowledgment of feeling b plays itself out exactly the same as it does in counseling c is a skill that should be reserved only for the most serious management problems d all of these An is particularly useful for integrating the thoughts emotions and behaviors of the client and relevant others This tends to facilitate a more centered discuss1on a encourage restatement b re ection of feeling c summarization d paraphrase Barry Jiggling his feet and shuffling restlessly quotI can39t get the scene from the World Trade Center bombing off my mind It keeps coming up in my dreams again and again I don t understand what s going onquot Which is the most appropriate response a quotYou seem to be anxious right now could you tell me more about your story and what s happening for youquot b quotYou seem to be anxious right now Is that closequot c quotThe lack of sleep in really frustrating youquot d quotYou wonder what is going onquot The client enters the room and immediately starts crying and after a short time says quotI39m totally upset I can39t sleep I feel so anxiousquot She then starts crying again She is displaying an a sensorimotor emotional orientation b concrete emotional orientation c abstract formal operational orientation d abstract dialectic system orientation To help clients decrease emotional expression the following might be useful a quotLet39s stop for a moment and breathe deeplyquot b quotWould you say that againquot c quotPay attention to the feelings in your bodyquot d All of these The basic listening sequence consists of which skills a attending behavior listening skills and selfdisclosure b questions encouragers paraphrases re ection of feeling and summarizations c verbal underlining attending behavior and influencing skills d open questions closed questions attending behavior checkout Empathy a is best assessed by your level of identi cation with your client is best assessed by the client39s reaction to your statement c is best assessed by the grammatical quality of your statement d is best assessed by the accuracy of your interpretation When the interviewer focuses on the negative or distorts the client conversation this is a empathy b subtractive empathy c basic empathy d additive empathy During the stage of the interview clients will demonstrate change in behavior thoughts and feelings in daily life outside of the interview If this stage is ignored the chances for change may be reduced a Relationship b Story and strengths c Goals d Restory e Action According to the authors an important goal of interviewing is to move clients from a ideas to feelings b problem focus to person focus c closed questions to open questions d stuckness to intentionality Confrontation a is a direct harsh challenge guiding clients to face hard issues b is a complex of skills requiring observation and listening c is seeking clari cation by quotgoing againstquot client ideas d is the primary skill used by interviewers to cause clients to see their errors Incongruities and discrepancies of the interviewee to be identi ed include all except which one of the following answers between two statements between statements and nonverbal behavior between the in uencing skill used by the interviewer and the interviewee response between what one says and what one does 9 57 m The direct challenge can be a powerful confrontative dimension and may take the form of a providing specific directives for the client b exploring logical consequences c exploring the client story from a new perspective d all of these According to the authors direct confrontation may be inappropriate for EuropeanAmerican clients AfricanAmerican clients EuropeanCanadian clients Native American clients none of these EDP057 Confrontation during a single session and over a series of interviews may be measured on a 5point scale called the Client Change Scale The scale is a l Denial 2 Identi cation 3 Recognition 4 Generating solutions and 5 Development b l Denial 2 Partial examination 3 Acceptance but no change 4 Generation of new solution and 5 Transcendence c 1 Identification 2 Examination 3 A 1 4 P 39 and 5 P 39 quot d 1 Identification 2 Partial examination 3 Acceptance 4 Forgiveness and 5 Transcendence Instructions Imagine that you are talking with a client about emotional child abuse You have just confronted the client with the following statement quotOn one hand you say you love your child but on the other hand you continue to put her out in the hall of your apartment where you force her to stand in the dark How do you put that to getherquot Classify the following client39s response using the CCS scale Client response quotI thinkI see what you re saying There is a big incongruity there Iwant to stop butI was abused and hit by my parents I think I39m doing better than they didat least I don t strike Amie But perhaps I can do something different next week I ll try your new idea about disciplining herquot This client is where on the CCS a Partial examination b Full examination no change c Decision to live with incongruity d Development of new constructs patterns or behaviors An interviewer may hear quotYou helped me see my mixed feelings I need to express my feelings morequot in which level of the Client Change Scale CCS a Level 1 Denial b Level 2 Partial examination c Level 3 Acceptance and recognition but no change d Level 4 Generation of a new solution Level 5 Development of new constructs patterns or behaviors


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