CORRECT ANSWERS
Informational Counseling - Answer-Content counseling: one facet of nonprofessional
counseling
Nonprofessional audiologic counseling - Answer-Helping patients "own their hearing
loss" and advance to problem solving
Professional Boundaries - Answer-Notable distinctions between professions as they
approach common areas of concern. These must be respected; when a professional
begins to feel uncomfortable with either the content or the intensity of the interaction
Explaining - Answer-Occurs when a professional speaks while a patient or parent
listens to information about the audiogram, the anatomy of the ear, the benefits and
limitations of hearing aids and cochlear implants, and the range of communication
options.
Primary Characteristic of Content Counseling - Answer-The tendency to become a one-
way direction of communication (ex: the professional talks and the patient or parent
listens)
Personal Adjustment Issues - Answer-Must be a two-way conversational track
Developing a Learning Conversation - Answer-When the professional allows the patient
to "tell their story." The patient or parents are encouraged to teach professionals what
life with hearing loss is like for them and what their concerns are at the moment
Facilitative (Counseling) Process involves these steps - Answer-1. Help patients tell
their story
2. Help patients clarify their problems
3. Help patients take responsibility for their listening problems (challenge themselves)
4. Help patients establish their goals
5. Develop an action plan
6. Implement the plan
7. Conduct ongoing evaluation
CARE model involves these steps under "C" - Answer-1. Help patients tell their story
2. Help patients clarify their problems
3. Help patients take responsibility for their listening problems (challenge themselves)
4. Help patients establish their goals
5. Develop an action plan
6. Implement the plan
7. Conduct ongoing evaluation
, Habituation - Answer-Tendency to use the "I've heard it all before" method.
Self-Assessments - Answer-Paper-and-pencil questionnaire or surveys to help persons
describe their listening problems to themselves and others
APHAB (Abbreviated Profile of Hearing Benefit) - Answer-Poses 24 statements in the
areas of ease of communicating in adverse conditions (background noise,
reverberation, etc.) "I have trouble hearing a conversation when I am with family at
home."
SAC (Self-Assessment of Communication) - Answer-Asks the question "Does any
problem or difficulty with your hearing upset you?"
CORE model - Answer-Considers patient attitudes, including readiness for change
Patient Education - Answer-When a patient wants facts, data, or other "frontal cortex"
information
Differentiation - Answer-Considered a fundamental counseling skill; advanced
listening/observation skill (undivided attention, mindfulness)
Thinking Mind - Answer-Frontal cortex, comparisons, decisions on the data available
Feeling Mind - Answer-Can't switch from one to the other; we think and feel at the same
time
Communication Mismatch - Answer-Request for information vs personal adjustment
concern (thinking mind vs feeling mind)
Affective Comments - Answer-From the feeling mind
Focusing Away from Emotion - Answer-Focus discussion away from emotion;
distancing of physician and patient; creation of an antagonistic relationship between the
patient and physician
Neutral Emotion - Answer-Focus discussion neither toward nor away from emotion;
elicitation of patient perspective and concerns; understanding social and spiritual
support; clarification of goals of care
Response Toward Emotion - Answer-Focuses discussion toward emotion; provision of
emotional support; alignment of physician and patient; increased agreement about
treatment