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CMAS 465 Final questions and correct answers
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CMAS 465 Final questions and correct answers
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CMAS 465 FinalMotivation - correct answer ✔✔a state of readiness to change
Lack of motivation - correct answer ✔✔-Not ready or willing to change
-One of the biggest challenges facing providers
In order for a person to be motivated to change, three elements are critical: - correct answer ✔✔-
Change has to be important to the person
-Client has to feel confident that he or she is capable of changing.
-Client has to be ready to change
Why would someone lack motivation - or be resistant or reluctant to change? - correct answer ✔✔-
Shame
-Embarrassment
-Fear of exposure
-Indirect or direct judgement by the provider
-Requirement to participate
-Pace of treatment is challenging
-Previous experience
How do we respond when working with a person who is reluctant or resistant? - correct answer ✔✔-
Patience
-Empathy
-Allowing sufficient time for the process can help
-Being genuine
-Discussing alternatives and their consequences
,Motivational Interviewing - correct answer ✔✔-A person-centered, directive method for enhancing
intrinsic motivation to change by exploring and resolving ambivalence.
-Client's strengths
-Respectfully honors the client's rights to choose
-Goal is to resolve ambivalence
Goal of Motivational Interviewing - correct answer ✔✔to resolve ambivalence
Manner of being with a client - reflects the four values of motivational interviewing - correct answer
✔✔-Knowledge of the natural process
-Collaboration
-Evocation
-Respect for autonomy
Guiding Principles of Motivational Interviewing - correct answer ✔✔-Express empathy: Unconditional
acceptance
-Develop discrepancy
-Roll with resistance
-Support Self-Efficacy
OARS for Motivational Interviewing - correct answer ✔✔-Open questions
-Affirmation of patients' self-efficacy and support
-Reflections of patients' thoughts, desires, abilities, reasons, needs and commitments
-Summaries of the patient's history to promote consideration of change
Open Questions - correct answer ✔✔-Ask open-ended questions
-"What else can you tell me about your alcohol use?"
-"What do you like most about your relationship?"
-"How can I help you overcome this fear?"
-"What do you think it will take for you to take steps toward change?"
,Affirm - correct answer ✔✔-Affirming certain client attributes, behaviors, and statements serves to build
rapport and support open examination of the client's situation.
-Simple as appreciation or recognition
Reflecting listening - correct answer ✔✔-An attempt to communicate to the speaker that the person
listening has accurately understood the content and even the feeling behind the content
-Accomplished through statements that rephrase what the client has just said:
-"It sounds like you..."
-"You mean that...?"
-When I hear you saying...."
Summarize - correct answer ✔✔-Done periodically
-Lets the client know that the provider has been listening well
-Reinforces what has been said
-Paves the way for the client to further elaborate
Family characteristics for abuse to occur: - correct answer ✔✔-Multiple partners: inequality and
uncertainty in the lives of children
-Single parent homes: Berger and colleagues (2009) found that children living in single-mother families
and families with a nonbiological cohabitating father had higher rates of involvement with child
protective services than children in families with biological father and mother pairs
-Parenting skills and perpetration of child abuse and neglect
-Deficient parenting skills
-Less engagement with the child
-Being hyper responsive to child-related stimuli
-Engaging in harsh discipline
-Unrealistic expectations of their children
-Knowing less about child development
-Overreporting child's negative behaviors
, -Neglectful parents exhibit less empathy toward their child, have less proficient caretaking skills, have
poorer stress management, and less maternal motivation
-Intimate partner violence
-Social isolation
-Lack significant social connections with their extended families, neighborhoods, and communities
-Neglectful parents = no social networks, poor-quality marriages, briefer relationships with their parents
-Neglectful mothers = perceive own mothers more negatively, poorer relationship with mother, do not
rely on mothers as source of emotional support
The individual child risk factors for abuse to occur: - correct answer ✔✔-Disabilities
-History of childhood abuse and neglect, early childbearing, and parental psychopathology are all
components of:
Contextual Risk Factors - correct answer ✔✔-Poverty, unemployment, low socioeconomic status (neglect
and physical abuse)
-Neighborhood poverty, large number of children per adult, population turnover, high concentration of
single parent families, higher density of alcohol outlets (associated with abuse and neglect rates)
Deficient parenting skills, intimate partner violence, and social isolation are all components of: - correct
answer ✔✔Family characteristic risk factors
Poverty, unemployment, low socioeconomic status, neighborhood characteristics are all components of:
- correct answer ✔✔Contextual risk factors
History of childhood abuse and neglect, early childbearing, and parental psychopathology are all
components of: - correct answer ✔✔Individual risk factors
Dispositional attributes, environmental conditions, biological predispositions, and positive events that
can mitigate risk factors are known as: - correct answer ✔✔Protective factors
What is evidence based treatment? - correct answer ✔✔-Evidence based practice is an approach to
clinical practice that calls for research, specifically quantitative experimental designs, to determine the
best clinical methods.
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