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Therapeutic Strategies for Counseling Complex Patients within a Pediatric Critical Care Setting

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1.  Normalizing is a very simple but powerful tool that can be used to reassure patients that others have experienced similar challenges and can facilitate further discussion of anxiety/discomfort. Which of the following is an example of “normalizing”?
  1. I have not heard anyone else say that
  2. Oh, wow
  3. This is very common among others with a history of tracheostomy
  4. That must be hard
2.  Which of the following is an example of reflective language?
  1. OK
  2. What I am hearing is
  3. So, you are going to practice your breathing strategies, right
  4. You should do what I am recommending
3.  Asserting your educational background/training to emphasize why the family should listen to you, AKA being the “finger-wagger” has been shown to be?
  1. Effective in producing health behavior change by itself
  2. Likely to open family’s up to a discussion of their challenges
  3. Good for reducing barriers to medical adherence
  4. Often ineffective in producing lasting, meaningful behavioral change
4.  Addressing multicultural identity in patient interaction is likely to?
  1. Increase resistance to adhering to medical recommendations
  2. Anger your patient and the family
  3. Facilitate a discussion of how the patient’s background and lived experiences are impacting them
  4. Increase resistance from the family
5.  Intersectionality is:
  1. An overgeneralized idea that is used to represent a whole cultural group
  2. A certain view or perspective that is influenced by your own biases
  3. Recognizing and acknowledging other cultures
  4. The meeting point of various cultural identities (e.g., race, gender, medical diagnoses)

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