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STR - After Stroke: Developing the Winners Mindset Post Test

Psychologist, Ohio MFT and Counselor Post Test:
Only Psychologists, Ohio MFT's and Ohio Counselors taking this course for credit need to complete these additional questions below to be in compliance with their Boards. requirements. If you are not a psychologist, Ohio MFT or Ohio Counselor please return to the original Answer Booklet. You do not need to complete the additional questions below.

Audio Transcript Questions The answer to Question 1 is found in Track 1 of the Course Content. The Answer to Question 2 is found in Track 2 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question.
Important Note! Underlined numbers below are links to that Section. If you leave this page, use your "Back" button to return to your answers, rather than clicking on a new "Answer Booklet" link. Or use Ctrl-N to open a new window and use a separate window to review content.

Please note every section does not have an additional question below. Some sections may have more than one question.


1.1 What are eight steps in the Smooth Communication in 8 steps technique?
1.2 When may ‘reflex crying’ be triggered?
2.1 What can anger also be used for by stroke patients?
2.2 What is the most difficult time of the day with depressed clients?
3.1 In regards to orientation and judgment, what are four potential consequences of right side injury?
4.1 What are seven areas in which clients and their families may consider making adaptations to?
5.1 How may the Affirmation Statements technique be used by clients with visual deficit or difficulty comprehending written language?
6.1 What are four steps in the energy management technique?
6.2 What are seven steps in the reclaiming intimacy technique?

A. Reflex crying may be triggered even when the stroke patient isn’t experiencing the kind of intense emotions that he/she would have normally before the stroke
B. 1. Prepare an area for conversation 2. Use simple sentences, but be careful to avoid a condescending tone. 3. Unless the stroke sufferer has a hearing impairment, a normal tone of voice is more effective for enhancing communication rather than an excessively loud one. 4. Don’t pause between words, as this can be confusing. On the other hand, clear pauses between sentences or phrases can help the stroke sufferer grasp the meaning more easily. 5. Phrase questions simply, so that they can be responded to with yes or no answers. 6. Never force a response; rather, encourage a response. 7. Because it takes a great deal of energy for someone with aphasia to talk and process information, try to time conversations for when the stroke sufferer is well rested and relaxed. 8. Since communication is the goal, it is inappropriate to correct grammar or pronunciation
C. When they wake up and have the whole day ahead of them
D. As fuel to ignite determination to survive
E. The entry way, doorways, stairways, bathroom, bedroom, kitchen, and electrical outlets and switches
F. Difficulty in recognizing or perceiving familiar forms, a tendency to become lost when outside the immediate environment, difficulty following instructions, challenges with time orientation and recognizing time on a watch or clock
G. 1. Stay as attractive as you can through good grooming and hygiene 2. talk openly with your partner about different needs and other changes that the stroke may have prompted 3. plan in advance for sex or other intimacy 4. try relaxing together before you begin 5. be realistic, old positions may no longer make sense 6. consider using water soluble lubricants to make penetration easier and more comfortable 7. consider alternative intimacy
H. Suggest to record a spoken version of a client’s affirmations on an easy to use tape recorder, so that the client can play the audio version of his/her affirmations several times a day
I. 1. Assign priorities to your activities 2. use your energy wisely 3. if you feel tired from thinking, remind yourself that this is a normal experience 4. develop the best communication skills you can

Course Content Manual Questions The answer to Question 10 is found in Section 10 of the Course Content. The Answer to Question 11 is found in Section 11 of the Course Content... and so on. Select correct answer from below. Place letter on the blank line before the corresponding question

Please note every section does not have an additional question below. Some sections may have more than one question.


8.1 According to Doolittle, what is the slowing down of recovery often associated with?
9.1 What can be inferred from Doolittle\'s interpretation of recovery from stroke?
10.1 In what areas may rehabilitation counseling be effective?
11.1 Why are Aphasia stroke patients excluded from most studies concerning PSD?
13.1 Under the vignette, what are three different care environments a participant’s route to home include?
13.2 According to Gibbon, what is the acute phase characterized by?
14.1 Holbrook’s first stage crisis is characterized by what?
15.1 How do stroke survivors tend to act, when services did not acknowledge and support them in achieving their goals?
16.1 According to Ouimet, what has been used to examine PSD through reviewing whether reduced blood flow in regions of the brain contributes to PSD?
17.1 Why did Ramasubbu report regarding psychosocial risk factors and not psychosocial risk factors as predictors of severity?

A. A two-stage model comprising of acute and rehabilitation phases
B. Feelings of despondency and frustration, and evoked reflections on pre-stroke life
C. Since the impediments of language prevent the precise and safe diagnosis of depression in a significant manner
D. Supporting provision of services to carry out treatment, assessed as necessary, to promote the recovery of the stroke patient and to support the carer and/or family through that process. - Continued availability of education, verbal and written information for all groups. - Continued availability of time for counseling and support for the patient, career and family. - Continued availability of adequate multi-agency support services in the community
E. Interventions planned and delivered in an acute care setting, either for active illness or for complications of active illness
F. Emergency, acute, and rehabilitation
G. They tend to be critical
H. By shock, confusion and high anxiety
I. Poststroke depression has been criticized on the premise that stroke lesions are judged to be causally linked with depression to the exclusion of psychosocial risk factors
J. Cerebral Blood Flow (CBF)

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