CCIM Final UPDATE D Exam Questions and CORRECT Answers Summarize what the Balanced Compassionate Caring Model means: - Correct ANSWER - -
Optimum level of emotional involvement yields positive effects for both the patient and the clinician. -Zone of Balanced Caring lies between being emotionally detached and being over -involved. -Draw Relationship Between Level of Clinician Emotional Involvement and Effects on Patient. Why might the Balanced Compassionate Caring Model be important in a clinician's career? - Correct ANSWER - Anything outside of the Zone of Balanced Caring is simply not sustainable: -Being overly -involved leads to emotional exhaustion. -Being detached also yields downstream emotional problems and can result in a lack of a sense of personal accomplishment. Both of these can lead to burnout. In contrast, optimal emotional involvement allows clinicians to manage their own emotions while simultaneously caring for their patients. Balanced Compassionate Caring Attitudes: Caritas Attitude - Correct ANSWER - -This fundamental attitude places compassionate caring attitude as the core driving force in helping relationships. -Whatever you do is grounded in this compassionate caring focus. Even when things get tough, the attitude of caritas persists underneath. -In that way, the caritas attitude is always guiding and motivating what you are doing with another person. In staying grounded in the caritas attitude, we are in touch with the key force in helping our patients as well as being connected to the intrinsic motivation we have for being in this work. -If we understand the nature of compassion, we will also be able to guard against being overly emotionally involved with patients and know what we need to do to take care of ourselves in this work. 10 Caritas Processes that facilitate the healing process: - Correct ANSWER - -Practice of loving -
kindness toward self and others. -Authentic presence. Instill faith and hope/spirituality. -Develop and sustain a helping -trusting caring relationship. -Being present and supportive to the expression of positive and negative feelings. Creativity in caring process. -Engage in genuine teaching -learning experience. -Create a healing environment. -Honor/assist basic human needs. -Opening and attending to the spiritual/ mysterious and existential unknowns of life -death. Balanced Compassionate Caring Attitudes: Balanced notion of personal responsibility and outcome: - Correct ANSWER - -This attitude basically says that you should accompany people on their journeys, not do their journeys for them. -If a helper has no sense of personal responsibility in helping another person, then the helping action will most likely not be successful. -An excessive sense of personal responsibility is also a problem in which the clinician feels they are completely responsible for what happens to the patient. It is unrealistic to take responsibility for all the variables that can affect a patient. -Those you help may hold you more responsible for their progress than you really can be and lay that expectation on you. -Crucial within this attitude are mistakes: Blow to clinician self -confidence; upsetting to increase suffering of patient who sought them out and trusted them. Need each other to process what happened in mistakes and how we should proceed; have to support and help colleagues when they make mistakes. Balanced Compassionate Caring Attitudes: Compassionate empathic concern vs. emotional detachment or emotional engulfment. - Correct ANSWER - -Empathic arousal increases the intrinsic motivation to help another person. Empathy leads to helping behavior beca use it increases our internalized values of what's important to do, which we call 'autonomous motivation'. Emotional detachment removes this empathic arousal and thus reduces the motivation to offer help. -Perspectives are important in maintaining balance with this attitude. Specifically, balancing between the 'self' perspective and the 'other' perspective. The key difference being "Imagining what I would feel if I were my patient" vs. "imagining what my pa tient feels". -The key to balanced empathy is maintaining a clear distinction between Self and Other. -Self-other merging leads to becoming emotionally overwhelmed and distressed. -Good self -other distinction underlies empathy -based altruism. Balanced Compassionate Caring Attitudes: Being Centered: - Correct ANSWER - This attitude does not mean a relaxed calm. -Instead, an emotionally collected, focused awareness while doing something: -Having the ability to concentrate even with distractions. -The ability to manage strong emotions (yours, patient's, colleagues', etc.). -Ability to shift mental state smoothly. -Emotionally present; not preoccupied. -Mental state of optimum emotional management and problem solving; fully present with the patient in the situation before us (not rushing to move on the next thing). Balanced Compassionate Caring Attitudes: Lifetime of caring as a story with succession of awakenings: - Correct ANSWER - -This attitude is founded upon the idea that people become more compassionate, both toward themselves and to others, as they age. -Arriving at that destination is not easy though. It takes many trials and many ups and downs. -As such, periods of emotional detachment or severe over -attachment are seen as temporary steps that are taken within the transformation process.
Optimum level of emotional involvement yields positive effects for both the patient and the clinician. -Zone of Balanced Caring lies between being emotionally detached and being over -involved. -Draw Relationship Between Level of Clinician Emotional Involvement and Effects on Patient. Why might the Balanced Compassionate Caring Model be important in a clinician's career? - Correct ANSWER - Anything outside of the Zone of Balanced Caring is simply not sustainable: -Being overly -involved leads to emotional exhaustion. -Being detached also yields downstream emotional problems and can result in a lack of a sense of personal accomplishment. Both of these can lead to burnout. In contrast, optimal emotional involvement allows clinicians to manage their own emotions while simultaneously caring for their patients. Balanced Compassionate Caring Attitudes: Caritas Attitude - Correct ANSWER - -This fundamental attitude places compassionate caring attitude as the core driving force in helping relationships. -Whatever you do is grounded in this compassionate caring focus. Even when things get tough, the attitude of caritas persists underneath. -In that way, the caritas attitude is always guiding and motivating what you are doing with another person. In staying grounded in the caritas attitude, we are in touch with the key force in helping our patients as well as being connected to the intrinsic motivation we have for being in this work. -If we understand the nature of compassion, we will also be able to guard against being overly emotionally involved with patients and know what we need to do to take care of ourselves in this work. 10 Caritas Processes that facilitate the healing process: - Correct ANSWER - -Practice of loving -
kindness toward self and others. -Authentic presence. Instill faith and hope/spirituality. -Develop and sustain a helping -trusting caring relationship. -Being present and supportive to the expression of positive and negative feelings. Creativity in caring process. -Engage in genuine teaching -learning experience. -Create a healing environment. -Honor/assist basic human needs. -Opening and attending to the spiritual/ mysterious and existential unknowns of life -death. Balanced Compassionate Caring Attitudes: Balanced notion of personal responsibility and outcome: - Correct ANSWER - -This attitude basically says that you should accompany people on their journeys, not do their journeys for them. -If a helper has no sense of personal responsibility in helping another person, then the helping action will most likely not be successful. -An excessive sense of personal responsibility is also a problem in which the clinician feels they are completely responsible for what happens to the patient. It is unrealistic to take responsibility for all the variables that can affect a patient. -Those you help may hold you more responsible for their progress than you really can be and lay that expectation on you. -Crucial within this attitude are mistakes: Blow to clinician self -confidence; upsetting to increase suffering of patient who sought them out and trusted them. Need each other to process what happened in mistakes and how we should proceed; have to support and help colleagues when they make mistakes. Balanced Compassionate Caring Attitudes: Compassionate empathic concern vs. emotional detachment or emotional engulfment. - Correct ANSWER - -Empathic arousal increases the intrinsic motivation to help another person. Empathy leads to helping behavior beca use it increases our internalized values of what's important to do, which we call 'autonomous motivation'. Emotional detachment removes this empathic arousal and thus reduces the motivation to offer help. -Perspectives are important in maintaining balance with this attitude. Specifically, balancing between the 'self' perspective and the 'other' perspective. The key difference being "Imagining what I would feel if I were my patient" vs. "imagining what my pa tient feels". -The key to balanced empathy is maintaining a clear distinction between Self and Other. -Self-other merging leads to becoming emotionally overwhelmed and distressed. -Good self -other distinction underlies empathy -based altruism. Balanced Compassionate Caring Attitudes: Being Centered: - Correct ANSWER - This attitude does not mean a relaxed calm. -Instead, an emotionally collected, focused awareness while doing something: -Having the ability to concentrate even with distractions. -The ability to manage strong emotions (yours, patient's, colleagues', etc.). -Ability to shift mental state smoothly. -Emotionally present; not preoccupied. -Mental state of optimum emotional management and problem solving; fully present with the patient in the situation before us (not rushing to move on the next thing). Balanced Compassionate Caring Attitudes: Lifetime of caring as a story with succession of awakenings: - Correct ANSWER - -This attitude is founded upon the idea that people become more compassionate, both toward themselves and to others, as they age. -Arriving at that destination is not easy though. It takes many trials and many ups and downs. -As such, periods of emotional detachment or severe over -attachment are seen as temporary steps that are taken within the transformation process.
