CCIM EXAM REV QUESTIONS AND
CORRECT ANSWERS!
What does the Balanced Compassionate Caring Model and how might it be important for a
clinician's behavior?
The balanced compassionate caring model is a model that guides how involved physicians
should be with their patients in order to give the patients and the clinicians the best experience.
There is a zone of balanced compassionate care that physicians should aim to remain in order to
keep physicians from burnout but also for positive effects on the patient. It is important for a
clinicians career because it can serve as a guide for better effects on patients and for the
longevity of his
Summarize Caritas attitude
It means to cherish and give special attention with charity, compassion, and generosity of spirit.
Summarize balanced notion of personal responsibility and outcome
Your job is to accompany a patient on their journey, not necessarily do that journey for them
No outcomes are guaranteed
Summarize Compassionate empathetic concern vs emotional detachment or emotional
engulfment
Empathetic arousal is necessary to help patients because it increase intrinsic motivation to help
another person.
Using empathy to feel as though you are your patient, with no distinction between self and other
can lead to emotional engulfment and feeling as though you are also suffering
The key is to maintain a balance, so that you can feel what your patient feels, but not so much
that you imagine it is happening to you
Summarize Therapeutic perspective versus detached objectivity (person-centered)
,Helps the clinician not take what is happening personally but put it into the context of the
situation
Way nurses have to handle memere: day nurses and night nurses early in her hospital have very
different experiences
- Aggressive and confused at night, escalates over course of stay, fewer good moments
- Doctors/nurses typically handle it very calmly
Summarize Being centered
-Need to be in a focused, emotionally regulated, high-arousal state
-Need to be able to problem solve and manage your emotions in the midst of a chaotic, high
pressure situation while fully being present to the patient
-Like a narrow cliff, cannot sway too far one way or another
Summarize Lifetime of caring as a story with succession of awakenings
Doctor books we've read: can't get hung up on 1 patient outcome, one bad experience
Summarize Awareness and use of the wounded-healer archetype
-When a clinician has gone through some kind of ordeal, or encountered suffering, it allows the
clinician to better connect with people suffering, and increase their compassion
-Have to have named, worked with, and learned from their wound in order to use it to heal others
Summarize Competence in the skills and interventions of your helping profession
Competence cannot be distinguished from compassion in the medical field. Knowing the science
of your profession lays the foundation for caring and makes the patient feel safe
Summarize Caring intent is concretely expressed with balanced emotional involvement
-Patient has to be aware that you care, and cannot tell unless you show them with words and
actions
-Cannot care only in your mind, and cannot be so bubbly and talkative that they feel silenced or
squelched
Summarize being able to care for a person using challenge and confrontation
, -Sometimes confronting a patient is a way of expression concern and what the patient needs
-Not always equated with being 'nice' because it may not always feel that way
Summarize balance between other-care and self-care
-Clinicians take better care of patients when they take better care of themselves
-Practicing self-compassion helps you be a more effective caretaker
Summarize Energy devoted to self-reflection and analyzing helping interactions
-Reflection. helps maintain the ability to perceive patient perspectives and their suffering, as well
as grow in clinical wisdom
-Can help recognizing and dealing with issues that might be impacting their clinical abilities
Summarize Ways of dealing with effects of working with individuals with severe problems
-To treat a patient, sometimes you have to inflict pain
-Potential to experience compassion fatigue/vicarious traumatization
-Compassion is the best buffer, not slipping into empathic distress
Summarize skill of managing emotions and using them for the healing process
-Emotional connection with patients facilitates more information shared
-Providing emotional support is sometimes the only thing a patient needs
-Noticing emotional cues of a medical condition helps healing that condition, as well as
increased adherence
-Drug example and neuropathy, stop drug before it would cause neuropathy to ensure therapeutic
results occur without the risk
Summarize effective organizational and practice management skills
-Poor organizational practices can distract from a clinician's abilities
-System should allow/facilitate time for paperwork as well as time with the patient
Summarize mind training practices to cultivate compassion and reduce stress
-Compassion needs to be practiced, brain needs to be trained into it
-Increases ability to focus attention, be present, and able to deal with difficult patients
CORRECT ANSWERS!
What does the Balanced Compassionate Caring Model and how might it be important for a
clinician's behavior?
The balanced compassionate caring model is a model that guides how involved physicians
should be with their patients in order to give the patients and the clinicians the best experience.
There is a zone of balanced compassionate care that physicians should aim to remain in order to
keep physicians from burnout but also for positive effects on the patient. It is important for a
clinicians career because it can serve as a guide for better effects on patients and for the
longevity of his
Summarize Caritas attitude
It means to cherish and give special attention with charity, compassion, and generosity of spirit.
Summarize balanced notion of personal responsibility and outcome
Your job is to accompany a patient on their journey, not necessarily do that journey for them
No outcomes are guaranteed
Summarize Compassionate empathetic concern vs emotional detachment or emotional
engulfment
Empathetic arousal is necessary to help patients because it increase intrinsic motivation to help
another person.
Using empathy to feel as though you are your patient, with no distinction between self and other
can lead to emotional engulfment and feeling as though you are also suffering
The key is to maintain a balance, so that you can feel what your patient feels, but not so much
that you imagine it is happening to you
Summarize Therapeutic perspective versus detached objectivity (person-centered)
,Helps the clinician not take what is happening personally but put it into the context of the
situation
Way nurses have to handle memere: day nurses and night nurses early in her hospital have very
different experiences
- Aggressive and confused at night, escalates over course of stay, fewer good moments
- Doctors/nurses typically handle it very calmly
Summarize Being centered
-Need to be in a focused, emotionally regulated, high-arousal state
-Need to be able to problem solve and manage your emotions in the midst of a chaotic, high
pressure situation while fully being present to the patient
-Like a narrow cliff, cannot sway too far one way or another
Summarize Lifetime of caring as a story with succession of awakenings
Doctor books we've read: can't get hung up on 1 patient outcome, one bad experience
Summarize Awareness and use of the wounded-healer archetype
-When a clinician has gone through some kind of ordeal, or encountered suffering, it allows the
clinician to better connect with people suffering, and increase their compassion
-Have to have named, worked with, and learned from their wound in order to use it to heal others
Summarize Competence in the skills and interventions of your helping profession
Competence cannot be distinguished from compassion in the medical field. Knowing the science
of your profession lays the foundation for caring and makes the patient feel safe
Summarize Caring intent is concretely expressed with balanced emotional involvement
-Patient has to be aware that you care, and cannot tell unless you show them with words and
actions
-Cannot care only in your mind, and cannot be so bubbly and talkative that they feel silenced or
squelched
Summarize being able to care for a person using challenge and confrontation
, -Sometimes confronting a patient is a way of expression concern and what the patient needs
-Not always equated with being 'nice' because it may not always feel that way
Summarize balance between other-care and self-care
-Clinicians take better care of patients when they take better care of themselves
-Practicing self-compassion helps you be a more effective caretaker
Summarize Energy devoted to self-reflection and analyzing helping interactions
-Reflection. helps maintain the ability to perceive patient perspectives and their suffering, as well
as grow in clinical wisdom
-Can help recognizing and dealing with issues that might be impacting their clinical abilities
Summarize Ways of dealing with effects of working with individuals with severe problems
-To treat a patient, sometimes you have to inflict pain
-Potential to experience compassion fatigue/vicarious traumatization
-Compassion is the best buffer, not slipping into empathic distress
Summarize skill of managing emotions and using them for the healing process
-Emotional connection with patients facilitates more information shared
-Providing emotional support is sometimes the only thing a patient needs
-Noticing emotional cues of a medical condition helps healing that condition, as well as
increased adherence
-Drug example and neuropathy, stop drug before it would cause neuropathy to ensure therapeutic
results occur without the risk
Summarize effective organizational and practice management skills
-Poor organizational practices can distract from a clinician's abilities
-System should allow/facilitate time for paperwork as well as time with the patient
Summarize mind training practices to cultivate compassion and reduce stress
-Compassion needs to be practiced, brain needs to be trained into it
-Increases ability to focus attention, be present, and able to deal with difficult patients
