Scenario:

Setting: A healthcare clinic where Jamie, a 45-year-old patient, is meeting with Dr. Lee, a physician.

Context: Jamie has been struggling with managing high blood pressure and is hesitant to start a recommended exercise regimen.

Dr. Lee: "Hi Jamie, it’s good to see you. How have things been going since our last visit?"

Jamie: "Honestly, not great. I've been feeling overwhelmed and I’m not sure I can fit exercise into my schedule."

Dr. Lee: "I understand. It sounds like you're feeling a bit overwhelmed with the idea of adding exercise to your routine. Can you tell me more about what's been going on?"

Jamie: "Well, my job is really demanding, and when I get home, I'm just exhausted. I don’t have the energy or time to exercise."

Dr. Lee: "It makes sense that a busy schedule could make it hard to find time for exercise. It sounds like you’ve been trying to juggle a lot of responsibilities. What are your thoughts on how exercise might fit into your life, given the challenges you’ve mentioned?"

Jamie: "I’m not sure. I know it’s important for my health, but I just don't see how I can make it work."

Dr. Lee: "It sounds like you recognize the importance of exercise but are struggling with finding a practical way to incorporate it into your routine. Let’s explore this a bit more. On a scale from 1 to 10, how important is it for you to start exercising regularly?"

Jamie: "Maybe a 7. I know it's important, but it’s hard to prioritize it."

Dr. Lee: "A 7 is a good start. You clearly see the value in it, which is a positive sign. What would it take for you to move that number closer to a 10? What would make exercise feel more manageable?"

Jamie: "I guess if I could find a way to fit it into my day without it feeling like a huge burden, that might help."

Dr. Lee: "Let’s brainstorm some small, realistic steps that could make exercise feel less overwhelming. What if we started with just 10 minutes a day? Do you think you could find 10 minutes in your day for a short walk or a quick workout?"

Jamie: "I suppose I could try that. Maybe I could take a walk during my lunch break."

Dr. Lee: "That sounds like a great plan. How confident are you that you can make this small change?"

Jamie: "I think I could manage that. I’ll give it a try."

Dr. Lee: "Fantastic. I’m glad you’re open to trying it out. Let’s set up a follow-up appointment to check in on how things are going. In the meantime, if you encounter any obstacles, feel free to reach out. You’re making a positive step towards improving your health."

Jamie: "Thank you. I appreciate your support."

Dr. Lee: "You’re welcome, Jamie. Remember, it’s all about finding what works best for you and making gradual changes. You’ve got this!"

1. What key principle is demonstrated in this scenario: Dr. Lee acknowledges Jamie’s feelings and challenges, showing understanding and compassion.

• Develop Discrepancy

• Express Empathy

• Support Self-Efficacy

• Roll with Resistance:

2. Dr. Lee encourages Jamie by helping him come up with a small, manageable step and expressing confidence in Jamie’s ability to make the change.

• Express Empathy

• Develop Discrepancy

• Roll with Resistance

• Support Self-Efficacy

By discussing Jamie’s recognition of the importance of exercise and the difficulties in fitting it into his schedule, Dr. Lee helps Jamie see the gap between his current situation and his health goals.

• Support Self-Efficacy

• Roll with Resistance

• Develop Discrepancy:

• Express Empathy

Instead of pushing Jamie to exercise more, Dr. Lee explores and validates Jamie’s concerns, offering support in a non-confrontational manner.

• Roll with Resistance

• Express Empathy

• Support Self-Efficacy

• Develop Discrepancy

What skill in effective listening is presented?

"It seems like you’re dealing with a lot of responsibilities and that’s affecting your ability to exercise. Have I captured that accurately?"

• Validation

• Summarizing

• Probing

• Paraphrasing

Select the best paraphrased statement for this scenario:

“I’ve tried to change my eating habits before, but I always end up falling back into old routines.”

• It sounds like you’ve made attempts to improve your eating habits in the past, but it’s been difficult to maintain those changes

• You are doing just fine, be kind to yourself

• You should stick to your diet and exercise

• It seems that you have been trying but still keep on failing

Original Statement:

“I’ve been trying to improve my diet, but I’m finding it really hard to stick to it.”

Response

“Making changes to your diet can be incredibly challenging, and it’s understandable that sticking to it feels difficult. It shows how committed you are to improving your health, and it’s important to recognize the effort you’re putting in.”

• Summarizing

• Emphatic Responding

• Attending Behavior

• Paraphrasing

Are verbal and nonverbal behaviors displayed by the listener indicating that the listener is paying attention to and is interested in the speaker message

• Summarizing

• Emphatic Responding

• Attending Behaviors

• Paraphrasing

It is a symbolic, interpretative, transactional, contextual process in which people from different cultures create a shared meaning. It requires an understanding that different cultures have different customs, standards, social more and event thought patterns.

Benefits of Intercultural Communication

• Creativity

• Flexibility and Adaptability

• Healthier Communities

• Decrease international, national and local commerce

• Personal Growth