Interviewing Bob: The Third Visit

  1. Interviewing Bob
  2. Bob's Third Visit

OARS Activity

image of Bob's Third Visit

Summary of Bob’s Case:

  • Bob has been working with you for a few weeks now, since his most recent hospitalization, and he has never missed an appointment.
  • Bob has a long daily smoking history of over 40 years. He used to smoke more than 1 pack per day (20 or more cigarettes per day) but he has been quit since his last exacerbation/ hospitalization and using NRT - wearing 2 nicotine patches (21mg + 14mg) per day.
  • Bob’s COPD medication is at the maximum dose, and except for attending your appointments and other medical appointments, he has been fairly house bound, very dependent upon his wife, increasingly anxious and depressed.
  • You and his other health care professionals have recommended a referral to a Pulmonary Rehab Program but Bob has declined this referral.
  • At your last visit, even though Bob was still adamant about not attending the Pulmonary Rehab Program, he did see the value around increasing his physical activity level.
  • At Bob’s second visit, he had reported that he had begun to increase his physical activity level at home, and he seemed pleased about this change and he seemed very motivated to further increase his activity level at home.
  • He reported that his wife was also supportive of this plan so that they could start walking together in their apartment building.

Practitioner: “Hi Bob, it’s good to see you. How are things since we last met?”

Bob: Pretty much the same, maybe even a little worse. Still not leaving the apartment except when I have to attend appointments. Though I’m actually glad to be here today. Just to get away from my wife for a little while. She has been on my case all week, nagging me about my health, and complaining about every little thing. I told her not to even bother coming with me today because I need a break from her so called “support”.

Provide three responses for this client’s statement in the following text boxes

Bob’s 3rd Visit

There are additional responses to the client’s statement. Identify whether each response is an example of OARS.

 

Practitioner Response #1: I’m sorry to hear things are tough at home. It sounds like things haven’t gotten better since we last met.











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Practitioner Response #2: You’re glad to be out and about today, even though it takes some effort to get here, it’s not nearly as stressful as being at home right now. In fact this appointment is giving both you and your wife a little break.











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Practitioner Response #3: Wow - we’ve talked about how difficult it is for you to get to these appointments, and out of the house by yourself, and yet today, even though things sound pretty stressful at home, you were able to not only keep this appointment but you figured out a way to get here by yourself.











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Practitioner Response #4: I’m sorry to hear that things at home have been stressful lately and you mentioned that as far as your health goes, things are perhaps a little worse. In what way?











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Show me the answers!
 

Question 1: The correct answer is Complex Reflection.

Question 2: The correct answer is Complex Reflection.

Question 3: The correct answer is Affirmation.

Question 4: The correct answer is Closed Question.


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