Adult Mental Health

Question 1

Aphasia

Answer 1

Essential Feature of Dementia. absence or impairment of ability to communicate through writing, speech, or signs

Question 2

Apraxia

Answer 2

Essential feature of dementia. inability to perform purposive movements without sensory or motor impairment

Question 3

Agnosia

Answer 3

essential feature of dementia. loss of comprehension of visual, auditory, or other sensations

Question 4

Loss of Executive Function

Answer 4

essential feature of dementia. impairments in ability to think abstractly, plan, initiate, sequence, monitor, and stop complex behavior

Question 5

Somatoform Disorders

Answer 5

physical symptoms that have a psychiatric source

Question 6

Community-Based Mental Health Clinic

Answer 6

setting to address ongoing medication management, lifestyle management, self-care activities, group therapies

Question 7

COnsumer-Based, non profit, health system - day treatment program

Answer 7

lifestyle management program designed to assist with meaningful occupational engagement over an extended period of time for clients with chronic mental health conditions

Question 8

SNF, Home Health

Answer 8

Clients with chronic mental illness may reside in SNFs or in other ways receive ongoing care when conditions are not suited for independent living.

Question 9

Community residential setting (halfway house, adult foster care)

Answer 9

Transitional housing that can sometime be more permanent. Supervision is provided under group living conditions to encourage healthy occupational engagement and independent living.

Question 10

Supported employment, transitional employment, prevocational/vocational rehabilitation

Answer 10

clubhouse programs used to engage people with mental health conditions in employment

Question 11

Allen Cognitive Disabilities Model

Answer 11

Hierarchy of cognitive ability derived from Piaget developmental theory. Functional ability improves as cognition increases

Question 12

Behavior Modification Theory

Answer 12

based on operant conditioning. Behavior is shaped through positive and negative reinforcement. Positive reinforcement shapes behavior more effectively, however the use of this approach with adult clients is controversial because it implies a passive response by the client and very little cognitive processing

Question 13

Cognitive-Behavioral Theory (CBT)

Answer 13

distorted thinking leads to behavioral and emotional problems related to mental illness. Therapy is focused on increasing awareness of and changing distortions to alter behavior and emotional impact on function

Question 14

Intentional Relationship Model

Answer 14

About the therapeutic use of self describing a triad between the client, practitioner, and occupation. Follows principles of critical self-awareness/self-discipline, head before heart, mindful empathy, client defines success of relationship, balance between activities and interpersonal

Question 15

Kawa Model

Answer 15

Japanese model stating that healing must come from within a safe cultural context

Question 16

MOHO

Answer 16

classic model describing relationship between volition , performance, and habituation on engagement in occupation

Question 17

PEOP

Answer 17

emphasizes essential interaction between person, performance, context. Used in the model on health, wellness, and quality of life

Question 18

Psychoanalytic/PsychoDynamic

Answer 18

contemporary mental health intervention and a mechanism for improving self-identity and improving interpersonal relationships. Useful in exploring deep-seated origins of human emotions and motivation. Many concepts are refuted but the model offers valuable understanding to group dynamics, relationships, and feelings.

Question 19

Scientific Reasoning

Answer 19

use of applied logic and scientific method

Question 20

Diagnostic Reasoning

Answer 20

investigative reasoning and analysis of cause and nature of conditions

Question 21

Procedural Reasoning

Answer 21

Consideration and use of intervention routines for identified conditions

Question 22

Narrative Reasoning

Answer 22

used to make sense of people’s particular circumstances

Question 23

Pragmatic Reasoning

Answer 23

Practical reasoning used to fit therapy possibilities into realities of service delivery

Question 24

Ethical Reasoning

Answer 24

directed to analyzing ethical dilemma

Question 25

Interactive Reasoning

Answer 25

directed toward building positive interpersonal relationships

Question 26

Conditional Reasoning

Answer 26

blending of all forms of reasoning to flexibly respond to changing conditions and predicting client futures

Question 27

Steps for Active Listening

Answer 27

1. Restating or paraphrasing what the client said 2. Reflecting to confirm implied feelings 3. Clarifying any confusion by giving a summary of client statements

Question 28

Task-Oriented Group

Answer 28

Tasks - as they relate to groups - are defined as any activity or process directed toward creating or producing an end product or demonstrable service. Feedback is given immediately

Question 29

Activity Groups

Answer 29

focused on function and replicate living in the community or family with an emphasis on direct experience and the use of activity to develop skills.

Question 30

Psychodynamic Groups

Answer 30

allow exploration of symbolic meaning of activities and group process. activities may include projective/interpretive media

Question 31

Cognitive-Behavioral Approach to Groups

Answer 31

Based on principles of Shaping, Chaining, Reinforcement (feedback), Practice (repetition) Group seeks to change participant response by challenging thought process and using relaxation. Can teach skills using roll playing and rehearsal. Can teach different strategies using the principles

Question 32

Allen Cognitive Level Groups

Answer 32

incorporate assessment into intervention. Participants are placed in activity groups according to the cognitive hierarchy. All participants must function at the same level

Question 33

Sensory Motor Groups

Answer 33

allow participants to benefit from deliberate and thoughtful design of sensory experience

Question 34

Developmental Approach to Groups

Answer 34

Allow participants to engage in activities structured to the "just right" challenge for their developmental level

Question 35

MOHO Group

Answer 35

Engage in activities toward a therapeutic outcome related to participation in occupations and roles. Participants act on their surroundings and receive feedback. Groups can be designed around specific roles to help learn effective skills. The Role Checklist can be used to clarify perceived value placed on roles