Chapter 1

Question 1

Occupation is activity with a __________.

Answer 1

purpose

Question 2

Occupational therapy views engagement in occupation as essential to both ____________ and ___________ health

Answer 2

physical, mental

Question 3

This is defined by the American Psychiatric Association as “ a state of being, relative rather than absolute. The best indices of this are working, loving, and creating with the capacity for mature and flexible resolution of conflicts between instincts, conscience, important other people, and reality”

Answer 3

mental health

Question 4

This is defined by the American Psychiatric Association as “a behavioral or psychologoical syndrome…” you get the point. What does that describe? I could go on like above but I don’t wanna.

Answer 4

mental disorder

Question 5

difficulty carrying out ________ ______ _____ is cited as one of the major symptoms of a mental disorder.

Answer 5

daily life activities

Question 6

Occupational therapy uses __________________ as its primary treatment tool.

Answer 6

occupation

Question 7

With mental disorders, ____ and ______ reinforce each other; those who fail to act become less able to do so.

Answer 7

unhappiness, inactivity

Question 8

The history of OT profession is intertwined with that of ________.

Answer 8

psychiatry

Question 9

This movement was a pivotal state in the development of psychiatry as a separate medical discipline

Answer 9

moral treatment

Question 10

The philosophy of moral treatment included respect for the __________ and a belief that the mentally ill would benefit most from a __________ and the opportunity to contribute.

Answer 10

individual, regular daily routine

Question 11

What were some of the things prescribed in the early moral treatment hospitals? Pick a few, and then pick a few more

Answer 11

prescribed routine

• daily hygiene
• regular meals (sometimes prepared by inmates)
• craft work
• recreation

Question 12

This type of therapy arose out of the moral treatment movement.

Answer 12

Occupational

Question 13

Name the physician who was one of the founders of OT who had marvelous things to say about employment being part of moral treatment/early OT

Answer 13

Adolph Meyer

Question 14

Early in the 20th century, the theories of this psychiatrist dominated the field.

Answer 14

Sigmund Freud

Question 15

What are some of the methods that were used to treat mental disorders in the 1940s? 3 in particular

Answer 15

Prefrontal lobotomy
Insulin Shock Treatment
Electroconvulsive (shock therapy)

so glad I didn’t live back then….scary

Question 16

A critical development during the 50s was the discovery and introduction of ________.

Answer 16

tranquilizers - yay, right?!?! Right…?

Question 17

T or F: Currently, the consensus is that a genetic predisposition results in disease in vulnerable individuals, but that environmental factors, possibly viruses, are also involved.

Answer 17

T

Question 18

Currently, psychiatry is oriented very strongly toward biological, biomechanical research and __

Answer 18

pharmalogical interventions

Question 19

Imaging studies began in the ___

Answer 19

1990s

Question 20

What are the 3 types of imaging used to show changes in the cerebral cortex, ventricles, and other brain structures?

Answer 20

PET, CT, and MRI

Question 21

What does IPRT stand for?

Answer 21

intensive psychiatric rehab treatment

Question 22

What is the goal of IPRT?

Answer 22

helping persons with mental disorders to function at their best in the environments of their choice.

Question 23

who are consumers?

Answer 23

persons with mental disorders (p.7)

Question 24

What has the consumer movement done for society?

Answer 24

It’s helped reduce stigma

It also improved the quality of life for persons with mental disorders

Question 25

What organization represents the consumer movement?

Answer 25

NAMI - National Alliance on Mental Illness

Question 26

This is a proposed public policy that would require insurance companies to reimburse for mental health care to same extent as for physical health care

Answer 26

mental health parity

Question 27

Who developed the sensory integration theory?

Answer 27

A. Jean Ayers

Question 28

A. Jean Ayers was an occupational therapist - true or false?

Answer 28

True!

Question 29

Claudia Allen identified six levels of ___ ____.

Answer 29

cognitive functioning

Question 30

Most theories of the 1950s and 1960s were criticized for being too ________.

Answer 30

reductionistic

Question 31

During the 1960s and 1970s, _____ _____ and others attacked these approaches, arguing for a more comprehensive theory of OT practice that would focus primarily on the occupational nature of human beings.

Answer 31

Mary Reilly

Question 32

Kielhofner and Burke and others built on Reilly's work with the ______________________________.

Answer 32

model of human occupation

Question 33

MOHO proposes that human response to the environment is formed from an interaction among 3 systems. What are these systems?

Answer 33

Volition (yep, now you remember!) Habituation Performance

Question 34

In the 1980s, Florence Clark and others have been developing a new scientific discipline, __________________, for systematic study of the occupational nature of humans

Answer 34

occupational science

Question 35

______________ is a way to study how people understand and tell the stories of their lives; it has enriched our appreciation and analysis of occupation and its relation to individuals

Answer 35

narrative reasoning

Question 36

The passage of the __________________ has opened new opportunities for practice in mental health OT, working with consumers trying to gain access to employment and other situations.

Answer 36

ADA - Americans with Disabilities Act

Question 37

The future of OT in ______ is unclear.

Answer 37

mental health

Question 38

Despite reduced _____ and the movement ____ hospital practice, the mentally ill will continue to need and benefit from OT.

Answer 38

reimbursement, away

Question 39

1801-1860

Answer 39

Moral Treatment era

Question 40

1917

Answer 40

Founding of the National Society for the Promotion of OT

Question 41

1930s and 40s

Answer 41

Biological treatment (lobotomies, insulin shock treatment, and Electroconvulsive therapy)

Question 42

1955

Answer 42

Fist antipsychotic drugs

Question 43

1963

Answer 43

deinstitutionalization

Question 44

_______________________ means "Atoning for educability through delicate beauty."

Answer 44

Supercalifragilisticexpialidocious

Question 45

1965

Answer 45

Medicaid & Medicare enacted

Question 46

T/F - The entry-level OTA is trained to collaborate with a supervising OT to provide OT svcs

Answer 46

T

Question 47

T/F - Both OT and OTA are involved in all stages of the intervention process from screening and eval to discharge planning.

Answer 47

T - the OT just takes the leadership role

Question 48

T/F - All OTAs will receive an honorary bachelor's degree from the college of their grandfather (via USPS) once the educational standards change from AAS degree to Bachelor of Science Degree.

Answer 48

F

Question 49

The OTA's area of expertise is performance in which area?

Answer 49

the areas of occupation

Question 50

What are the areas of occupation?

Answer 50

work, play, leisure, BADLS, IADLS, education, and social participation

Question 51

Don't forget to read case studies on page 14 &15

Answer 51

Freebie!