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OTA 110: Occupation Skills - Psychosocial > Chapter 11 : Responding to Symptoms and Behaviors > Flashcards

Chapter 11 : Responding to Symptoms and Behaviors Flashcards

1
Q

event that provokes the behavior

A

Antecedent Cause

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2
Q

the assistants own personality, the way he or she talks and acts towards the person in his or her care (synonymous with therapeutic use of self)

A

Self

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3
Q

the context in which your interaction with the client takes place

A

Environment

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4
Q

the thing that you and the client are doing together

A

Activity

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5
Q

A state of tension and uneasiness caused by conflicts that the ego is unable to resolve

A

Anxiety

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6
Q

These are strategies of what diagnosis:

1) encourage clients to talk about what is bothering them & express how they feel
2) focus 1st on what clients are concerned about
3) listen to their fears and redirect their attention to neutral topic

A

Anxiety

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7
Q

A feeling of intense sadness, despair, and hopelessness

A

Depression

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8
Q

These are strategies of what diagnosis:

1) allow client to talk about what is bothering them
2) OTA should listen and reflect back to what he/she hears clients saying but should never agree that situation seems hopeless
3) Reinforce good hygiene
4) Accept clients feelings
5) Be clear when giving directions and don’t give them too many choices
6) Avoid praising - acknowledge instead
7) Don’t try to cheer up client
8) Watch for suicidal remarks

A

Depression

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9
Q

A disturbance of mood characterized by excessive happiness (euphoria), generosity (expansiveness), irritability, distractibility, and increased activity level

A

Mania

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10
Q

These are strategies of what diagnosis:

1) Be aware of flattery
2) Be cautious in giving praise
3) Calm, matter of fact, firm, consistent
4) Be firm on supplies and materials - don’t let them overrun clinic
5) Give structure

A

Mania

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11
Q

A sensory experience that does not correspond to external reality

A

Hallucinations

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12
Q

These are strategies of what diagnosis:

1) Try to reassure and help them understand what is happening “I believe you see rats in the corner, but they are not really there. It’s your disease that makes you see them”
2) Calm, rhythmic, soothing talk
3) Don’t argue
4) Repeat word of phrase that is comforting to them “I am safe here”

A

Hallucinations

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13
Q

A belief that is contrary to reality as experienced by others in one’s cultural group

A

Delusions

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14
Q

taking ideas from brain

A

thought withdrawal

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15
Q

putting thoughts in brain

A

thought insertion

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16
Q

being followed or hurt

A

delusions of persecution

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17
Q

special power or powerful

A

megalomania or delusions of grandeur

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18
Q

delusions of someone being in love with you

A

erotomania

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19
Q

something is horrible wrong with your body

A

somatic delusions

20
Q

These are strategies of what diagnosis:

1) Avoid discussing the person’s delusions
2) Re-direct persons attention
3) Don’t try to convince them it is not true

A

Delusions

21
Q

A type of thinking in which persecutory and grandiose ideas predominate

A

Paranoia

22
Q

These are strategies of what diagnosis:

1) Don’t approach suddenly
2) No whispering
3) Approach as intellectual equals
4) They have extraordinary memories
5) Don’t argue
6) Clear, consistent directions
7) Don’t promise things, be truthful

A

Paranoia

23
Q

A strong feeling of displeasure

A

Anger

24
Q

An unfriendly and threatening attitude directed toward other people

A

Hostility

25
Q

An attack on a person or object; can be verbal, physical or both

A

Agressions

26
Q

These are strategies of what diagnosis:

1) Be alert to signs of tension coming
2) Talk about what is bothering them
3) Be direct and clear about what you expect
4) Don’t be alone
5) Try to speak to person privately

A

Anger, Hostility, Aggression

27
Q

Any behavior that would normally be seen as explicitly (openly) sexual or as provoking a sexual response

A

Seductive Behavior and Sexual Acting Out

28
Q

These are strategies of what diagnosis:

1) Talk to them in calm, nonjudgemental manner
2) Setting rules should be strictly enforced
3) Avoid physical contact
4) Explain nature of therapeutic relationship
5) Have another staff work with client

A

Seductive Behavior and Sexual Acting Out

29
Q

An impairment or defect in one or more of the mental functions needed for thinking

A

COGNITIVE DEFICITS: Confusion and Impaired Memory

30
Q

These are strategies of what diagnosis:

1) Be clear, concise, concrete and consistent
2) Speak slow, use common terms
3) Match your tempo with what patient can handle
4) 5 C’s - calm, clear, concise, concrete and consistent

A

COGNITIVE DEFICITS: Confusion and Impaired Memory

31
Q

Problems in directing attention to a task or in sustaining attention for a reasonable length of time

A

Attention Deficits

32
Q

Lack of planning and order that interferes with successful completion of activities

A

Disorganization

33
Q

These are strategies of what diagnosis:

1) say name loudly to get attention
2) firm but gentle touch on arm or shoulder
3) environment should avoid distractions
4) simple crafts

A

Attention Deficits & Disorganization

34
Q

What diagnosis states that the first activities used should be ones at which the person is guaranteed success?

A

Depression

35
Q

What diagnosis should use activities with strong sensory stimulation (music, dance, films, cooking)?

A

Hallucinations

36
Q

What diagnosis should use intellectually challenging verbal activities… board games, current events, puzzles, word games… computer?

A

Delusions

37
Q

What diagnosis should use have clients work independently without much need for instruction?

A

Paranoia

38
Q

What diagnosis should use active sports - gross motor to release tension, sanding large projects?

A

Anger, Hostility, Aggression

39
Q

What diagnosis should use forceful gross motor activities without physical contact and do things in their own personal space - protected from sudden touch, smell and warmth of others?

A

Seductive and Sexual Acting Out

40
Q

These are strategies of modifying the enviro for WHO?
Safe, subdued
Limit stimulators (gradual increase w/comfort)
Reduce lighting & noise level
One-on-one
Encourage decision making skills gradually
Provide opportunities to make choices

A

Depression

41
Q

These are strategies of modifying the enviro for WHO?
Eliminate or reduce distractions.
Solo activity, facing a blank wall.

A

Mania

42
Q

These are strategies of modifying the enviro for WHO?
AVOID stressful & overstimulating; isolation
PROVIDE quiet, calm, & non-distracting

A

Hallucinations

43
Q

These are strategies of modifying the enviro for WHO?
Relatively stimulating
Provide opportunities for involvement in real-life activities.

A

Delusions

44
Q

These are strategies of modifying the enviro for WHO?
Stable & reliable (less change is better)
Prepare client for any changes
Tolerate & support those who isolate until client is comfortable
DON’T FORCE social contact
Gradually encourage group participation (even if just sitting on the outside and watching)

A

Paranoia

45
Q

These are strategies of modifying the enviro for WHO?
Isolate client from others who irritate them
Stand 4-5 ft. away, to the side, not facing the person directly
Don’t be alone w/client who may be violent
Leave room door open & position youself closer to door than client
Don’t touch client
Remove all sharp objects & potential weapons (brooms, mops)

A

Anger, Hostility, Aggression

46
Q

These are strategies of modifying the enviro for WHO?
Solo work, facing blank wall
Limit tools/supplies
May need vigorous stimulation to grab attention
Play classical and/or favorite music (monitor if distracting)

A

Attention Deficits and Disorganization

OTA 110: Occupation Skills - Psychosocial (16 decks)

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