Final Exam Flashcards

1
Q

In general, a trait is a long standing component of your personality, while a state is a temporary position you are in or a transient component of your personality?
A. True
B. False

A

A

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2
Q

The signs and symptoms of dependent personality disorder include an excessive need to be taken care of, difficulty making independent decisions, and fear of disagreeing with others
A. True
B. False

A

A

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3
Q

You can have more than one personality disorder even though you have one personality.
A. True
B. False

A

A

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4
Q

Fidelity, a principle contained in the OT Code of Ethics, embraces the idea that OTs should treat colleagues with respect and should use conflict resolution techniques to resolve interpersonal and organization conflicts.
A. True
B. False

A

A

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5
Q

List five ways the activity of gardening might help a person diagnosed with schizophrenia in the areas of occupation, performance skills, performance patterns, context, and environments, and client factors. Give one way for each of these 5 categories.

A

THIS IS AN EXAMPLE OF A SHORT ANSWER QUESTION.

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6
Q

The most common personality disorder is:
A. Histrionic
B. Borderline
C. Schizoid
D. Not otherwise specified

A

D

NOS-She said that the lecturer said this during the lecture, we couldn’t find it in the notes!

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7
Q

Beginning in early adulthood a client begins expressing suspiciousness of others, becoming preoccupied with doubts about the loyalty of his friends, and reading threatening meanings to benign remarks. Which of the following is the most likely diagnosis?

A. Paranoid personality disorder
B. Antisocial Personality disorder
C. Schizoid Personality Disorder
D. Schizotypal Personality Disorder

A

A

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8
Q

To diagnose a personality disorder, the most indicative method is through using

A. Cluster of symptoms
B. MRI
C. Blood test
D. PET scan

A

A

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9
Q

When a person suffers from a Cluster A Personality Disorder, this person will generally experience avoidance tendencies.

A. True
B. False

A

B

  • Cluster A is “odd/eccentric behaviors” such as paranoid, schizoid, and schizotypal while cluster C would be avoidant (OCD, avoidant and dependent personality disorders. Cluster B is “dramatic and erratic” which are narcissistic, borderline, histrionic, and antisocial personality disorder.*
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10
Q

Tarasoff Law mandates outpatient treatment.
A. True
B. False

A

B

Tarasoff requires duty to protect or warn a third party only if the therapist believes or predicts the patient posed serious risk of injury to others

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11
Q

When a patient with schizophrenia expresses thoughts that shift from one subject to another in an incoherent fashion, which has no connection to reality this is best described as which of the following?

A. Loosening of associations
B. Flight of ideas
C. Circumstantiality
D. Tangentiality

A

A

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12
Q

Beneficence is a principle of the OT Code of Ethics, which means that the therapist must refrain from engaging in any sexual relationship or activity with a service recipient or their family even if it is consensual.
A. True
B. False

A

B

This describes nonmaleficence

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13
Q

Idealizing and devaluing a therapist by a client, which is also called splitting is a symptom that is associated with the follow two disorders.

A. Eating and schizoid personality disorder
B. Borderline and substance use disorders
C. Social anxiety and mild neurocognitive disorders
D. Antisocial and personality and PTSD

A

B

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14
Q

What severity level of autism would someone have who is requiring “very substantial support”?

A. Level 1
B. Level 2
C. Level 3 (There is no level 4!)
D. Level 4

A

C

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15
Q

Schizophrenia affects individuals from some ethnic and racial groups more than others.

A. True
B. False

A

B

Some racial and ethnic groups are more likely to be DIAGNOSED with schizophrenia, but it affects/is prevalent among all groups equally - 1% of the population.

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16
Q

It is never a good idea to ask someone with schizophrenia about their hallucinations:

A. True
B. False

A

B

17
Q

The following are all true about Personality Disorders EXCEPT:

A. They are not treatable
B. They are hard to diagnose
C. They are debilitating by definition
D. They influence behavior

A

A

18
Q

If a patient on an inpatient unit in NYS refuses to take his psychotropic medication, and the medical team believes that it is not an emergency but is necessary for the safety of the patient and others. What is the most likely outcome?

A. The staff can force the patient to take the medication
B. The patient is assigned a paraprofessional to monitor his activities
C. The patient is assigned a mental hygiene lawyer and goes to court
D. The patient is discharged against medical advice

A

C

19
Q

Which of the following is not necessary to diagnose ASD?

A. Deficits in social-emotional reciprocity
B. Intermittent periods of catatonia
C. Restricted, repetitive patterns of behavior
D. Deficits in nonverbal communicative behavior

A

B

20
Q

Your client Mary reports hearing voices commanding her to stop working and give up her home. This is an example of what kind of perceptual experience?

A. A hallucination
B. An illusion
C. A delusion
D. A phobia

A

A

21
Q

Rochelle went to college and returned home after her first semester to visit her parents. Rochelle’s family became concerned that over her break from school, Rochelle seemed very withdrawn, spending most of her time in her room. Her mother noticed that Rochelle was talking to someone, but her phone and computer were off. Rochelle explained that her alarm clock was sending her messages to stay in her room “until the job was done”. Rochelle had never used street drugs before and denied taking any in college, so her mother called her doctor. After an examination, the doctor said Rochelle is probably experiencing the onset of …

A. A personality disorder
B. Schizophrenia
C. Depression
D. A phobia
E. None of the above

A

B

22
Q

Rochelle went to college and returned home after her first semester to visit her parents. Rochelle’s family became concerned that over her break from school, Rochelle seemed very withdrawn, spending most of her time in her room. Her mother noticed that Rochelle was talking to someone, but her phone and computer were off. Rochelle explained that her alarm clock was sending her messages to stay in her room “until the job was done”. Rochelle had never used street drugs before and denied taking any in college, so her mother called her doctor. After an examination, the doctor said Rochelle is probably experiencing the onset of schizophrenia.

An appropriate OT evaluation tool for Rochelle would be:

A. Allen’s Cognitive Level Test
B. Kohlman Evaluation of Living Skills
C. Adult Sensory Profile
D. Any of the above
E. None of the above

A

D

23
Q

Rochelle went to college and returned home after her first semester to visit her parents. Rochelle’s family became concerned that over her break from school, Rochelle seemed very withdrawn, spending most of her time in her room. Her mother noticed that Rochelle was talking to someone, but her phone and computer were off. Rochelle explained that her alarm clock was sending her messages to stay in her room “until the job was done”. Rochelle had never used street drugs before and denied taking any in college, so her mother called her doctor. After an examination, the doctor said Rochelle is probably experiencing the onset of schizophrenia.

After Rochelle was hospitalized for one week and no longer heard messages from her alarm clock, her OT signed her up for the following group based on her diagnosis:

A. Stress management
B. Time management
C. Social skills
D. All of the above
E. None of the above

A

D

24
Q

True or false: One of the criteria that can result in a person with mental illness being involuntarily hospitalized in NY State is the expression of suicidal ideation with means and a plan.

A. True
B. False

A

A

25
Q

The federal agency that is responsible for funding, educating the public, and disseminating information about mental health research and evidence based interventions is which of the following?
A. DHS
B. NAMI
C. SAMHSA
D. NIH

A

D is correct.

  • DHS: department of human services → housing and services to state of NY
  • NAMI: support group for families with people with mental illness and behavioral health issues
  • SAMHSA: substance use → education for public but not a lot of funding
  • NIH: National institute of health and give major funding out for mental health services for medication studies etc.
26
Q

Which of the following is not necessary to diagnose ASD?

A. Deficits in social-emotional reciprocity
B. Intermittent periods of catatonia
C. Restricted, repetitive patterns of behavior
D. Deficits in nonverbal communicative behaviors

A

B

27
Q

Your client Mary reports hearing voices commanding her to stop working and give up her home. This is an example of what kind of perceptual experience?

A. A hallucination
B. An illusion
C. A delusion
D. A phobia

A

A

28
Q

A patient with a long-lasting and inflexible pattern of cognition, affect, interpersonal functioning and impulse control that deviates significantly from the expectations of her culture is admitted to an inpatient unit. In her initial evaluation the OTR notes that this pattern causes significant stress and occupational dysfunction. What would be the most likely diagnosis that the OTR would expect to find in the patient’s chart?

A. Anxiety Disorder
B. Eating Disorder
C. Personality Disorder
D. Substance Use Disorder

A

C

29
Q

John has always been a little odd and strange, having difficulty in close relationships, illusions, and magical thinking. John probably has:

A. a schizotypal personality disorder
B. a paranoid personality disorder
C. a histrionic personality disorder
D. a borderline personality disorder

A

A

30
Q

The Multiple Errands Test is an example of a performance based assessment of executive functioning.

A. True
B. False

A

A

31
Q

A person with a psychotic illness is admitted voluntarily to an inpatient unit in New York City. She decides that she would like to leave without further treatment. Which of the following steps must she take to get discharged?

A. Locate a family member to sign her out
B. Obtain a two-physician certificate (2-PC)
C. Go to court with her mental hygiene attorney
D.Write a 72 hour letter

A

D

32
Q

Alzheimer’s is a specific disease as opposed to dementia, which is a group of diseases.

A. True
B. False

A

A