Midterms Flashcards
It involves a general orientation to relating to others and a usual way of responding to change, challenge and frustration.
Client’s enduring characteristics
Client’s situational characteristics
Client’s interpersonal skills
Client’s therapeutic modes
Client’s enduring characteristics
In accounting and documentation of client’s past episodes, it should be described in an order according to the severity of symptoms experienced rather than in chronological order. If the patient is unable to remember past episodes, the therapist must record where the past information was obtained.
First statement is false while the second statement is true.
First statement is true while the second statement is false.
Both statements are true.
Both statements are false.
First statement is false while the second statement is true.
“I don’t know why I’m here, I am not even sick—my family just insisted on bringing me here.”
Chief complaint
Personal-Social Context
Current level of function
Goals
Chief complaint
First step of the occupational therapy process where the therapist sees the patient to determine whether intervention or further evaluation is necessary to identify dysfunctions in the patient’s occupational performance.
Screening
Analysis of Occupational Performance
Intervention
Synthesis of the Evaluation Process
Screening
Which among the following is/are given focus during the gathering of history of present illness?
All of the following Treatments received and their effectiveness Changes in performance patterns Nature of the onset of symptoms Physical symptoms
A
Which among the following DOES NOT describe the principles underlying the Intentional Relationship Model?
None of the above
Mode shifts can occur
given the wide range of therapeutic modes that can work with a client.
Therapists are responsible for expanding their interpersonal knowledge base.
Therapist defines the successful relationship.
Therapist defines the successful relationship.
According to the Intentional Relationship Model, this element serves as the focal point of the therapeutic relationship:
Therapist
Interpersonal events
Occupation
Client
Client
The patient history is based on the subjective report of the patient and in some cases the report of other health care workers, family, and other caregivers. Likewise, the mental status examination is the therapist’s subjective tool in determining other areas relevant to the client’s diagnosis.
Both statements are true.
First statement is true while the second statement is false.
First statement is false while the second statement is true.
Both statements are false.
First statement is true while the second statement is false.
All of the following poses cautions when using the collaborative mode with clients, EXCEPT:
None of the above
Risk for overestimating the strengths and capabilities of the client which minimizes client’s need for assistance or direction
May cause client to feel confused, lost, or anxious about the therapy process when not fully prepared
May cause confusion about roles in the therapeutic process
All of the above
None of the above
Katy, an occupational therapist, responded spontaneously by giving positive feedback upon seeing the client who after a week of reluctance to join any group session, started singing along with other patients during their group activity. Katy is using which therapeutic mode?
Collaborating
Empathizing
Encouraging
Advocating
Encouraging
“I have been working as a preschool teacher for almost 10 years now in a school inside our village.”
History of Present Illness
Personal-Social Context
Values
Family History
Personal-Social Context
Which among the following statements is TRUE during an interview with a patient?
All psychiatric examinations and investigations must be conducted in privacy. All of the above
There is a place for both specific questions and open-ended questions, while still considering the mental state of the patient.
During, or at the end of the interview, the patient must be given the opportunity to ask questions and the clinician must answer these as fully as possible.
All of the above
In the therapeutic relationship, it is the therapist’s responsibility to ensure positive interpersonal relations with the client. Along with this, appropriate definitions and boundaries of the therapeutic relationship should be established and sustained.
Both statements are true.
Both statements are false.
First statement is true while the second statement is false.
First statement is false while the second statement is true.
Both statements are true.
“I have been meaning to end my life. I want to kill myself to forget all the pain and sorrows that I currently have.”
Personal-Social Context
Chief complaint
Goals
Diagnosis
Chief complaint
All of the following depicts role of occupational therapists in the mental health setting, EXCEPT:
Assist patients in organizing their daily life activities to maximize performance.
All of the above
Facilitate therapy groups to address goal setting, community reintegration, performance of IADLs, and prevocational skills.
Teach stress management techniques and coping skills.
None of the above
Assist patients in organizing their daily life activities to maximize performance.
Matthew is an occupational therapist working with a client diagnosed with anxiety disorder whose goals are focused on return to work and improvement of social skills. He finds means to ensure equal opportunities and access for the client to find employment despite his condition. He also discusses possible environmental/social barriers the client may encounter. Matthew is using which therapeutic mode?
Empathizing
Collaborating
Advocating
Instructing
People who no longer acute but still need daily supports to manage symptoms and begin recovery process can be included in this treatment setting:
Acute in-patient
Community support programs
Long-term psychiatric services
Intensive out-patient services
Intensive out-patient services
All of the following statements describe the state of mental health in the Philippines, EXCEPT:
The Philippines has the third highest rate of mental disorders in the Western Pacific Region.
None of the above
RA 11036 otherwise known as the “Philippine Mental Act” seeks to establish access to comprehensive and integrated mental health services.
Roughly 7.5% of healthcare expenditures is directed towards mental health services.
Stigma and discrimination toward mental issues became a part of the Filipino culture, and this has greatly affected the people and economy.
Roughly 7.5% of healthcare expenditures is directed towards mental health services.
The goal of this treatment setting is to stabilize the patient’s medical status and address life-threatening issues.
Inpatient Acute Hospital
Intensive Outpatient Care
Long-term Care Facilities
Partial Hospitalization
Inpatient Acute Hospital
Which of the following can be applied when assessing a client with paranoia?
The OT should strictly set house rules during their first meeting.
The OT should make a deal with the client that if the assessment goes bad, they will never see each other again.
The OT should speak loudly and use firm touch to redirect the client.
The OT should offer constant reassurance to make the client feel safe and comfortable.
The OT should offer constant reassurance to make the client feel safe and comfortable.
It is important to assess if there are any perceptual disturbances present in a patient with major depressive disorder.
True
False
True
The person, as an open system, has 5 subsystems which are arranged in a hierarchy and influenced by a cybernetic cycle.
True
False
False
When interviewing a mental health client, it is important to:
Remain open and accepting towards the client
Allow your personal feelings to impact the professional relationship that is developing
Allow the content of the interview to follow the client’s train of thought
Stop the interview immediately when any maladaptive behavior occurs.
Remain open and accepting towards the client
It refers to a false belief that is patently absurd or fantastic.
Non-bizarre delusions
Bizarre illusions
Bizarre delusions
Hallucinations
Bizarre delusions
Which of the following characteristics of a depressive mood could be better attributed to an episode of major depressive disorder instead of being a part of the normal grieving process?
All of these
Feelings of loss and emptiness with intact self-esteem
Depressed mood accompanied with humorous memories
Feelings of worthlessness that leads to suicidal ideations
Feelings of worthlessness that leads to suicidal ideations
As a practitioner working in a mental facility, you are aware that this symptom is very common in individuals receiving antipsychotic medications. This extrapyramidal side effect presents with impairment in swallowing, and jerky arm and leg movements.
Lithium toxicity
Parkinsonian syndrome
Antipsychotic medication overdose
Tardive dyskinesia
Tardive dyskinesia
Word salad refers to the coherent, essentially incomprehensible, mixture of words and phrases which is commonly seen in far-advanced cases of schizophrenia.
True
False
True
During a group activity, a patient was observed to repeatedly say “Kamukha mo ‘yung pinsan ko” to everyone he sees. He may be manifesting:
Verbigeration
Incoherence
Perseveration
Echolalia
Perseveration
Which should you NOT do in a teletherapy evaluation session with a patient with MDD?
Create a friendly environment by making jokes
Ask if you can call her by her first name
Create a warm environment
Use active friendliness
Create a friendly environment by making jokes
These are false sensory perception occurring in the absence of any relevant external stimulation of the sensory modality involved.
Hallucinations
Illusions
Perceptual disturbance
Delusions
Hallucinations
This model posits that medical illness is not solely the result of a dysfunction in a person’s biological state, but also contends that the psychological and sociocultural makeup of a person can directly result in mental illness.
Biopsychosocial model
Biomedical model
MOHO
PEOP model
Biopsychosocial model
Panic attack is considered as a psychiatric diagnosis.
True
False
False
Which of the following is a mature type of defense mechanism?
Sublimation
Projection
Regression
Somatization
Regression
Your patient confided to you that he is bisexual. This information is:
Pertinent only to social workers
For any research
Available to anyone
Confidential
Confidential
According to this theory a new stimulus becomes capable of evoking a given response because the new stimulus is presented together with a stimulus that already evokes the response.
Operant Conditioning
Classical Conditioning
Cognitive behavioral theory
Social Learning Theory
Classical Conditioning
Which of the following is an example of a predisposing factor to a psychiatric disorder?
history of sexual abuse
effects of medication
poor family support
recent death of a loved one
history of sexual abuse
During your initial evaluation with a depressed patient, she confided to you about suicidal intentions, claiming she wanted to die because she is worthless. Which is an appropriate initial response?
“You must be feeling tired and sad, and I know feelings can sometimes be strong. Tell me about it.”
“Life is filled with challenges, but you will see the day only if you get through the night.”
“I think it is worth it to live because things do get better. I am here to give you tips for your problem.”
“I know you are feeling so down today but I believe you will get well soon.”
“You must be feeling tired and sad, and I know feelings can sometimes be strong. Tell me about it.”
Halfway through the evaluation of a patient with paranoid schizophrenia, the patient states that the referral for this day program is inappropriate and unnecessary. The client becomes visibly upset and loud when talking about the unfounded referral and the psychiatrist’s incompetence. Which is the BEST initial action for the OT to take?
Acknowledge that the client appears upset and ask if the client is able to focus on the remaining evaluation.
Contact the chief psychiatrist to report the client’s stated concerns.
Assure the client of the referring psychiatrist’s competence and advise the client to discuss concerns with the doctor.
End the evaluation session and tell the client to call to re-schedule when feeling better.
Acknowledge that the client appears upset and ask if the client is able to focus on the remaining evaluation.
A client has been in a fixed position for days and has not responded to others in the environment. The client just sits and stares and does not move. This position is often seen in:
Depression
Mutism
Catatonia
Mimicry
Catatonia
The use of battery tests is supported and revolves around the assumptions of which frame of reference?
Object relations
Cognitive-behavioral
Behavioral
Cognitive disability
Object relations
According to the psychodynamic FOR, all cognitive processes and content are accessible and can be known.
True
False
False
When applying a Psychodynamic frame of reference perspective to mental health occupational therapy:
Occupations can be used to uncover unconscious drives and feelings.
Mental disorders are believed to be the result of faulty learning.
The environment must be adapted to positively impact the patient’s functioning.
Cognitive functioning is the result of physical or chemical dysfunction in the brain.
Occupations can be used to uncover unconscious drives and feelings.
During the whole duration of your assessment, your patient answers either “Yes” or “No” only to your questions. What symptom may she be manifesting?
Flight of ideas
Poverty of speech
Tangentiality
Pressured speech
Poverty of speech
Which of the following is a social perpetuating factor to a psychiatric disorder?
non-compliance to medications
poor coping mechanism
good family support
lack of financial resources
lack of financial resources
One of the activities of this battery test uses a plywood board and tiles with 10 different colors. In this activity, the patient is asked to arrange and glue these tiles in any form or shape he/she wants.
BH Battery Test
Azima Battery Test
Goodman Battery Test
Shoemyen Battery Test
Shoemyen Battery Test
The activities in the Goodman Battery Test are administered in a progression of _________ structure.
Decreasing
Increasing
Decreasing
This test uses the art of tearing and gluing bits of cut or torn paper or other materials to create a single theme or story.
Draw-a-person test
Finger painting
Mosaic tiling
Magazine picture collage
Magazine picture collage
After careful assessment, you decided to use the Azima battery test in your 23-year old patient with Schizophrenia. Which of the following activities from this battery test should be done first?
Draw 2 persons task
Finger painting
Free drawing task
Clay modeling
Free drawing task
Which of the following is an example of immediate memory?
Your breakfast that morning
The birthday presents you received on your birthday last year
The meaning of a proverb
Your home address
Your home address
What is the best way to test a patient’s concentration?
Tapping upon hearing a letter
State the alphabets backwards
Serial 7’s test
Digit span exercise
Serial 7’s test
A client is referred for an OT evaluation. As you observe the client briefly in the clinic, you noted that the patient fluctuates between crying and laughing. You may note that the patient’s affect is:
Labile
Blunted
Full
Constricted
Labile
It was your first time to evaluate a psychiatric patient and you had a really difficult time completing your assessment because the patient kept shifting from one idea to another all throughout your conversation. You then documented that the patient shows:
Flight of ideas as a thought process problem
Flight of ideas as a thought content problem
Thought blocking as a thought content problem
Thought blocking as a thought process problem
Flight of ideas as a thought process problem
What is the standard material used in the sculpting task of the Shoemyen Battery Test?
Vermiculite
Wood
Perlite
Glass
Vermiculite
The level of judgment may or may not correlate to the level of insight. Hence, a patient may have no insight into his or her illness but may have good judgment.
True
False
True
Which of the following BEST describes the benefit of using clay modeling as a projective test?
It allows a cathartic expression of affect and an opportunity for symbolic release of hostility.
It encourages free creation of objects.
It may be used in family therapy wherein it may reveal hidden reciprocal conflicts.
It provides an understanding of the client’s distorted object relations and other regressive phenomena.
It allows a cathartic expression of affect and an opportunity for symbolic release of hostility.
A client’s self-esteem can be assessed by asking the client to name 3 characteristics she likes about herself and 3 characteristics that she does not like.
True
False
True
In psychiatry, it refers to the conscious awareness and understanding of one’s own psychodynamics and symptoms of maladaptive behavior; highly important in effecting changes in the personality and behavior of a person.
Insight
Reality testing
Chief complaint
Judgment
Insight
During MSE, what is the proper way to ask about the client’s suicidal ideations?
“Gusto mo bang saktan ang sarili mo ngayon?”
“Naiisip mo bang magpakamatay ngayon?”
“Ngayon, naiisip mo bang saktan ang sarili mo?”
“Gusto mo na bang mamatay?”
“Ngayon, naiisip mo bang saktan ang sarili mo?”
Which of the following activities assess the ability of the client to conceptualize and destruct an appropriate medium to form one whole concept?
Magazine picture collaging
Finger painting
Sculpting
Sculpting
What is the order of tasks in the Goodman Battery Test?
Clay modelling – Figure drawing – Spontaneous drawing – Mosaic tiling
Mosaic tiling – Spontaneous drawing – Figure drawing – Clay modelling
Mosaic tiling – Figure drawing – Spontaneous drawing – Clay modelling
Clay modelling – Spontaneous drawing – Figure drawing – Mosaic tiling
Mosaic tiling – Spontaneous drawing – Figure drawing – Clay modelling
All of the following behaviors are assessed in BH battery test, EXCEPT:
Abstract reasoning
Egotistic and psychic drives
State of internal organization
Frustration tolerance
Egotistic and psychic drives
Problem solving refers to the ability to grasp the essentials of a whole, to break a whole into its parts, and to discern common properties.
True
False
False
When administering the Goodman Battery Test, where should the therapist sit?
Slightly behind the client
Left side of the client
Beside the client
Left and slightly behind the client
Left and slightly behind the client
As a therapist, we always have to be cautious on asking clients about their suicidal thoughts as asking it may give the patient an idea to hurt herself.
True
False
False
During a home-based OT session, the client claims to see an indoor plan décor as a form of a man. This should be documented at which part of the MSE?
Thought process
Perceptual disturbances
Sensorium and Cognition
Thought control
Perceptual disturbances
What are the colors of the tiles in the BH battery test?
Red, Blue and Yellow
Red, Green, Blue, White and Black
Red, Yellow, Green, Blue, Black
Yellow, Red, Blue, White, Black and Green
Yellow, Red, Blue, White, Black and Green
Where should you place the glue when administering the mosaic tile task from the BH battery test?
Right side of the table
Left side of the table
Upper edge of the table
Upper right edge
Right side of the table
When you asked your client’s mood, she stated that she feels that things are hopeless and “I might as well be dead.” In this case you would:
Tell the patient that those thoughts will pass.
Ask some questions to find out more about her suicidal thoughts.
Ignore it and change the subject to something brighter.
Tell the patient that you have thought about suicide, too.
Ask some questions to find out more about her suicidal thoughts.
What is the maximum allotted time for each activity for the Shoemyen Battery Test?
40 minutes
45 minutes
55 minutes
60 minutes
45 minutes
If the patient is uncooperative during the mental status examination, it is best to discontinue the assessment then continue it once the patient becomes cooperative.
True
False
False
The client’s affect reflects her subjective experience of her mood, therefore, it is best described using client’s own words.
True
False
False
During an interview, your patient suddenly stopped talking in the middle of a sentence and stared at you with a blank face. At which part of MSE will you document this
Perceptual disturbances
Sensorium and cognition
Thought process
Thought content
Thought process
While the client is doing the magazine picture collage, which of the following behaviors should you take note and include in your documentation:
All of these
The client picked the first picture she saw in the front cover of the magazine.
The client formed a picture depicting an oceanic scenery.
The client puts an excessive amount of glue in each cut-out.
You Answered
The client used her bare hands to tear the pictures from the magazines.
All of these
During the evaluation, you patient is talking very fast and insists on discussing why their religion is the “one true religion”. These symptoms should be documented at which part of MSE?
Thought process and Sensorium and cognition
Thought process and thought content
Insight and Sensorium and cognition
Thought content and perceptual disturbances
Thought process and thought content
The maximum amount of point allocated for the clock drawing is:
10 points
3 points
1 point
5 points
3 points
MMSE
Mini Mental State Exam
When testing the reading component under MMSE, you instructed your client to read and do the statement “Close your eyes”. Client correctly read the statement but failed to perform it. What is the client’s score for this?
Needs further assessment
Not applicable
1
0
0
COPM measures the following areas of occupation, EXCEPT:
None of the above
Social participation
Recreational activities
Community management
Play
None of the above
MMSE score of 21 level of severity
Mild cognitive impairment
Severe cognitive impairment
Moderate cognitive impairment
No cognitive impairment
Mild cognitive impairment
Accomplishment of the selected occupation resulting from the dynamic transaction among the client, their contexts, and the occupation.
Occupational justice
Synthesis of the evaluative process
Occupational performance
Analysis of occupational performance
Occupational performance
In the MoCA-Filipino version, what is the animal identified in replacement of the rhinoceros?
Camel
Owl
Lion
Eagle
Owl
Which among the following clients will get a point for numbers in the clock drawing?
Zack and Sam
Julia, Zack, and Sam
Katie and Zack
Katie and Sam
Katie and Zack
It is a standardized assessment tool used to assess cognitive skills that underlie everyday functioning in the areas of orientation, visual spatial perception, praxis, visuomotor construction, thinking operations, and memory.
Bay Area Functional Performance Evaluation
Assessment of Motor and Process Skills
MMSE
Lowenstein Occupational Therapy Assessment
Lowenstein Occupational Therapy Assessment
All of the following SATs highly incorporates client-centered approach, EXCEPT:
Assessment of Motor and Process Skills
Canadian Occupational Performance Measure
Bay Area Functional Performance Evaluation
None of the above
Bay Area Functional Performance Evaluation
Under AMPS, the person’s quality of performance in a specific task is graded according to the following, EXCEPT:
Speed
Effort
Efficiency
Safety
Speed
What specific time is instructed to the client on the Clock Drawing Task under MoCA?
Ten past twelve
Twelve past ten
Eleven past ten
Ten past eleven
Ten past eleven
Which among the following statements is FALSE regarding MMSE?
It is also called the Folstein test.
It can be used for patients with dementia, Alzheimer’s disease, Stroke, and those with brain injury.
MMSE provides a quantitative assessment of cognitive impairment and to record cognitive changes over time.
It is a 30-point test that consists of 11 questions.
None of the above
None of the above
During your administration of the registration component under MMSE, you asked your client to repeat the words, “ball, pen, bike.” The client responded “Pen, ball, uhmm I forgot the last one.” What is the client’s score for this?
2
0
1
3
2
What are the two components assessed or scored in the COPM?
Performance and quality of life
Roles and level of functioning
Processing and satisfaction
Performance and satisfaction
Performance and satisfaction
When testing the client’s ability to copy the pentagon figure under MMSE, which among the following statements is FALSE?
None of the above
Two pentagons must intersect together.
A point is given even if the 10 angles are not present as considerations are provided due to possible physical problems of the client.
Tremor and rotation are ignored when testing this component.
A point is given even if the 10 angles are not present as considerations are provided due to possible physical problems of the client.
Which among the following is FALSE regarding MMSE and MoCA?
None of the above
MMSE has a total score of 30 with 11 point items while MoCA has a total score of 30 with 15 test items.
Both test the client’s cognitive function.
Both test the client’s calculation skills.
MMSE has a total score of 30 with 11 point items while MoCA has a total score of 30 with 15 test items.
When testing the trail making component of MoCA, the client was able to successfully follow the pattern without drawing any line that overlaps with 2 errors that were immediately corrected. What is the client’s score for this component?
0
Needs further assessment
Not applicable
1
1
When testing the vigilance component of MoCA, the client committed 1 error during tapping of the letter. What is the client’s score for this component?
0
Needs further assessment
Not applicable
1
1
COPM is a client-centered assessment used to measure occupational performance in all areas of life. The client is asked to rate components from a score ranging from 0-10.
Both statements are false.
Both statements are true.
First statement is false while the second statement is true.
First statement is true while the second statement is false.
First statement is true while the second statement is false.
For each AMPS observation, the occupational therapist must ensure that the tasks are performed the way the person normally does them and that the way they do them matches the specific criteria in the AMPS manual. “Organizes” is one of the motor skills assessed.
Both statements are false.
First statement is true while the second statement is false.
First statement is false while the second statement is true.
Both statements are true.
First statement is true while the second statement is false.
Which among the following is a component of Task Oriented Assessment (TOA) under BAFPE?
None of the above
Mealtime
Home Drawing
Picture Collage
Home Drawing
What component does MoCA assess but MMSE does not include?
Attention
Memory
Executive functions
Language
Executive functions
All of the following are tested in the MMSE, EXCEPT:
None of the above Mood and affect Registration Language Attention and calculation
Mood and affect
During your administration of the repetition component under MMSE, you asked your client to repeat the statement, “No ifs, ands, or buts.” and the client responded “No ifs, buts, ands.” What is the client’s score for this?
0
3
2
1
0
