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
