OTA203 study guide test 3

Question 1

Origin and definition of the word Anxiety

Answer 1

The origin of the word anxiety lies in the Greek root angh, meaning both “to press tight” and “to be heavy with grief
Anxiety- unpleasant emotional, cognitive, behavioral, or physical experiences of stress.

Question 2

Cardiovascular

Answer 2

increased heart rate (tachycardia), chest pain and pressure.

Question 3

Gastrointestinal

Answer 3

diarrhea, constipation, nausea, vomiting, gas, cramps, and loss of appetite.

Question 4

Respiratory

Answer 4

dyspnea(shortness of breath) and choking sensations.

Question 5

Urinary

Answer 5

frequency and urgency of urination.

Question 6

Genital

Answer 6

loss of libido, premature ejaculation, and amenorrhea.

Question 7

Autonomic

Answer 7

sweating, flushing, dry mouth, dizziness, and fainting.

Question 8

Muscular

Answer 8

twitching, tremors, spasms, tension, cramping, hypervigilance.the amygdala and the hippocampus play significant roles in most anxiety disorders

Question 9

Settings where you encounter individuals with anxiety disorder

Answer 9

Acute Inpatient, Outpatient, Home/Community Care

Question 10

Role of OT in acute care settings

Answer 10

Evaluation more than tx
•Be ready to make recommendations for d/c early in the hospitalization
•Be prepared to help identify problem areas in functioning, begin intervention, and solve problems related to the d/c environment.

Question 11

Trait Anxiety

Answer 11

enduring personality style that manifests persistent anxiety

Question 12

Acute Anxiety

Answer 12

time- limited anxiety that diminishes with resolution of the problem

Question 13

Anticipatory Anxiety

Answer 13

predictive anxiety in response to future actual or imagined situations.

Question 14

Chronic Anxiety

Answer 14

anxiety that persists, developing around new stressors after immediate problems are resolved.

Question 15

Free-Floating Anxiety

Answer 15

generalized anxiety, which may be vague in origin

Question 16

Clinical Anxiety

Answer 16

disruption in function due to anxiety

Question 17

Types of symptoms of Anxiety

Answer 17

hyperthyroidism, estrogen loss occurring in menopause, congestive heart failure, asthma, hypoglycemia, and temporal lobe epilepsy

Question 18

Impact of Anxiety Disorders on daily functioning

Answer 18

The impact of anxiety on a person’s life may be dramatic and may affect all aspects of functioning, including work, social life, self-care, parenting, and leisure activities. Performance in all roles may dramatically decline as anxiety symptoms persist.

Question 19

Agoraphobia

Answer 19

reaction to repeated panic attacks

Question 20

Panic Disorder with & without Agoraphobia

Answer 20

may be related to life transitions; losing control of one’s feelings is a major concern (situational avoidance).

Question 21

Specific Phobia

Answer 21

recurrent, illogical, and excessive fear and anxiety, evoked during either the expected or actual encounter with the stimulus.

Question 22

General treatment strategies for Anxiety

Answer 22

Counseling, Cognitive-behavioral approach, interpersonal skills training, biofeedback and meditation, psychopharmacology, EMDR, Occupational Therapy and self-management techniques

Question 23

OT and self-management strategies for Anxiety Disorders

Answer 23

• OTs can help people develop a range of self-efficacy techniques that help to increase the feeling of mastery over one’s circumstances.
• Problem-focused approach- helps clients respond rationally, rather than emotionally.
• Self-efficacy is a major factor in fear reduction
• As a goal self-efficacy is a major tenet of MOHO

Question 24

Common OT Assessments used for Anxiety Disorders

Answer 24

The Hospital Anxiety and Depression Scale (HAD)
•The State/Trait Anxiety Inventory (STAI)
•Institute for Personality and Ability Testing (IPAT)
•The Function Questionnaire (p. 281)
•The Role Checklist
•Self-Assessment of Activities (p. 283)

Question 25

Seven group interventions:

Answer 25

Psychoeducation
Progressive muscle relaxation
Lifestyle assessment
Cognitive-behavioral techniques
Guided imagery
Musical relaxation
Homework

Question 26

Definition of Personality

Answer 26

Personality is the person’s lifelong style of coping, behaving, thinking, feeling and relating.

Question 27

Affective Instability (as it relates to BPD)

Answer 27

Marked shifts from baseline mood to depression, irritability, or anxiety.

Question 28

Characteristics of Personality Disorders

Answer 28

▪ Their early onset
▪ Their stable and persistent character
▪ Their influence on several different domains of behavior, such as, work, relationships, free time
▪ Their primary expression in an interpersonal context
▪ A significant degree of disturbance of the personality

Question 29

ICD-10 definition of Borderline Personality Disorder

Answer 29

a severe disturbance in the characterological constitution and behavioural tendencies of the individual, usually involving several areas of the personality, and nearly always associated with considerable personal and social disruption. Personality disorder tends to appear in late childhood or adolescence and continues to be manifest into adulthood. It is therefore unlikely that the diagnosis of personality disorder will be appropriate before the age of 16 or 17 years.

Question 30

Understand interpersonal treatment approach

Answer 30

interpersonal treatment approaches that are useful guides for all practitioners, including occupational therapists, when interacting with individuals with personality disorders (recognizing however, that each person and performance context is unique). These general interpersonal techniques are culled from supportive, cognitive, psychodynamic, and interpersonal models of treatment

Question 31

Intra-rater reliability

Answer 31

Consistency of the judgments made by the same test administrator over time

Question 32

Inter-rater reliability

Answer 32

The level of agreement between or among different therapists (raters) administering the test