POT RATIONALES MH MOD 6 Flashcards
A patient with severe chronic depression is getting ready to return home after 3 weeks in the inpatient psychiatric unit. What should the OT set up for the patient to help prevent a relapse of severe depression before the patient leaves the unit?
A HEP
What term describes when a patient believes that flying pigs are in the room?
Hallucinations.
A patient is diagnosed with hallucinations when he reports seeing things that aren’t really there.
Diane is a 45-year-old female with a diagnosis of severe chronic anxiety. She was admitted to the inpatient psychiatric unit following a “nervous breakdown”. What activities should the OT introduce to help Diane manage her anxiety levels?
Progressive relaxation techniques, structured journaling, and graded yoga to match pt’s skills.
An OTR® is working with a group of caregivers in a community setting. The focus of the group is on teaching the caregivers strategies of how to cope with work stress. In this type of group, what type of leadership style should the OT use?
Advisory
Group setting of patients with GAD are in a group to manage anxiety. Using the CBT approach, what is the best way to ensure that what is learnt in the group setting, will be integrated into the members’ daily routine?
Provide patients with new skills they can easily incorporate into their daily routine
An OT leads a daily craft group for inpatients with acute exacerbation of schizophrenia. Since this is a parallel group where each patient works on his or her own project, how should the OT lead this group?
OT should provide complete leadership of the group, including structure to encourage the patients to communicate appropriately with each other
What are the advantages of community-based mental health treatment?
= More cost effective that inpatient facilities
=Minimizes stigma against associated with MH illness
=Provide a wide range of services and supports
An OT is working with a patient who has severe cognitive deficits. Using a functional skill training approach, the MOST appropriate method to teach the patient to comb his hair would be:
Repetition of task and gradually fading cues
A patient with moderate stage dementia has a caregiver for assistance with ADLs and IADLs. What is MOST important when training the caregiver?
Explain the importance of visual cues.
An 80-year-old woman with stage 3 Alzheimer’s disease. What symptoms would you expect to observe as Gertrude completes daily activities?
Difficulty finding words when speaking, misplacing valuable objects, and trouble with planning and organization
An elderly lady, who is suffering from Alzheimer’s disease, falls and seriously injures her hip while receiving training in transfer skills from an OT. The OT informs the doctor, and in addition he should:
a. Report the incident according to facility guidelines
b. Do not explain how the fall took place at the time of treatment
c. Request the patient to arrange for first aid first
d. Report the disaster to the nearest legal council
Report the incident according to facility guidelines
A woman who has been diagnosed with a somatoform disorder frequently complains of pain in her neck and shoulder region. What treatment should the OT introduce to address the woman’s pain?
Stress Management.
Since patients with somatoform disorders typically present with physical symptoms without any underlying physical or neurological explanation, the goal is to retrain the brain in improving the signals from the brain and nerves including stress management techniques.
Patient is at 4.2 at the ACL. Which cues would be MOST helpful to use to help Luanne become more thorough with her oral care?
Demonstrate repetitive action sequence with timing and adjustment of pressure, i.e. “Brush harder here several times”
At 4.2- person is able to do fx routine activities, but may need cueing esp VISUAL cues for thoroughness and recognizing details.
An OT leads several mental health groups at a local community church. Topics include ways to relieve anxiety, ways to increase social skills, and crafts that help bring self-awareness. What would be the PRIMARY role of the OT when leading an egocentric cooperative group in this setting?
a. Make suggestions to allow patients to choose and carry out the task and group plan
b. Providing transportation costs
c. Enforcing the guidelines
d. Encouraging the group to get close to each other and discuss hobbies
a. Make suggestions to allow patients to choose and carry out the task and group plan
A pt who has mild cognitive decline in rt to AD has been observed to be arriving later than usual. When asked why he is delayed in getting to the activity room, Charles states, “These halls are so tricky”. What action should the OTR® take INITIALLY to help Charles navigate the hallways?
Write down instructions for the patient to refer to when walking on his way to the class (gym)
Mild cognitive (Stage 3 of Reisberg’s AD)- At this stage, pt presents wild spatial navigation and may need step by step instruction from point A to B. to continue having patient participate in activity as IND as possible.
An OT working in a sheltered workshop with adults with developmental disabilities is preparing a craft activity for a group of individuals functioning at Allen’s Cognitive Level 4.0. What is the BEST method for introducing an activity assembling a tiled trivet?
Provide a sample that will model the finished product. Patients performing at Allen Cognitive Level 4.0 can follow a demonstrated sequence when presented one at-a-time.
A patient with schizophrenia is working on a craft activity in the occupational therapy clinic. Suddenly the patient begins screaming that snakes are crawling up the walls. How should the OT respond to this behavior?
Remove the patient from the room and take her to a quiet area.
Often when patients experience active hallucinations, its better to remove external stimuli that could possibly trigger those hallucinations in order to ID what they’re seeing real or not.
What type of group provides an awareness of its goals and norms and willingness to abide by them? The people in the group can carry out long-term activities that allow them to experiment with different roles and levels of participation, while providing an opportunity to recognize and reward the achievement of others and to seek recognition for oneself.
Egocentric-cooperative
In a group discussion about social skills, a patient listens carefully as an older member, whom she admires, discusses strategies that have helped him to get along well with co-workers. After the group, the OT documents that the individual appeared to benefit from the curative factor of:
Identification
involves benefiting from behaviors of others by deciding to imitate their positive behaviors.
What is guidance?
Acceptance of specific advice
What is Catharsis?
Relieving emotions by expressing one’s feelings
What is interpersonal learning?
Feedback about one’s behavior via other group members.
A hypochondriasis patient, who is partaking in a partial-hospitalization program, has an impaired self-concept and cannot perform daily tasks because of a preoccupation with health-related issues. By using an informational approach, the OT should:
Assist the patient to learn methods for incorporating valued activities into daily routines
To reduce opportunities of preoccupation with health-related issues.
To determine how a patient with schizophrenia functions and problems-solves, what would be the best treatment intervention for his OT to use?
Simple Craft project
What is cooperative group?
a group that provides an environment for group members to openly share emotions, challenges and shared intentions.
A group of adults who have all lost a spouse, gather together to share something that helps them remember their loved ones. Some members share a song, or a picture, others just recount a memory of their spouse. What type of group is this referring to?
Cooperative group
