Psych Midterm Flashcards
You are an OTR working with adults in a community reentry program designed to reduce recidivism. You would like to gather information on a client to better understand their interests, goals, and role participation, including the impact of context. Which assessment would BEST lead to better understanding this information?
Occupational Circumstances Assessment-Interview and Rating Scale (OCAIRS)
Recovery supported through those who believe in the person’s ability to recover exemplifies which guiding principle of recovery?
Relational
Restraint reduction programs, such as the Lakota Circle of Courage, are important programs SPECIFICALLY promoting which of the following principles of trauma-informed care?
Safety
A community-based practice that chooses to collaborate only with other community-based practices that are also trauma-informed is practicing which core value of occupational therapy practice?
Prudence
Which curative aspect of groups PRIMARILY allows group members to correct maladaptive behaviors?
Family Re-enactiment
Janie is an OTR leading a therapeutic crafts group for adult women with IDD. As part of this group, the members are making tie blankets where they make one for themselves and give another to a member at the nursing home a block away. Which curative aspect of groups is Janie MOST LIKELY eliciting?
Altruism
If a client seems to become impatient during an interview, you should apologize and stop the interview.
False
Place the following terms in order from LEAST (1) harmful to MOST (5) harmful on the spectrum of negative judgments that lead to greater occupational injustices for people and groups.1.
- Bias
- Stereotype
- Prejudice
- Discrimination
- Oppression
Which of the following is NOT a health disparity influencing when and how one accesses mental health care?
Prior Military Service
Confrontation is never recommended when using therapeutic use of self.
False
Chris is an OTR leading a group for teen boys to improve social skills and emotional regulation. Chris notes that Geoff and Micah have had several arguments today and seem to be vying for position within the group. Which stage is the group MOST LIKELY in?
Storming
According to Taylor, there are several steps to managing difficult behaviors using interpersonal reasoning. In which order do these interpersonal reasoning steps occur? Please order first (1) to last (4)
- Strive for understanding
- Determine if a response mode shift is needed
- Draw on interpersonal skills needed to use a mode
- Gather feedback
Research shows that individuals with psychiatric conditions have similar sensory processing and regulation compared to their general population counterparts.
False
Which of the following is a sociological characteristic of culture?
Degree of Acculturation
Reframing how a personal attribute may initially be understood as a barrier to an employer but can be also seen as a potential asset to the company represents which model?
KAWA
Which is the BEST intervention using the Sensory Integration Model?
Adjusting the environment to allow the client’s ability
Beth is the parent of a child diagnosed with autism. She is explaining to the OTR how difficult it can be to engage in family outings due to her child’s sensory processing difficulties. The therapist replies, “I understand how you are feeling. My nephew also experiences these same sensory differences. It can be very difficult to take him to the grocery store or to the movies. Using noise canceling headphones really works for my nephew. Maybe you could utilize this strategy, as it should help your son as well.” The OTR’s response BEST represents an example of:
Projected personal experience
A lack of integrated physical and mental health care is an example of what aspect of the environment?
Environmental Obstacles
You are recommending a specific sensory diet for 8-year-old Nick. As you explain the program to Nick’s father (who is several years older than you), Nick’s father responds, “Have you ever done this on your kids? Assuming you have kids?” According to Taylor, which Inevitable Interpersonal Event is NOT occurring?
Intimate self-disclosure
Which therapeutic mode BEST fits the following supporting comment from the OT?: “Based on the results of your evaluation, here are the steps I think we should take to help get you back to being as independent as soon as possible.”
Problem-Solving Mode
Maria is diagnosed with developmental delay and is unable to actively problem solve about which coping strategies to use in certain situations, requiring prompts and cues from her teacher during these times. Which of the following is Maria demonstrating difficulty with? Choose the BEST answer.
Effortful Control
The following are all ethical principles of occupational therapy practice EXCEPT:
Altruism
Jess, an OTS, has been working with adolescents in a self-esteem group for four weeks. She notes that today seemed “easy”. Everyone was working well together to reach the same goal. In what stage of development is this group?
Performing
Dunn’s Model of Sensory Processing describes ‘sensation seeking’ as a combination of which neurological threshold and behavioral response?
High neurological threshold, active behavioral response
An OTR introduces a therapeutic activity to his client. The client folds his arms and looks away from the therapist. This is an example of what type of interpersonal characteristic?
Body Language
Occupational therapists use many methods to improve social participation for people who have psychiatric disorders. What is the BEST reason an occuaptional therapist would use pets to improve social participation with people who have mental illness?
Encourages individuals to leave their homes more often
According to Taylor, which of the following is NOT a part of being an emotional bouy?
Getting the client a drink and snack
Which occupation, when improved, BEST helps someone in recovery move from being managed by their psychiatric condition to managing themselves in the community?
Social Participation
Which of the following is considered “the human expression of self”
Occupational Engagement
In an acute psychiatric hospital, an OTR is working with a client who recently has been diagnosed with depression. The OTR selects an intervention focused on determing the imbalance of harmony between the individual and the contextual forces affecting them. Which model BEST encompasses this approach?
Kawa River Model
You are leading a therapeutic craft group in an outpatient clinic for adults who have borderline personality disorder. The goal of today’s group is for clients to learn techniques to become more mindful of their actions. Which model/theory BEST underlies this group?
Dialectical Behavior
You are an OTR working with a client who has chronic pain. Your intervention is focused on positively reinforcing the client’s positive health maintenance behaviors and ignoring their overt expressions of pain. Which practice model or theory BEST describes the intervention you are implementing?
Behavioral Model
Seymor is leading a group at a senior center. He decides to close the door after all members enter to povide privacy and establish space for the group. According to Yalom, what part of group process considerations is Seymor MOST LIKELY attending to?
Physical boundaries
Which of the following is NOT a type of clinical reasoning OTs use?
Systematic
People with severe mental illness AND their families both tend to be more isolated and disconnected from the community than their peers without mental illness.
True
The instructing mode rarely works with somatization presentations because clients feel invalidated
True
Which of the following factors have a POSITIVE relationship to adaptation? (Check all that apply)
- Generativity
- Resilience
- Social Support
During which of Cole’s Seven-Steps of Group Dynamics is trust MOST required because there is a possibility of catharsis?
Processing
Ensuring safety and avoiding imposing harm is the ethical principle of occupational therapy practice called nonmaleficence.
True
___ are necessary to mental health and well-being as part of living in community. They require shared physicality, shared communication, shared emotionality, and shared intentionality.
Co-occupations
Stephanie is a 17-year-old female who has recently joined your Healthy Relationships for Teens group at a local high school. Stephanie frequently demonstrates manipulative behaviors. All of the following communication modes can be used with Stephanie during the group, EXCEPT:
Collaborating
An occupational therapist working on an acute psychiatric inpatient unit conducts a series of groups for clients newly admitted to the unit. Which group leadership style is MOST effective for the therapist to assume when leading these groups?
Directive
Which of the following is NOT a cognitive behavioral concept?
Stimulus-Response
When trust issues exist in the therapeutic relationship, it is BEST to allow them to go unaddressed as they usually resolve themselves.
False
Sally is a 64-year-old woman who is diagnosed with major depressive disorder. She was recently in a motor vehicle accident and is rehabilitating her left flexor tendon laceration in outpatient treatment sessions. From week to week, Sally’s affect appears to vacillate from being mostly flat to being irritable and at times angry. According to Taylor, which Inevitable Interpersonal Event is Sally displaying?
Expression of Strong Emotion
Occupational therapists use many methods to improve social participation for people who have psychiatric disorders. What is the BEST reason an occuaptional therapist would use peer advocates to improve social participation with people who have mental illness?
Help with imitating behaviors for social success and determining resources for social partcipation
Which of the following aspects tends to be the MOST neglected aspect of occupational performance?
The Environment
Ricardo retired six months ago from a demanding job as a CEO of a marketing firm. He is now seeing you in outpatient services following a myocardial infarction. Ricardo’s physician mentioned in the team meeting that there is concern Ricardo is experiencing depression. You would like to gather information on Ricardo’s occupational identity and competence in order to address what you perceive as difficulty transitioning into retirement and changes in health status. Which assessment would BEST help you gather the information you need?
OPHI-II
Other Specified Attention-Deficit/Hyperactivity Disorder and Unspecified Attention-Deficit/Hyperactivity Disorder are both types of Attention Deficit Hyperactivity Disorders.
True
Your coworker has just left on maternity leave. You have taken over several clients on her caseload including 5-year-old Akyra. After a few sessions with Akyra, her mom expresses disappointment in Akyra’s progress. You respond by asking Akyra’s mom if she has been following through with the play activities for Akyra you have recommended as homework. Akyra’s mom returns an angry look. According to Taylor, which Inevitable Interpersonal Event is occurring?
Empathetic Break
