Psychosocial final

Question 1

Response variables

Answer 1

Self, environment , activity

Question 2

Self

Answer 2

OTA’s own personality, the way he or she talks to an acts toward the persons in his or her care.

Question 3

Environment

Answer 3

Surroundings, which may include the physical space (classroom, hospital room, outdoors), as well as occupants of the space (other patients).

Question 4

Activity

Answer 4

The thing you and the patient are doing together, such as clay modeling, journaling, resume building, or grocery shopping

Question 5

Anxiety strategy for modifying the environment

Answer 5

Calm, quiet, and comforting is best.

Orient the client to the occupational therapy area and schedule for activities.

Question 6

Anxiety: strategy for selecting activities

Answer 6

Client-directed and relaxing
Projects that can be picked up and put down often are ideal
Exercise, relaxation techniques, and social engagement are also useful

Question 7

Depression: strategies for therapeutic self

Answer 7

Allow client to talk about their feelings and reasons for the feelings.
Help select short-term goals and activities.
Match the tempo of the client.
If suspect suicide, OTA must notify medical staff.

Question 8

Depression Strategies modifying the environment

Answer 8

Safe and subdued
Minimal stimulation for the severely depressed
Some clients cannot tolerate others, such as in group therapy situations
Present choices whenever possible

Question 9

Depression: strategies for selecting activities

Answer 9

Simple, short-term, familiar tasks
At first, activities at which the person is guaranteed to succeed
Gross motor activities to release tension
Stress management techniques
Psychoeducation about the illness

Question 10

Mania: strategy for therapeutic self

Answer 10

Be calm, matter-of-fact, and consistent.
Guide client to focus on one task at a time.
Maintain leadership.

Question 11

Mania: strategy for modifying the environment

Answer 11

Eliminate or reduce distractions (tools not needed for a project, room décor, music)

Question 12

Mania: strategy for selecting activities

Answer 12

Short-term activities that allow the person to get up and move around
Provide immediate gratification
Carryover of skills from one day to another

Question 13

Hallucinations: Strategies for therapeutic self

Answer 13

Discuss external reality calmly, firmly, and rhythmically.
Avoid sarcasm.
Refrain from arguing with the patient about reality.
Identify and define confusing external stimuli.
Increase or decrease stimuli, whichever is helpful.

Question 14

Hallucinations: strategies for modifying the environment

Answer 14

Calm and quiet, but not isolated

Question 15

Hallucinations: strategies for selecting activities

Answer 15

Simple tasks requiring cooperation with trusted others

Tasks involving sensory experiences

Question 16

Delusions: Strategies for therapeutic self

Answer 16

Redirect discussion of delusions to focus on activities

Relate to the client as an intelligent adult

Question 17

Delusions: Strategies for modifying the environment

Answer 17

Stimulating

Opportunities to engage on many levels and get involved in real-life activities

Question 18

Delusions: strategies for selecting activities

Answer 18

Suited to intellectual level
Appropriate to person’s occupational roles and reflect interests.
Do not choose activities that may inadvertently reinforce the delusions

Question 19

Paranoia: strategies for therapeutic self

Answer 19

Avoid approaching from behind or in a manner that might be perceived as threatening.
Don’t whisper.
Be clear, consistent, directive, and unambiguous.
If patient seeks out a special relationship, encourage this trust by giving him/her special activities and tasks related to a group activity.

Question 20

Paranoia: Strategies for modifying the environment

Answer 20

Keep it stable and reliable.

Encourage association with others, when client is ready to do so.

Question 21

Paranoia: strategies for selecting activities

Answer 21

Materials that can be controlled

Intellectually appropriate and sufficiently complex

Question 22

Anger

Answer 22

A strong feeling of displeasure

Question 23

Hostility

Answer 23

is an unfriendly and threatening attitude directed toward other people.

Question 24

Aggression

Answer 24

is an attack on a person or object: can be verbal, physical or both

Question 25

Anger, hostility, aggression: therapeutic self.

Answer 25

Be aware of client’s nonverbal cues.
Help client use words rather than stance or actions to express emotion.
Be direct and clear about what is expected.

Question 26

Anger, hostility, aggression: Modifying the environment

Answer 26

Isolate them from others who irritate them.
Stand 4 or 5 feet away and to the side when speaking to the client.
Do not touch the client.
Do not allow patient to come between you and an exit.
Be aware of items that could be used as a weapon.

Question 27

Anger, hostility, aggression: Strategy for selecting activities

Answer 27

Expressive arts
Activities requiring repetitive motions
Assertiveness training
Relaxation and stress management techniques

Question 28

Seductive behavior and sexually acting out: therapeutic self

Answer 28

Firmly and calmly inform client that his/her behavior is inappropriate.
Halt activities if the behavior continues.
Do not allow patients to entertain the idea of a sexual relationship with you or any staff member.
Inform staff and document all sexually preoccupied behavior and remarks

Question 29

Seductive behavior and sexually action out: Modifying the environment

Answer 29

Avoid crowded situations in which physical contact is unavoidable.
Allow personal space.

Question 30

Seductive behavior and sexually action out: Strategies for selecting activities

Answer 30

Gross motor activities.

Masturbation in private may also be suggested.