Quiz Questions Flashcards
A single mother is hospitalized for an exacerbation of schizophrenia. She is actively psychotic upon admission and needs to be stabilized on medication. She is currently demonstrating hallucinations and delusions. Which of the following that she’s experiencing is BEST described as a hallucination?
Rats crawling across the room
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 best 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
You are treating a client with psychosis as a home health OT. The client believes the newscaster on television is an alien, who when he moves his papers is sending your client special messages to go meet at the spaceship. Your client is MOST LIKELY demonstrating signs of what symptom?
Delusions
An individual can have a mental illness and still have positive mental health.
True
Cynthia has social anxiety and has had an increase in the severity of symptoms. She used to enjoy walks in the nearby park and trips to the corner store to grab groceries but now finds it extremely difficult to leave the house. She now just sits at home and watches old movies to pass the time. Cynthia is MOST LIKELY experiencing which of the following?
Occupaitonal Alienation
Considering the history of OT in mental health, which future direction of the profession is LEAST likely?
Addressing mental health through a medical model lens
Mental health recovery is defined as a journey of healing and transformation enabling a person with a mental health concern…
To live a meaningful life in a community of his or her choice while striving to achieve his or her full potential
Encouraging clients to exercise choice and demonstrates independence, initiative, and self-direction is the core value and attitude of occupational therapy practice called dignity.
False
During a treatment session a patient unexpectedly strikes her therapist. The therapist has the right to return the assault.
False
The Mental Health Parity Act of 2007 impacted mental health policy by legally mandating that when mental health is covered by insurance it must be covered equally to physical health.
True
The main components of the client-therapist relationship according to the intentional relationship model are all of the following EXCEPT:
Interpersonal Therapy
American Indian communities have limited access to mental health services because most clinics and hospitals of the Indian Health Service are located on reservations, yet the majority of American Indians no longer reside on reservations. This is an example of…
Health Disparity
Which of the following is NOT a health disparity influencing when and how one accesses mental health care?
Prior Military Service
The intentional relationship model considers touch to be the riskiest approach to establishing a relationship with a client.
True
Which of the following is a sociological characteristic of culture?
Degree of Acculturation
Place the following terms in order from LEAST harmful to MOST harmful on the spectrum of negative judgments that lead to greater occupational injustices for people and groups:
- Bias
- Stereotype
- Prejudice
- Discrimination
- Oppression
A lack of integrated physical and mental health care is an example of what aspect of the environment?
Environmental obstacles
This is defined as multiple social identities that connect at the individual level to reflect interlocking systems of privilege and oppression at the societal level.
Intersectionality
Which of the following is NOT a cognitive-behavioral concept?
Stimulus Response
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
A client’s requirement to report their monthly disability earnings is which type of environmental component of the PEO model?
Institutional
SAMHSA defines trauma as consisting of three ‘E’s.’ These include all of the following EXCEPT:
Evaluation
One principle of recovery is that recovery emerges from…
Hope
SAMHSA’s Illness Management and Recovery (IMR) evidence-based practice toolkit is based on all of the following principles EXCEPT:
Recovery is a linear process with an endpoint
The Substance Abuse and Mental Health Services Administration (SAMHSA) named several competencies required for health providers that are needed in order to work in integrated mental health care. Of the following competencies, identify the skill that is NOT in the domain of occupational therapy.
None of these are correct. OTs are able to show competency with all of these
Recovery supported through those who believe in the person’s ability to recover exemplifies which guiding principle of recovery?
Peer Support
Secondary trauma is a risk practitioners and caregivers incur when knowledge of traumatizing events are shared by another person. This vicarious trauma may impact one’s ability to provide care to the person who had some type of crisis. Which of the following is NOT considered a helpful strategy when combating secondary trauma?
Separating oneself from the individual who experienced the traumatic event
Providing a role-playing game that helps the person reflect on how cognitive errors impact social interaction in study groups represents which frame of reference?
Cognitive-Behavioral
If a client seems to become impatient during an interview, you should apologize and stop the interview
False
In which phase of an interview should you establish expectations for the interview, such as time limits and focused response?
Orientation Phase
You are an occupational therapist working with a client in an outpatient mental health clinic. The client has been working at a deli meat market-making sandwiches but has been experiencing difficulties. He has been given a warning by the store manager. The client describes having difficulty working quickly enough, remembering steps in the process, and getting distracted by the environment. You decide to conduct an assessment to better understand the impact of the work environment of the client’s performance. Which assessment are you MOST likely to use?
Work Environment Impact Scale (WEIS)
An OTR observes a client with schizophrenia his having difficulty initiating minor tasks, which is required as a part of a standardized assessment. Which action should the OTR take upon making this observation?
Refer to the test protocol manual
Stephanie is a 17-year-old female who has recently joined your Healthy Relationships for Teens groups 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:
Empathizing
Which assessment in the U.S. national standard created by AOTA as a beginning point for collecting information and building client rapport?
Occupational profile
According to Taylor, which of the following comprise being an emotional buoy?
Verbalizing how much has been accomplished and how much is left to do
OPHI-II
To gather a life history of client and to categorize their occupational narrative
Occupational Profile
Begins when the practitioner initiates contact with the person in order to summarize the person’s occupational history. Patterns of time use and daily living, roles, goals, values, interests, and culture are some of the lived experiences that influence each person’s occupational history
COPM
Applies the client-centered approach to obtain information related to the client’s perceived occupational performance based on a semistructured interview.
COTE
Behavioral based assessment that observes 25 behaviors. Can be used to evaluate, record progress, or determine discharge plans. Scored from normal (0) to greatly impaired (4)
Worker Role Interview (WRI)
To identify psychosocial factors (volition, habituation, and perceptions of the environment) that influence a persons ability to work
Allen Cognitive Level Screening (ACLS)
Uses a leather lacing task as a screening tool to determine cognitive level based on Allen’s Cognitive Disability Practice Model
- Found the ACLS to be related to social competence in people with schizophrenia
- Designed to provide a quick screening of functional cognition using a series of three visual motor tasks.
Work Environment Impact Scale (WEIS)
To determine how the work environment is affecting the productivity and well being of a given worker
Model of Human Occupation Screening Tool (MOHOST)
Designed to provide an expansive overview of a person’s occupational participation
good choice when the practitioner has regular opportunities to interact with the person and the person can participate in meaningful occupations that allow the practitioner to effectively evaluate performances. When the practitioner has sufficient evaluation information, the MOHOST is effective as a screening tool to identify challenges a person may have in his or her occupational performances. It helps the practitioner focus on areas where follow-up with specific assessments can support the development of a comprehensive occupational profile. As new assessment information is generated, the MOHOST becomes a useful repository of the knowledge the practitioner develops about the person through time.
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
During which of Cole’s Seven-Steps of Group Dynamics is trust MOST required because there is a possibility of catharsis?
Processing
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
Occupational therapists use many methods to improve social participation for people who have psychiatric disorders. Match the following method of improving social partcipation with the BEST reason for using that method. (Use each answer only once.)
Peer Advocates: Allows greater access to volunteerism and work opportunities in quiet environments
Family Systems: Can find greater opportunities for engagement inside and outside the home
Social Media: Help with imitating behaviors for social success and determining resources for social partcipation
Pets: Requires less social cues than face-to-face interaction with humans
For which of the following reasons did the U.S. SAMHSA create the Wellness Campaign (2008)?
People with mental illness have a much shorter life expectancy and reduced quality of life compared to those without mental illness
Which of the following is considered “the human expression of self”?
Occupational Engagement
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
____ 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
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
Dunn’s Model of Sensory Processing describes ‘sensation seeking’ as combination of which neurological threshold and behavioral response?
High Neurological Threshold, Active behavioral response
An OTR is working with Sadie, a 28-year old female librarian who was just diagnosed on the autism spectrum disorder. Sadie has a therapeutic goal of improving intimacy with her partner. She has noted that sometimes sex is too stimulating for her and causes her to become anxious. Which sensory modality would the OTR MOST likely have Sadie address if she recommended turning on low background noise during intimate engagement with her partner to help her have something to focus on rather than just the sexual act?
Competing Stimuli
Research shows that individuals with psychiatric conditions have similar sensory processing and regulation compared to their general population counterparts.
False
According to the CDC (2007), 75% of children diagnosed with ASD also have an intellectual impairment.
False
There is considerable evidence to suggest sensory intervention are effective with persons who have impulse-control disorders.
True
Luke, a second grader, exhibits difficulty with social skills. His goals in occupational therapy focus around how to interact with his peers, especially identifying, understanding and considering his peers’ feelings. Luke is demonstrating what impact on occupational performance?
Theory of Mind
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
A neurodivergent diagnosed with autism spectrum disorder without intellectual impairment is having difficulty transitioning to a new adult foster care home. An OTR is contracted to make four home visits to assess the client and provide appropriate intervention. When the OTR arrives for the first visit and attempts to interview the client, the client angrily refuses to speak with the OTR. Which option is BEST in response?
Leave the home?
Megan, an occupational therapist, has been servicing Mason, a 2 ½ year old for the past month. Megan is often observing the family dynamics and taking into account external and internal factors of the family unit. She takes note of the family’s performance patterns in order to best support Mason in therapy. This is an example of which OT intervention model used in early intervention?
Family Systems Model
Other Specified Attention-Deficit/Hyperactivity Disorder and Unspecified Attention-Deficit/Hyperactivity Disorder are both types of Attention Deficit Hyperactivity Disorders.
True
