Rehabilitacion psiquiatrica Flashcards
24.1.
Which term best describes interventions aimed at helping
those with mental illnesses to improve function and quality of
life by helping them live independently, attend school, or
work, and maintain social relationships?
A. Behavioral therapy
B. Multidisciplinary treatment
C. Psychiatric rehabilitation
D. Psychoeducation
E. Token economy system
24.1. C. Psychiatric rehabilitation
Psychiatric rehabilitation is the larger term that encompasses a wide
variety of interventions aimed at helping those with disabilities from
mental illnesses to function and live a good quality life. It focuses on
helping patients to function as adults and live independently, finish
school, get jobs, and to maintain relationships with family and
friends. A goal of psychiatric rehabilitation is to focus on
independence and community interventions, rather than on a
relationship with an individual professional
24.2.
Supportive employment programs differ from other
vocational approaches in which of the following ways?
A. They actively facilitate acquiring a job
B. They effectively screen for people who are ready for work
C. They offer intermediate work experiences
D. They provide transitional employment opportunities
E. They terminate services once the person is employed
24.2. A. They actively facilitate job acquisition
Federal run supportive employment programs differ from other
vocational approaches by helping anyone who wants work to actively
acquire a job. Supportive employment program approaches include
accompanying clients on interviews and providing ongoing support
once the person is employed. Intermediate prevocational,
transitional employment, or sheltered workshops are not provided
by supportive employment programs.
24.3.
What is the primary modality of social skills training?
A. Group work
B. Job shadowing
C. Narrative telling
D. Processing work
E. Role-playing
24.3. E. Role-playing
Social skills rehabilitation can help improve social perceptions, or
receiving skills, social cognitions, or processing skills, and behavioral
responses, or expressive skills, via focusing on role-playing of
simulated conversations. A trainer provides instruction on how to
perform the skills and models them. The trainer then encourages the
patient to engage in role-play and provides feedback and positive
reinforcement.
24.4.
Which skill is considered the first step in effective
interpersonal problem solving?
A. Generalization
B. Generating solutions
C. Nonverbal responsiveness
D. Social perception
E. Verbal conversation
24.4. D. Social perception
Acquiring good social perception is considered the first step in
effective interpersonal problem solving. Training someone to
perceive and interpret social and cognitive cues can help with more
specific communication and coping skills.
24.5.
Which is the last step to achieve in an information-processing
model of training patients to handle an interpersonal difficulty
and to improve communication and social skills?
A. Adopt a problem-solving attitude
B. Brainstorm solutions to a problem
C. Evaluate efficacy and choose an alternative
D. Identify the problem
E. Pick a solution and implement it
24.5. C. Evaluate efficacy and choose an alternative
The information-processing model of training helps the patient take
on different cognitive perspectives. It involves a six-step approach to
help one overcome an interpersonal dilemma. The steps include (1)
adopting a problem-solving attitude, (2) identifying the problem, (3)
brainstorming solutions, (4) evaluating solutions and picking one to
implement, (5) planning the implementation and carrying it out, and
(6) evaluating the efficacy of the effort, and if ineffective, choose
another alternative. (
24.6.
What is the role the therapist should play in working with a
patient for psychiatric rehabilitation?
A. To act as a parental figure
B. To be a shared decision maker
C. To make medical appointments for the patient
D. To suggest a variety of potential jobs for the patient
E. To take a stance on the patient not using alcohol or drugs
24.6. B. To be a shared decision maker
Psychiatric rehabilitation strategies involve maintaining
confidentiality and making sure to not infantilize patients. The
patients should be viewed as adults who can make their own choices
in terms of where to live, whether to work or not, and whether to use
substance. The practitioner’s role is to be in a partnership with the
patient to help improve their quality of life and collaborate with them
and to work as a shared decision maker, rather than a parental or
authority figure.
24.7.
The concept of a complex disease considers the interplay of
the environment and which factor?
A. Comorbidities
B. Economic factors
C. Social relations
D. The genome
E. Treatment
24.7. D. The genome
The concept of complex disease replaced the term, “multifactorial” as
an etiologic category for common disorders. It considers the
interplay of the genome and environment. The concept includes
biologic and physiologic mechanisms of evolution and development
within societies and cultures. It is thought that various genomic and
environmental risk factors can trigger developmental, growth, and
maturational differences and increase the risk of psychiatric
illnesses.
24.8.
Which is the most likely outcome on mental health of those
persons undergoing genomic testing?
A. Experience of a major depressive disorder
B. Increased rates of anxiety
C. Higher rates of suicide
D. Lower rates of employment
E. No long-term adverse effects
24.8. E. No long-term adverse effects
While on one hand physicians don’t want to make light of the
negative psychological impact that can sometimes occur with testing,
physicians do think it is an important point to know that the majority
of the times the info is well received with no negative consequences.
