AOTA Mental Health Correct

Reframing

While an OTR® is working with a client on vocational training in a community-based setting, the client becomes frustrated with a computer task and states, “I am too slow at the computer; I can’t do this.” The OTR responds, “I notice that you take your time to be very careful not to make mistakes while you are working. I am sure that employers would think that is a positive quality in a job candidate.” Which interpersonal strategy does the OTR’s statement exemplify?

Directive

An OTR® is running a group with clients with schizophrenia in an inpatient psychiatric facility. The group members have low cognitive ability, minimal insight into the condition, and low motivation, and they do not know each other very well. What leadership style would be BEST for the OTR to use?

Training the spouse to provide simple, one-step directions and avoid abstractions

The spouse of a client with Alzheimer's dementia tells the OTR® that the client has become more agitated, wanders, resists care, and displays inappropriate and sometimes destructive behavior. The spouse confides that feelings of stress have begun to feel overwhelming. Which occupational therapy intervention is most appropriate?

-The Canadian Occupational Performance Measure

-Goal Attainment Scaling

-The Occupational Performance History Inventory

An OTR® is working with a client admitted for the third time to an inpatient mental health facility for substance use disorder. The facility uses the Substance Abuse and Mental Health Services Administration (SAMHSA) Recovery Model in providing care for all clients.

Question

Which assessment tools are MOST appropriate for the OTR® to administer? Select the 3 best choices.

Cognitive–behavioral

An OTR® believes that changing clients’ negative beliefs ultimately reduces negative emotional statements and leads to a change in behavior. What is this OTR’s main theoretical perspective?

Constructing a magazine collage

Which group activity would be the MOST appropriate to engage clients in an expressive activity using the psychodynamic approach?

“It's so hard to lose a pet.”

A client arrives for an occupational therapy evaluation. Partway through the session, the client begins to cry, because the client's beloved cat had suddenly become gravely ill and was euthanized earlier that day. Which response by the OTR® communicates a professional use of empathy?

Further explore with the client’s adult child the extent of the client’s sadness and negative moods before recommending a course of action.

An adult client is receiving home health occupational therapy services from an OTR®. At the initial session, an adult child of the client informs the OTR that the client’s spouse passed away 2 months ago. The adult child states that the client has never been so down, that the client has to be encouraged to go to restaurants or movies, and that the client often cries. How should the OTR respond?

Practicing strategies for learning and teaching activity-specific routines is a potentially effective intervention.

An OTR® wants to design interventions aimed at improving the executive function of clients with schizophrenia. Which of the following statements is an important consideration in designing such interventions?

Social support group

An adult with posttraumatic stress disorder (PTSD) is admitted to an inpatient psychiatric unit after a suicide attempt. What would be the BEST initial intervention for an OTR® to attempt with this client?

Help the client explore leisure activities that will create more balance and offer the client more control over the client’s life.

An OTR® is assessing a client with bulimia. The client has become preoccupied with hiding purging behaviors from friends and family. While developing an occupational profile with the client, the OTR notices that as the client’s bulimia has evolved, the client has replaced many valued activities with the bulimia. The client has severe occupational imbalance, with no participation in anything but binging and purging behaviors. Which strategy would be MOST successful with this client?

Directive task and activities group

According to Allen's Cognitive Disabilities Model, to what type of group will clients with active acute symptoms of schizophrenia respond best?

Everyday occupation is central to a caregiver's sense of well-being.

Which statement BEST describes an important consideration for OTR®s working with clients with dementia and their caregivers?

I realize that you are in pain. Let’s try this activity and see what happens. If you need to stop, let me know, but I would like to see you push yourself.”

When working with a client with chronic pain, the OTR® needs to set a tone that will facilitate a therapeutic relationship with the client. Which statement sets an open and appropriate tone when working with a client who has chronic pain?

Resume group therapy sessions as soon as possible and apply cognitive–behavioral methods.

A client who has been a participant in a community integration program for adults with mental illness arrives at an occupational therapy group after not being seen for several weeks. The client’s mood is noticeably elevated. The client switches from one topic to another in rapid succession and claims to have not slept for 3 days. The psychiatrist describes the client as having manic episodes. What is the BEST course of action for the OTR® to take?

Difficulty engaging in problem solving

An 18-year-old client is admitted to an inpatient psychiatric hospital. The psychiatrist describes an uninterrupted 18-month period of illness that includes visual and auditory hallucinations. What type of issues would the OTR® expect to see when the client attempts to do a task?