OCTH 531: Class 8; Assessments and Symptoms & Behaviors

False.

Symptoms are a diagnosis.

True or False?

TUOS,

Environment, &

Activity.

Tools to use when treating mental health are:

1. Evidence of underlying psychology,

2. Unmet needs,

3. Upbringing, &

4. Treatment planning ideas.

What can symptoms tell you about a client?

1. Comfortable with self,

2. Warmth,

3. Open-mindedness, &

4. Empathy.

What is necessary for effective Therapeutic Use Of Self (TUOS)?

Environment.

The context in which your interaction with the client occurs, is the:

1. Something client chose,

2. Of value to them, &

3. Supports their occupation.

The activity that the client and therapist do must be:

Anxiety.

A state tension and uneasiness.

Depression.

Intense feelings of sadness, despair, and hopelessness is called:

Mania.

Disturbance of mood is characterized by extremes like grandiosity.

Hallucination.

A sensory experience that does not correspond with reality.

Dillusion

A belief that is contrary to reality.

Hostility & Aggression.

A threatening attitude towards others, either verbally or physically.

Be excessively sexual, seductive, and inappropriate.

Clients that are acting out sexually tend to be:

Attention Deficit Disorder (ADD).

A neurological disorder that causes a range of behavior problems and difficulty maintaining attention.

Cognitive deficit.

Impairment in one or more mental functions leads to:

Encourage client to express themselves, but do not get off-topic.

What type of TUOS should be considered when working with client with Anxiety?

Let client verbalize themselves, but never agree with their hopelessness, and do not over-praise.

Be professional but empathetic.

What type of TUOS should be considered when working with client with Depression?

Do not feed client's ego, and be firm and calm.

Do not criticize.

What type of TUOS should be considered when working with client with Mania?

Be calm and reassuring.

Do not agree with hallucinations.

What type of TUOS should be considered when working with client with Hallucinations?

Do not discuss delusions, direct the conversation.

Relate cognitively but do not patronize.

What type of TUOS should be considered when working with client with Delusions?

Do not startle them, and remain ambiguous.

What type of TUOS should be considered when working with client with Paranoia?

Be direct and follow through, and use words.

No physical contact.

Help them verbalize.

What type of TUOS should be considered when working with client with Aggression?

Remind them of rules and policy.

What type of TUOS should be considered when working with client with inappropriate sexuality?

Be firm and clear.

What type of TUOS should be considered when working with client with Attention Deficit Disorganization?

Use repetition.

What type of TUOS should be considered when working with client with Cognitive Deficits?

1. Mania,

2. Paranoia,

3. ADD, &

4. Aggression.

For which symptoms is it best to always be in a 1-on-1 setting?

Environment: Calm, familiar.

Activity: Achievable with less detail. Repetitive, come and go.

What type of environment and activity would be best suited for clients with Anxiety?

b. A library.

Which of these is a good environment for someone with Anxiety?

a. A concert.

b. A library.

c. A busy Starbucks.

d. Black Friday shopping.

c. Give them personal space.

What would not be a good activity for a client with Anxiety?

a. A drawing activity where they can come and go.

b. Yoga.

c. Give them personal space to think.

d. Give them a tour of your facility.

Environment: Safe and subdued.

Activity: Simple, structured, achievable, start with 1-on-1.

What type of environment and activity would be best suited for clients with Depression?

d. A simple activity identifying patterns.

A good activity for a client suffering from Depression would be:

a. A challenging team sports activity.

b. Have them make a shopping list.

c. Have them decide the best dress color.

d. A simple activity identifying shapes.

Environment: Uncluttered, blank, 1-on-1.

Activity: Immediate gratification, structured, gross motor, schedule/time/stress/money management.

What type of environment and activity would be best suited for clients with Mania?

c. An isolated study room.

A good environment for someone with mania would be:

a. Sporting event.

b. A Starbucks.

c. An isolated study room.

d. An empty museum.

Environment: Distraction free, small group, calm, quiet.

Activity: Must have interaction with others, simple, short-term, sensory stimulating.

What type of environment and activity would be best suited for clients with Hallucinations?

Environment: Stimulating, with opportunities.

Activity: Suited intellectually, cannot relate to delusions, challenging.

What type of environment and activity would be best suited for clients with Delusions?

Environment: Stable, 1-on-1, safe.

Activity: Person in control, structured, stimulating.

What type of environment and activity would be best suited for clients with Paranoia?

Environment: Isolated, give distance and have an exit, remove sharp objects.

Activity: Symbolic activities, gross motor movements, stress/anger management.

What type of environment and activity would be best suited for clients with Aggression?

Environment: Not crowded, personal space.

Activity: Masturbation, gross motor, social skills.

What type of environment and activity would be best suited for clients acting out Sexually?

Environment: Alone, low stimulation.

Activity: Well-structured with definite sequence.

What type of environment and activity would be best suited for clients with ADD?

Environment: Consistent, well lit, with signs.

Activity: Simple, structured, short-term, use their skills.

What type of environment and activity would be best suited for clients with Cognitive deficit?

An observation and Interview-Based assessment to evaluate function in basic living skills in areas of self-care, safety, money management, community mobility, employment, and leisure.

What is the type & purpose of the Kohlman Evaluation of Living Skills (KELS) assessment?

a. KELS.

So if you wanted to identify a client's financial skills, which assessment would you use?

a. KELS.

b. Interest Checklist.

c. MOS.

d. COPM.

e. COTE.

f. Role Checklist.

Independent Living Skills Survey.

A patient is unreliable with answers, but you want to assess their daily living skills with input from a caregiver.

It is a behavior rating scale that is used to delineate occupational therapy's unique role in comprehensive adult mental health programs.

What is the type & purpose of the Comprehensive Occupational Therapy Evaluation (COTE)?

e. COTE.

This assessment is very observation-based.

a. KELS.

b. Interest Checklist.

c. MOS.

d. COPM.

e. COTE.

f. Role Checklist.

e. COTE.

Your client is not well adapted to interactions and is easily agitated, requiring another therapist present. They have no interest in activities. What assessment is best in this situation?

a. KELS.

b. Interest Checklist.

c. MOS.

d. COPM.

e. COTE.

f. Role Checklist.

To gather information on a client's strength of interest and engagement in 68 activities in the past, present, and the future. The main focus is on leisure interests that influence activity choices.

What is the type & purpose of the Interest Checklist (part of MOHO) assessment?

It is an outcome measure designed for use by occupational therapists to assess client outcomes in the areas of self-care, productivity, and leisure.

What is the type & purpose of the Canadian Occupational Performance Measure (COPM)?

e. COTE.

This is the most objective and quantitative of all assessments:

a. KELS.

b. Interest Checklist.

c. MOS.

d. COPM.

e. COTE.

f. Role Checklist.

True.

If the client cannot respond directly to the COPM assessment, a caretaker or respondent may sign and assist.

True or False?

d. COPM.

This assessment is very client-centered:

a. KELS.

b. Interest Checklist.

c. MOS.

d. COPM.

e. COTE.

f. Role Checklist.

Occupational profile.

This assessment is focused on the client's perceptions of supports and barriers to various contexts of occupational engagement.

It is a written inventory to elicit information about a person's occupational roles.

What is the type & purpose of the Role Checklist assessment?

It aims to assess the extent to which the person has the support of others to face stressful situations.

What is the type & purpose of the MOS Social Support Survey?

The major occupational roles that organize an individual's daily life throughout their lifespan.

What does part 1 of the Role Checklist assess?

Identifies the degree to which each occupational role is valued.

What does part 2 of the Role Checklist assess?

a. A game of catch.

A good activity for a Manic client would be:

a. A game of catch.

b. Taking them shopping.

c. A game of chess.

d. Have them draw a picture.

c. A group dance.

Which of the following is the best activity for a Hallucinating client?

a. Have them do crafts alone.

b. A word search alone.

c. A group dance.

d. Watching a movie.

c. Redirect them to a current event.

How should you communicate to a Hallucinating client?

a. Sarcastically agree with them.

b. Tell them it's not real.

c. Redirect them to a current event.

d. Touch them to reaffirm reality.

c. Redirect to a different topic.

A client is saying delusional things. How would you address it?

a. Talk to them about it.

b. Convince them it is wrong with evidence.

c. Redirect to a different topic.

d. Agree with them.

a. Visiting a museum.

The best activity for a Delusional client would be:

a. Visiting a science museum.

b. Studying in a quiet room.

c. A virtual reality video game.

d. A simple craft activity.

b. A competitive game of tag.

Which of the following is a terrible activity for a patient with Paranoia?

a. A sculpting activity.

b. A competitive game of tag.

c. A simple group painting.

d. Complete a Lego kit with instructions.

b. Speak to them privately about what is bothering them.

How would you handle an agitated and Hostile client?

a. Step up to them to establish dominance.

b. Speak to them privately about what is bothering them.

c. Leave them alone.

d. Confront them in front of others.

d. Group craft activity.

A bad activity for a client with Attention Deficit Disorganization would be:

a. Self-care activity.

b. Life skills training.

c. Simple instruction based activity.

d. Group craft activity.