AOTA Mental Health Incorrect

-Ask the client, “What are some things you need to do and are expected to do in terms of work?”

-How well were you able to perform in your last full-time job?”

-“Can you rate how satisfied you are with your work performance in your last job?”

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

The OTR® decides to use the Canadian Occupational Performance Measure (COPM) to evaluate the client. The client states that the main concern is the ability to maintain any form of employment because of the substance abuse problems. The client is also worried about finding leisure pursuits other than substance use. Which items related to productivity (specifically, aspects of paid or unpaid work) should the OTR include as part of standardized administration of the COPM?

-Determine goals that will encompass other occupations identified by the client

-Ask the client how family, friends, and former coworkers can help with intervention

-Identify occupations that support recovery and barriers/environmental triggers that hinder goal identification

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

On the basis of the evaluation results, the OTR® is preparing to identify appropriate goals for the client’s recovery from substance abuse. Which approaches should the OTR take in determining appropriate intervention goals?

-.Include the opportunity to explore neutral options in situations that arise during intervention sessions

-Involve the client in carefully designed therapeutic experiences that help with recognizing options

-Involve the client in the discharge planning process by providing appropriate referrals for occupational engagement, community integration, and peer support networks

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

While discussing the final goals with the client, the OTR® notices that the client tends to express dichotomous thinking (e.g., framing options as yes–no, either–or, and all-or-nothing). Which approaches should the OTR take when implementing the intervention plan?

Tardive dyskinesia

A client who has schizophrenia stopped taking prescribed antipsychotic medications 2 weeks ago and is experiencing rhythmic tongue movements, grimacing, and lip smacking. What neurological condition is associated with these symptoms?

Advisor

An OTR® is working in a program with a group of clients who have mental health issues. The program uses the Clubhouse Model. Which leadership style would be MOST effective?

Encourage the client to choose one of the available tasks to work on during the group.

A client who has undergone electroconvulsive therapy (ECT) in the early morning arrives for an evening occupational therapy task group in an inpatient psychiatric unit. What is the OTR®’s BEST choice for working with the client at this time?

This client could be discharged to a supported living arrangement with the expectation that the client can independently complete the morning self-care routine.

An OTR® assesses a client using the Allen Disability Framework. The client scores an Allen Cognitive Level (ACL) of 4.0. Given this score, what discharge arrangement would the OTR likely recommend for this client?

Supported employment programs with a "place-and-train" perspective are more effective than other vocational approaches.

A team of OTR®s begins to recognize the need for a program to promote work participation for the young adults with mental illness they serve. Which statement MOST accurately reflects the evidence about developing such a program?

Encourage the client to consult a mental health provider.

An OTR® works with older adults who have low vision. A client with macular degeneration is referred after substantial symptom progression and loss of vision. The client’s spouse states that for the past 3 months, the client has uncharacteristically refused to participate in social activities, is frequently irritable and uncommunicative, and is unwilling to perform personal care or routine tasks. What should the OTR advise the spouse to do?

Role Checklist

During an initial interview with a young adult who has mild autism, the OTR® notices that the client lives alone and is isolated, does not go out much, does not value family relationships, and does not seem to have any friends. Additionally, the client is not gainfully employed and does not take care of the apartment. The client spends most of the day surfing the Web and watching TV. Using the Model of Human Occupation, which of the following assessments would be the MOST appropriate?