freedom papers
Select the statement that is the best reflection of feelings from the following. There is only one right answer. Choose one "You feel angry at your professor for giving your class such a difficult test." "I empathize with your feelings about the tests that you took today." "Perhaps if you had studied more, you would not be feeling so angry about the test." "Your negative feelings toward your professor may stem from unresolved feelings towards your father."
"You feel angry at your professor for giving your class such a difficult test."
Please select the most respectful "challenge" statement from the following responses. Hint: A good challenge should invite exploration, not close it off. Choose one "You say you want to come to counseling, but you are late for every session. Are you unmotivated?" "I think we need to talk about termination because you do not seem invested in our work." "You seem interested in working on your employment tissues, but you have missed several appointments. I'm curious about what might be getting in the way of your coming." "Do you think you could be on time next week, for once?"
"You seem interested in working on your employment tissues, but you have missed several appointments. I'm curious about what might be getting in the way of your coming."
Please match the definition of each psychiatric rehabilitation intervention to its name: Family Foster Care Choose one A residential environment in which one or more individuals with a psychiatric disability live with a family other than their own. An intervention strategy in which the PsyR practitioner partners with the client's family to provide training, support, communication, and resource identification. Self help group offering support and tiered programs to people with a dual diagnosis of MI and substance abuse are often referred to as this, a slang expression or nickname. Changes in a work environment that help minimize the impact of the disability but do not place an undue burden on the employer or institution.
A residential environment in which one or more individuals with a psychiatric disability live with a family other than their own.
What is the correct order of the following five steps of the psychiatric rehabilitation process? A. Conduct a Functional Assessment B. Direct Skills Teaching C. Set an overall rehabilitation goal D. Conduct a Readiness Assessment E. Plan for resource development
A. 3rd Conduct a Functional Assessment B. 5th Direct Skills Teaching C. 2nd Set an overall rehabilitation goal D. 1st Conduct a Readiness Assessment E. 4th Plan for resource development
An person in recovery recently moved into her own apartment. She expressed concern about how she will be able to do her food shopping because the nearest market is 3 miles away. Her case manager should: A. Assist her in locating and accessing the town's free shuttle service B. Drive her to the supermarket on a weekly basis C. Encourage her former group home staff to pick her up when the group home does its weekly shopping. D. Ask the local mental health center where she attends to send one of their drivers to take her shopping.
A. Assist her in locating and accessing the town's free shuttle service
A practitioner is working with someone who has been denied access to a local drop-in center because he violated some of the center's rules. After not attending for three weeks, he misses the center and contacts the center lead facilitator who refuses to let him return. Which strategy best illustrates an empowering way of supporting this person's goal of returning as a center member? A. Assist him in writing a letter to request that he be allowed to attend the next scheduled business meeting so he can state his case for returning. B. Suggest that the facilitator call the State Director of Mental Health Services to resolve the issue for him. C. Go to the drop-in center and inform them they are violating his rights. D. Write a letter to the center's membership for him asking that they reconsider his request to return.
A. Assist him in writing a letter to request that he be allowed to attend the next scheduled business meeting so he can state his case for returning.
An individual is interested in moving from a group home into her own apartment at the complex where her sister lives. The apartment manager informed her that there were no vacancies for people like her. When the individual questioned what he meant and he informed her that one of her references disclosed her past involvement with psychiatric services. The individual does not want to give up this apartment. Her case managers best first response to this Situation should be A. Assist the individual in locating the Protection and Advocacy office nearest to her. B. Help the individual to find another apartment complex where the majority of tenants have a mental illness. C. Encourage the individual to stay where she lives. D. Contact the residential director of the group home and request that she talk to the apartment manager
A. Assist the individual in locating the Protection and Advocacy office nearest to her.
A practitioner is meeting with an individual who is distraught. Sitting at her desk glancing at the clock with her arms crossed, she tells the individual that she is very interested in helping her. In this situation, the practitioner is: A. Being incongruent B. Setting boundaries C. Establishing a therapeutic relationship D. Showing genuine concern
A. Being incongruent
An individual receiving services recently started a job at XYZ company as a computer operator. His company is planning on moving to a location that is not accessible for him by bus. What is the best first step for his job coach in helping him? A. Encourage the individual to talk with his co-workers about a car pool B. Suggest that the individual get his residential program staff to drive him to and from work. C. Assist the individual in finding another job that is more accessible. D. Drive the individual yourself to ensure that he does not lose this position.
A. Encourage the individual to talk with his co-workers about a car pool
As an Employment Specialist, a practitioner helped an individual get a job doing the accounting for a small flower shop. The individual sometimes has problems being around people due to his mental illness. A reasonable accommodation you might suggest the employer provide would be: A. Providing quiet office space away from the retail area of the shop. B. Decreasing the requirements of the job because the individual will need to increase his anti-anxiety medication. C. Paying the individual a lower salary so they could pay for the office space he will need. D. Allowing the individual to work only on days when he is at his best
A. Providing quiet office space away from the retail area of the shop.
Research shows that a distinct advantage that peer providers have over non-peer providers is a greater: A. sense of credibility on medication adherence issues B. knowledge of the available treatments C. ability to treat specific symptoms D. interest in providing good services
A. sense of credibility on medication adherence issues
Cultural competency training can be helpful in teaching people to: A. to empathize with a more universal perspective B. minimize or ignore cultural differences C. accelerate cultural assimilation D. learn all there is to know about other cultures
A. to empathize with a more universal perspective
You are a program manager for a full care residential facility and notice that none of the residents attend church even though their files indicate religious affiliations. The best course of action to address this situation is: Choose one Advocate for a spirituality group for the residents once a week. Advocate for staff to introduce the residents to their church. Advocate for the residents to have the opportunity to access the religious or spiritual community of their choice. Invite your pastor to talk to the residents about services in the area.
Advocate for the residents to have the opportunity to access the religious or spiritual community of their choice.
Active listening involves several of the following skills. Please choose which item below best encapsulates the skills of listening activity. Choose one Attends physically and focuses on content of what the person is saying. Observes nonverbal communication and pays attention to obstacles that are interfering with effective listening. Notes changes or incongruence in verbal and nonverbal communication. All of the above
All of the above
What phase of the helping process includes listening skills? Choose one Terminating Exploring Engaging All of the above
All of the above
An individual receiving services has been staying around her apartment for the last 2 years. Her medication side effects cause tremors that embarrass her. She tells the practitioner that she is lonely but can't imagine initiating a conversation with someone. What can the practitioner do to support her in dealing with the problem of loneliness? A. Refer her to a drop-in center where she is bound to make friends. B. Tell her about other peer run programs and ask her if these sound good to her. C. Practice some simple skills with her: greeting a new person, making small talk, thinking of a funny answer if someone asks about her tremors. D. All of the above.
All of the above. : You will NEVER see an question on the CPRP exam that includes "All of the Above" as a possible answer.
What program was designed to increase beneficiary choice, remove barriers, and provide greater opportunities for people with psychiatric disabilities to work and depend less on public benefits? Choose one Americans with Disabilities Act of 1990 Ticket to Work and Work Incentives Improvement Act of 1999, also referred to it as Public Law 106-170, or by its own acronym TWWIIA Evidence-based practices Title VIII of the Civil Rights Act of 1968 (Fair Housing Act).
Americans with Disabilities Act of 1990
Please match the definition of each psychiatric rehabilitation intervention to its name: Psychoeducation Choose one An intervention strategy in which the PsyR practitioner partners with the client's family to provide training, support, communication, and resource identification. Changes in a work environment that help minimize the impact of the disability but do not place an undue burden on the employer or institution. A residential environment in which one or more individuals with a psychiatric disability live with a family other than their own. Self help group offering support and tiered programs to people with a dual diagnosis of MI and substance abuse are often referred to as this, a slang expression or nickname.
An intervention strategy in which the PsyR practitioner partners with the client's family to provide training, support, communication, and resource identification.
Which of the following Psychiatric Rehabilitation practices are established, evidence-based practices? (Select ALL that apply - HINT: There are 5) Choose all that apply Assertive Community Treatment (ACT) Supported Employment Collaborative Pharmacological Treatment Supported Education Family Psychoeducation Health and Wellness Practices Integrated Dual Disorders Treatment for Substance Abuse and Mental Illness Teaching Illness Management and Recovery Skills
Assertive Community Treatment (ACT) Family Psychoeducation Integrated Dual Disorders Treatment for Substance Abuse and Mental Illness Supported Employment Teaching Illness Management and Recovery Skills
A PsyR assessment is comprehensive and involves the evaluation of several areas before moving into the planning and intervention stages. Which of the following most accurately describes and represents the areas that should be covered in an assessment? Choose one Assess likes, dislikes, values, preferences, strengths, barriers, readiness, and skills and resources unique to the person and their goal environment. Do a strengths based assessment, but also incorporate elements of a person's DSM-5 psychiatric diagnosis. Assess a person's likes, dislikes, and personal preferences and focus on strengths only. Assess readiness, values and preferences primarily, and ignore DSM-5 psychiatric diagnosis.
Assess likes, dislikes, values, preferences, strengths, barriers, readiness, and skills and resources unique to the person and their goal environment.
Which of the following best describes the skill of designing opportunities for a person to practice navigating a system? Choose one Providing directions for a person to follow to his or her job interview. Assisting a person who is considering going to college by matching the person with a volunteer student. Assisting a person in completing applications for colleges. Developing a plan with a person to follow to his or her job interview.
Assisting a person who is considering going to college by matching the person with a volunteer student.
A supervisor of a group home would like to involve residents in the community. Which of the following is the best example of developing linkages with community resources? A. Arrange a weekly visit to a local coffee shop and talk with the owner while you are there. B. Ask the residents in the house about community resources. Someone mentions her cousin who works at the local parks and recreation building and who would be willing to give anyone at the home a tour. C. Create a list of community events and devise a recreational calendar for each month that includes a variety of cultural and athletic events. D. Encourage the weekend staff member to take residents to her church because it is close to the house.
B. Ask the residents in the house about community resources. Someone mentions her cousin who works at the local parks and recreation building and who would be willing to give anyone at the home a tour.
It is suggested in the literature that a good case management system should carry out what five basic functions for persons it serves? A. Assessing, Planning, Linking, Counseling, Medication Monitoring B. Assessing, Planning, Linking, Monitoring, Evaluation C. Active Listening, Clarifying, Summarizing, Facilitating, Empathizing D. Orienting, Showing, Doing, Critiquing, Skill Programming
B. Assessing, Planning, Linking, Monitoring, Evaluation
The method of identifying the resources needed for an individual to sustain themselves in their chosen environment is performed in the _________phase of the rehabilitation process. A. Planning B. Assessment C. Intervention D. Continuous Evaluation Sample Question Best Practices in
B. Assessment
An individual receiving services has a goal to get his bachelor degree, but, in the past, he has had to withdraw from classes due to symptoms. Which of the following choices best represents a strength-based approach for this goal? A. Express caution about taking on too much. B. Express admiration for his desire to succeed and review school subjects where he excelled. C. Identify his psychiatric symptoms that would interfere with school. D. Review medication side effects with his psychiatrist to assure his ability to concentrate on his goal:
B. Express admiration for his desire to succeed and review school subjects where he excelled.
A housing program for people with psychiatric disabilities is proposed in your community. The local newspaper printed a story that the town council is proposing to change the zoning laws to prevent the housing from being built. Your best response as a member of the NAMI, and advocate would be: Psychiatric Rehabilitation, pp. 222-223. A. Write a letter to the council expressing your outrage at their blatant discrimination. B. Notify the council members of the residents rights under article II of the ADA and offer to set up a meeting with the council members to educate them on mental illness, and the barriers people with psychiatric disabilities face. C. Agree with the council that the group home would probably bring down the property values. D. Organize a protest during the town meeting.
B. Notify the council members of the residents rights under article II of the ADA and offer to set up a meeting with the council members to educate them on mental illness, and the barriers people with psychiatric disabilities face.
Helping an individual to identify triggers and early warning signs of illness can be particularly effective for which of the following? A. Help set new goals. B. Prevent hospitalization. C. Increase socialization. D. Maintain and support a healthy lifestyle.
B. Prevent hospitalization.
Which of the following scenarios best illustrates the effects of stigma and discrimination against persons with a mental illness? A co-worker does not invite any of her colleagues to her wedding, including the person with a mental illness. B. The mental health center where an individual with mental illness receives treatment has separate bathrooms for persons and staff. C. A local college denies acceptance of an individual with a mental illness because of his test scores. D. An employer chooses to promote a more experienced worker over an employee with a mental illness.
B. The mental health center where an individual with mental illness receives treatment has separate bathrooms for persons and staff.
What is an advance directive in PsyR practice? A. A tool that lays out ones wishes for death and a burial. B. A document that directs the goals necessary to help a person decide where to live. C. A tool or document that can help direct a person's care while in crisis. D. A legal document that is written in collaboration with the person in recovery and his or her family
C. A tool or document that can help direct a person's care while in crisis.
An individual receiving services recently started a job at the ABC Company as a computer operator. His company is planning on moving to a location that is not accessible for Paul by bus. What is the practitioners first best step? A. Suggest that the individual get his residential program staff to drive him to and from work. B. Assist the individual in finding another job that is more accessible. C. Encourage the individual to talk with his co-workers about a car pool D. Drive the individual to ensure that he does not lose this position.
C. Encourage the individual to talk with his co-workers about a car pool
An individual receiving services is a veteran who just returned from Iraq and has been diagnosed with PTSD. She is having problems communicating with her partner. She is also having trouble keeping a job and is not sure if she should return to school. What should the practitioner do to help her moved forward in her recovery? A. Assure her things will get better over time and that she should just take it easy. B. Let her know your feelings about the war and that you feel sorry for the stress it caused her. C. Enhance Anita's knowledge about treatment and rehabilitation options that will directly support her ability to reach her goals. D. Discuss her ability to get on service-related disability that will entitle her to at least partial income.
C. Enhance Anita's knowledge about treatment and rehabilitation options that will directly support her ability to reach her goals.
When choosing the most effective intervention, the practitioner should: A. Rely on professional experience, using past success with others as a guide. B. Discuss the choices with a supervisor and teammates to assure a thorough assessment. C. Review interventions that have been reported and replicated in peer-reviewed literature in addition to relying on professional experience, expertise of co-workers, and the individual's preference. D. Always choose the intervention preferred by the individual.
C. Review interventions that have been reported and replicated in peer-reviewed literature in addition to relying on professional experience, expertise of coworkers, and the individual's preference.
Which of the following is the best outcome statement? A. Individuals will improve their living situations. B. Individuals will obtain jobs and keep them for at least 60 days. C. Ten individuals will maintain their community tenure for at least 6continuous months. D. Twenty individuals will receive case management services.
C. Ten individuals will maintain their community tenure for at least 6 continuous months.
Please match the definition of each psychiatric rehabilitation intervention to its name: Reasonable Accommodation Choose one Changes in a work environment that help minimize the impact of the disability but do not place an undue burden on the employer or institution. An intervention strategy in which the PsyR practitioner partners with the client's family to provide training, support, communication, and resource identification. Self help group offering support and tiered programs to people with a dual diagnosis of MI and substance abuse are often referred to as this, a slang expression or nickname. A residential environment in which one or more individuals with a psychiatric disability live with a family other than their own.
Changes in a work environment that help minimize the impact of the disability but do not place an undue burden on the employer or institution.
Match the key ethical issue to the psychiatric rehabilitation practitioner behavior that helps to promote it: Practitioners must know the limits of their expertise. Choose one Conflicts of Interest Self-determination Multi-cultural Competence Rights of people using services Competence
Competence
Of the following 5 steps of the psychiatric rehabilitation process, which comes FIRST? Choose one Direct Skills Teaching Conduct a Functional Assessment Conduct a Readiness Assessment Set an Overall Rehabilitation Goal Plan for Resource Development.
Conduct a Readiness Assessment
Match the key ethical issue to the psychiatric rehabilitation practitioner behavior that helps to promote it: Avoid Inappropriate Dual Relationships Choose one Self-determination Multi-cultural Competence Rights of people using services Competence Conflicts of Interest
Conflicts of Interest
." A 23 year old participant in a psychiatric rehabilitation program has been living with schizophrenia for about 5 years. He tells the practitioner that he wants to go back to work. Which of the following is the best response? A. "The stress of work will probably exacerbate your symptoms. B. " Great idea. Let's get started looking for some openings." C. "Maybe we should try to find you a volunteer position." D. "That sounds like an important goal, let's sit down and talk about how you can make it happen."`
D. "That sounds like an important goal, let's sit down and talk about how you can make it happen."
Awareness of both verbal and non-verbal communication; acknowledgement of what the person is stating including the congruence/incongruence with behavior or body language, defines which of the following: A. Reframing B. Reflecting C. Clarifying D. Active listening
D. Active listening
Which of the following best describes the practice of shared or collaborative leadership? A. Agencies enter into partnerships with each other to provide greater access to a variety of services. B. Agencies sponsor a day where program participants and staff change roles so that participants can experience decision-making. C. Agencies make an effort to have rehabilitation plans that identify goals program participants have chosen for themselves. D. Agencies incorporate the voice of all staff and persons receiving services into the judgments that affect them.
D. Agencies incorporate the voice of all staff and persons receiving services into the judgments that affect them.
A person in recovery was having such severe anxiety walking to class from the parking lot that she felt the buildings were closing in on her and she would often not make it to class. What is a reasonable accommodation that is practical and preserves her role as a student? A. Tell her teacher about her disability so she won't get penalized for lateness/absence B. Change her course schedule so her classes are not so far away. C. Change schools D. Arrange a parking pass so she can park more closely to her classroom.
D. Arrange a parking pass so she can park more closely to her classroom.
An individual receiving services has not been seen in several weeks. He shows up looking for a place to sleep. He smells of alcohol and seems to be responding to auditory hallucinations. The practitioner's best response would be: A. Refer him to the local police B. Recommend that he take medication and come back when he is sober. C. Take him to a local AA meeting. D. Assist him in determining the resources and supports needed.
D. Assist him in determining the resources and supports needed
Choose the best reason to modify an individual's rehabilitation plan. A. The agency requires the plan to be reviewed every 6 months. B. The individual says that he/she is tired of working toward the current goals and wants to change. C. The individual has just been released from the hospital and is not doing as well as everyone had hoped. D. Recovery is an ongoing process. The person is individual constantly developing new strengths/skills and reducing/eliminating barriers. Plans need to be modified to accommodate these changes.
D. Recovery is an ongoing process. The individual is constantly developing new strengths/skills and reducing/eliminating barriers. Plans need to be modified to accommodate these changes.
An individual receiving psychiatric rehabilitation services has a dual diagnosis of schizophrenia and substance abuse. Which of the following would be considered appropriate in the management of his care? A. The symptoms of schizophrenia must be stabilized before the substance abuse is addressed. B. The substance abuse should be treated before the schizophrenia. C. The illness to be treated first depends on the individual. D. The person should be treated for both disorders at the same time.
D. The person should be treated for both disorders at the same time.
Which of the following models cross-trains staff in both substance abuse and mental health to incorporate that knowledge in provided services? Choose one Sequential service model Parallel service model Integrated service model Independent service model
Parallel service model
An employee is eligible for protection under Title I of the Americans with Disabilities Act of 1990 if: A. They have a psychiatric disability. B. They are working with a supported employment program. C. They collect Social Security Disability Insurance. D. They choose to disclose their disability to their employer after the job offer.
D. They choose to disclose their disability to their employer after the job offer.
An agency needs to find a new location for a supported housing program. Which of the following demonstrates an empowerment approach? Choose one Ask staff which location would be most convenient for commuting. Ask a staff member, who is also a participant, where they think the new supported housing program should be located. Research articles on supported housing and locate the program based on the information you learn from the data available. Develop and advisory group of individuals, family members, and staff to discuss the site and program development for this project.
Develop and advisory group of individuals, family members, and staff to discuss the site and program development for this project.
Nonmaleficence refers to: Choose one Be patient Practice self-care Do no harm Be kind
Do no harm
Match the dimension of wellness its accurate description: Developing a sense of connection, belonging, and a well developed support system Choose one Environmental Social Financial Occupational Physical Spiritual Emotional Intellectual
Emotional
An individual recently left his job as a provider with a case management program. After working there for three years, he left because there were no opportunities for promotion. As a psychiatric rehabilitation practitioner, what would you do first to help him? Choose one Provide supportive counseling because he talks about being unemployed . Encourage him to try whatever job he decides is best for him. Engage in problem solving and planning to help him explore new case management job opportunities. Refer him to a partial care programs so he can work in the kitchen unit.
Engage in problem solving and planning to help him explore new case management job opportunities.
Match the dimension of wellness its accurate description: Good health by occupying pleasant, stimulating environments that support well-being Choose one Occupational Physical Intellectual Emotional Spiritual Environmental Financial Social
Environmental
Culturally learned assumptions include two main concepts. Question 7 asked about the first CLA. The second culturally learned assumption involves the feeling or attitude of cultural superiority based on one or more cultural attributes e.g. national origin, religion, race, etc. What is this called? Choose one Cultural Tunnel Vision Racism Ethnocentrism Superiority Complex
Ethnocentrism
There are many good reasons for teaching verbal communication skills to people in recovery. Why is it important for this unit, which focuses on exploring alternatives and setting personal goals? Choose the BEST response. Choose one Expressing one's likes/dislikes, preferences, concerns, and hopes in an articulate way is essential to effective goal setting and achievement. Most individuals with mental illness are unable to express themselves in an articulate manner. Many individuals in recovery experience a symptom called "poverty of speech." This intervention can help alleviate it. Having good communication skills is an appropriate goal for all people in recovery to have.
Expressing one's likes/dislikes, preferences, concerns, and hopes in an articulate way is essential to effective goal setting and achievement.
All but one of the following are warning signs that might precede a relapse for someone with a dual disorder of a psychiatric disorder and a substance abuse problem? Which on is NOT a warning sign about for relapse? Choose one Hanging out with friends who still drink or abuse drugs. Feeling hopeful and optimistic about the future. Refusal to deal with ordinary, daily problems. Isolating oneself and avoiding appointments and rehab related meetings. Overconfidence in one's ability to function without support.
Feeling hopeful and optimistic about the future.
Match the dimension of wellness its accurate description: Satisfaction with current and future financial situations Choose one Intellectual Social Spiritual Emotional Environmental Occupational Financial Physical
Financial
All of the following are components of the case management approach of ACT (Assertive Community Treatment) except for one. Which is NOT part of ACT? Choose one Focus is on long term development of insight to prevent future psychiatric episodes. Emphasis on keeping clients out of the hospital. 24 hour crisis intervention. Support is offered in basic services such as housing and food. Services are provided by a team of experts in every area, from medical care and counseling to VR.
Focus is on long term development of insight to prevent future psychiatric episodes.
If someone is not deemed ready for rehabilitation, then what is the next step? Choose one Do a functional assessment to evaluate the basic level of skill capacity. Begin the rehabilitation process anyway, because they will probably become more ready as you start doing goal development. Focus on developing readiness, such as increasing confidence and motivation Refer the person out to a non-rehabilitation related service.
Focus on developing readiness, such as increasing confidence and motivation
Why not offer someone a sandwich when trying to help, according to Brene Brown?What is the best reason, based on what you know about interpersonal skills? Choose one Offering a sandwich is insufficient. You need to listen and be with the person who is having a difficult time. Reflecting feelings is intrusive so offering food is a less offensive alternative. Some people can't eat gluten so a sandwich would be toxic. Sympathy is often as effective as empathy. Talking about a time when you were worse off can help a person realize how fortunate they are.
Offering a sandwich is insufficient. You need to listen and be with the person who is having a difficult time.
A practitioner, has been feeling overly stressed lately. His friend suggested that he take better care of himself. Which of the following is the most healthy activity to help John relieve stress? Choose one He could discuss his feelings of stress with participants during a group case management meeting. He could go out with friends and have a few drinks. Since he does not have that much going on, John thinks it is stupid that he is stressed out and philosophically reasons that "this too shall pass." He could begin to keep a daily journal in which he expresses his feelings of stress and brainstorm some stress management strategies with someone he trusts.
He could begin to keep a daily journal in which he expresses his feelings of stress and brainstorm some stress management strategies with someone he trusts.
Which of the following statements is true about the rights and responsibilities for employers who make accommodations for psychiatric disabilities? Choose one Providing accommodation requires extensive paperwork for the employer and employee and the responsibility is always on the employer to do most of it. The employer must accept whatever accommodation is requested by the employee; there is typically little negotiation. In most situations, making accommodations typically costs the employer very little, and simple adjustments often are quite effective. The employer has the right to a full detailed disclosure of all aspects of the psychiatric disability before providing reasonable accommodations
In most situations, making accommodations typically costs the employer very little, and simple adjustments often are quite effective.
Match the dimension of wellness its accurate description: Recognizing creative abilities and finding ways to expand knowledge and skills Choose one Environmental Social Financial Emotional Spiritual Occupational Physical Intellectual
Intellectual
Which of the following are some workplace accommodations that are often helpful to people with psychiatric disabilities? (Select ALL that apply - HINT: There are 4) Choose all that apply Job Coach Job Sharing Waiving of Annual Performance Evaluation Quiet Work Area Flexible Schedule
Job Coach Job Sharing Quiet Work Area Flexible Schedule
Which of the following is an accurate statement describing meditation? Choose one While meditation can give you more intentional control over your thoughts, reactions, and feelings, there is no research of any sort to suggest that meditation can be effective in improving immune function in people with cancer or help with other physical conditions. Mindfulness Meditation is only one form of meditation. It may involve focusing on your thoughts, your breath, your sensations, or an object, and may involve using imaging and visualization, with the intent of focusing on the present moment. Meditation refers to a specific practices where a person trains his or her mind to focus attention and awareness on events that happened in the recent past, in order to make sense of them and for the purpose of improving well being. Meditation has its origins in Catholicism, and is now practiced throughout the world by people of every faith, most especially by those in Catholic cultures. It is a form of meditation designed to build insight and awareness.
Mindfulness Meditation is only one form of meditation. It may involve focusing on your thoughts, your breath, your sensations, or an object, and may involve using imaging and visualization, with the intent of focusing on the present moment.
Which of the following is an accurate statement about mindfulness? Choose one Mindfulness involves bringing your attention as fully as possible to the present moment but once you practice it, you can achieve it while still operating on automatic pilot in most areas of your life. Techniques for developing mindfulness cannot really be learned; you have to reach a certain state of zen to achieve it. Mindfulness is a state of consciousness and a way of being that involves heightened awareness of who you are, where you are, and what you are experiencing right now. Mindfulness really only applies to your thoughts; it has no relevance for behaviors such as eating or spending money.
Mindfulness is a state of consciousness and a way of being that involves heightened awareness of who you are, where you are, and what you are experiencing right now.
Match the key ethical issue to the psychiatric rehabilitation practitioner behavior that helps to promote it: Emphasize a respect for individual and diverse differences. Choose one Conflicts of Interest Rights of people using services Multi-cultural Competence Competence Self-determination
Multi-cultural Competence
Which of the following is an example of an organization that can support individuals and family members by advocating for better access to public resources in the community? Choose one ADA (Americans with Disabilities Act) NAMI (National Alliance on Mental Illness) NCDR (National Coalition for Disability Rights) NADR (National Association of Disability Representatives)
NAMI (National Alliance on Mental Illness)
What is one key factor of Assessing Readiness (Readiness to Change Factors)? Choose one Confrontation with any Resistance Committment to Action Rolling with Resistance Need for Change
Need for Change
Your colleague just took the CPRP and complained about a confusing question. She asked you to explain the difference between "paraphrasing" and "demonstrating empathy." You want to help clarify the two terms. Which of the following is the best explanation of the two terms? Choose one The two terms are interchangeable and mean the same thing. Paraphrasing is not part of the skill of demonstrating empathy; they are completely different skills. Paraphrasing is one skill that is included within the more complex and larger skill of demonstrating empathy. Paraphrasing means responding to content while demonstrating empathy means asking open ended questions.
Paraphrasing is one skill that is included within the more complex and larger skill of demonstrating empathy.
In your reading, there were some statistics on self-directed care, including some results from pretest-posttest study of Self Directed Care for people with psychiatric disabilities in Florida. Which of the following best describes one of these findings? Choose one Despite the support, at posttest, SDC participants had consistently low levels of productive activity, especially in paid employment. While SDC participants reported a higher quality of life, they did not spend a significantly higher number of days in the community after joining the program than they did in the year prior to the program enrollment. Participants scored significantly higher on global functioning in the year following program participation than the year prior. Only 40% of participants were hospitalized and the resort to involuntary inpatient commitment was especially rare, with only 5% hospitalized involuntarily.
Participants scored significantly higher on global functioning in the year following program participation than the year prior.
Seifert's article on Advocacy discusses effective ways to meet with your local legislative representative. Which of the following accurately describes one of these strategies? Choose one Send an email with a description of your agency and a blanket invitation to stop by, because you know he or she is busy. Sent out a message via Facebook or Twitter that states your unhappiness with his or her recent MH legislative decisions in order to get a good discussion going. Send several articles about psychiatric disorders and the benefits of community integration to his or her office for perusal, and wait for a follow up phone call to your agency Personally invite him or her to visit your agency, being clear about the purpose of the visit and the arrangements.
Personally invite him or her to visit your agency, being clear about the purpose of the visit and the arrangements.
Match the dimension of wellness its accurate description: Recognizing the need for physical activity, diet, sleep, and nutrition Choose one Occupational Financial Social Environmental Intellectual Spiritual Emotional Physical
Physical
Below are several pieces of information which might be found on a psychiatric advanced directive. Four out of five are correct, one is incorrect. Which one is NOT included in an advance directive? Choose one A list of names of prohibited and acceptable visitors. The name of a legal and medical guardian in the case of declaration of incompetence. Specific instructions about notifying the family (who, how, when). Preauthorization for participation in experimental studies. Arrangements for care of minor children.
Preauthorization for participation in experimental studies.
You are working with Jasmine who wants to go back to work and is unsure about what she should disclose about her psychiatric disability. Which of the following strategies follow psychiatric rehabilitation principles? Choose one Provide information about ADA and disability rights together with some good websites with disclosure guidelines. Role play a conversation with an employer in which Jasmine can practice what she might say if she were to disclose her disability. Contact any local employers to let them know that you work with people in recovery and that they would make great employees. Provide education about rights and legal protection from discrimination in the workplace and hope that the info is sufficient. Tell Jasmine to go find information about disclosure on the internet and report back what she has found.
Provide information about ADA and disability rights together with some good websites with disclosure guidelines. Role play a conversation with an employer in which Jasmine can practice what she might say if she were to disclose her disability.
An individual in recovery is returning to a university to complete her degree. Which is the best example of a reasonable accommodation to help her succeed at school? Choose one Helping the individual to design a behavioral reward and monitoring system to increase her reading time in the evenings. Providing information about financial aid, public transportation and disability services before the individual starts the semester Creating an instructional plan to help the individual learn how to respond to negative feedback at school. Arranging a parking pass so the individual doesn't have to rely on the train on nights when she has late classes.
Providing information about financial aid, public transportation and disability services before the individual starts the semester
Which of the following most accurately embodies the principles of psychiatric rehabilitation? Choose one Preventing a person to demonstrate from entering a natural environment until she or he can demonstrate any and all needed skills in a safe and supervised environment. Providing resources for an individual in recovery about dating services available in the community. Making every effort to properly understand the severity and nature of an individual's symptoms. Applying an understanding of diagnostic criteria to ensure people are not misdiagnosed.
Providing resources for an individual in recovery about dating services available in the community.
Which of the following correctly states a PRA multicultural principle? There are three correct answers. Choose them all to get credit. (select ALL that apply) Choose all that apply Psychiatric Rehabilitation practitioners do not need to actively promote positive inter-group relations; this is largely the responsibility of their supervisors and those in the larger community. Psychiatric Rehabilitation practitioners recognize that discrimination and oppression exist within society; these take many forms, and are often based on perceived differences in color, physical characteristics, language, ethnicity, gender, gender identity, sexual orientation, class, disability, age, and/or religion. Psychiatric Rehabilitation practitioners provide interventions that are culturally syntonic, and accommodate culturally determined strengths, needs, beliefs, values, traditions, and behaviors. Psychiatric Rehabilitation practitioners engage in the development of ongoing cultural competency, in order to increase their awareness and knowledge, and to develop the skills necessary for appropriate, effective cross-cultural interventions. Psychiatric Rehabilitation practitioners do not really need to study or understand their own cultures in order to relate to the cultures others.
Psychiatric Rehabilitation practitioners recognize that discrimination and oppression exist within society; these take many forms, and are often based on perceived differences in color, physical characteristics, language, ethnicity, gender, gender identity, sexual orientation, class, disability, age, and/or religion. Psychiatric Rehabilitation practitioners provide interventions that are culturally syntonic, and accommodate culturally determined strengths, needs, beliefs, values, traditions, and behaviors. Psychiatric Rehabilitation practitioners engage in the development of ongoing cultural competency, in order to increase their awareness and knowledge, and to develop the skills necessary for appropriate, effective cross-cultural interventions.
Which of the following assumptions underlie the process of Readiness Assessment? Choose one Readiness Assessment is usually done after a functional assessment. Readiness changes over time and but is not environmentally specific. Readiness Assessment is not intended to include or exclude people from the rehabilitation process. Readiness describes willingness and commitment, as well as assessment of skills capacity and level. Readiness requires that a person is in the second stage of Recovery.
Readiness describes willingness and commitment, as well as assessment of skills capacity and level.
What is the name of the skill that involves shifting a negative statement to one that focuses on a strength? Choose one Confronting Refraining Practicing optimistic realism Reflecting feeling
Refraining
Fran's new neighbors are harrassing her with threatening gestures and notes. Although Fran is listed as a man and has masculine features, she is really a woman. Which is the best response to give her? Choose one "Fran, I understand that you do not want to create any problems with your new neighbors, but you have the right not to be harassed and can call the police, if needed." "Would you like a contact for a local support group for individuals with a mental illness who face discrimination due to their sexual orientation? They may be able to support you to feels safe and to protect your rights." "Regardless of your sexual preference, you have the right to be free from harassment. I can give you information about legal advocate to call the next time it happens to you." "Fran, I need clarification. Your documentation indicates that your gender is male, but your comments about yourself doesn't match that."
Regardless of your sexual preference, you have the right to be free from harassment. I can give you information about legal advocate to call the next time it happens to you."
Match the key ethical issue to the psychiatric rehabilitation practitioner behavior that helps to promote it: Respect confidentiality and fully explain the limits of confidentiality. Choose one Competence Multi-cultural Competence Conflicts of Interest Rights of people using services Self-determination
Rights of people using services
Please match the definition of each psychiatric rehabilitation intervention to its name: Double Trouble Choose one A residential environment in which one or more individuals with a psychiatric disability live with a family other than their own. Self help group offering support and tiered programs to people with a dual diagnosis of MI and substance abuse are often referred to as this, a slang expression or nickname. Changes in a work environment that help minimize the impact of the disability but do not place an undue burden on the employer or institution. An intervention strategy in which the PsyR practitioner partners with the client's family to provide training, support, communication, and resource identification.
Self help group offering support and tiered programs to people with a dual diagnosis of MI and substance abuse are often referred to as this, a slang expression or nickname.
Match the key ethical issue to the psychiatric rehabilitation practitioner behavior that helps to promote it: Use non-coercive intervention strategies whenever possible. Choose one Rights of people using services Conflicts of Interest Competence Self-determination Multi-cultural Competence
Self-determination
What primary principle is the WRAP "born out of and rooted in?" Choose one Person centered counseling Self-determination Symptom reduction Peer support
Self-determination
Which part of the Psychiatric Rehabilitation process involves identifying personal criteria, comparing alternative environments, and making a decision about a goal environment. Choose one Conducting a Functional Assessment Developing SMART Goals Setting and Overall Rehabilitation Goal Readiness Development
Setting and Overall Rehabilitation Goal
Match the dimension of wellness its accurate description: Coping effectively with life and creating satisfying relationships. Choose one Intellectual Physical Social Occupational Emotional Environmental Financial Spiritual
Social
Match the dimension of wellness its accurate description: Expanding our sense of purpose and meaning in life Choose one Financial Spiritual Emotional Social Physical Occupational Intellectual Environmental
Spiritual
Which of the following is true about the impact of some of the dimensions of wellness on work and the employment experience? Choose one Social wellness means that my relationships and supports in the workplace will fulfill all my social needs outside of work as well. Physical wellness guarantees me the stamina and the strength to carry out any physically demanding job. Spiritual wellness, which includes having meaning and purpose and a sense of connection to the world, can make tough work days easier to deal with. Getting paid to work is not at all important to overall wellness.
Spiritual wellness, which includes having meaning and purpose and a sense of connection to the world, can make tough work days easier to deal with.
Which of the following are examples of an informal support? Four out of Five of the answers are correct. (Select ALL that apply) Choose all that apply Sports League Therapy Group Family Church Book Club
Sports League Family Church Book Club
A individual receiving psychiatric rehabilitation services had to withdraw from a prestigious Ivy league school because of exacerbation of her PTSD symptoms. Now the dean is requiring her "to prove her sanity" to the entire faculty of the English department in order to re-enroll. The unfair and illegal treatment of this individual and the behavior of the dean is an example of: Choose one Academic freedom Stigma and discrimination A reasonable request A legal policy although an unfair one
Stigma and discrimination
Jay and Sue, two psychiatric rehabilitation practitioners, are discussing their program participant Jamie's desire to resume working. Sue says she will not help Jamie because he is not acting as if he is ready to work. What is your best response to this ethical situation? Choose one Mind your own business. Understand that each practitioner has a unique viewpoint. Suggest consultation with the other colleagues before making a decision based on these observations. Tell sue she is correct; Jamie is clearly not ready to work, and she should not waste her time with work readiness. Tell the colleague that he or she does not have the right to decide for Jamie. All of the above.
Suggest consultation with the other colleagues before making a decision based on these observations.
Which of the following is a recommendation for psychiatric nurses working with people in recovery (from Roe and Swarbrick article)? Choose one Help consumers prepare for their medication appointments but since they only last 15 minutes, don't encourage question asking. Since typically the psychiatrist assumes a position of power, it is better to teach active listening to help them make the most of their time. Teach and encourage the practice of coping strategies. Nurses can help consumers learn "non-drug" strategies for coping with voices, delusions, paranoia, depression, obsessive thinking, self injury, flashbacks, etc. Provide a book about medication but don't bother teaching consumers about medications. There is too much technical jargon that get used about psychiatric medications and you will only confuse people. Tell the consumer what to expect so there are no surprises. Do not use role-plays to help the person prepare for the meeting, as there is no evidence that role plays are effective and they can be seen as patronizing.
Teach and encourage the practice of coping strategies. Nurses can help consumers learn "non-drug" strategies for coping with voices, delusions, paranoia, depression, obsessive thinking, self injury, flashbacks, etc.
A new mental health agency opens and advertises that they offer services that are empowering and promote recovery. Which of the following is an empowering practice that you would expect to observe? Choose one The agency actively recruits mental health recipients for all positions within the agency. The agency specifies three peer positions and recruits primary mental health recipients for these positions. The agency's bylaws state that at least one of the executive board members is a primary mental health recipient. The agency has explicit expectations that all participants will receive supported employment and supported education services that provide opportunities to secure competitive employment positions and access educational opportunities.
The agency has explicit expectations that all participants will receive supported employment and supported education services that provide opportunities to secure competitive employment positions and access educational opportunities.
Illness, Management, and Recovery (IMR) is one of the six recognized evidence based practices in psychiatric rehabilitation. IMR skills include recovery strategies, psychoeducation (practical facts about mental illness), using medication effectively, building social support, and coping with stress and other problems and persistent symptoms. There are two other components that are integral to IMR. Which of the following accurately names these two components? Choose one Family psychoeducation and Medication compliance training Family psychoeducation and Reducing relapses of mental health symptoms The stress vulnerability model and treatment strategies and Supported employment The stress vulnerability model and treatment strategies and Reducing relapses of mental health symptoms.
The stress vulnerability model and treatment strategies and Supported employment
Why are SMART goals important? Select the BEST reason. Choose one They are important because they are the only way to guarantee that a person will actually reach their goal. They are important because the "T" in the SMART acronym stands for targeted, and all goals must have a target. They are important because goals should be specific, measurable, attainable, realistic, and time-limited if they are to help a person move toward their goal. Setting a goal is smart, so people should set them often and change them as needed.
They are important because goals should be specific, measurable, attainable, realistic, and time-limited if they are to help a person move toward their goal.
What is the primary goal of conducting a resource assessment? Choose one To evaluate the presence or absence of supports critical to the individual achieving success with personal goals. To determine if an individual is able to work. To evaluate a person's ability and desire to live independently. To determine if the individual is taking his or her medications.
To evaluate the presence or absence of supports critical to the individual achieving success with personal goals.
Please check all that apply. The purpose of reading scholarly journals, attending professional meetings, and observing other programs is to: (Select ALL that apply) Choose all that apply To get all of your learning out of the way now, so you only have to focus on doing your job in the future. To learn about new program developments to offer state-of-the-art services to program participants. To apply new knowledge that is consistent with PRA's ethical and practice guidelines. Be knowledgeable about the current services provided in the Psychiatric Rehabilitation community, both locally and internationally.
To learn about new program developments to offer state-of-the-art services to program participants. To apply new knowledge that is consistent with PRA's ethical and practice guidelines. Be knowledgeable about the current services provided in the Psychiatric Rehabilitation community, both locally and internationally.
You are writing a letter to the director of the mental health department asking her to change the policy that requires all state-reimbursed residential services to occur at the residence. Which of the following points should you include? Choose one We need to get people out into the community to meet their goals so we should be able to provide services there. . People with psychiatric disability deserve to get out in the community. We should get paid for the services we provide there. . The agency must focus on individual's goals or people will continue to go back to the hospital. We need to get people out into the community to meet their goals so we should be able to provide services there. AND Changing the policy to allow reimbursement for community-based services is consistent with best practices; it improves service integration and focuses on individual goals. Changing the policy to allow reimbursement for community-based services is consistent with best practices; it improves service integration and focuses on individual goals. .
We need to get people out into the community to meet their goals so we should be able to provide services there. AND Changing the policy to allow reimbursement for community-based services is consistent with best practices; it improves service integration and focuses on individual goals.
What feelings typically come up around loss and terminating? Choose one Anger Sadness Fear All of the above
all of the above
The major characteristics of a schizophrenic disorder include: Choose one delusions, thought disorder, hallucinations, loss of ego boundaries, attentional deficits poor motivation, lack of interest, disheveled appearance, homelessness, substance abuse unclear boundaries of the self, unpredictable motor behavior, poor hygiene, cognitive impairments delusions of guilt, low self-esteem, helplessness, impaired sleep, mania
delusions, thought disorder, hallucinations, loss of ego boundaries, attentional deficits
Match the dimension of wellness its accurate description: Personal satisfaction and enrichment derived from one's work Choose one Intellectual Financial Environmental Social Spiritual Occupational Physical Emotional
occupational
