NBCOT Mental Health Adults

When working with a client with chronic pain, the OTA 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 the client who has chronic pain?

" I realized 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."

A COTA is approached by a client with Alzheimer's dementia who asks, "Do I finish high school next year, or am I already finished? I don't want to go back." What is the BEST response for the COTA to make?

" It sounds like you're a little worried about that. You're already finished with high school. You don't have to go back."

An adult client is receiving home health occupational therapy services from a COTA. At the initial intervention session, an adult child of the client informs the COTA 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 the client often cries. How should the COTA respond?

Further explore with the client's adult child the extent of the client's sadness and negative moods before discussing the situation with the supervising OTR.

According to the Model of Human Occupation (MOHO), occupational therapy intervention will best benefit adult clients with mental illness through which of the following approaches?

Understanding the client's dimensions of occupational participation and performance

During a journal reading activity led by the COTA, a client becomes very emotional when disclosing sensitive personal feelings on how the client's family perceives the client's admission to the mental health facility. Several other clients recognize that they share the same feelings and perceptions, which makes the client feel better. According to Yalom's therapeutic factors in groups, what curative factor is this?

Universality.

A COTA working in an outpatient mental health setting meets with a client with depression 3 weeks after the client's discharge from the hospital. The client expresses concern about phenelzine (Nardil), a monoamine oxidase inhibitor (MAOI) the client ha been prescribes, saying that the drug's negative side effects deplete the client's ability to function. The client plans to stop taking medication. What is the COTA's MOST appropriate response?

" Let's get your psychiatrist or a nurse on the phone now so you can discuss your concerns."

A client arrives at the occupational therapy clinic 10 minutes late for a session crying uncontrollably. When the COTA attempts to engage the client in conversation, the client responds " I don't want to talk about it. Is that so bad?" Which response would be the MOST effective?

"It must be very difficult."

A client arrives for an occupational therapy evaluation upset because of an inability to travel home in time to attend the wedding of a family member. Which response by the COTA communicates a professional use of empathy

"You seem upset that you are going to miss the wedding."

A client who presents at an outpatient occupational therapy clinic for an evaluation is crying, because the client will not be able to go home in time to attend the wedding of a family member. Which response BEST communicates empathy?

"You seem upset that you are going to miss the wedding."

A COTA is scheduled to lead a discussion group for clients attending an outpatient psychiatric facility. What planning should the COTA do in advance of the discussion to MOST EFFECTIVELY promote interaction within the group?

Arrange the chairs so the group and leader sit in a circle

An OTR supervises a COTA who works with a group of adults who are continuing their recovery from alcohol and drug addiction by living in a halfway house. The OTR suggests that the COTA become familiar with a particular group intervention in working with these clients. What type of intervention would the OTR MOST likely suggest?

A 12- step self- help group.

What occupational therapy group would benefit MOST from a highly directive and authoritative leadership style?

A group of adolescents diagnosed with oppositional defiant disorder attending a gang prevention group in an alternative education setting.

Using the Allen Cognitive Level Screen-5 for screening, followed by use of Allen Diagnostic Module and the Routine Task Inventory for confirmation of screening results, the supervising OTR identifies level 4 as the current level of functioning of a a client in an adult day treatment center. What is the MOST appropriate scenario for activity completion for this client?

A model of completed project is provided for the client to imitate. Simple instructions are provided.

A COTA is working in an inpatient psychiatric setting where the average length of stay is 5 days. Which group activity would be MOST appropriate for patients with depression?

A parallel group in which each participant completes his or her own solid-color ceramic tile trivet.

Which statement BEST describes a task- oriented group in the "storming" phase of group development?

A participant who has recently joined the group sets up roadblock to everything another participant says, and a third participant questions whether accomplishing the task is even possible.

A client scores an Allen Cognitive Level (ACL) of 4.0 with the Allen Cognitive Disability Framework. A COTA is working with the client in an adult day treatment center.

A project is set up with a model final product; simple instructions should be provided, along with supervision

Which occupational therapy groups would benefit from a highly directive and authoritative leadership style? Select the 3 BEST choices?

A. Group of young adults who were recently released from incarceration engaging in a court-ordered community reentry program B. A group of adolescents diagnosed with oppositional defiant disorder attending a gang prevention group E. A group of older recent stroke survivors engaging in a ROM and exercise group.

A COTA is working in an outpatient psychiatric setting has been meting monthly with a closed- membership group of people with depression to promote socialization. Up to this point, the group ha been functioning as a parallel group, but the participants are ready to progress to the next level, a cooperative group. Which activities would be appropriate to facilitate this transition? Select the 3 BEST choices.

A. Organize making a quilted wall hanging for the reception area to which each participant contributes a square. B. Design a music playlist for the next group meeting that includes the music interests expressed by each group member. E. Have participants plan a dinner to which each participant contributes a dish.

A COTA is working with an adult client with severe depression who is able to converse. Which approach would facilitate engaging in a client- centered process? Select the 3 BEST choices.

A. Paying attention to the meaning of nonverbal cues. B. Being directive with the client. C. Being empathetic with the client.

The spouse caregiver of a client with advanced Alzheimer's disease tells the COTA that the client has become more confused and agitate, is uncooperative when receiving care, and displays inappropriate and sometimes destructive behavior. The caregiver confides that the stress has begun to feel overwhelming. Which occupational therapy interventions are appropriate? Select the 3 BEST choices.

A. Training the caregiver to provide simple, one-step directions during care-taking task to reduce the client's agitation. B. . Training the caregiver to avoid distractions from the task at hand when providing care to the client. F. Providing task simplification training sessions with the caregiver.

A client arrives at the occupational therapy clinic 10 minutes late for an appointment crying uncontrollably. When the COTA attempts to engage the client in conversation, the client responds "I don't want to talk about it. Is that so bad?" What response from the COTA would be appropriate ? Select the 3 BEST choices.

A."It must be very difficult." B."I understand ;would you like to take a few more minutes?" C. Thank you for being here; take your time and speak when you are ready."

A COTA is working in a clubhouse with a group of clients who have mental health issues. Which leadership style would be MOST effective for the COTA to use?

Advisor

A COTA is running a group in an innovative preventative program for parolees. The goal of the program is to assist the parolees with establishing or restoring occupational balance and productive occupations. The current group has been meeting regularly for 6 months. The members have good insight, and they understand the goals of the program. What leadership style should the COTA use in the setting?

Advisory

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 COTA expect to see when the client attempts to do a task?

Aggressive outbursts of behaviors when frustrated with a project.

A COTA is using Fidler's task-oriented group as a context for treatment to help participants explore healthy ways to deal with conflict. Which of the following activities would be BEST for this group?

An activity that is challenging and likely to cause tension among members.

In which of the following groups is group process the MOST important?

An open-memebership group for people with stroke that meets weekly, in which the COTA demonstrates self-ROM and then participants range their own extremities to demonstrate that they understand correct procedures.

Which class of psychopharmaceutical drugs is mood elevating but may increase suicidal tendencies in young adults and carries a small risk of causing hypomania or mania?

Antidepressants

During an occupational therapy intervention session, which approach would pose the biggest barrier to engaging in a client- centered process with an adult client who is able to converse?

Asking too many closed- ended questions.

A client recovering from substance abuse disorder is referred for occupational therapy services. What intervention is the COTA MOST likely to provide?

Assistance with finding meaningful ways to spend free time.

A COTA's guiding framework about improving the lives of clients with mental illness is that changing client's negative beliefs about experiences and situations ultimately reduces negative emotional states and behaviors. What is the COTA's MAIN theoretical perspective?

Cognitive- behavioral.

A COTA is conducting a woodworking group in the psychiatric unit of a federal correctional facility. Policies and procedures are established in such facilities to ensure the safety and welfare of inmates and staff. Which statements reflects policies and procedures related to a woodworking group that address the safety and welfare of all inmates at this facility? Select the 3 BEST choices.

B. No participant may return to the housing units until all tools have been counted. E. Woodworking projects are to remain in the workroom at the conclusion of the group session F. Participants must be prescreened and selected with consideration for safety and risk

A COTA is providing intervention to a client with an anxiety disorder who hyperventilates when faced with difficult work tasks. The COTA suggests that the client use breathing techniques and relaxation breaks during the work day to minimize the client's response to stressful events at work. What frame of reference does this intervention suggest?

Behavioral

A COTA is using groups in a residential rehabilitation facility for people with substance abuse. The COTA has identified a group of clients who have difficulty with assertiveness during encounters with significant others. The COTA decides to use role playing with the group members to help them improve their response in such events. What frame of reference does this intervention choice suggest.

Behavioral

While participating in an occupational therapy activity group, a client becomes highly confrontational with other clients in the group for no apparent reason. During a discussion with the OTR and COTA, the client states that if she continues self-mutilating behaviors, her family will no longer allow the client to live at home. Documentation from the psychologist indicates that the client has behaved this way for years. What diagnosis does this client MOST likely have?

Bordering personality disorder.

A client served 18 months in a forensic facility and was released to a halfway house; the client is now participating in a community reentry program. Which of the following areas of occupation would be the BEST focus for an occupational therapy program?

Budgeting and shopping skills.

An OTR and a COTA team who work with adult clients with mental illness attend an introductory workshop on guided imagery. The OTR and the COTA wants to begin applying the skills obtained from the workshop with clients. With which of the following clients would it be MOST appropriate for the OTR and the COTA to use guided imagery?

Clients with generalized stress disorder.

A COTA is providing intervention to a client with an anxiety disorder who hyperventilates when faced with difficult work tasks. The COTA (with the clients's permission) works with the employer to identify work tasks in which the client can be successful. What frame of reference does this intervention suggest?

Cognitive disability

A COTA is facilitating a task-oriented group with five group members and observes that the group is in the storming phase of group development. Which characteristics are typical of the storming phase of group development? Select the 3 BEST choices.

C. A participant who has recently joined the group disagrees with everything another participant says, and a third participant questions whether accomplishing the task is even possible. E. Two group members disagree and begin to argue while a third group member adds uninvited comments. F. A group member questions the group leader as to why the group is meeting and appears uninterested in the process.

A client served 18 months in a forensic facility and was released to a halfway house; the client is now participating in a community reentry program. Which areas would be the focus for an occupational therapy program? Select the 3 BEST choices.

C. Budgeting and shopping skills. E. Prioritization and time management skills. F. Home management and homemaking skills.

A COTA working in an inpatient mental health forensic facility is establishing a group for clients who have a history of emotional outburst and causing harm to themselves or others. What elements should the COTA consider when deciding on the group design? Select 3 BEST choices.

C. Location of the meeting room and exits. E. Objects and materials to be used in group activities. F Presence of kitchen utensils, scissors, or sharp objects in the meeting room.

A COTA is working in a nonprofit transitional work program for people who have mental illnesses. Which assessment would be MOST effective for determining goals from the client's perspective?

Canadian Occupational Performance Measure.

A young adult client with anorexia nervosa is referred to occupational therapy after an episode of depression for which the client was briefly hospitalized. The client presents with concerns about using time meaningfully to reduce both depression and urges to binge and purge. What is the MOST appropriate initial plan for the OTR and the COTA team to develop with this client?

Client will explore volunteer options and allow the OTR or COTA to accompany the client to the first volunteer meetings.

A COTAvIs providing intervention to a client with an anxiety disorder who hyperventilates when faced with difficult work tasks. The COTA begins to work with the client on physiological responses and the thought process leading up to the panic attacks and suggests that the client begin journaling. What frame of reference does this intervention suggests?

Cognitive-behavioral.

A COTA believes that changing client's negative beliefs ultimately reduces negative emotional statements and leads to a change in behavior. What is the COTA's MAIN theoretical perspective?

Cognitive.

A COTA working in an interdisciplinary adult day program for clients with chronic mental illness. Other professionals working in the program include a recreational specialist, an art therapist, and a social worker. For what area is the COTA MOST likely to assume leadership?

Community integration.

A COTA is intervening with a client who is in active state of mania. The client has difficulty concentrating on the assessment procedure and displays disruptive behavior, saying the COTA is "stupid" and asking "dumb questions." The COTA tells the client, " I would like to help you, but I will not tolerate this behavior. You are not being nice to me right now, and I deserve to be treated better than this." Which interpersonal strategy does the COTA's statement exemplify?

Confrontation

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

Constructing a magazine collage.

A COTA working in a neurology unit was referred a client with low back pain. During the interview, the client confides that stressful life events have recently been prominent in the client's life. The client added that the low back pain started after the stressful life events. Malingering and fear of illness do not seem to be a part of this scenario. What is the client's likely diagnosis?

Conversion disorder.

A COTA works in an outpatient setting with clients with anxiety disorders. Which skills are MOST essential to the needs of this population?

Coping skills

A COTA is working in an inpatient psychiatric setting where the average length of stay is 5 days. Which group activities would be appropriate for patients with depression? Select the 3 BEST choices.

D. A parallel group in which each participant completes his or her own solid-color ceramic tile trivet. E. A parallel group in which participants paint simple , pre-constructed birdhouses using only two or three colors. F. A parallel group in which each participant is involved in a simple activity that requires little decision making and interaction with others.

A COTA is leading a group for clients who have depression and are unable to initiate tasks or make choices about what to do. Which leadership style would be MOST effective with this group

Directive

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

Directive task and activities group.

A COTA 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 COTA to use?

Directive.

An extremely agitated adult is admitted to an inpatient psychiatric hospital late on a Friday afternoon. Because nursing is short staffed, the nurse on the unit requests that the patient attend an occupational therapy group being held by a COTA that evening. The COTA calls the OTR, who is working at a location far from the unit, for guidance. The OTR is unable to return to the unit in time to evaluate the client before the session. What is the BEST course of action the OTR would direct the COTA to take?

Do no allow the patient to attend 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 COTA's BEST choice for working with the client at this time?

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

A COTA works with elderly clients with low vision. A client with macular degeneration is referred after substantial symptom progression and loss of vision. The client's spouse states that for 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 COTA advise the spouse to do?

Encourage the client to consult a mental health provider.

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

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

A COTA in an adult day treatment program decides to use a group of intervention with clients with schizophrenia who live in a supported living environment with 24-hour supervision. The COTA believes that a sensorimotor approach would help the clients reach their goal to increase independence in overall function and goal-directed activity in the home context. What would be an appropriate group activity that uses the sensorimotor approach?

Exercising to music.

A COTA who works with adult clients with mental illness attends an introductory workshop on guided imagery. The COTA wants to begin applying the skills obtained from the workshop with clients. For which type of disorder is guided imagery an appropriate intervention technique?

Generalized stress disorder.

What is the FIRST step in the process of designing a group protocol for clients with mental illness?

Identify a problem and the factors that will motivate the people in the group to change.

Which of the following elements is an important component of the Recovery Model?

Peer support and teaching.

A COTA working in n inpatient mental health forensic facility is leading a group of clients who have histories of emotional outburst and causing harm to themselves or others. Which group design element would have the highest priority?

Location of the meeting room and exits.

A COTA in an outpatient psychosocial program sets goals with a client to improve motivation for completing basic ADLs every day, resume daily community activity, and medication management of sertraline (Zoloft). The therapist is MOST likely working with a client with what diagnosis?

Major Depression

A COTA working with an adult client with major depression in an inpatient setting intervenes with the client to reduce the impact of occupational and environmental demands on performance of daily occupations. What is most likely to be the COTA's primary theoretical approach to designing an intervention?

Modifying the environment or the occupation to reduce demands,address personal goals, and use developed skills.

A COTA has been leading a developmental group that is in charge of planning a staff party at an inpatient facility. After a few sessions, the COTA observes that the group ha now bonded with one another and appears united and emotionally supportive of one another. According to Tuckman's theory of group development, at what stage is this group?

Performing.

A summer picnic ha been planned for clients in a day treatment program for people with mental illness. Before leaving, what medication- related precaution should the COTA review with the clients?

Need to protect oneself from direct sun when taking psychotropic medications

A COTA is conducting a woodworking group in a psychiatric unit of a federal correctional facility. Which statement BEST reflects the policies and procedures related to this group that involves the safety and welfare of all inmates at this facility?

No participant may return to the housing unit until all tools have been counted.

The caregiver of a client with Alzheimer disease questions the home health COTA about a recent increase in the client's dosage of donepezil (Aricept) prescribed by the physician. The caregiver is particularly concerned about potential consequences of the increased dosage. What is the COTA most appropriate suggestion for the caregiver?

Observe the client for signs of dizziness, which increases potential for falls.

A COTA working in an outpatient psychiatric setting has been meeting monthly with a closed-membership group of people with depression to promote socialization. Up to this point, the group has been functioning as a parallel group, but the participants are ready to progress to the next level, a cooperative group. Which activities would be MOST appropriate for such a group?

Organize making a quilted wall hanging for the reception area where area where each participant contributes a square.

Through what type of interventions is the field of occupational therapy MOST likely to be successful in demonstrating a population impact on the problem of cocaine and amphetamine abuse disorder?

Preventive

A client diagnosed with dissociative personality disorder is admitted to an inpatient psychiatric hospital as a result of suicidal behavior and impulses, severe anxiety, and periods of violence brought on by the emergence of new personalities. How is the COTA in this milieu therapy setting likely to intervene?

Provide a safe, nonthreatening, success-oriented environment to increase the client's sense of control.

A client with multiple sclerosis (MS) is displaying symptoms of depressed mood. The client has been referred to occupational therapy by a physician because of increasing feelings of difficulty with life tasks secondary to depression. The COTA asks how the client feels, and the client responds, " I just don't feel like I can do anything right." Which strategy would be the appropriate for the COTA to implement?

Provide tasks that are graded for successful completion.

A client with bipolar disorder in an outpatient setting is having difficulty following a medication routine. The client does not understand the physician's orders for the medication and prefers to take medication with some alcohol because it "helps take the edge off." What approach would be appropriate for the COTA to on this visit?

Provide the client with information about the prescribed medication, dosage and timing, precautions, and side effects.

A COTA is working with 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 COTA notices that as the client bulimia has evolved, the client has replaced many valued activities with 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?

Provide the client with leisure activities that will create more balance and offer the client more control over the client's life.

A COTA uses cognitive-behavioral interventions in psychosocial practice with clients with stress and anxiety disorders. What interventions is the COTA MOST likely to use?

Psychoeducation that provides resources and information about the client's illness and ways to cope with it.

A client has bipolar disorder. Under supervision of an OTR, a COT A focuses, with the client's permission, on the client's work environment because the employer appears to be resistant to providing accommodations and the intervention plan includes goals for work. Consequently, the COTA provides educational information to the client's boss about bipolar disorder. What approach does this intervention strategy take?

Reduce behaviors and environmental barriers.

While a COTA 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 COTA respond, "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 COTA's statement exemplify?

Reframing

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

Relaxation-focused group.

A COTA is conducting a cooking activity in an outpatient occupational therapy group in a community mental health setting. One of the group members is an adult with obsessive compulsive disorder(OCD). During meal preparation, the client washes hands repetitively and excessively each time the client touches a food item, which delays the group's progress in the activity. What should the therapist do to help the client more efficiently perform the task?

Remind the client of triggers for compulsive behavior and recommend use of latex gloves for the activity.

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 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 COTA to take?

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

A COTA is working with a client diagnosed with depression who does not seem to care about fulfilling the roles as a parent to teenage children and friend to a person who also is struggling emotionally. Additionally, this client does not show an interest in returning to work or singing in the the choir at church. Which assessment would help identify whether the client is devaluing these roles?

Role Checklist.

During an initial interview with a young adult who has level 1 autism spectrum disorder without intellectual impairment (Asperger syndrome), the COTA becomes aware 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.

Role Checklist.

Which is an element of social skills training used by COTA's?

Role playing

A COTA wants to develop a group activity for clients with personality disorder in an inpatient psychiatric facility. The group has a Allen Cognitive Level (ACL) scores ranging from 5.0 to 5.4. What activity would be most appropriate to use with these clients in the initial stages of the group?

Role-playing social interactions

An OTR and COTA team want to develop interventions for homeless adults with mental illness to improve independent living skills. Which of following roles is MOST appropriate for the team?

Room and self-care management

A COTA is establishing an occupational therapy group in a state correctional facility for clients with schizophrenia who are the parents of small children. What area of focus would be MOST important for a group in `this setting?

Skills in performing ADLs and IADLs.

An OTR and COTA team begin 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?

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

Regarding mental health services of what is the place-and -train approach an example?

Supported employment.

A patient has an anxiety disorder and has been undergoing treatment in a psychiatric facility. During an occupational therapy session, the COTA observes the patient's anxiety increasing and levels of concentration has diminished compared to the behaviors observed in previous sessions. What INITIAL action should the COTA take based on these observations?

Talk with the patient about the changes in function.

A COTA is helping a client with Level 1 autism spectrum disorder without intellectual impairment ( Asperger syndrome) adjust to the employment demands of a fast - paced office that is noisy and filled with sensory stimulation. Which recommendation would be BEST?

That the client use a noise cancellation headset or white noise channeled into ear buds.

A COTA is working with a client who has major depression and works for a service- based business that opens at 9:00 a.m. and closes at 5 p.m. The client finds work meaningful but is unable to keep up with a full- time schedule because of the depression. The COTA would like to advocate for workplace accommodations. According to the Americans With Disabilities Act of 1990 (ADA), what is a reasonable accommodation for this client?

The client could job share with a coworker.

A client scores a Allen Cognitive Level (ACL) of 4.0 with the Allen Cognitive Disability Framework. Given this score, what discharge arrangement would the COTA, in consultation with the OTR, likely recommend for this client?

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

The spouse of a client with Alzheimer's dementia tells the COTA 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?

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

A client with depression enjoyed exercising in the past because it helped the client experience more positive feelings. The client now has difficulty finding the motivation to participate in exercise. Which strategy would be BEST for the COTA to use to encourage this client to resume exercise?

Use the remotivation approach to determine the appropriate motivational stage for intervention related to exercise.

A client has two children, a 3 1/2 -year-old and a 2-year-old. Because of postpartum depression, she has been unable to return to work since the birth of the younger child.whatvhome- and community based occupational therapy services would BEST help the client improve her worker role?

Weekly goal setting, time management activities, and use of a positive-events diary to build self-confidence.

Which of the following is an open-ended question that can be used when interviewing a client who has a substance-related disorder?

What do you do during a typical 24-hour day?