MH II Quizzes

Which classification of medications is effective with acute pain but must be used with caution because of the potential for these drugs to lead to addiction? A. Tricyclic antidepressants B. Anticonvulsants C. Opioids D. Muscle relaxants

C. Opioids

A family of a young man diagnosed with autism has established a program to help other individuals with this diagnosis develop skills necessary to transition into valued occupational roles and integrate into the community. At the same time, this organization provides support and education to family members. Which type of peer-led service does this best represent? A.Wellness coaching B. Peer mentoring C. Peer-led organization D. Peer-professional partnership

C. Peer-led organization

Which of the following best reflects the purpose of a transitional housing program? A. Provide long-term residential care B. Provide temporary housing for up to 30 days C. Provide temporary housing for up to 2 years D. Provide long-term independent living accommodations

C. Provide temporary housing for up to 2 years

Rules developed to enforce laws can best be described as _________. A. Public policy B. Politics C. Regulation D. Focusing events

C. Regulation

What percentage of Medicare beneficiaries in the U.S. have more than one chronic health condition? A. 65% B. 75% C. 50% D. 25%

A. 65%

The treatment mall approach provides clients with which of the following? A. A decentralized structure of programming that allows the client to have more choice in the programming attended B. Ward-based groups and treatment sessions C. Smaller groups because of lower participation rates D. Social isolation and dependence upon staff

A. A decentralized structure of programming that allows the client to have more choice in the programming attended

When an individual who is homeless is evaluated and treated by occupational therapy, which skill area is most likely to be intact? A. Activities of daily living skills B. Social interaction skills C. Instrumental activities of daily living skills D. Vocational skills

A. Activities of daily living skills

You are an occupational therapy practitioner working in a transitional living program. Your responsibilities include supporting individuals to locate and obtain housing, connecting individuals with other community resources such as food pantries, and facilitating their application for government entitlements. In addition, you are working with them to develop independent living skills needed to be successful in community living. Which of the following best describes your role in this situation? A. Case manager B. Consultant C. Program manager D. Direct service provide

A. Case manager

Occupational therapy practitioners may work for agencies that support individuals with transition out of prison by assisting with work-skill development, promoting money management, and increasing life skills. Which of the following does this type of agency best represent? A. Community-based justice systems B. Minimum security prisons C. Jails D. Secure psychiatric hospitals

A. Community-based justice systems

A defining characteristic of sentencing in problem solving court proceedings is which of the following? A. Diversion B. Probation C. Parole D. Adjudication

A. Diversion

Identify the intervention that has demonstrated a positive effect on veterans with posttraumatic stress disorder by increasing mood and affect. A. Leisure exploration programs B. Sensory processing C. Mindfulness-based cognitive therapy D. Group activities

A. Leisure exploration programs

Which of the following best justifies the need for supported education for adults with mental illness? A. Mental health concerns on college campuses continue to increase. B. It helps divert students to community colleges, which is a better fit for their educational needs. C. It allows students to look at alternatives to formal postsecondary education. D. It provides opportunities for students to address issues of occupational imbalance.

A. Mental health concerns on college campuses continue to increase.

While working in a homeless shelter, you have become aware of the multiple challenges faced by the individuals you work with on a daily basis. While exploring approaches to treatment, you decide to adopt an approach that conveys a more accepting attitude and sets realistic expectations. You want to respect and accept the individuals' choices even if they are not eliminating maladaptive behaviors. Which intervention approach does this scenario best reflect? A. Harm reduction B. Trauma-informed care C. Person environment occupation D. Situated learning

A. Harm reduction

You are working in an integrated behavioral health and primary care setting. Many of the clients in this practice are middle-aged and you want to take a proactive approach to their health and function. You decide to offer a joint protection and energy conservation workshop open to all the clients in this practice. This intervention approach best represents which of the following? A. Health promotion and prevention B. Primary care management C. Behavioral health management D. Chronic disease management

A. Health promotion and prevention

Which of the following best describes occupational therapy's view on work? A. It is not restricted to paid employment. B. It is restricted to paid employment. C. It is any activity that occurs outside the home. D. It is any activity that provides economic resources essential for well-being.

A. It is not restricted to paid employment.

You are working with veterans who are experiencing symptoms of posttraumatic stress disorder. You want to incorporate an intervention approach that will facilitate the development of healthy coping mechanisms and utilizes activities such as yoga, meditation, and guided imagery. Which approach would you choose? A. Mindfulness-based cognitive therapy B. Sensory processing C. Leisure exploration programs D. Group activities

A. Mindfulness-based cognitive therapy

Which occupational therapy assessment has a forensic version? A. Occupational circumstances assessment -interview and rating scale B. Occupational performance history interview II C. Model of human occupation screening tool D. Comprehensive occupational therapy evaluation scale

A. Occupational circumstances assessment -interview and rating scale

Deliberate manipulation of an environment such that individuals could engage in a range of occupations is which of the following? A. Occupational enrichment B. Occupational engagement C. Occupational balance D. Occupational reconciliation

A. Occupational enrichment

The inclusion of work training programs in the prison system most accurately reflects which of the following occupational science concepts? A. Occupational enrichment B. Occupational deprivation C. Occupational imbalance D. Occupational alienation

A. Occupational enrichment

The Occupational Circumstances Assessment Interview and Rating Scale is a Model of Human Occupation tool that can be used to help formulate which of the following? A. Occupational profile B. Cognitive limitations C. Motor impairments D. Communication/Interaction skills limitations

A. Occupational profile

The concept that describes a person's submissive response to stifling environmental conditions, leading to loneliness, lack of stimulation, and limited resources is which of the following? A. Occupational reconciliation B. Occupational deprivation C. Occupational alienation D. Occupational imbalance

A. Occupational reconciliation

You are working with an individual who is preparing for release from a secure psychiatric hospital. You want to explore the challenges this individual may experience once he's discharged. Specifically, you are interested in identifying challenges related to completing activities of daily living, instrumental activities of daily living, and obtaining a job. You would prefer an assessment that is associated with the Canadian Model of Occupational Performance. Which assessment would you choose? A. Offender Reintegration Scale B. Model of Human Occupation Screening Tool C. Level of Service Inventory D. Canadian Occupational Performance Measure

A. Offender Reintegration Scale

You are an occupational therapy practitioner working in an outpatient setting where clients attend Monday through Friday for 6 hours a day. Your interventions focus on skills related to increasing your clients' success in independent living, such as money management, cooking, and household management. Which outpatient setting does this best describe? A. Partial hospital program B. Intensive outpatient program C. Transitional housing program D. Residential outpatient program

A. Partial hospital program

Victor was diagnosed with bipolar disorder 10 years ago. Recently, he was trained to serve as a liaison between health/social services and the community members to increase access and follow-up with services to address health care and wellness needs. Which of the following best describes this role? A. Peer health navigator B. Peer support specialist C. Community mental health worker D. Patient care technician

A. Peer health navigator

Practitioners who work with students to identify the responsibilities of engaging in the student role and establishing a daily schedule that incorporates those responsibilities are addressing which domain of the occupational therapy practice framework? A. Performance patterns B. Client factors C. Performance skills D. Contexts and environments

A. Performance patterns

An individual's work history that has been disrupted because of mental illness is an example of what type of work participation barrier? A. Person-related B. Employer and workplace-related C. Systems-related D. Vocational and mental health service-related

A. Person-related

When working in the justice system, it is important to have knowledge in six different key areas. Developing skills to manage environmental stressors and attending to personal safety are examples of which type of knowledge? A. Practical skills B. Professional development C. Interventions D. Judicial systems

A. Practical skills

A judicial sentence of community based supervision or a requirement that a person fulfill certain conditions of behavior in lieu of incarceration is which of the following? A. Probation B. Parole C. Adjudication D. Work release

A. Probation

A court that works with individuals with mental illness who are detained for committing a crime in order to connect them with the resources needed for mental health services best exemplifies which of the following? A. Problem-solving courts B. Adjudication C. Forensic psychiatry D. Legislation

A. Problem-solving courts

As an occupational therapy practitioner working in a community mental health center, you adopt an intervention approach that is client-centered and focuses on developing daily living and vocational skills that promote recovery and community integration. Which of the following community approaches would you choose? A. Psychiatric rehabilitation B. Supportive employment C. Patient outcomes research team D. Assertive community treatment

A. Psychiatric rehabilitation

What occupational therapy intervention has been used since World War I that Army providers continue to use as the foundation of occupational therapy interventions to rehabilitate physical and mental wounds? A. Purposeful activity B. Think before you act activity C. Mindfulness D. Behavioral activation

A. Purposeful activity

You are working with a client on increasing community living skills, specifically grocery shopping. You initiated this treatment by setting up a mock grocery store in your clinic. However, you realized this is not the best way for the individual to develop these skills. You modify the activity and start doing the intervention at the individual's preferred neighborhood grocery store. This allows the individual to practice and you to role model the activity as well as identify barriers and supports needed for the individual to be successful. Which intervention approach does this scenario best reflect? A. Situated learning B. Trauma-informed care C. Harm reduction D. Person environment occupation

A. Situated learning

You are working with an individual who indicated that before being in prison he had difficulty maintaining a job because he didn't get along with his boss and coworkers. Which of the following interventions would you employ to address this concern? A. Social skills development B. Money management C. Work skills development D. Community leisure activities exploration

A. Social skills development

A dementia care inpatient program most accurately represents which of the following inpatient mental health settings? A. Specialized hospitalization program B. Geriatric hospitalization program C. Acute care D. Inpatient hospital program

A. Specialized hospitalization program

Which of the following most accurately reflects the World Health Organization's perspective of integrated behavioral health care? A. There is no health without mental health. B. Integrated behavioral health care should only be administered in primary care settings. C. Mental health and substance abuse services are more effective when consolidated into behavioral health D. Mental health and substance abuse services should be distinct and separate interventions.

A. There is no health without mental health.

You have a client who was recently discharged from a state mental health center to a group home for individuals with mental illness. This is an example of __________. A. Transinstitutionalization B. Community integration C. Deinstitutionalization D. Moral treatment

A. Transinstitutionalization

In the United States, one of the fastest-growing jail populations during the past decade is which of the following? A. Women B. Men C. Single parents D. Older adults

A. Women

Within a justice system, legislators are responsible for which of the following? A. Write new laws and policies to limit crime B. Determine if a law was broken C. Divert offenders from traditional court proceedings and incarceration D. Enforce sentences requiring incarceration

A. Write new laws and policies to limit crime

A serious crime, often involving violence, punishable by imprisonment of at least one year is which of the following? A. felony B. misdemeanor C. bench warrant D. adjudication

A. felony

The repetition of criminal behavior that results in incarceration is which of the following? A. recidivism B. relapse prevention C. adjudication D. churning

A. recidivism

The Patient-Centered Medical Home is a primary care model that was a key development of which of the following legislative initiatives? A. Omnibus Reconciliation Act B. Affordable Care Act C. Community MH Centers Act D. MH Parity & Addiction Equity Act

B. Affordable Care Act

The best example of a Recovery Model-focused treatment intervention is which of the following? A. Purchasing a coat for a client without asking for him or her preference in style or color B. Allowing clients to choose the menu during a cooking group C. Treatment team providing the client with a pre-established group schedule D. Development of the treatment plan based on patient deficits

B. Allowing clients to choose the menu during a cooking group

Identify the best contribution an occupational therapy practitioner can make when collaborating with a peer-led organization. A. Develop and implement occupational therapy-led services to promote occupational engagement B. Collaborate with peer specialists to develop a life skills curriculum C. Provide a list of mental health professionals who can manage the organization D. Deliver educational programs to peers related to mental illness

B. Collaborate with peer specialists to develop a life skills curriculum

A practitioner has decided to create a group for recently discharged female veterans at a local community center. These veterans have identified anxiety, sleep disruption, and depression as the main issues impacting their occupational performance. What mindfulness-based strategy might be most helpful in addressing these issues? A. Exposure therapy B. Hatha yoga C. Psychoanalysis D. Sleep training

B. Hatha yoga

Which of the following is a consideration occupational therapy practitioners should be aware of when evaluating individuals in a state hospital? A. Individuals should always be evaluated in the presence of security personnel because of safety concerns. B. Individuals may have physical disabilities as well as psychiatric disabilities. C. Many individuals in state hospitals have lower extremity injuries caused by self-injurious behaviors. D. Individuals who are deaf should be evaluated using written self-assessments.

B. Individuals may have physical disabilities as well as psychiatric disabilities.

Which of the following research findings supports the use of sensory approaches in inpatient psychiatric facilities? A. It has been shown to increase social participation. B. It has been shown to reduce the use of seclusion and restraints. C. It has been shown to increase staff morale. D. It has been shown to decrease recidivism rates.

B. It has been shown to reduce the use of seclusion and restraints.

Which statement most accurately reflects the cost of integrated behavioral health care? A. Non-integrated care results in lower costs for individuals with severe mental illness. B. It is more expensive in the short term but better outcomes may offer cost savings in the long run. C. It is less expensive in the short term but more expensive in the long run. D. Treatment of mental health issues increases overall health-care costs.

B. It is more expensive in the short term but better outcomes may offer cost savings in the long run.

Group interventions in state hospitals present opportunities and challenges. Which of the following is the most beneficial aspect of groups for hospitalized individuals? A. It is an efficient way to deliver interventions when staffing is limited. B. It provides opportunities for group members to engage in social participation. C. It allows practitioners to deliver interventions to a larger number of individuals than would be allowed by one-to-one interventions. D. It allows practitioners to address each client's individual goals.

B. It provides opportunities for group members to engage in social participation.

According to the Model of Human Occupation, an individual who has demonstrated success in the worker role and takes pride in his job and being employed is said to have a positive ____________. A. Occupational competence B. Occupational identity C. Habituation subsystem D. Personal causation

B. Occupational identity

You are an occupational therapy practitioner employed by the local university in the role of a supported education specialist. Your approach to supporting your students includes offering groups focused on time management and establishing productive study habits. You also offer individual sessions focused on addressing barriers to successful classroom performance. Which model does this best represent? A. Combined models B. Onsite service model C. Self-contained classroom D. Mobile support model

B. Onsite service model

Which of the following most accurately reflects integrated care? A. Services are integrated into the community where the patient resides. B. Patients' behavioral health and primary care needs are both part of their routine health care. C. It is a continuum of collaboration between providers to address the patient's needs. D. Providers communicate but patients continue to receive separate services at different locations.

B. Patients' behavioral health and primary care needs are both part of their routine health care.

Based on evidence accumulated over the past 20 years, which of the following work rehabilitative initiatives demonstrates the best outcomes? A. Prevocational training approach B. Place-then-train approach C. Train-then-place approach D. Skills training approach

B. Place-then-train approach

You are an occupational therapy practitioner employed by a community college. You have created a specialized curriculum for people with mental illness who have been out of school for at least 5 years. The goal of your program is to facilitate foundational academic, social, and psychological skills needed to be successful in postsecondary education. Which model does this best represent? A. Combined models B. Self-contained classroom C. Onsite service model D. Mobile support model

B. Self-contained classroom

The demographics of homelessness suggest that which of the following account for the highest percentage of homeless individuals? A. Youth B. Single men C. Families D. Single women

B. Single men

An occupational therapist is beginning to provide services to residents within a homeless shelter. The occupational therapist wants to start a program focusing on skills to transition from living in a shelter to independent housing; however, the shelter already offers a program focusing on transitions. What other providers may also be working with individuals regarding their transition into housing? A. Recreational therapist B. Social worker C. Intake staff D. Registered Nurse

B. Social worker

Which of the following most accurately reflects involuntary civil commitment to a state mental health hospital? A. An individual recognizes he or she needs to be hospitalized for his or her psychiatric symptoms. B. The courts order an individual to be hospitalized because the person is a danger to himself or herself, or others. C. The courts order an individual to be hospitalized because he or she has been accused of committing a crime but is not competent to stand trial. D. An individual is accused of civil disobedience

B. The courts order an individual to be hospitalized because the person is a danger to himself or herself, or others.

Which of the following is the name of the occupational therapy practitioners whose mission was to rehabilitate injured service members through the use of curative crafts and workshops to help them recapture purposeful lives? A. Battlefield aides B. World War I reconstruction aides C. Civil War practitioners D. World War II rehabilitative aides

B. World War I reconstruction aides

The impact of a health problem can be discussed in terms of the impact which is measured by factors such as cost, mortality and morbidity, years lost because of disease, quality adjusted life years, and disability adjusted life years. This is referred to as which of the following? A. disease prevalence B. disease burden C. health disparities D. global disability

B. disease burden

Identify which of the following best reflects an administrative opportunity for an occupational therapy practitioner working in a state hospital. A. Provide services based on the Recovery Model B. Serve as a liaison between the state hospital and community mental health center C. Advocate for consumer needs on the strategic planning committee D. Implement a vocational skills development group

C. Advocate for consumer needs on the strategic planning committee

Where is it best to treat a service member who is experiencing a stress reaction on the battlefield? A. Stateside B. Veterans Health Administration C. As close as possible to his or her unit D. Military treatment facility

C. As close as possible to his or her unit

You are an occupational therapy practitioner working on a case management team that is available to their clients 24 hours a day. Responsibilities include working with clients in a variety of settings and facilitating skill development to increase successful community participation. Because you may find yourself engaging in responsibilities typically associated with social work, it is important you have a strong professional identity and ground your interventions in the philosophy of occupational therapy. Which of the following case management approaches does this best represent? A. Broker model B. Psychiatric rehabilitation C. Assertive community treatment D. Strengths-based

C. Assertive community treatment

You are working in a Warrior Care and Transition Program and are asked to assess a service member who was recently referred to the program. As you are gathering information for the occupational profile, you notice that he is demonstrating difficulty with communication skills. You want to gather more information on his verbal and nonverbal communication as well as identify strengths and problem areas to better inform your intervention planning. Which assessment would you choose? A. Patient-Reported Outcomes Measurement Information System B. Multiple Errands Test C. Assessment of Communication/Interaction Skills D. Functional Status Questionnaire

C. Assessment of Communication/Interaction Skills

You are an occupational therapy practitioner providing restorative care in a deployed setting. You focus your interventions on maintaining a military routine and improving coping skills to assist service members in managing combat stress with the ultimate goal of returning the service member to the battlefield. What type of setting does this best represent? A. Military Treatment Facility B. Warrior Care and Transition Program C. Combat and Operational Stress Control Unit D. Veterans Health Administration

C. Combat and Operational Stress Control Unit

What does the Army call the behavioral health unit deployed to war zones in order to prevent or mitigate stress reactions? A. Outpatient clinic B. Military treatment facilities C. Combat and operational stress control units D. Intensive outpatient programs

C. Combat and operational stress control units

When individuals who have experienced long-term hospitalizations are preparing for discharge, which of the following is the most beneficial intervention approach for occupational therapy practitioners? A. Establishing medication routine B. Addressing reality orientation C. Developing functional living skills D. Increasing impulse control

C. Developing functional living skills

A single mother who has been at the domestic violence shelter for the past month where you work is preparing for discharge. You are working with her on the functional living skills she will need to live successfully in the environment. You are concerned about possible cognitive impairments that may interfere with her successful community reintegration. You want to employ an assessment where your client will complete four instrumental activities of daily living tasks to assess the level of assistance she will require for functional tasks. Which assessment would you choose? A. Model of Human Occupation Screening Tool B. Allen Cognitive Level Screen C. Executive Function Performance Test D. Assessment of Motor and Process Skills

C. Executive Function Performance Test

The administrator at one of your local homeless shelters wants to include occupational therapy services in their program. However, they do not have the funding to support an occupational therapy practitioner. Which of the following would you recommend for the administrator to explore to obtain these services at no or low cost? A. Explore funding through expanded Medicaid services B. Explore increased funding through the Substance Abuse and Mental Health Services Administration C. Explore partnering with an academic occupational therapy department D. Advocate with the U.S. Department of Housing and Urban Development for specialized funding

C. Explore partnering with an academic occupational therapy department

Identify the most important benefit of using peer-led services to enhance mental health interventions. A. Individuals in recovery benefit from the services of a case manager for community integration. B. Individuals in recovery benefit from the services of a counselor to recommend coping strategies and resources to support recovery. C. Individuals in recovery benefit from mentorship to develop coping strategies and identify resources to support recovery. D. Peer-support services have increased funding for mental health services.

C. Individuals in recovery benefit from mentorship to develop coping strategies and identify resources to support recovery.

The community mental health center where you work wants to adopt a model of practice to enhance its initiative to integrate behavioral health and primary care. Currently, they are exploring a model that outlines a variety of approaches that range from communicating with a local primary care office as needed to full integration and collaboration. Which model does this best describe? A. Integrated Care Model B. Four Quadrant Clinical Integration Model C. Six Levels of Collaboration/Integration D. Collaborative Care Model

C. Six Levels of Collaboration/Integration

The risk of losing medical coverage and housing subsidies if an individual returns to work is an example of what type of work participation barrier? A. Employer and workplace-related B. Vocational and mental health service-related C. Systems-related D. Person-related

C. Systems-related

Which of the following is an important consideration for an occupational therapist providing assessments to residents living in a shelter? A. The occupational therapist should write thorough and detailed notes and summaries because there will be a wide range of trained medical providers who will be familiar with occupational therapy language and rely on the assessment findings in the shelter. B. The occupational therapist should begin with specific assessments for cognition because there is a high incidence of traumatic brain injuries among homeless people. C. The occupational therapist should practice trauma-informed care by being sensitive to the nature of the questions asked so they are not perceived as intrusive or mandatory for anyone who is being interviewed. D. The occupational therapist can interview the client wherever there is space because shelter clients are used to not having any privacy.

C. The occupational therapist should practice trauma-informed care by being sensitive to the nature of the questions asked so they are not perceived as intrusive or mandatory for anyone who is being interviewed.

A person who is admitted to an inpatient unit will stay for only a brief time, often only 4 or 5 days, before starting or resuming community-based mental health services. Which of the following is the primary reason for brief admissions in an inpatient unit? A. Inpatient hospital stays can be very expensive and insurance often only pays for a few days. B. People can simply check themselves out when they want to or when they feel that they no longer need help. C. The person is experiencing a safety crisis because of an environmental stressor or an increase in the intensity of the symptoms. D. The doctor wants to reevaluate the person's medications and make a change that requires stopping one or more of them.

C. The person is experiencing a safety crisis because of an environmental stressor or an increase in the intensity of the symptoms.

One approach to vocational rehabilitation is to place individuals in time-limited jobs in mainstream workplaces at the prevailing wage. These jobs offer onsite training and job coaching. Which of the following best reflects this approach? A. Social enterprises B. Supported employment C. Transitional employment D. Train-then-place employment

C. Transitional employment

You are looking for a Model of Human Occupation assessment that explores how physical and social factors, task demands, and daily job functions support or interfere with the person's success in the workplace. Which assessment would you choose? A. Worker role interview B. Vocational profile C. Work environment impact scale D. Assessment of work performance

C. Work environment impact scale

Screening, Brief Intervention, and Referral to Treatment (SBIRT) practices focus on which of the following problems? A. psychiatric illness B. homelessness C. substance use D. chronic disease

C. substance use

What percentage of homeless mothers have a lifetime history of interpersonal trauma? A. 63% B. 83% C. 73% D. 93%

D. 93%

John is a 40-year-old male with the diagnosis of paranoid schizophrenia. He has been homeless for the past 6 months. He has no family support and is dependent on social services for shelter and meals. He has no means of transportation and spends most of his time in a day shelter. The shelter staff wants to connect him with the appropriate case management team. An appropriate case management model to set him up with would be which of the following? A. Psychiatric rehabilitation services B. Stand-alone strengths-based model C. Broker model D. Assertive Community Treatment

D. Assertive Community Treatment

You are working with a student to develop her competence with an online learning system to increase her ability to access course information and submit assignments. Which domain of the occupational therapy practice framework does this best represent? A. Client factors B. Performance patterns C. Performance skills D. Contexts and environments

D. Contexts and environments

You are an occupational therapist working in an acute care setting. Which of the following best reflects group interventions in this setting? A. Focus on vocational skills development B. Focus on activities of daily living/instrumental activities of daily living skill development C. Focus on assisting clients to apply for benefits such as Social Security D. Focus on occupational concerns shared by other patients on the unit

D. Focus on occupational concerns shared by other patients on the unit

Which of the following best describes the role of an occupational therapy practitioner in peer-led services? A. Assume responsibility for development and implementation of peer-led services in an inpatient setting B. Assume responsibility for administration of community peer-led services C. Provide direct service D. Guide a training program for peer support providers

D. Guide a training program for peer support providers

Which condition is included in the definition of being chronically homeless? A. Having a mental illness B. Being homeless for at least 6 months C. Living in a mobile home D. Having a disability

D. Having a disability

Daily observations of an individual's behavior in the milieu and in group therapy can best be described as_________. A. Discharge evaluation B. Formal reevaluation C. Initial evaluation D. Informal reevaluation

D. Informal reevaluation

When working with children who are homeless, you recognize that their unstable living environment often interferes with their ability to regularly attend school and limits their access to play activities and social interactions necessary for life skills development. These psychosocial issues, along with their potential exposure to violence, put them at higher risk for which of the following developmental problems? A. Depression B. Posttraumatic stress disorder C. Issues with sexual orientation D. Language and fine or gross motor skill delays

D. Language and fine or gross motor skill delays

Which assessment includes measuring the ability to answer verbal questions regarding medications based on the labels and handouts provided, as well as the ability to manipulate medications, medication bottles and pill boxes. A. Performance Assessment of Self Care Skills B. Executive Function Performance Test C. Cognitive Performance Test D. ManageMed Screening

D. ManageMed Screening

What is the primary goal of behavioral health treatment in a combat setting? A. Stabilize and return the service member to home B. Give the service member as much time as needed to recover C. Establish a safe environment of care D. Return the service member to duty as soon as possible

D. Return the service member to duty as soon as possible

In this supported education model, students attend a specialized curriculum to obtain foundational skills needed to enter higher education. A. Onsite services model B. The Person-Environment-Occupation model C. Mobile support model D. Self-contained classroom model

D. Self-contained classroom model

Martha has been homeless for several months and is receiving her disability check at the day center. She is overweight and has limited mobility, type 2 diabetes, and chronic pain that she managed with opiates to which she became addicted. When you evaluate her she asks for help with obtaining food. After reviewing her food management and budgeting skills, it becomes clear that she is spending 90% of her check on pain medication. With verbal cues, she is able to create a budget with half of her check for buying fruits and vegetables each month to supplement the availability of soup kitchens and free meals. Which aspect of this treatment plan is an example of harm reduction? A. She will have a schedule of soup kitchens to attend. B. She will be eating more fruits and vegetables. C. She will go to rehab and end her addiction. D. She will have no more than 50% of her check to spend on her opioid addiction.

D. She will have no more than 50% of her check to spend on her opioid addiction.

Which of the following legislative initiatives prohibits governmental and nongovernmental employers from discriminating against qualified individuals with a disability who can perform the essential functions of the job with or without reasonable accommodations? A. The Gioia Model of Vocational Recovery B. The Ticket to Work and Work Incentives Improvement Act C. The Rehabilitation Act of 1973 D. The Americans with Disabilities Act of 1990

D. The Americans with Disabilities Act of 1990

According to the Model of Human Occupation, when working with individuals with mental illness who want to return to the worker role it is important to explore personal factors, such as values and interests related to work, along with their beliefs about their abilities to be successful in this role. Which subsystem does this best represent? A. Performance skills B. Environmental factors C. Habituation D. Volition

D. Volition

Identify the statement that most accurately reflects staffing patterns in homeless shelters. A. They are staffed by social workers. B. There is limited staff turnover. C. Staff qualifications are well defined with oversight by local governmental agencies. D. Volunteers often oversee daily functions.

D. Volunteers often oversee daily functions.

Which of the following is most reflective of the impact of neurocognitive disorders on occupations? A. Work tends to be the most challenging occupation in the early stages of dementia. B. Activities of daily living (ADL) challenges typically present in the early stages of dementia. C. Individuals decrease engagement in leisure activities that require higher levels of cognitive skills. D. Concerns about instrumental activities of daily living (IADL) performance tends to be the impetus for cognitive evaluation.

? A. Work tends to be the most challenging occupation in the early stages of dementia.

You want to assess your client's level of engagement in leisure, social, and instrumental activities. Which assessment would you choose? A. Activity Card Sort B. Occupational Circumstances Assessment Interview and Rating Scale C. Cognitive Performance Test D. Canadian Occupational Performance Measure

A. Activity Card Sort

Which of the following is a key principle for peer-led services? A. Approaches to mental health care should be respectful and collaborative. B. Consult with mental health professionals to determine the best approach to recovery. C. Peer-led interventions should be highly structured and evidence-based. D. Peer support should only occur following formal mental health treatment.

A. Approaches to mental health care should be respectful and collaborative.

Identify the most accurate statement regarding the prevalence, gender, educational, and cultural impact of neurocognitive disorders. A. As the life span increases there is an increase in the number of individuals who experience dementia. B. Individuals with higher educational status have a higher incidence of young-onset dementia, impacting their income status. C. African Americans have the lowest prevalence of Alzheimer's disease. D. Prevalence of dementia is higher in males compared with females.

A. As the life span increases there is an increase in the number of individuals who experience dementia.

The focus of occupational therapy intervention to promote occupational performance is balancing ____________. A. Cognitive capacity and activity demands and external supports B. New learning with habits from long-term memory C. Amount of service with type of service in the short term D. Family needs against client needs and preferences

A. Cognitive capacity and activity demands and external supports

According to the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), a key diagnostic criteria for major neurocognitive disorders is_________. A. Cognitive decline from previous level of performance interfering with daily activities B. Altered mood and changes in behavior, such as agitation or depression C. Loss of memory with decreased face recognition or prosopagnosia D. Delirium or other mental disorder along with behavioral change

A. Cognitive decline from previous level of performance interfering with daily activities

Occupational therapy practitioners can modify tasks and environments based on an individual's cognitive level to maximize strengths and enable doing. Which intervention approach does this best represent? A. Cognitive disabilities B. Home environment skill-building program C. Errorless learning D. Augmentative and alternative communication

A. Cognitive disabilities

You want to incorporate the biomechanical model to develop interventions for individuals with chronic pain from arthritis. Which of the following interventions is most closely associated with this model? A. Environmental adaptations B. Biofeedback C. Reactivation of interests D. Cognitive restructuring

A. Environmental adaptations

One intervention approach that is used with individuals with acquired physical disabilities includes the engagement in physical activities that the individual enjoys to increase strength and endurance while at the same time reducing stress. Which intervention approach does this best represent? A. Exercise/Physical activity B. Mindfulness meditation C. Self-advocacy D. Cognitive behavioral approach

A. Exercise/Physical activity

What type of pain scales are recommended for persons who have difficulties with written language? A. FACES scales B. Verbal rating scale C. Numerical rating scale D. Visual analog scale

A. FACES scales

Best practice occupational therapy for persons with neurocognitive disorder includes ____________. A. Family-centered models with service directed at the needs of both the client and caregiver B. Direct service to the client in a clinical setting C. Referral to home health to complete IADLs and ADLs D. Restoration of physical condition by strengthening muscles to ensure upright stability

A. Family-centered models with service directed at the needs of both the client and caregiver

Charlie demonstrated rapid onset of symptoms of dementia with disinhibition, irrational judgment, impulsiveness, and social discord. His symptoms are indicative of _____________. A. Frontotemporal lobar degeneration B. Alzheimer's disease C. Vascular dementia D. Lewy body disease

A. Frontotemporal lobar degeneration

Housing First refers to a specific housing approach for people with mental illness who are at risk for homelessness. A defining feature of the approach is __________. A. Housing provided based on individual choice without stipulations for treatment B. A particular focus is on ensuring decent housing conditions C. Ensuring that housing provides the needed level of support to residents D. Ensuring neighborhood acceptance of the housing

A. Housing provided based on individual choice without stipulations for treatment

Which of the following reflects the most accurate contribution an occupational therapy practitioner can make to the interdisciplinary team when working with someone diagnosed with a neurocognitive disorder? A. Identify the impact of cognitive decline on daily functioning. B. Identify external resources available to support the individual or his or her family. C. Administer cognitive screens to monitor cognitive decline. D. Assist the family in adjusting to the diagnosis.

A. Identify the impact of cognitive decline on daily functioning.

Bringing a meal to a friend who is recovering from surgery is an example of which of the following? A. Informal volunteerism B. Volunteer exploration C. Formal volunteerism D. Community volunteerism

A. Informal volunteerism

You are a practitioner at a psychiatric rehabilitation facility who has incorporated the Model of Human Occupation as your practice model. You are working with a 34-year-old client who has been exhibiting decreased volition because of increased feelings of discrimination caused by his mental illness. You want to get a better understanding of your client's subjective experience of the discrimination and stigma he has been experiencing. You decide to choose a self-assessment that examines the areas of alienation, stereotype endorsement, discrimination experience, and social withdrawal. Based on this information, which assessment would you choose? A. Internalized Stigma of Mental Illness Scale B. Self-Stigma Scale—Short Version C. Volitional Questionnaire D. Self-Stigma of Mental Illness Scale

A. Internalized Stigma of Mental Illness Scale

Which of the following has demonstrated the most effectiveness in reducing stigma? A. Interpersonal contact B. Organized protests C. Distribution of educational material D. Social activism

A. Interpersonal contact

Identify which of the following led to the evolution of peer-led services. A. It developed through advocacy of peers dissatisfied with existing mental health services. B. It was mandated by the Center for Mental Health Services. C. It was mandated by the Substance Abuse Mental Health Service Administration. C. It was an occupational therapy initiative.

A. It developed through advocacy of peers dissatisfied with existing mental health services.

Jerry is 70 years old. Recently, he has been demonstrating modest cognitive decline in executive functioning, learning, and memory. He has also demonstrated difficulty with way finding and has become increasingly more irritable. However, he has demonstrated no decline in activities of daily living (ADLs) or instrumental activities of daily living (IADLs). Which of the following best describes this scenario? A. Mild neurocognitive disorder B. Major neurocognitive disorder C. Alzheimer's Disease D. Lewy-Body Disease

A. Mild neurocognitive disorder

What is the best scale to use for the measurement of pain intensity? A. Numerical rating scale B. Visual analog scale C. Pain interference scale D. Verbal rating scale

A. Numerical rating scale

The belief that the environment demands mastery, and engagement with the environment results in an adaptive response, represents which of the following models of practice? A. Occupational Adaptation B. Ecology of Human Performance C. Kawa Model D. Person-Environment-Occupation

A. Occupational Adaptation

The belief that every individual has access to and the right to engage in a variety of activities of his or her choice can best be described as _________. A. Occupational justice B. Sanctioned occupations C. Inclusion D. Marginality

A. Occupational justice

Contemporary theories suggest that which of the following may explain the successful acceptance and inclusion of people with mental illness in neighborhood communities? A. Opportunities for prosocial contact with residents with mental illness B. Distance of the local neighborhood from the mental health institution C. Strong Neighborhood Watch programs D. The provision of extra resources for people with mental illness

A. Opportunities for prosocial contact with residents with mental illness

The belief that people with lived experience of mental illness can support others going through a similar experience is most often seen in which of the following? A. Peer-led organizations B. Supportive education C. Family support D. Community resources

A. Peer-led organizations

You are working with a 20-year-old diagnosed with a mental illness who wants to find a job as an information technology (IT) troubleshooter. As you work with this individual, your professional assessment is that he has the skills to qualify him for an IT job. He states he's concerned that no one would hire him because of his mental illness. You educate him on the act that was the first to ban discrimination based on disability. Which act best reflects this scenario? A. Rehabilitation Act of 1973 B. Americans with Disabilities Act C. Triple Aim D. Olmstead Decision

A. Rehabilitation Act of 1973

The Department of Housing and Urban Development's housing rental assistance program best addresses which of the following? A. Right to affordable housing B. Permanent supportive housing C. Right to live in the community D. Linear continuum paradigm

A. Right to affordable housing

Congress, the judicial system, and policies such as the Americans with Disabilities Act are all related to which of the following components of the environment? A. Social B. Temporal C. Physical D. Virtual

A. Social

Which of the following initiatives that incorporates occupational therapy services was developed to address early diagnosis and treatment of severe mental illness? A. State Mental Health Block Grants B. Certified Community Behavioral Health Clinics C. Occupational Therapy in Mental Health Act D. Excellence in Mental Health Act

A. State Mental Health Block Grants

Which of the following best reflects the program developed to meet the nutritional needs of low-income individuals through food assistance and education? A. Supplemental Nutrition Assistance Program B. Food Stamp Program C. Medicaid Buy-In Program D. The Emergency Food Assistance Program

A. Supplemental Nutrition Assistance Program

Which of the following cultural syndromes listed in the DSM-V is characterized by symptoms of anorexia, vomiting, diarrhea, muscle aches and pains, troubled sleep, avolition, anxiety, depression and irritability and is explained culturally by soul loss brought on by a frightening event? A. Susto B. Zar C. Shin-byung D. Amok

A. Susto

Which of the following best describes the etiology of neurocognitive disorders? A. The onset of vascular neurocognitive disorder is often abrupt and presents with a stepwise progression. B. The neural mechanisms that contribute to Alzheimer's disease are well known and understood. C. Frontotemporal lobar degeneration manifests with disturbances in motor skills. D. Early symptoms of aphasia is what distinguishes Lewy body disease from Alzheimer's.

A. The onset of vascular neurocognitive disorder is often abrupt and presents with a stepwise progression.

Which of the following best describes the use of medications such as Aricept or Exelon for individuals with neurocognitive disorders? A. These medications may enhance thinking, memory, and communication. B. They stop the progression of these disorders. C. They slow the progression of these disorders. D. They control agitation and aggression related to these disorders.

A. These medications may enhance thinking, memory, and communication

Which of the following statements are true in regard to neurocognitive disorders? A. Unlike traumatic brain injury, a static disorder, most neurocognitive disorders are progressive and eventually lead to death. B. Many are reversible when the cause is resolved or eliminated. C. Depression and delirium are difficult if not impossible to distinguish from dementia. D. Personal history is a minor piece and laboratory tests are a major piece of the comprehensive medical evaluation.

A. Unlike traumatic brain injury, a static disorder, most neurocognitive disorders are progressive and eventually lead to death.

Neurocognitive disorders can stem from a variety of etiologies including _________. A. Vascular disorders and HIV B. Schizophrenia and bipolar disorders C. Obesity and metabolic syndrome D. Hearing loss or macular degeneration

A. Vascular disorders and HIV

Michael is a 72-year-old male who is hospitalized in the Intensive Care Unit following a diagnosis of COVID. His memory functions are intact and he generally is in good spirits. Today he presents as markedly confused which is an indication of which of the following diagnoses? A. delirium B. dementia C. depression D. encephalopathy

A. delirium

You are a home health occupational therapist and one of your clients (Jose), who you have been seeing following a total hip replacement, has been exhibiting disturbances in executive functioning. During today's cooking task you observe deficits in planning, organizing, and sequencing. The most likely diagnosis is which of the following? A. dementia B. depression C. delirium D. organic brain syndrome

A. dementia

Joan is a 58-year-old woman hospitalized following myocardial infarction. She has been referred to occupational therapy for an evaluation of functional deficits. During the initial interview, she describes difficulty with decreased appetite and sleep. Differential diagnosis is most likely to find that she is suffering from which disorder? A. depression B. dementia C. delirium D. dysthymia

A. depression

What percent decrease in pain represents a change that is meaningful to the individual experiencing pain? A. 5% B. 33% C. 25% D. 10%

B. 33%

Working with a client to develop strategies to request accommodations in a volunteer setting is an example of which intervention approach? A. Training B. Advocacy C. Education D. Group

B. Advocacy

The organization where you work has adopted a model of cultural competence that stresses all practitioners should ask questions to develop skills for all cross-cultural interactions. This model contends that culture is learned, localized, and patterned and, although it is persistent, it is adaptable. Which model does this best represent? A. Transcultural health care B. Culture-emergent model C. Sunrise model of culturally congruent care D. Multicultural and social justice counseling competencies

B. Culture-emergent model

Occupational therapy practitioners engaged in community development focus on ____________. A. Delivering community-based services to people with mental illness to address their daily living needs B. Ensuring that people who experience mental health issues have access to meaningful occupational opportunities in neighborhood communities C. Assisting people with mental illness to relocate, where necessary, to inclusive neighborhood communities D. Developing mental health services and programs in local neighborhoods as indicated by neighborhood profiles

B. Ensuring that people who experience mental health issues have access to meaningful occupational opportunities in neighborhood communities

Identify the most effective way occupational therapy practitioners can promote social participation among individuals at a psychiatric rehabilitation center. A. Facilitate a psychotherapy group B. Have a group of individuals plan and implement a Thanksgiving party for everyone at the center C. Facilitate a life skills development group D. Have a group of individuals work on their own arts and crafts projects in a leisure development group

B. Have a group of individuals plan and implement a Thanksgiving party for everyone at the center

Which of the following most accurately reflects the importance of appreciating an individual's cultural lens? A. Inheritable lenses are fixed and do not allow for appreciation of other cultural lenses. B. Individuals interpret the world through their inherited cultural lens. C. Adopting one cultural lens allows the practitioner to get a more in-depth understanding of the client's personal identity. D. Occupational behavior can best be understood if the practitioner looks through his or her own cultural lens.

B. Individuals interpret the world through their inherited cultural lens.

The next step of the evaluation process is to assess the individual's occupational performance in volunteer activities. One approach to gather this information is to use an assessment that evaluates self-care, safety and health, community mobility, and work and leisure. Which assessment would you choose to gather this information? A. Cognitive Performance Test B. Kohlman Evaluation of Living Skills C. Occupational Performance History-II D. Executive Function Performance Test

B. Kohlman Evaluation of Living Skills

Pain is often comorbid with __________. A. Attention deficit-hyperactivity disorder B. Mood disorders C. Heart disease D. Obesity

B. Mood disorders

Nationally and internationally, public policy initiatives have been utilized to address housing needs for persons with mental illness. In the United States, which public policy initiative resulted from what has been described as a "landmark" Supreme Court decision to ensure community integration for persons with mental illness? A. Fair Housing Act B. Olmstead Integration Mandate C. Money Follows the Person (MFP) D. Americans with Disabilities Act (ADA)

B. Olmstead Integration Mandate

Identify the most effective strategy that occupational therapy practitioners should adopt when considering mental health literacy. A. Patient education materials should be presented in written form only. B. Practitioners should talk to their clients about mental illness clearly, concisely, and using "plain language." C. Written patient education materials should be created at or above a sixth-grade reading level. D. Practitioners should use professional medical terms when talking to their clients to better educate them on their mental illness.

B. Practitioners should talk to their clients about mental illness clearly, concisely, and using "plain language."

You are working with an individual with mental illness who has identified social activities he plans to regularly participate in. Which stage of recovery does this best represent? A. Preparation B. Rebuilding C. Moratorium D. Awareness

B. Rebuilding

Holly is a 45-year-old who reports low levels of pain when she is at rest, but this increases to moderate levels when she is doing her instrumental activities of daily living (IADLs). Recently she has had to rely on her husband and children to complete these activities. Therefore, her self-esteem has started to diminish and she's afraid that before long she won't be able to do anything. She values her role as a homemaker and her goal is to manage her pain so she can complete the activities associated with this role. You decide to focus your intervention on refocusing Holly's thinking and incorporating activities such as deep breathing, distraction, and relaxation training that she can use while engaging in her valued role. Which model of practice is most closely associated with your intervention plan? A. Biomechanical B. Relaxation and Refocusing Model C. Behavioral Model D. Model of Human Occupation

B. Relaxation and Refocusing Model

As a practitioner working in a culturally diverse area, you want to approach each client with an open mind and no assumptions. When you're working with each client, you want to ask questions and gather data to formulate and test hypotheses regarding the best approach to working with each client. Which characteristic of a culturally competent provider does this best represent? A. Cultural explanations B. Scientifically minded practice C. Dynamic sizing D. Culture-specific expertise

B. Scientifically minded practice

Omar is also excited because his ability to live in his apartment is not based on his compliance with mental health treatment. Which core element of permanent supportive housing does this best represent? A. Choice of housing B. Separation of housing and services C. Housing integration D. Decent, safe, and affordable housing

B. Separation of housing and services

You are working with Wally, a 55-year-old who has been working as an accountant for the past 30 years. He was diagnosed with dementia approximately 3 years ago. Although he was able to work initially, his cognitive decline has now made continuing in his position impossible. His family is concerned about how they will support themselves without Wally's income. You recommend that Wally applies for which of the following? A. Supplemental Security Income B. Social Security Disability Income C. Medicare D. Social Security Disabled Adult Child

B. Social Security Disability Income

You are working with Lindsay, a 25-year-old who was diagnosed with bipolar disorder 5 years ago. She is the youngest of six children; her mother is deceased and her father retired last year. The family is concerned about how Lindsay is going to support herself as she has been unable to maintain employment. You recommend that Lindsay apply for which of the following? A. Social Security Disability Income B. Social Security Disabled Adult Child C. Supplemental Security Income D. Medicare

B. Social Security Disabled Adult Child

You are planning a vacation with a group of college friends. Someone asked if you were going to invite Julia. You said no because she has a mental illness and you don't feel comfortable around her. Secretly you are thinking that not only does she have mental illness but she is also Hispanic and you are afraid she might get violent because of her mental illness. This can best be described as ____________. A. Public stigma B. Social distancing C. Structural stigma D. Discrimination

B. Social distancing

The primary approach to pain assessment is _____. A. The use of physiological measures B. The use of self-report measures C. Diagnostic testing D. The use of psychological measures

B. The use of self-report measures

While completing an assessment with an adult experiencing chronic pain, you ask the client to choose one word from a list of 15 descriptors to identify his pain intensity. There is an associated number with that word that will be used as the pain intensity score. Which assessment does this best represent? A. McGill Pain Questionnaire B. Verbal rating scale C. FACES Scale D. Visual analog scale

B. Verbal rating scale

Adopting a recovery-oriented approach for increasing social participation requires an attitude shift for most mental health providers. Which of the following most accurately reflects this shift? A. Accepting the mental health provider is the expert in developing interventions for social participation B. Accepting that not all consumers require medication to improve social participation C. Accepting that consumers are partners in their own care and should have input in developing interventions for social participation D. Accepting a directive approach in developing social skills is the most effective way to increase social participation

C. Accepting that consumers are partners in their own care and should have input in developing interventions for social participation

Legislation such as the Americans with Disabilities Act and the Olmstead Integration Mandate are examples of ________________. A. Stigma and discrimination B. Impact of poverty C. An individual's right to live in the community D. An individual's right to affordable housing

C. An individual's right to live in the community

You recently completed your professional development plan for the coming year. One of your goals was to become a more culturally responsive practitioner. One of the more difficult activities you want to engage in is exploring your bias toward certain cultural groups. Which of the five aspects of culturally responsive practice does this best represent? A. Exploring multiculturalism B. Applying cultural skills C. Building cultural awareness D. Generating cultural knowledge

C. Building cultural awareness

The movement to divert money from state mental health institutions to support programs such as outpatient services and partial hospitalizations is most closely associated with the __________. A. National Institutes of Mental Health B. Joint Commission on Mental Illness and Health C. Community Mental Health Centers Act D. National Mental Health Act

C. Community Mental Health Centers Act

You are working in a pain clinic and you want to get an understanding of the intensity of pain your 10-year-old client is experiencing. You decide to implement an evaluation that shows pictures of facial expressions depicting various levels of pain intensity. Which evaluation would you choose? A. Visual analog scale B. Verbal rating scale C. FACES scale D. McGill Pain Questionnaire

C. FACES scale

Omar was diagnosed with schizophrenia 15 years ago. He has been living in a skilled nursing facility for the past 10 years. Recently, he was discharged and moved into his own apartment. He is excited to have the opportunity to be living in the same apartment building as people without mental illness. Which core element of permanent supportive housing does this best represent? A. Choice of housing B. Separation of housing and services C. Housing integration D. Decent, safe, and affordable housing

C. Housing integration

Using the strength-based approach described by Kretzmann and colleagues to establish occupational therapy practice in the area of community development, you would begin with an assessment of the community. Which of the following should be included in this assessment? A. Identify financial resources that communities could contribute to people with mental illness. B. Determine how community agencies can prevent re-hospitalization for individuals with mental illness. C. Identify skills and resources that people with mental illness could contribute to their communities. D. Identify potential residential facilities for people with mental illness.

C. Identify skills and resources that people with mental illness could contribute to their communities.

Identify the benefit most closely associated with patient and family support group participation. A. Greater sense of independence in both patients and family members B. Skills acquisition C. Increase in overall functioning and decrease in hospitalizations D. Increased self-confidence

C. Increase in overall functioning and decrease in hospitalizations

When employing the recovery philosophy of care, which of the following is something practitioners should consider while administering an assessment to measure social participation? A. It is acceptable to administer subscales of an assessment that the practitioner deems important. B. It is acceptable to administer subscales of an assessment that the family deems important. C. It is acceptable to administer subscales of an assessment that the consumer deems important. D. The whole assessment should be administered to maintain the tool's reliability and validity.

C. It is acceptable to administer subscales of an assessment that the consumer deems important.

Acute pain can best be defined as ____________. A. Pain that has no apparent tissue damage B. Pain that has an insidious onset C. Pain that is caused by tissue irritation related to an injury or disease D. Pain that does not serve a biological purpose

C. Pain that is caused by tissue irritation related to an injury or disease

A company's investment in ergonomic assessments and modifications in all areas of the workplace to avoid repetitive motion and other workplace injuries is a good example of _____________. A. Pain management B. Relapse management C. Prevention D. Biomechanical intervention

C. Prevention

A 43-year-old-man was recently diagnosed with depression. Since his diagnosis, his family has become critical of him, saying he is lazy, stupid, and worthless. His wife mockingly tells her friends that he has a "mental illness" and they should stay away from him because he's lost his mind. This is an example of ___________. A. Self-stigma B. Structural stigma C. Public stigma D. Family stigma

C. Public stigma

You are working with Maria, a 29-year-old who was diagnosed with schizophrenia 10 years ago. She has been working hard at her recovery and her current goal is to seek employment. She wants to work at the local day-care center, but when agencies find out she has a mental illness they reject her application because they are fearful she will hurt the children. Maria has tried to get some of her family members to advocate for her but they are hesitant and actually support initiatives to toughen the laws to prevent people with mental illness from working in the human services field. She finds this demoralizing and begins to experience some signs of depression but quickly engages with her peer support specialist to overcome these feelings and continue working toward her goal. Drawing from your knowledge of public stigma theory, you recognize this scenario best represents which type of stigma? A.Family stigma B. Stigma by association C. Self-stigma D. Structural stigma

C. Self-stigma

Which of the following has been identified as a key factor of why someone does not seek out mental health care? A. Decreased knowledge of mental health-care providers B. Lack of awareness that this service is needed C. Stigma D. Insufficient insurance coverage

C. Stigma

Identify the following statement that best represents the impact of attitudinal barriers on individuals with mental illness. A. Stigma can lead to increased complexity in the physical environment. B. Stigma can lead to decreased choice in many aspects of the community. C. Stigma can impact an individual's willingness to disclose his or her disability to obtain accommodations to increase success in the workplace. D. Stigma can lead to decreased access to transportation.

C. Stigma can impact an individual's willingness to disclose his or her disability to obtain accommodations to increase success in the workplace.

Which of the following is the most accurate statement regarding social determinants and mental health? A. There is no association between poor socioeconomic status and mental illness. B. Individuals have the ability to change the majority of these determinants. C. They are the main driver of overall health status. D. They have no impact on an individual's physical and mental health.

C. They are the main driver of overall health status.

Which of the following is the most desired outcome of a comprehensive pain assessment for occupational therapy practitioners? A. Understanding of the initial trauma related to the onset of pain B. Understanding of the psychological impact of pain C. Understanding of how pain impacts occupational engagement D. Understanding of how medication impacts pain

C. Understanding of how pain impacts occupational engagement

Which of the following is not an accurate representation of the virtual component of the environment? A. People with mental illness may have limited access to the virtual environment. B. Social media can contribute to negative mental health outcomes. C. Virtual environments are easily accessible by all populations. D. Excessive use of social media is associated with depression.

C. Virtual environments are easily accessible by all populations

Which of the following best describes normalization theory? A.It identifies four types of stigma: stereotype awareness, stereotype agreement, naming self-concurrence, self-esteem decrement. B. Public stigma is at the core of this model. C.The focus is on skill development and creating opportunities for persons with disabilities to engage in roles. D. Behavior that deviates from the norm is identified by someone in power and a label is placed on that behavior.

C.The focus is on skill development and creating opportunities for persons with disabilities to engage in roles.

Which standardized evaluation provides information on occupations and participation? A. Pain diaries B. Pain rating index C. McGill Pain Questionnaire D. Brief Pain Inventory

D. Brief Pain Inventory

Food pantries, soup kitchens, and thrift stores are all examples of _________________. A. Peer-led organizations B. Family support C. Supportive education D. Community resources

D. Community resources

Having the ability to make decisions regarding their home is an example of which aspect of the "sense of home" contributing to mental health recovery? A. Place for engaging in daily life B. Right to privacy and freedom C. Rebuilding of sense of identity D. Control and self-determination

D. Control and self-determination

As an occupational therapy practitioner, you want to incorporate a model of cultural competence that is derived from your profession. After investigation of different models, you choose a model that requires the practitioner to critically examine his or her position within society and privilege associated with that position, gain understanding of his or her clients' cultural characteristics, and engage in skill building to interact with clients from various cultural backgrounds in a respectful and empathetic manner. Which model does this best represent? A. Kawa River Model B. Canadian Model of Occupational Performance and Engagement C. Model of Human Occupation D. Cultural Competence Conceptual Framework

D. Cultural Competence Conceptual Framework

You want to incorporate a tool into your practice that will help you ensure culturally responsive mental health evaluations and interventions. In particular, you want a tool that will guide you through ensuring you have established your client's cultural identity, gained understanding of his or her conceptualization of mental health issues, gathered cultural information regarding the client's psychosocial environment, and considered how culture may impact the relationship between you and your client. Which assessment would you choose? A. Occupational Performance History Interview B. Inventory for Assessing the Process of Cultural Competence Among Health-Care Professionals C. Cultural Competence Assessment Instrument D. DSM-5 Cultural Formulation Interview

D. DSM-5 Cultural Formulation Interview

The first step an occupational therapy practitioner should do when working with someone who wants to engage in a volunteer activity is to identify an individual's volunteer interests, values, and beliefs. In addition, he or she should gather information regarding an individual's work, training, and volunteer history. Which of the following best describes this process? A. Initial assessment B. Performance skills assessment C. Analysis of occupational performance D. Developing an occupational profile

D. Developing an occupational profile

Which of the following most accurately reflects the contribution an occupational therapy practitioner can make to address the impact of neurocognitive functioning on housing? A. Maintain ability to provide interventions for comorbid health conditions B. Mediate hoarding behaviors with the use of the Community Clutter & Hoarding Toolkit C. Make recommendations on sensory processing preferences to increase successful home management routines D. Educate housing teams on how to implement life skills training in regards to the cognitive aspects of activities of daily living

D. Educate housing teams on how to implement life skills training in regards to the cognitive aspects of activities of daily living

An occupational therapy practitioner is facilitating a volunteer workshop. The agenda includes discussion on the benefits of volunteering, exploring community volunteer opportunities, and having a panel present on their volunteer experiences. What type of intervention approach does this best represent? A. Groups B. Training C. Advocacy D. Education

D. Education

Events such as war and mass shootings that lead to legislative activity to increase mental health services can best be described as __________. A. Public policy B. Regulation C. Politics D. Focusing events

D. Focusing events

Recently there has been more attention on the influence of neighborhoods and community on mental health. Identify why this is important for occupational therapy practitioners. A. It supports occupational therapy's belief that client factors can support or interfere with occupational performance. B. It supports occupational therapy's belief that performance patterns can support or interfere with occupational performance. C. It supports occupational therapy's belief that performance skills can support or interfere with occupational performance. D. It supports occupational therapy's belief that physical and social environments can support or interfere with occupational performance.

D. It supports occupational therapy's belief that physical and social environments can support or interfere with occupational performance.

You are looking for an assessment that examines the functional ability of your client in a community mental health center. You want an assessment that asks the client to identify the role he assumes in the areas of work, education, and residence; the level of support he receives in the specified roles; and the quality of performance of these roles. Which assessment would you choose? A. Satisfaction with Daily Occupations B. Multnomah Community Ability Scale C. Mental Health Recovery Star D. Multidimensional Scale of Independent Functioning

D. Multidimensional Scale of Independent Functioning

According to the biopsychosocial model, which of the following best represents the perception of pain that signals you to take action? A. Pain B. Suffering C. Pain behavior D. Nociception

D. Nociception

Which of the following most accurately reflects the concept of peer-led services? A. It is an occupational therapy approach to care. B. It allows for a client-centered approach to treatment. C. It allows for the mental health professional to guide treatment. D. People with lived experience support others as they move toward recovery

D. People with lived experience support others as they move toward recovery

The belief that occupational performance is a convergence of the individual, occupation, and environment represents which of the following models of practice? A. Ecology of Human Performance B. Occupational Adaptation C. Kawa Model D. Person-Environment-Occupation

D. Person-Environment-Occupation

Buildings, green space, objects, and tools are all aspects of which component of the environment? A. Virtual B. Social C. Temporal D. Physical

D. Physical

You want to get a better idea of Omar's cognition and how it affects his ability to engage in daily activities. You decide to use an assessment that incorporates an interview with Omar, as well as observations of Omar engaging in a variety of self-care and instrumental activities of daily living (IADL) tasks. Which assessment would you choose? A. Allen Diagnostic Modules B. Occupational Performance History Interview-II C. Residential Environment Impact Scale D. Routine Task Inventory-Expanded

D. Routine Task Inventory-Expanded

You are looking for an assessment that asks the client to rate his or her performance and level of satisfaction in the areas of work, leisure, domestic, and self-care activities. Which assessment would you choose? A. Mental Health Recovery Star B. Multnomah Community Ability Scale C. Multidimensional Scale of Independent Functioning D. Satisfaction with Daily Occupations

D. Satisfaction with Daily Occupations

Which of the following is the best explanation of why people with psychosis interact more effectively through social media? A. It decreases levels of distress when interacting with others. B. There is no pressure for the person to participate. C. It reduces negative beliefs about social participation. D. There is less reliance on social cues.

D. There is less reliance on social cues.

Despite the development of permanent supportive housing, custodial housing settings such as residential care homes, boarding homes, and board and care homes remain part of the mental health system of care. Which option best represents the limitations of such settings for promoting recovery? A. Because other residents are persons with mental illness, there is limited opportunity for social interaction. B. These settings are typically licensed by local governments, but seldom inspected or audited for adherence to standards. C. Staffing levels are low and focused mostly on providing basic needs—food, shelter, personal care, and medications. D. There is limited availability of individually tailored site-based or community-level occupational opportunities.

D. There is limited availability of individually tailored site-based or community-level occupational opportunities.

Occupational therapy practitioners have the opportunity to contribute to the successful housing needs of individuals with mental illness. Which of the following is most reflective of what an occupational therapy practitioner can contribute to addressing these housing needs? A. They make discharge placement decisions to assure the successful transition to permanent supportive housing. B. They assist with medication management to reduce the risk of recidivism. C. They access financial resources to assist the individual in paying his or her rent. D. They assess independent living skills an individual needs to be successful in transitioning to permanent supportive housing

D. They assess independent living skills an individual needs to be successful in transitioning to permanent supportive housing

According to the evidence, which group of individuals benefits most from volunteering? A. Those who have difficulty regulating emotions B. Those who are socially active C. Those with physical limitations D. Those with limited social interactions

D. Those with limited social interactions

Having a client engage in volunteer activities for the purpose of developing performance skills as a step to achieve the ultimate goal of returning to work best exemplifies which of the following? A. Community integration B. Skills training C. Education D. Volunteering as an intervention

D. Volunteering as an intervention