(Test Bank) Occupational Therapy in Mental Health

Brown, 2

Nursing

Test Bank

2nd Edition

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Test Bank for Occupational Therapy in Mental Health, The downloadable file consists of 185 pages, and the total size of the file is 1.29 MB. Purchase now only for highly discounted price.

Author(s): Brown

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Occupational Therapy in Mental Health 2nd Edition Brown Test Bank Chapter 1: Recovery Multiple Choice 1. Which of the following best describes recovery? a. Recovery is a personal, holistic process. b. Recovery defines a sense of purpose focused on the limitations of the disability. c. Recovery means being disease -free. d. Recovery is a process where individuals learn to rely on others to achieve their goals. ANS: a Topic: Definitions of Recovery LO: 1.1 2. A client with schizophrenia is working with her occupational therapist on achieving her goal of returning to work. During your last session, she told you that for the first time she was feeling motivated to return to work and was beginning to see a brighte r future. Which of the 10 Guiding Principles of Recovery does this best represent? a. Respect b. Strengths and responsibilities c. Hope d. Person -driven ANS: c Topic: Principles of Recovery LO: 1.1 3. During an inpatient group, the occupational therapy group members are asked to identify social supports, including family, friends, community members, and so on, who they find supportive and offer hope and encouragement. Which principle of recovery does this represent? a. Respect b. Relational c. Peer support d. Hope ANS: b Topic: Principles of Recovery LO: 1.1 4. The Substance Abuse and Mental Health Services Administration identifies four dimensions of recovery: health, home, purpose, and community. The ability to engage in meaningful daily activities is an example of . a. Health b. Home c. Purpose d. Community ANS: c Topic: Dimensions of Recovery LO: 1.2 5. A client with depression has come to the local community center to learn more about health and wellness. Which of the following best describes health, as defined by the Substance Abuse and Mental Health Services Administration? a. Managing one’s disorder(s) and making healthy choices that support ph ysical and emotional well - being b. Focusing on the physical aspects of one’s well-being c. Fulfillment of one’s potential through meaningful activities d. Full engagement in one’s community ANS: a Topic: Dimensions of Recovery LO: 1.2 6. Which of the following most accurately defines how an occupational therapist can support someone in recovery? a. The occupational therapist should set goals for the individual based on the individual’s deficit areas. b. The occupational therapist should encourage the individual to maintain medication compliance. c. The occupational therapist should focus on improving client factors. d. The occupational therapist should assess areas of occupation the individual wants to engage in and complete an analysis of occupational performance to identify skills and abilities that support or impede engagement. ANS: d Topic: Dimensions of Recovery LO: 1.1 & 1.2 7. Recovery has not only changed people’s lives but it has changed policy as well. Which of the following U.S. policies has been cited as moving the health system toward a more integrated, holistic model of care addressing physical and behavioral health needs? a. Recovery -to-Practice Act b. Affordable Care Act c. Excel lence in Mental Health Act d. Return to Work Act ANS: b Topic: Recovery as a Change Agent LO: 1.4 Chapter 2: The Unfolding History of Occupational Therapy in Mental Health Multiple Choice 1. A humanistic treatment approach had a major impact on the formation of occupational therapy and is still an important aspect of occupational therapy’s philosophy. Which 19th century theory can this approach be attributed to? a. Moral Treatment b. Arts and Crafts Movement c. Mental Hygiene Movement d. Reductionistic Movement ANS: a Topic: History of Occupational Therapy LO: 2.1 2. Which of the following models was initiated in response to industrialization of society and can be described as “reestablishing harmony between environment, occupation and the person”? a. Moral Treatment b. Arts and Crafts Movement c. Mental Hygiene Movement d. Reductionistic Movement ANS: b Topic: History of Occupational Therapy LO: 2.1 3. Which occupational therapy founder was most closely associated with the development of performance -based tests? a. William Rush Dunton, Jr. b. Eleanor Clarke Slagle c. Susan Tracy d. George Barton ANS: c Topic: Founding of Occupational Therapy LO: 2.2 4. Which occupational therapy founder was most closely associated with habit training? a. William Rush Dunton, Jr. b. Eleanor Clarke Slagle c. Susan Tracy d. George Barton ANS: b Topic: Founding of Occupational Therapy LO: 2.2 5. Habit training can best be described as . a. A well-balanced daily routine that contributes to health and wellness b. A program that encourages highly structured, monotonous daily routines c. A program that requires equal time in each area of work, leisure, and self -care d. A program that teaches specific behavior patterns for completion of activities of daily living ANS: a Topic: Founding of Occupational Therapy LO: 2.2 6. Habit tr aining is still seenTinEoScTcuBpAaNtioKnSalEtLheLraEpRy.pCraOctMice today. Which domain of the American Occupational Therapy Association Practice Framework best reflects this concept? a. Areas of occupation b. Performance skills c. Performance patterns d. Client factors ANS: c Topic: Founding of Occupational Therapy LO: 2.3 7. A 10 -year-old with anxiety disorder is experiencing difficulty at school. As the occupational therapist at that school, which of the following best describes your role related to this child? a. Promote inclusion and increased understanding of mental health issues in the classroom, at recess, and before and after school activities b. Work on handwriting skills c. Facilitate the development of a productive daily routine d. Engage the child in sensory integration activities ANS: a Topic: Mental Health Settings Where Occupational Therapists Practice LO: 2.4 Chapter 3: Person -Environment -Occupation Model Multiple Choice 1. The Person -Environment -Occupation (PEO) model was developed based on the work of other prominent theorists. Environmental press is one of the model’s concepts. Which of the following best describes environmental press? a. The individual is able to mold or “pr ess” the environment into a structure that is beneficial to him or her. b. Press is considered to be the supportive aspect of the environment. c. Press is defined as aspects of the environment that constrain occupational performance. d. Press consists of aspects of the environment, coupled with the needs of an individual that evoke a specific response. ANS: d Topic: Development of the PEO Model LO: 3.1 2. Which of the following best describes the Person -Environment -Occupation (PEO) model? a. It is a transactive model that states a change in one part of the model affects other parts of the model, influencing occupatiTonEaSl pTerBfoArmNaKnSceE. LLER.COM b. It is a model that focuses on the specific parts of an individual and occupational performance. c. It is a model that describes a relationship between the person, environment, and occupation that is static over time. d. It is a model framed in the concepts of occupational identity, competence, and adaptation. ANS: a Topic: Descrip tion of the PEO Model LO: 3.2 3. The Person -Environment -Occupation (PEO) model describes the person as being composed of spirituality, social and cultural experiences, and observable occupational performance components. Which of these is considered to be at the core of all PEO interactions? a. Spirituality b. Social experiences c. Cultural experiences d. Observable performance components ANS: a Topic: Description of the model LO: 3.3 4. According to the Person -Environment -Occupation (PEO) model, the environment is “the context within which occupational performance takes place” and is composed of four environmental elements. Which of the following is an environmental element according to this model? a. Spiritual b. Temporal c. Institutional d. Virtual ANS: c Topic: Description of the Model LO: 3.3 5. Which of the following most accurately reflects occupational performance as described by the Person -Environment -Occupation (PEO) model? a. It is the result of the interaction between volition, habituation, and performance skills. b. It is the result of the dynamic interaction between the person, environment, and occupation. c. It is mastery of a task caused by the interaction between volition, habituation, a nd performance skills. d. It is mastery of a task caused by the interaction between the person, environment, and occupation. ANS: b Topic: Description of the Model LO: 3.3 6. Occupational performance is impacted by the congruence between the person, environment, and occupation (PEO). This congruence can best be described as . a. PEO adaptation b. PEO fit c. PEO flow d. PEO press ANS: b Topic Occupational Performance LO: 3.5 7. You are working with an individual who is 65 years old who started experiencing depression following his retirement. During your initial interview this gentleman tells you about his interest in fishing. He says he loves it and did it often as a child and t eenager but had less time to do it while he was working full -time as an accountant. He says the one thing he is looking forward to in retirement is returning to this activity. When you ask what he enjoyed about it he says it was a great way to spend time with his father and now he is looking forward to spending time fishing with his son and grandchildren. This is an example of how impacts occupational performance. a. Dimension of time b. Dimension of space c. Occupational fit d. Occupational ad aptation ANS: a Topic: Occupational Performance LO: 3.5 & 3.8 8. This same gentleman talks about running as his way of getting exercise. He indicates he enjoys running but has been having difficulty with this activity because of arthritic knees. He used to be able to run 5 miles but is now lucky to be able to run one -half mile before he starts to experience pain. This situation is an example of a misfit between . a. Person and environment b. Person and occupation c. Environment and occupation d. Environment and occupational performance ANS: b Topic: Analyzing Occupational Performance LO: 3.5 & 3.8 9. A woman in your mental health clinic was telling you about her love for gardening but is unable to engage in this activity at home because she is in an apartment with no balcony. She said she was ap preciative that the clinic has a greenhouse and different horticulture classes that allow her to participate in this interest. This is an example of congruence between . a. Person and environment b. Person and occupation c. Envi ronment and occupation d. Environment and occupational performance ANS: d Topic: Analyzing Occupational Performance LO: 3.8 Chapter 4: Person -Centered Evaluation Multiple Choice 1. As an occupational therapy practitioner, it is important to gain an understanding of your client as an occupational being before working with that client to develop an intervention plan. Which of the following is the best way to obtain this perspective? a. Review the medical records b. Talk to other members of the interprofessional team c. Complete an evaluation d. Identify the key outcomes you want your client to attain ANS: c Topic: Purpose of Evaluation LO: 4.1 2. As a school -based practitioner, you are working with a 10 -year-old boy who has been sharing how he loves school. When he is not there, he is responsible for helping his mom clean -up around the house. He also enjoys computer games and spends a lot of time doing that on the weekends. He states he lives at home with his parents and two siblings, not ing he has a good relationship with his family and they all seem to get along. When asked wThEatSheTwBaAnNtsKtoSdEoLwLheEnRh.e gCrOowMs up, he responds he wants to be a firefighter and begins to tell you about his plans to make his dream come true. According to the Occupational Therapy Practice Framework (OTPF), this scenario is an example of an . a. Analysis of occupational performance b. Occupational profile c. Occupational therapy referral d. Occupational therapy outcome ANS: b Topic: Purpose of Evaluation LO: 4.1 3. After getting a general overview of this boy, you want to use a variety of assessment tools to gain a better understanding of him as an occupational being. According to the Occupational Therapy Practice Framework (OTPF), what is the next step of the evaluation process? a. Analysis of occupational performance b. Occupational profile c. Occupational therapy referra l d. Occupational therapy outcomes ANS: a Topic: Purpose of Evaluation LO: 4.1 4. Which of the following is the most important consideration when choosing an assessment for the evaluation process? a. Assure it measures a multitude of constructs b. Ensure it summarizes an occupational history c. Considerations of rapport building d. Consideration of its validity and reliability ANS: d Topic: Purpose of Evaluation LO: 4.3 5. You have identified a plan to complete the evaluation process with your 1 0-year-old client, but have run up against a few factors that are influencing the process, such as not having enough time to administer your assessment of choice, not being familiar with the assessment a colleague recommended, your client’s priorities bein g somewhat different than yours, and so on. This has caused you to rethink how you will complete the evaluation and can best be explained by the reality that the evaluation process is . a. Not a linear process b. Highly predictive c. Practitioner -centered d. Client -centered ANS: a Topic: Evaluation as a Process LO: 4.2 6. Which of the following best describes why you should use a practice model during the evaluation process? a. It provides a holistic lens to guide the proces s and ensure all areas impacting occupational performance have been addressed. b. It provides a valid and reliable method to guide the process. c. It provides a comprehensive look at specific performance skills. d. It provides a way to translate the International C lassification of Functioning, Disability and Health to your clients and their families. ANS: a Topic: Using Practice Models LO: 4.5 7. You are evaluating an older adult with dementia who has demonstrated difficulty with communication and self -awareness. Based on this information, what type of assessment tool would be best to use with this client? a. Interview b. Self-report c. Performance -based d. Projective ANS: c Topic: Assessment Methods LO: 4.6 8. You are working with a young adult in a partial hospital program. You are completing the evaluation process and decide you want to administer a tool that allows the client to share data abou t his perspective regarding his occupational performance. You decide to administer the Role Checklist to learn more about the client’s perceptions of past, present, and future roles. This represents which of the following assessment methods? a. Interview b. Self-report c. Performance -based d. Projective ANS: b Topic: Assessment Methods LO: 4.6 Chapter 5: Evidence -Based Practice in Mental Health Multiple Choice 1. As an occupational therapy practitioner, you want a practice grounded in evidence. Which of the following best describes evidence -based practice? a. The judicious use of current best evidence to make decisions regarding your individual clients b. The use of the same well -researched practice guidelines for all your patients c. A practice solely based on outcomes of research studies d. A practice that only applies to occupational therapists, not occupational therapy assistants ANS: a Topic: What Is Evidence -Based Practice? LO: 5.1 2. As a new practitioner, you are committed to engaging in evidence -based practice. In reviewing the literature, you come across the five -step process, or the cycle of evidence -based practice that can help guide you wTiEthStThiBs AtaNskK. SWEhLenLwEoRr.kiCngOwMith your clients, you identify and review evidence related to your client’s situation and develop your intervention based on your findings. Which step of this cycle does this best represent? a. Identify the problem b. Identify relevant evidence c. Implement useful findings d. Evaluate outcomes ANS: c Topic: The Process of Using Research in Practice LO: 5.2 3. You are reading a study that is comparing the prevalence and incidence of schizophrenia in urban versus rural areas. Which type of study does this best represent? a. Descriptive research b. Predictive research c. Efficacy research d. Assessment research ANS: a Topic: Types of Research Evidence LO: 5.4 4. You are reading a study that is exploring the relationship between bipolar disorder and socioeconomic status. Which type of study does this best represent? a. Descriptive research b. Predictive research c. Efficacy research d. Assessment research ANS: b Topic: Types of Research Evidence LO: 5.4 5. You are reading a study that is exploring the usefulness of cognitive behavioral therapy on individuals with depression. As you are appraising this study, you are concerned about threats to validity and how they may have impacted the usefulness of the inte rventions. Which type of study does this best represent? a. Descriptive research b. Predictive research c. Efficacy research d. Assessment research ANS: c Topi c: Typ es of Rese arch Evid enTceESTBANKSELLER.COM LO: 5.4 6. You want to design a study that explores the lived experience of individuals with schizophrenia as it relates to forming new social relationships. Which type of study does this best represent? a. Phenomenological b. Narrative c. Grounded theory d. Descriptive ANS: a Topic: Types of Research Evidence LO: 5.4 & 5.5 7. Based on the data you collect in Question 6, you want to create a new social participation theory. Which type of study does this best represent? a. Phenomenological b. Narrative c. Grounded theory d. Descriptive ANS: c Topic: Types of Research Evidence LO: 5.4 & 5.5 8. As you are developing your study, you want to make sure the data is trustworthy, an accurate representation of participants’ experience, and free from bias. Therefore, you decide to corro borate your data with those of other researchers to come to a consensus regarding the findings. Which of the four characteristics of trustworthiness does this represent? a. Transferability b. Dependability c. Confirmability d. Credibility ANS: d Topic: Types of Research Evidence LO: 5.5 9. Levels of evidence are one method used to examine the quality of efficacy studies. According to Sacket et al., a study examining the effectiveness of an intervention on one group of individu als without t he use of Ta EcoSnTtroBlAgNroKuSp EisLidLeEntRif.ieCdOasM . a. Level I evidence b. Level II evidence c. Level III evidence d. Level IV evidence ANS: d Topic: Types of Research Evidence LO: 5.6 10. You want to design a study examining the usefulness of Qigong for individuals with depression. You decide to examine and summarize previous randomized controlled trials. This would be considered . a. Level I evidence b. Level II evidence c. Level III evidence d. Level IV evidence ANS: a Topic: Types of Research Evidence LO: 5.6 Chapter 6: Introduction to the Person Multiple Choice 1. Which of the following best reflects the shared beliefs of occupational therapy and the recovery movement? a. Focus on what matters to someone versus what is the matter with someone b. Focus on steps needed to be perceived as normal c. Focus on the practitioner’s expert knowledge of treatment of mental illness d. Focus on and address someone’s limitations to increase occupational functioning ANS: a Topic: Recovery -Oriented Practice LO: 6.1 2. Which of the following best describes the purpose of the Diagnostic and Statistical Manual of Mental Disorders (DSM)? a. It provides for open and consistent lines of communication between clinicians and researchers. b. It provides a clear description of functional limitations associated with diagnoses. c. It decreases medicalization of problems of daily living. d. It eliminates the need to meeTtEwSithTtBheApNaKtieSnEt tLo LdiEagRno.sCe OhiMm or her. ANS: a Topic: Diagnostic and Statistical Manual of Mental Disorders LO: 6.2 3. Sarah is an individual who works at a local telecommunications company. She has been invited to apply for a supervisory position but her beliefs that she is not good interacting with others is interfering with her following through with the application pro cess. Which of the following performance skills does this best represent? a. Cognition b. Cognitive beliefs c. Sensory processing d. Coping and resilience ANS: b Topic: Identifying Performance Skills LO: 6.4 4. It has been noted that Sarah (from Question 3) has been avoiding her manager who has invited her to apply for the supervisory position. Her manager noted that whenever Sarah is confronted with a difficult situation she becomes withdrawn or changes the subj ect to something more pleasant. Which of the following performance skills does this best represent? a. Cognition b. Cognitive beliefs c. Sensory processing d. Coping and resilience ANS: d Topic: Identifying Performance Skills LO: 6.4 5. Tim is a college student who has expressed an interest in playing basketball. He has demonstrated good skills and has been invited to join an intramural basketball team. Despite his performance skills and interests, he still doesn’t participate. Which of the following performance skills does this best represent? a. Time use and habits b. Motivation c. Communication and socialization d. Emotion ANS: b Topic: Identifying Performance Skills LO: 6.4 6. Andre is a high school student who has been diagn osed with anxiety disorder. He is always concerned about his grades and spends most of his time in school and doing homework. When asked about his interests he says he enjoys singing and wants to participate in the school musicals but there is no time because he is always studying.THEe SsaTysBhAe NwKanStsEhLisLdEaiRly.scChOedMule to be different but this is the way it has to be in order to succeed in school. Which of the following performance skills does this best represent? a. Time use and habits b. Motivation c. Communication and socialization d. Emotion ANS: a Topic: Identifying Performance Skills LO: 6.4 7. Camilla was recently admitted to the inpatient psychiatric unit because of depression. She recently graduated from college with honors with a degree in accounting but has been unable to find a job. Because of financial constraints she needed to move home w ith her parents in the suburbs. There are opportunities but not close to her home and she has no way to get to a job because of her lack of transportation. As an occupational therapy practitioner, you are using a holistic approach to evaluate Camilla. Whic h of the following best describes her barrier to occupational participation? a. Cognition b. Time use and habits c. Coping and resilience d. Environment ANS: d Topic: Recognizing the Individual Nature of Performance Skills LO: 6.5 8. You are working with a new client and want to gather information on her lived experience with mental illness. You informally ask your client to tell you a little bit about herself. In addition, you ask about difficult times in her life, as well as how it h as been living with a mental illness. Which approach to gathering narrative information does this best represent? a. Structured interview b. Narrative interview c. Self-assessment d. Creative media ANS: b Topic: Appreciating the Lived Experience LO: 6.6 Chapter 7: Autism Multiple Choice 1. Which of the following best reflects the changes that occurred with the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition’s (DSM -5’s) description and diagnostic criteria for autism? a. There is an increased focus on deficits in communicatio n and social interaction deficits. b. Autism diagnosis must now be made before the age of 2. c. There is an increased focus on engagement in repetitive patterns of behavior. d. Asperger’s syndrome has been eliminated. ANS: d Topic: Shifting Conceptualizations LO: 7.2 2. Which of the following is most accurate regarding the etiology of autism? a. Researchers have identified a strong heritability of autism with the greatest risk between full siblings. b. Researchers have identified one genetic cause for autism. c. Researchers have identifiedTsiEmSilaTriBtiAesNinKbSraEinLfLunEcRtio.nCinOiMndividuals with autism compared with those without autism. d. Changes in brain functioning typically begin in early childhood. ANS: a Topic: Etiology LO: 7.3 3. Which of the following is most representative of the course and outcomes of autism? a. Because of recent research, aging in autism is well understood. b. Symptoms of autism are strongly correlated with adaptive functioning. c. Childhood language and intelligence are the strongest predictors of later outcomes. d. Therapeutic intervention has little impact on the course of autism. ANS: c Topic: Prevalence and Cours e–Course and Outcomes LO: 7.3 4. Which of the following is most reflective of the impact of neurocognitive factors on occupational performance? a. IQ is the best predictor of an individual’s ability to engage in effective daily living skills. b. When working with school -aged children diagnosed with autism, the occupational therapist should work with the child, family, and teachers to increase their understanding of the child’s abilities and recommended task and environmental adaptations to increase occupational functioning. c. The impact of neurocognitive factors on occupational performance is best assessed through cognitive testing. d. As individuals with autism age, the gap between their executive functioning and ability to engage in complex daily living tasks often become less apparent. ANS: b Topic: Impact on Occupational Performance LO: 7.6 5. Sam is a high school student who demonstrates behavioral problems when he is in the crowded school hallway, changing classrooms. As people bump into him and the noise from the others in the hallway gets louder, he becomes angry and often yells. At times he will begin punching those around him. It takes Sam time to calm down and he often misses part of his next class as he works on regulating his emotions. Which of the following best describes what is causing Sam’s behavioral issues? a. Sam is experiencing sensory oversensitivity, which presents when he is in crowded, noisy environments. b. Sam is experiencing executive functioning issues, which present as acting out when he cannot find his way to his next classroom. c. Sam is experiencing social participation issues, which present when he doesn’t socially fit in with his peers. d. Sam is demonstrating behaviors of withdrawal and avoidance, which are common in individuals with autism. ANS: a Topic: Impact on Occupational Performance LO: 7.6 6. You have been working with Sam from Question 5 to establish a coping skills plan to implement when he is changing classes. He has set a goal to successfully transition between classes for 1 day without any angry outbursts. He has set a plan to listen to music to cut down on the hallway nois e and he will wait to make the transition until the hallways have started to clear out. He plans to try this out tomorrow and check in with you at the end of the day. Which intervention approach does this best represent? a. Mindfulness meditation b. Social skills training c. Peer-mediated interventions d. Cognitive Orientation to Daily Occupational Performance (CO -OP) ANS: d Topic: Intervention LO: 7.7 7. Another approach to his successful transition from classroom to classroom that you and Sam have discussed is asking one of his classmates to accompany him during the transition periods. Sam would have the opportunity to watch how his classmate handles these transitions and how the classmate interacts with others in the hallway. Which intervention approach does this best represent? a. Mindfulness meditation b. Social skills training c. Peer-mediated interventions d. Cognitive Orientation to Daily Occupational Performance (CO -OP) ANS: c Topic: Intervention LO: 7.7 8. In addition to intelligence and age, what related feature of autism has the greatest impact on adaptive skills? a. Autism level of severity b. Sensory processing c. Executive function d. Behavioral difficulty ANS: c Topic: Impact on Occupational Performance 9. What has emerged as a significant contributor to delayed diagnosis of autism spectrum disorder among children? a. There are no accurate and reliable diagnostic procedures available to diagnose earlier than 3 years of age. b. Primary health -care providers often provide passive or reassuring responses to concerns initially expressed by parents. c. Parents have difficulty identifying typical compared with atypical behaviors in their toddlers. d. Parents often wait too long, up to 2.7 years, to share developmental concerns with their primary health -care providers . ANS: b Topic: Prevalence and Course 10. What medication has been approved for use with youth with autism spectrum condition? a. Risperidone b. Selective serotonin reuptake inhibitors c. Fenfluramine d. Methylphenidate ANS: a Topic: Medications Chapter 8: Intellectual Disabilities Multiple Choice 1. In order for an intellectual disability to be diagnosed, an individual must have an onset of the condition during the developmental period and have both . a. Academic and adaptive functioning deficits b. Communication and intellectual deficits c. Intellectual and adaptive functioning deficits d. Self-care and adaptive functioning deficits ANS: c Topic: DSM -5 Criteria LO: 8.1 2. Adaptive functioning is divided into three skill domains. Activities of daily living, work, safety, and money management represent which of these domains? a. Conceptual skills b. Social skills c. Intellectual skills d. Practical skills ANS: d Topic: DSM -5 Criteria LO: 8.1 3. Severity levels in intellectual disabilities are determined based on . a. Adaptive functioning domains b. IQ c. Age of onset d. Level of support required for daily living ANS: a Topic: DSM -5 Criteria –Severity Levels LO: 8.1 & 8.2 4. You are working with a 22 -year-old man with an intellectual disability. He has been successful in an office job that consists of structured, repetitive tasks and does not require independent complex problem -solving. He recently moved into his own apartment and has access to a local social service agency for support with health -care and financial decisions. What level of severity in intellectual disability does this scenario most accurately reflect? a. Mild b. Moderate c. Severe d. Profound ANS: a Topic: DSM -5 Criteria –Severity Levels LO: 8.2 5. A 10 -year-old girl on your caseload demonstrates she cannot read and has limited communication skills. You have been told she requires support to complete her activities of daily living and is reliant on others for all forms of problem -solving. What level of severity in intellectual disability does this scenario most accurately reflect? a. Mild b. Moderate c. Severe d. Profound ANS: c Topic: DSM -5 Criteria –Severity Levels LO: 8.2 7. Which of the following is most reflective of an individual with an intellectual disability’s vulnerability to health disparities? a. Health providers are well -trained in addressing health concerns in this population. b. These individuals often have co-existing mental health disorders. c. These individuals experience decreased comorbid health conditions as they age. d. These individuals experience similar life expectancy compared with the general population. ANS: b Topic: Prevalence & Course LO: 8.4 8. It has been proposed that cognition is only one factor that influences ability in individuals with intellectual disabilit y. Therefore, it has been suggested when practitioners are assessing an individual’s ability they should also consider the activity or task, level of participation, available support, and context. This approach can best be described as the . a. Occupational adaptation approach b. Multidimensional human functioning approach c. Combined motor and process approach d. Reductionistic approach ANS: b Topic: Impact on Occupational Performance –Mental Functions LO: 8.7 9. You are working with a young woman with intellectual disability who is a sophomore in high school and states her long -term goal is to find a job after high school. Which of the following approaches would you recommend to increase the likelihood of securing a job when she graduates? a. Enroll her in a sheltered employment program b. Consider placement to a residential program for support c. Refer her for high school transition planning services d. Enroll in a junior college program to increase work skills ANS: c Topic: Impact on Occupational Performance –Work LO: 8.8 Chapter 9: Attention Deficit -Hyperactivity Disorder Multiple Choice 1. Maria’s teacher has been concerned about her academic performance because she has difficulty initiating a task, and when she does, she isn’t able to stay focused and complete the task. Maria’s teacher indicates she has not noticed any restlessness or fidgeting. Which subtype of attention deficit - hyperactivity disorder (ADHD) does this best describe? a. Predominantly inattentive (ADHD -I) b. Predominantly hyperactivity -impulsive (ADHD -HI) c. Combined type (ADHD -C) d. Unipolar type (ADHD -U) ANS: a Topic: DSM -5 Criteria LO: 9.1 2. Pedro has been having difficulty concentrating in class; in addition, he has also been demonstrating difficulty sitting still. He is often in and out of his seat, requiring the teacher to set numerous limits on him throughout the day. Because of this behavior, Pedro has been falling further behind academically and his teacherTisEcSonTcBerAneNdKabSoEutLhLisEaRbi.litCy OtoMsucceed in the classroom. Which subtype of attention deficit -hyperactivity disorder (ADHD) does this best describe? a. Predominantly inattentive (ADHD -I) b. Predominantly hyperactivity -impulsive (ADHD -HI) c. Combined type (ADHD -C) d. Unipolar type (ADHD -U) ANS: c Topic: DSM -5 Criteria LO: 9.1 3. As children with attention deficit -hyperactivity disorder (ADHD) transition to adolescence, which behaviors are they most susceptible to because of their desire to be part of a social group? a. Antisocial behaviors and addiction b. Social difficulties c. Disorganization d. Vocational difficulties ANS: a Topic: ADHD Across the Life Span LO: 9.2 4. You are a school -based practitioner who has been seeing George, an 8 -year-old, for the past 3 months. George’s teacher notes that he has been having difficulty in the classroom, especially in tasks that require concentration and multitasking. George has also demonstrated an inability to set a plan to get his work done without the help of his teacher. Which of the following do these behaviors best represent? a. Sensory motor abilities b. Academic functions c. Execu tive functions d. Daily routines ANS: c Topic: Impact on Occupational Performance LO: 9.4 5. Laura is a 6 -year-old whose teacher has been concerned with her classroom behaviors and their potential impact on her academic performance. Laura appears to overreact to unexpected noises and becomes emotional when touched by her classmates, even those she considers to be her friends. She also demonstrates difficulty at recess engaging in activities requiring gross motor actions and in class doing activities that require cutting or manipulating small objects. Which of the following do these behaviors best represent? a. Sensory motor abilities b. Academic functions c. Executive functions d. Daily routines ANS: a Topic: Impact on Occupational Performance LO: 9.4 6. As Laura’s occupational therapy practitioner, you decide you want to focus on her over - sensitivity to noise and touch. Which intervention target does this best represent? a. Social play b. Whole school mental health promotion c. Sensory processing needs d. Problem -solving ANS: c Topic: Intervention LO: 9.5 7. Which type of medication is most commonly prescribed for individuals with attention deficit - hyperactivity disorder (ADHD)? a. Anti-anxiety medications b. Stimulants c. Antidepressants d. Antipsychotics ANS: b Topic: Medication LO: 9.6 8. The diagnosis of attention deficit -hyperactivity disorder (ADHD) is based on the Diagnostic and Statistical Manual of Mental Disorders (DSM) criteria. What is the main source of information the physician, neurologist , psychiatrist, or child development doctor collects in the process of diagnosing ADHD? a. Interview of the child b. Reports of teachers and parents c. Blood tests d. Computerized assessments ANS: b Topic: DSM -5 Criteria Rationale: Although it is important to observe and interview the child as well as use computerized assessments for measuring his attention, the questionnaires on everyday functioning of the child that are completed by both parents and teachers are the primary source of diagnostic information.