question

What is the difference between mental health and mental illness?

answer

It's more relative than absolute. It's looked at on a continuum. How are you functioning within the framework of your daily life activities.

question

What difficulties do mental health disabilities cause?

answer

Significant distress with painful symptoms; disability and impairment in areas of functioning; increased risk of death, pain, loss of freedom; manifestation of behavioral, psychological, or biological dysfunction

question

In the mental health setting, what is the focus of OT?

answer

Our focus is on the impairment in the "important areas of functioning": care of self, work/productive, relationships with others, pursuing valued leisure activities

question

What is one major symptom of mental illness?

answer

Difficulty in carrying out daily life activities

question

Mary Reilly has a famous quote regarding mental health. What is the quote? What does the quote mean?

answer

"That man, through the use of his hands as they are energized by mind and will, can influence the state of his own health"

question

What is the relationship between unhappiness and inactivity?

answer

They reinforce each other. Those who fail to act become less able to do so.

question

What did the Community Mental Health Act of 1963 do?

answer

It moved patients from institutions to the community; Established community based treatment facilities.

question

What happened in communities as a result of the Community Mental Health Act of 1963?

answer

Communities were not prepared for the influx of people that needed services. People that had been released ended up in prisons, jails, and nursing homes.

question

With the enactment of Medicare/Medicaid in 1965 what changed for communities?

answer

It changed the incentives for states. The responsibility was now the Federal Gov'ts, not the communities to care for those disadvantaged.

question

What happened in the 1960s and 70s that affected those with mental health problems.

answer

Interest in mental health research increased; Care was given more to "normal" people with issues than to those that were more seriously ill; New theorists emerged; Human genome research increased understanding of link with genetics and mental disorders

question

What are the three types of imaging studies on the brain that we have to utilize in diagnosis?

answer

Positron Emission Tomography (PET); Computed Tomography (CT); Magnetic Resonance Imaging (MRI)

question

What is "NAMI"?

answer

The National Alliance for the Mentally Ill. Founded in 1979, the organization advocates for those with mental illness

question

Who applied Sensory Integration Theory to chronic psychiatric patients?

answer

Lorna Jean King and Jean Ayes. They proposed that poor functioning and grossly abnormal posture in chronic schizophrenic patients could be attributed to erros in sensory processing.

question

Who developed the Cognitive Disabilities Theory?

answer

Claudia Allen. She proposed that one's performance in a task indicated the quality of his/her thought

question

What is Narrative Reasoning?

answer

It's the pts perception of what is happening and the appreciation of this (the pts life story) by the therapist

question

What are the Mental Health Medical and Psychological Models (there are 7 of them)?

answer

1. Theory of Object Relations 2. Developmental Theory 3. Behavioral Theories 4. Cognitive-Behavioral Therapy 5. Client-centered therapy 6. Neuroscience theories 7. Psychiatric Rehab

question

Of the psychological models, which one functions closest to what OTs do in mental health?

answer

Psychiatric Rehabilitation. Not a theory, it's atheoretical (without theory) and has more of an eclectic approach to therapy

question

What are the practice models for Occupational Therapy in Mental Health (there are 6 of them)?

answer

1. Development of Adaptive Skills 2. Role Acquisition and Social Skills Training 3. Psychoeducation 4. Sensory Integration 5. Cognitive Disabilities 6. The Model of Human Occupation (MOHO)

question

Who conceived the Development of Adaptive Skills Model? Describe the Model.

answer

Anne Cronin Mosey. Based on developmental concepts with 6 areas of adaptive skills and stages of development within each. The areas are: 1. Sensory Integration 2. Cognitive Skills 3. Dyadic interaction Skills 4. Group interaction skills 5. Self-identity skills 6. Sexual identity skill

question

Who coined the term "Role Acquisition and Social Skills Training Model?" Describe the model.

answer

"Mosey" coined the term. This model focuses on the learning of all daily life, work and leisure skills that enable one to participate in social and productive roles. The focus is on how the patient is functioning in the present. All behavior is learned and can be unlearned and new behaviors learned.

question

Describe the Psychoeducation Model?

answer

Not as OT therapy practce model, more an educational approach to improving skills. Reflect deficient living skills, remediate with direct teaching/training.

question

Who created the Sensory Integration Model? Describe the Model. Can this model be used with all patients?

answer

Jean Ayes and Lorna Jean King. Based on neuroscience studies of how the brain works. If info received is inaccurate, responses by the body are inaccurate. Useful except for PARANOID schizophrenic patients.Two main treatment principals: 1. Focus attention on outcome of activity 2. Activity must be pleasureable

question

Who created Cognitive Disabilites Model? Describe the model.

answer

Claudia Allen. Model focuses on the effect of impaired cognition on task performance. "Just as physical disabilities restrict the physical ability to do a voluntary motor action, a cognitive disability restricts the cognitive ability to do a voluntary motor action." Allen defined 6 levels of cognitive ability related to task performance. (REMEMBER: Allen Cognitive Leather Lacing Task)

question

Who created the Model of Human Occupation (MOHO)? Describe the model.

answer

Gary Kielhofner. Views the individual as an open system affected by the environment. Can be affected by, and affect the environment. By acting and receiving info, people change their actions and adapt to environment. "We become what we do and what we do becomes a part of us." Volition, habituation, and performance capacity are the components.

question

The OTPF has two main sections, what are they? What do they each provide?

answer

The Domain and the Process. The Domain addresses the areas that OTs work with and the Process describes the manner in which we do it.

question

The domain is comprised of 6 categories. What are they, from broadest to narrowist?

answer

1. Performance in Areas of Occupation is at the top of the 3 tier level. 2. Middle tier is comprised of Performance Skills and Performance Patterns. 3. Bottom tier is comprised of Contexts, Activity Demands and Client Factors.

question

For "Performance in Areas of Occupation", name the areas that OT address

answer

ADLs, IADLs, Education, Work, Play, Leisure, and Social Participation

question

Name the areas of "Performance Skills".

answer

Motor Skills, Process Skills, Communication/Interaction Skills

question

Name the areas of "Performance Patterns".

answer

Habits, Routines, Roles

question

Name the areas of "Context"

answer

Cultural, physical, social, personal, spiritual, temporal, and virtual

question

Name the areas of "Activity Demands"

answer

Objects used/properties, space demands, social demands, sequencing/timing, required actions, required body functions, required body structures

question

Name the areas of "client factors"

answer

Body functions and body structures

question

How does the OTPF and ICF relate to each other?

answer

The OTPF corresponds to the language of the ICF and gives OTs a way to "speak the language" of other health care professionals while still maintaining an OT focus

question

In the new DSM-V what term has replaced "mental retardation?" Is IQ score still used for classification?

answer

Intellectual disability. No, the IQ score is no longer used in the DSM-V. Rather the severity is based on the adaptive functioning of the individual

question

The term Pervasive Developmental Disorder is no longer used in the DSM-V as a catch-all phrase. What term has replaced this term?

answer

Autism Spectrum Disorder is now the umbrella term to cover: Autism, Asperger's, Childhood Disintegration Disorder, and Pervasive Developmental Disorder NOS

question

Gutman provides OT guidelines for interventions with children with regulatory disorder. Can you name the 7 guidelines?

answer

1. Building a trusting and accepting relationship with the child 2. helping the child recognize which behaviors are a problem 3. Giving the child a vocabulary with which to describe what he/she feels 4. Helping the child identify situations that will cause problems 5. Building impulse control and frustration tolerance 6. Building the ability to tolerate change 7. helping the child acquire social interaction skills

question

What is the description of Delirium?

answer

A disturbance of consciousness and a change in cognition that develops over a short period of time

question

What is the description of Dementia?

answer

Dementia is characterized by multiple cognitive deficits that include impairment in memory.

question

Can you name the three types of Dementia?

answer

1. Alzheimers type; 2. Vascular; 3. Dementia due to other general conditions (HIV, head trauma, parkinsons dx, Huntington's dx, substance-induced dementia, dementia due to multiple etiologies and dementia NOS

question

There are 3 categories of Dementia. What are they? Can you describe the symptoms of each?

answer

Mild, Moderate, and Severe

question

What does OT address in working with patients with dementia?

answer

OTs seek to maximize functioning through the teaching of compensatory strategies and careful environmental management

question

To modify the environment for pts with dementia, 4 layers are considered. Can you name and describe each of them in order?

answer

1. Object layer: Clarify the environment, remove distracting objects, draw attention to desired objects. 2. Task layer: Reduce directions to 1-2 steps, tasks are simplified and made in consistent routine 3.Social layer: Family members are respected, treated as collaborators in intervention planing, helped to meet their own needs. 4. Culture layer: OT learns family norms

question

What is the difference between dependence and abuse when talking about ETOH or drugs?

answer

Dependence: person does not have adequate control over the use of the substance and still uses despite risk of harm to self Abuse: Term is used when there is insufficient evidence for a diagnosis of dependence

question

Three patterns of alcohol abuse are recognized. What are they?

answer

1. Regular daily drinking; 2. Heavy weekend drinking; 3. Periodic or episodic binge drinking

question

What are DT's and what are the symptoms?

answer

DTs are delirium tremors from ETOH withdrawal. Symptoms may include fever, tremors, ataxia, hallucinations, sweating and high blood pressure. Chronic use may lead to lasting neurologic damage and dementia

question

Alcoholics demonstrate a PDS (preferred defensive structure): a set of defense mechanisms. What are they?

answer

Denial, Projection, Rationalization, and Dichotomous thinking (black or white, all or nothing)

question

What is co-dependency?

answer

An unhealthy involvement in controlling a substance abuser

question

What is enabling?

answer

making it easier for the substance abuser to continue drinking or taking drugs

question

What does OT intervention focus on for those with ETOH or drug abuse?

answer

Use of time, esp. leisure time; Relapse prevention; Cognitive and perceptual functions and skill development; Social interaction, social skills, and self expression; Daily living skills; Acquisition, developement and maintenance of valued occupational and social roles

question

If a mood disorder is present in a person with schizophrenia what diagnosis is given?

answer

Schizoaffective

question

If someone has exhibited symptoms of schizophrenia for less than 6 months, what diagnosis are they given?

answer

Schizophreiform

question

The progression of schizophrenia falls into three phases. What are they and describe each.

answer

1. Prodromal: functioning deteriorates (poor hygiene, interaction with others, participation in life) 2. Active Phase: psychotic symptoms become apparent 3. Residual Phase: remission of psychotic symptoms that are most disturbing to others and worsening of impaired functioning

question

There are 2 classes of symptom types for schizophrenia. What are they and describe them?

answer

Positive and negative symptoms. Positive symptoms are hallucinations, delusions, loosening of associations, grossly disorganized speech and behavior. These symptoms are seen primarily in the ACTIVE PHASE. Negative symptoms are apathy, generalized unexpressive mood (affective flattening), lack of goal directed behavior, deterioration of hygiene, diminshed functioning and participation in daily life, social isolation, and psychomotor slowing. These symptoms are seen in the PRODROMAL AND RESIDUAL PHASES.

question

What does the drugs classified as neuroleptics do?

answer

They PREVENT dopamine from acting at the D receptors in the brain

question

Can you name the 7 areas that OTs aim to address in pts with schizophrenia?

answer

1. Social Skills training; 2. Behavorial coaching; 3. ADLS; 4. IADLs; 5. Leisure activities 6. Work and productive activities; 7. Parenting skills

question

When attention, concentration and judgment are impaired, what are the two approaches OT use?

answer

1. Remedial: Direct teaching or improvement of a specific skill OR 2. Compensatory approach: Substitute other abilites or provide external support

question

How are Mood disorders characterized?

answer

On a continuum from mild to severe

question

What's the difference between a mood episode and an mood disorder?

answer

A single episode is termed a "mood episode", a recurring pattern is a mood disorder

question

What is the description for mania?

answer

High, expansive, and/or irritable, sleep disturbed behavior inconsistent with prior behavior

question

What is the description for depression?

answer

Low mood, loss of interest in activities, sleep disturbed, low energy, suicidal thoughts

question

When is the diagnosis of major depressive disorder given?

answer

When a person has had 1 or more depressive episodes lasting 2 weeks or more. Significant impairment of social and occupational functioning is apparent. Energy and initiative are low, cognitive functions are slowed.

question

What is the difference between Bipolar I and Bipolar II?

answer

Bipolar I has episodes primarily manic with at least 1 depressive episode; Bipolar II has episodes primarily of depression with at least 1 episode of hypomania

question

What is Dysthymic Disorder?

answer

A low mood, a milder form of depression

question

What is Hypomanic Disorder?

answer

An elevated mood, a milder form of mania

question

What is Cyclothymic Disorder?

answer

Alternating moods between a mild high and a mild low

question

What is the OT practitioner's role in treating those with mood disorders?

answer

OTs role is a reduction in symptoms and a return to desired occupational roles. Cognitive-behavorial approaches may help pt reassess their beliefs about themselves.

question

What should OT address when treating those with mood disorders?

answer

Address social and vocational functioning, cognitive skills, judgment and planning. And a person may feel a sense of shame and loss of self esteem after a manic episode recalling impulsive behaviors from manic episode

question

What are medications and treatments used for mood disorders?

answer

SSRI's, tricyclic amines and MAOIs are meds. Other options include ECT, deep brain stimulations and bright light therapy

question

The main symptom in anxiety disorders is anxiety. What disorders fall under this umbrella?

answer

Panic disorders, Agoraphobia, Phobias, and Social Phobias, Obsessive-compulsive disorder, PTSD, Generalized anxiety disorder

question

What are the symptoms of a panic disorder?

answer

Unexpected panic attack accompanied by short of breath (SOB), racing pulse, dizziness and nausea.

question

What is Agoraphobia?

answer

Often accompanies panic disorder where pt has fear of being in strange place where panic attack might occur

question

What are Phobias?

answer

A panic attack that occurs in response to a specific stimulus

question

What is Social Phobia?

answer

Person fears situations in which they might be exposed to ridicule or appraisal (such as public speaking)

question

What is Obsessive-compulsive disorder?

answer

A time consuming and distressing disorder that interferes with normal functioning

question

What is PTSD?

answer

An anxiety disorder that follows a stressful event (war, natural disasters, personal violence). Anxiety is provoked when the original trauma is re-experienced by intrusive memories, dreams and flashbacks. Pt has an avoidance response by withdrawing, isolation, psychological numbing, constricted expression of feelings, and lack of previously enjoyed occupations. Person may have hypervigilance, disturbed sleep and impaired concentration.

question

What is Generalized Anxiety Disorder?

answer

This is diagnosed when person is anxious about 2 or more situations

question

How are anxiety disorders treated?

answer

With meds and psychotherapy.

question

What does OT do for those with anxiety disorders?

answer

OTs focus on teaching pts to use activities that are relaxing. Drawing or other expressive media can be helpful with coping. Desensitization or other cognitive-behavorial approaches may help

question

What are the two types of eating disorders?

answer

Anorexia Nervosa and Bulimia Nervosa

question

What are the characteristics of Anorexia Nervosa?

answer

Abnormally low body weight with refusal to gain and disturbed body image

question

What are the characteristics of Bulimia Nervosa?

answer

Binge eating followed by self-induced vomiting (fasting or laxatives)

question

What do OTs work on for those with eating disorders?

answer

Development of behavior that supports role functioning as an adult, IADLs, distorted body image, deficient self esteem and assertiveness. OTs have found the following activities helpful also: art therapy, cooking and menu planning, crafts, stress mgmt training, group discussions,and activities

question

Personality disorders are classified into three clusters. What are the categories for the clusters?

answer

CLUSTER A: paranoid, schizoid, schizotypal. Persons may appear odd, eccentric, different or bizarre; CLUSTER B: antisocial, borderline, histrionic, and narcissistic. Behavior is erratic, emotional, self centered; CLUSTER C: avoidant, dependent, and OCD. Behavior is fearful, anxious, or avoidant approach to life

question

Give a description of someone with paranoid personality disorder.

answer

Interprets the actions of others as deliberately harmful to the self

question

Give a brief description of someone with schizoid personality disorder.

answer

Avoids social contact

question

Give a brief description of someone with schizotypal personality disorder.

answer

Indifferent to social involvement

question

Give a description of antisocial personality disorder.

answer

Evidence of conduct disorder before age 15 and show pattern of continuing after age 18 (cruelty to animals, lying, neglect of duties a parent, impulsivity)

question

Give a description of borderline personality disorder.

answer

Unstable and erratic relationships, fluctuating of personal identity, fear of abandonment, moodiness and chronic feelings of emptiness are common, impulsive behavior

question

Give a description of histrionic personality disorder?

answer

Attention seeking and extreme emotionality. Seeks center stage in all situations

question

Give a description of narcissistic personality disorder.

answer

Extreme self-centeredness. Lack of understanding of others feelings

question

Give a description of avoidant personality disorder.

answer

Fear and avoidance of social contact

question

Give a description of dependent personality disorder.

answer

A pattern of submission

question

Give a description of obsessive-compulsive disorder.

answer

Characterized by perfectionism

question

What does comorbidity mean?

answer

When there is the simultaneous existance of 2 or more disorders in the same individual such as Bipolar and substance abuse, or depression and schizophrenia

question

"Dunning" identified 3 features of the environment that affect social and occupational behavior. What are they?

answer

1. SPACE: size, kind, objects, arrangements; 2. PEOPLE: # of people, roles, expectations; 3. TASKS: objects that compel behaviors (work bench vs card table)

question

"McColl" identified 3 levels of intervention. What are they?

answer

1. MICROENVIRONMENT: Client-centered level (person-environment interactions; 2. MESOENVIRONMENT: Community level (housing, transportation, accessibility); 3. MACROENVIRONMENT: Political and social level (social policy)

question

What does psychotropic mean?

answer

"mind changing", so these drugs alter the way the mind works

question

How do psychotropic drugs work?

answer

They alter the neurotransmitter (dopamine, norepinephrine, serotonin) balances in the brain.

question

How do the neuroleptic drugs work?

answer

They work by BLOCKING the dopamine receptors in the brain

question

How many generations of neuroleptic drugs are there?

answer

There are three. The third generation drug is ABILIFY. It has fewer side effects than the first generation drugs

question

There are six major categories of drugs. Can you name them?

answer

Antipsychotic, antiparkinsonian, antidepressant, antimanic, antianxiety and psychostimulants

question

What are some of the side effects of the neuroleptics?

answer

Movement disorders (EPS), photosensitivity, dry mouth, blurred vision, postural hypotension, decreased sexual interest, and lactation. Side effects of 2nd and 3rd generation drugs have less chance of EPS (extrapyramidal syndrome)

question

What are extrapyramidal syndrome symptoms?

answer

Involuntary movement (Tardive dyskinesia, chorea, athetosis) changes in muscle tone, abnormal posture

question

What is the most serious side affect associated with the 1st generation of neuroleptics?

answer

Tardive dyskinesia (TD) is a mvmt disorder that may become permanent if pt does not stop taking meds. It is comprised of facial mvmts, writhing tongue motions and finger motions. It is disfiguring and embarrasing and can cause social rejection, impairments at work, depression and possible suicide

question

Because EPS is often a frequent side effect of neuroleptics what drug is also given?

answer

Antiparkinsonian drugs. These drugs reduce the EPS enabling the pt to engage in physical activities where motor coordination is a factor

question

What is neuroleptic malignant syndrome (NMS)?

answer

Its a rare life threatening side effect of antipsychotic meds. Signs of NMS are extreme rigidity and catatonia, sometimes mistaken for worsening of psychotic disorder

question

What is the major therapeutic value of antidepressant drugs?

answer

Relief from depression, suicide risk and social withdrawal

question

What are the three classes of antidepressant drugs?

answer

Non-selective, selective, and MAOIs

question

How are the cyclics classified?

answer

They are classified according to the neurotransmitter they work on (serotonin, dopamine, norepinephine)

question

What the difference between selective and non-selective cyclics?

answer

The older cyclics were non-selective on neurotransmitters. They were called tricyclics ("tri" for all 3 neurotransmitters). The new cyclics are called Selective Serotonin Reuptake Inhibitors or SSRIs and they target serotonin.

question

What does MAOI stand for?

answer

Monoamine oxidase inhibitors

question

When are MAOIs given instead of SSRIs?

answer

When the SSRIs are not found to be affective, MAOIs may be.

question

Why do people on MAOIs have to watch their diet?

answer

There is an amino acid called Tyramine which interacts with MAOIs and can cause a hypertensive crisis (increase in blood pressure) which may lead to cerebral hemorrhage and death.

question

What type of food/beverage is Tyramine found in?

answer

Aged cheese, wine, beer, yogurt, tea, coffee, avocados, bananas, soy sauce, pickled herring, yeast, protein extract, raisins, dates and other foods

question

If a pt is taking an MAOI and an SSRI what should you be aware of?

answer

Central Serotonin Syndrome can occur. Signs are confusion, agitation, shivering, fever, sweating, myoclonus (jerking mvmts) and incoordination

question

What do antimanic drugs contain?

answer

They contain lithium carbonate, a common metal salt. Lithium is toxic so frequent blood tests are required to monitor its level in the blood.

question

What are signs of overdose from lithium?

answer

Gross bilateral hand tremors, ataxia, jaundice, diarrhea, vomiting

question

What are the drugs called that are used to control anxiety?

answer

These are the benzodiazepines (valium, xanax) which are addicting

question

The psychostimulant drugs are prescribed for ADHD and ADD. What are the effects they have on adults and children?

answer

The psychostimulant drugs stimulate and increase mental and physical activity in adults but have the reverse effect on children

question

Can you name three other biological treatments that are used other than meds?

answer

ECT, Vagus nerve stimulation, Bright light therapy

question

What are 4 herbs people may use to treat depression?

answer

Kava kava root, St Johns Wort, SAMe, Valerian

question

What are the most common psychiatric disorders in the elderly?

answer

Dementia and depression

question

What is the cycle of violence (hint: 4 stages)?

answer

1. Buildup of tension; 2. Violent action; 3. Contrition and appeasement of the victim; 4. Cycle starts again

question

Do abuse victims often come forward on their own?

answer

No, they do not usually come forward unless specifically asked about the violence

question

What are the leading causes of death for youth?

answer

Homicide is the leading cause of death for African Americans age 10-24, the 2nd leading cause of death for Hispanics, the 3rd leading cause of death for American Indians. The leading cause of death for white males are MVAs

question

When talking about coping strategies, what is the "Appraisal Method of Coping"?

answer

Evaluate whether the coping is positive or negative; identify resources available; Is it emotion focused (control the emotional reaction); Is it problem focused (change the environment to reduce stress); Is it perception focused (change the perception of the events)

question

When working with patient's with HIV/AIDs what are the proposed roles for OT intervention?

answer

Phase I: Pre-AIDS - psychosocial support, information about disease transmission, health promotion activities; Phase II: Early to mid-stage disease - environmental modifications, adaptive equipment, value activities that promote feelings of self worth; Phase III: End-stage treatment - Participation at any level of activities of interest

question

The therapeutic relationship consists of three overlapping stages. What are they?

answer

Stage 1: Rapport building-collaborating and sharing information Stage 2: Working relationship-Choosing goals/tasks collaboratively. Create method responding to success/failure and allow pt to take control of info by keeping log/record. Stage 3: Ongoing working relationship-To understand there will be ups and downs. Continue to share info

question

Can you name the 7 therapeutic qualities to develop?

answer

Empathy, Sensitivity, Warmth, Genuineness, Self-disclosure, Specificity, and Immediacy

question

The ALOR method is used to help foster the understanding of the self and others. What does it stand for?

answer

A=ASK, L=Listen, O=Observe, R=Reflect

question

There are 3 issues that may arise in the therapeutic relationship, Transference, Countertransference, and Dependence. Describe what they each are?

answer

TRANSFERENCE: When the pt relates to the therapist as if the therapist were someone else in their life, usually an important person; COUNTERTRANSFERENCE: When the therapist falls into the role the patient is putting them in; DEPENDENCE: When the pt depends on staff perceiving they have more knowledge, and power than they do themselves.

question

There are three types of dependent behavior. What are they?

answer

Detrimental dependence: Excessive dependence; Constructive dependence: More productive, but the pt relies on the therapist to do things they are able of doing themself; Self-dependence: Synonymous with independence

question

Can you name the 7 guiding principals from our code of ethics?

answer

Beneficence, Nonmaleficence, Autonomy/confidentiality, Duty, Procedural Justice, Veracity, Fidelity

question

What is the most common symptom in psychiatric disorders?

answer

Anxiety

question

What are the response variables when working with a patient that can be changed to adapt to the patient's needs?

answer

SELF: Therapeutic use of self (how you are responding to the pt); ENVIRONMENT: The context in which your interaction takes place (noise level, lighting, furniture etc); ACTIVITY: The thing that you and the client are doing together. Consider the pts goals, interests and roles

question

What are some signs of suicidal intent?

answer

Talking about killing oneself or wanting to die; Recent acquisition of the means to die (stock pilling meds, buying a gun); Making a will or taking out life insurance; Giving away personal belongings; Seeking promises that someone will take care of pets, children "If anything happens to me"; Passive suicidal behavior (not eating, drinking too much, engaging in unsafe behavior).

question

There are 3 types of functional roles within a group, what are they?

answer

Task Roles, Group maintenance Roles, and Antigroup or egocentric Roles

question

Give a definition of a Task Role?

answer

They develop in relationship to the groups goals and the problems it must solve

question

Give a definition of a Group Maintenance Role?

answer

These roles are needed to promote and maintain cohesiveness and closeness among group members

question

Give a definition of an Antigroup Role?

answer

These roles serve the needs of individuals but interfere with the groups process

question

Mosey identified 5 levels of group interaction skills. What are they? What does each represent?

answer

1. Parallel Level: The ability to work/play in the presence of others comfortably and with an awareness of their presence; 2. Project Level: The ability to share a short term task with one or two other people; 3. Egocentric-cooperative level: Awareness of the groups goals and norms and willingness to abide by them; 4. Cooperative level: The ability to express feelings within a group and to be aware of and respond to the feelings of others; 5. Mature level: The ability to take on a variety of group roles, both task roles and group maintenance roles as needed in response to changing conditions in a group.

question

What is a leader responsible for in a group?

answer

Consistency with members, Autonomy among members, Nurturing, and interpersonal learning

question

What are the steps in planning an activity group?

answer

1. Identify the pts who need a group; 2. Assess their specific skills and general level of group skills; 3. Identify the rules and resources in your setting; 4. Narrow the focus and outline the main goals; 5. Write a group protocol

question

The OTPF specifies 3 stages in the intervention process. Can you name and describe them?

answer

1. Evaluation: what you need to know; 2. Intervention: the services to bring about change; 3. Process: Outcomes and measurable goals aimed to achieve

question

What are the 8 stages in the OT Process?

answer

1. Referral; 2. Screening; 3. Evaluation; 4. Intervention Planning; 5. Intervention Implementation; 6. Intervention Review; 7. Transition Planning; 8. Discontinuation of services

Psychiatric Occupational Therapy Disorders, Keiser University, Tallahassee, Ms. Bailey – Flashcards

Unlock all answers in this set

Haven't found what you were looking for?

Search for samples, answers to your questions and flashcards