AOP

Question 1

In general, a trait is a long standing component of your personality, while a state is a temporary position you are in or a transient component of your personality?

A. True
B. False

Answer 1

True

Question 2

The signs and symptoms of dependent personality disorder include an excessive need to be taken care of, difficulty making independent decisions, and fear of disagreeing with

A. True
B. False

Answer 2

True

Question 3

You can have more than one personality disorder even though you have one personality.

A. True
B. False

Answer 3

True

Question 4

Fidelity, a principle contained in the OT Code of Ethics, embraces the idea that OTs should treat colleagues with respect and should use conflict resolution techniques to resolve interpersonal and organization conflicts.

A. True
B. False

Answer 4

True

Question 5

The most common personality disorder is:
A. Histrionic
B. Borderline
C. Schizoid
D. Not otherwise specified (NOS-She said that the lecturer said this during the lecture, we couldn’t find it in the notes!)

Answer 5

D. Not otherwise specified (NOS-She said that the lecturer said this during the lecture, we couldn’t find it in the notes!)

Question 6

Beginning in early adulthood a client begins expressing suspiciousness of others, becoming preoccupied with doubts about the loyalty of his friends, and reading threatening meanings to benign remarks. Which of the following is the most likely diagnosis?

A. Paranoid personality disorder
B. Antisocial Personality disorder
C. Schizoid Personality Disorder
D. Schizotypal Personality Disorder

Answer 6

A. Paranoid personality disorder

Question 7

To diagnose a personality disorder, the most indicative method is through using

A. Cluster of symptoms
B. MRI
C. Blood test
D. PET scan

Answer 7

A. Cluster of symptoms

Question 8

When a person suffers from a Cluster A Personality Disorder, this person will generally experience avoidance tendencies.

A. True
B. False

Answer 8

B. False (Cluster A is “odd/eccentric behaviors” such as paranoid, schizoid, and schizotypal while cluster C would be avoidant (OCD, avoidant and dependent personality disorders. Cluster B is “dramatic and erratic” which are narcissistic, borderline, histrionic, and antisocial personality disorder.)

Question 9

Tarasoff Law mandates outpatient treatment.

A. True
B. False

Answer 9

B. False (Tarasoff requires duty to protect or warn a third party only if the therapist believes or predicts the patient posed serious risk of injury to others)

Question 10

When a patient with schizophrenia expresses thoughts that shift from one subject to another in an incoherent fashion, which has no connection to reality this is best described as which of the following?

A. Loosening of associations
B. Flight of ideas
C. Circumstantiality
D. Tangentiality

Answer 10

Answer: A. Loosening of associations (When you have no connection to reality)

B. Flight of ideas (seen in mania)
C. Circumstantiality (don’t answer question right away but eventually answer it)
D.Tangentiality (When you ask question and they answer with some new topic)

Question 11

Beneficence is a principle of the OT Code of Ethics, which means that the therapist must refrain from engaging in any sexual relationship or activity with a service recipient or their family even if it is consensual. T or F

A. True
B. False

Answer 11

B. False (This describes nonmaleficence)

Question 12

Idealizing and devaluing a therapist by a client, which is also called splitting is a symptom that is associated with the follow two disorders

A. Eating and schizoid personality disorder
B. Borderline and substance use disorders
C. Social anxiety and mild neurocognitive disorders
D. Antisocial and personality and PTSD

Answer 12

B. Borderline and substance use disorders

Question 13

What severity level of autism would someone have who is requiring “very substantial support”?

A. Level 1
B. Level 2
C. Level 3
D. Level 4

Answer 13

C. Level 3 (There is no level 4!)

A. Level 1 (requires support)
B. Level 2 (requires substantial support)

Question 14

Schizophrenia affects individuals from some ethnic and racial groups more than others.

A. True
B. False

Answer 14

B. False (Some racial and ethnic groups are more likely to be DIAGNOSED with schizophrenia, but it affects/is prevalent among all groups equally - 1% of the population.)

Question 15

It is never a good idea to ask someone with schizophrenia about their hallucinations:

A. True
B. False

Answer 15

B. False

Question 16

The following are all true about Personality Disorders EXCEPT:

A. They are not treatable
B. They are hard to diagnose
C. They are debilitating by definition
D. They influence behavior

Answer 16

A. they are not treatable

Question 17

If a patient on an inpatient unit in NYS refuses to take his psychotropic medication, and the medical team believes that it is not an emergency but is necessary for the safety of the patient and others. What is the most likely outcome?

A. The staff can force the patient to take the medication
B. The patient is assigned a paraprofessional to monitor his activities
C. The patient is assigned a mental hygiene lawyer and goes to court
D. The patient is discharged against medical advice

Answer 17

C. The patient is assigned a mental hygiene lawyer and goes to court (because it is not an emergency, but they are in danger of hurting themselves and others, so it needs to be an outside arbiter)

Question 18

Which of the following is not necessary to diagnose ASD?

A. Deficits in social-emotional reciprocity
B. Intermittent periods of catatonia
C. Restricted, repetitive patterns of behavior
D. Deficits in nonverbal communicative behaviors

Answer 18

B. Intermittent periods of catatonia (associated with schizophrenia not ASD)

Question 19

Your client Mary reports hearing voices commanding her to stop working and give up her home. This is an example of what kind of perceptual experience?

A. A hallucination
B. An illusion
C. A delusion
D. A phobia

Answer 19

A. A hallucination

Question 20

Rochelle went to college and returned home after her first semester to visit her parents. Rochelle’s family became concerned that over her break from school, Rochelle seemed very withdrawn, spending most of her time in her room. Her mother noticed that Rochelle was talking to someone, but her phone and computer were off. Rochelle explained that her alarm clock was sending her messages to stay in her room “until the job was done”. Rochelle had never used street drugs before and denied taking any in college, so her mother called her doctor. After an examination, the doctor said Rochelle is probably experiencing the onset of …

A. personality disorder
B. Schizophrenia
C. Depression
D. A phobia
E. None of the above

Answer 20

B. Schizophrenia

Question 21

An appropriate OT evaluation tool for Rochelle would be:

A. Allen’s Cognitive Level Test
B. Kohlman Evaluation of Living Skills
C. Adult Sensory Profile
D. Any of the above
E. None of the above

Answer 21

D. Any of the above

Question 22

After Rochelle was hospitalized for one week and no longer heard messages from her alarm clock, her OT signed her up for the following group based on her diagnosis:

A. Stress management
B. Time management
C. Social skills
D. All of the above
E. None of the above

Answer 22

D. All of the above

Question 23

True or false: One of the criteria that can result in a person with mental illness being involuntarily hospitalized in NY State is the expression of suicidal ideation with means and a plan.

A. True
B. False

Answer 23

A. True
NOTE: other criteria is homicidal thoughts (harm to yourself or others)

Question 24

The federal agency that is responsible for funding, educating the public, and disseminating information about mental health research and evidence based interventions is which of the following?

A. DHS
B. NAMI
C. SAMHSA
D. NIH

Answer 24

D. NIH

DHS (department of human services → housing and services to state of NY)

NAMI (support group for families with people with mental illness and behavioral health issues)

SAMHSA (substance use → education for public but not a lot of funding)

NIH (National institute of health and give major funding out for mental health services for medication studies etc.)

Question 25

A patient with a long-lasting and inflexible pattern of cognition, affect, interpersonal functioning and impulse control that deviates significantly from the expectations of her culture is admitted to an inpatient unit. In her initial evaluation the OTR notes that this pattern causes significant stress and occupational dysfunction. What would be the most likely diagnosis that the OTR would expect to find in the patient’s chart?

A. Anxiety Disorder
B. Eating Disorder
C. Personality Disorder
D. Substance Use Disorder

Answer 25

C. Personality Disorder

Question 26

John has always been a little odd and strange, having difficulty in close relationships, illusions, and magical thinking. John probably has:

A. a schizotypal personality disorder
B. a paranoid personality disorder
C. a histrionic personality disorder
D. a borderline personality disorder

Answer 26

A. a schizotypal personality disorder

Question 27

The Multiple Errands Test is an example of a performance based assessment of executive functioning.

A. True
B. False

Answer 27

A. True (It evaluates executive functioning deficits with real world tasks that someone may do in everyday life; performance-based)

Question 28

A person with a psychotic illness is admitted voluntarily to an inpatient unit in New York City. She decides that she would like to leave without further treatment. Which of the following steps must she take to get discharged?

A. Locate a family member to sign her out
B. Obtain a two-physician certificate (2-PC)
C. Go to court with her mental hygiene attorney
D. Write a 72 hour letter

Answer 28

D. Write a 72 hour letter

Question 29

Alzheimer’s is a specific disease as opposed to dementia, which is a group of diseases.

A. True
B. False

Answer 29

True (Dementia is the broader umbrella and Alzheimer’s is a type of dementia.)

Question 30

The SAFE act:

A. Stops criminals and people with mental illness from buying or owning a gun.

B. Allows mental health providers a way of ensuring those with mental illness take their medication to ensure those with mental illness take their medication to ensure their safety along with those around them.

C. Mandates people with mental illness to acquire outpatient treatment (Kendra’s law).

D. Forces a personwho is actively suicidal to be involuntarily admitted to the hospital.

Answer 30

A. Stops criminals and people with mental illness from buying or owning a gun.

Question 31

When admitting someone involuntarily to a psychiatric unit, who does not make a decision in the admission process?

A. Psychiatrist from the psychiatric facility who verifies this is an appropriate admission

B. The person being admitted

C. An applicant that can be a family member or someone who lives with the person

D. Two separate physicians outside of the psychiatric facility to evaluate the patient for admission

Answer 31

B. The person being admitted

Question 32

When a person suffers from a Cluster C personality disorder this person will generally experience controlling tendencies.

A. True
B. False

Answer 32

B. False (Because it is more of a withdrawn tendency; A is more paranoid (odd/eccentric), B is more dramatic and erratic)

Question 33

Kendra’s Law mandates psychotherapists to protect and prevent harm.

A. True
B. False

Answer 33

B. False (Meant to protect a person who needs treatment in an outpatient setting → AOT, court mandated assisted outpatient therapy)

Question 34

Beginning in early adulthood a client begins talking to himself, insisting that the FBI is inserting thoughts into his head, and believes that he is a direct messenger from God. The OT student knows that the client has a diagnosis of schizophrenia and is expressing which type of symptom?

A. Flight of ideas
B. Positive symptoms
C. Intellectualization
D. Negative Symptoms

Answer 34

B. Positive symptoms

Question 35

What is the COTE scale ?

Answer 35

The Comprehensive Occupational Therapy Evaluation Scale (COTES) is designed to measure strengths and difficulties in various behaviors that support occupational performance.

Question 36

Identify, analyze, and discuss how you advocated (or would advocate) for service delivery models and policies in behavioral health FW and their potential effect on the practice of occupational therapy and opportunities to address societal needs.

Answer 36

Talk this one out