Chapter 11 : Responding to Symptoms and Behaviors Flashcards Preview

OTA 110: Occupation Skills - Psychosocial > Chapter 11 : Responding to Symptoms and Behaviors > Flashcards

Flashcards in Chapter 11 : Responding to Symptoms and Behaviors Deck (46):
1

event that provokes the behavior

Antecedent Cause

2

the assistants own personality, the way he or she talks and acts towards the person in his or her care (synonymous with therapeutic use of self)

Self

3

the context in which your interaction with the client takes place

Environment

4

the thing that you and the client are doing together

Activity

5

A state of tension and uneasiness caused by conflicts that the ego is unable to resolve

Anxiety

6

These are strategies of what diagnosis:
1) encourage clients to talk about what is bothering them & express how they feel
2) focus 1st on what clients are concerned about
3) listen to their fears and redirect their attention to neutral topic

Anxiety

7

A feeling of intense sadness, despair, and hopelessness

Depression

8

These are strategies of what diagnosis:
1) allow client to talk about what is bothering them
2) OTA should listen and reflect back to what he/she hears clients saying but should never agree that situation seems hopeless
3) Reinforce good hygiene
4) Accept clients feelings
5) Be clear when giving directions and don’t give them too many choices
6) Avoid praising - acknowledge instead
7) Don’t try to cheer up client
8) Watch for suicidal remarks

Depression

9

A disturbance of mood characterized by excessive happiness (euphoria), generosity (expansiveness), irritability, distractibility, and increased activity level

Mania

10

These are strategies of what diagnosis:
1) Be aware of flattery
2) Be cautious in giving praise
3) Calm, matter of fact, firm, consistent
4) Be firm on supplies and materials - don’t let them overrun clinic
5) Give structure

Mania

11

A sensory experience that does not correspond to external reality

Hallucinations

12

These are strategies of what diagnosis:
1) Try to reassure and help them understand what is happening “I believe you see rats in the corner, but they are not really there. It’s your disease that makes you see them”
2) Calm, rhythmic, soothing talk
3) Don’t argue
4) Repeat word of phrase that is comforting to them “I am safe here”

Hallucinations

13

A belief that is contrary to reality as experienced by others in one’s cultural group

Delusions

14

taking ideas from brain

thought withdrawal

15

putting thoughts in brain

thought insertion

16

being followed or hurt

delusions of persecution

17

special power or powerful

megalomania or delusions of grandeur

18

delusions of someone being in love with you

erotomania

19

something is horrible wrong with your body

somatic delusions

20

These are strategies of what diagnosis:
1) Avoid discussing the person’s delusions
2) Re-direct persons attention
3) Don’t try to convince them it is not true

Delusions

21

A type of thinking in which persecutory and grandiose ideas predominate

Paranoia

22

These are strategies of what diagnosis:
1) Don’t approach suddenly
2) No whispering
3) Approach as intellectual equals
4) They have extraordinary memories
5) Don’t argue
6) Clear, consistent directions
7) Don’t promise things, be truthful

Paranoia

23

A strong feeling of displeasure

Anger

24

An unfriendly and threatening attitude directed toward other people

Hostility

25

An attack on a person or object; can be verbal, physical or both

Agressions

26

These are strategies of what diagnosis:
1) Be alert to signs of tension coming
2) Talk about what is bothering them
3) Be direct and clear about what you expect
4) Don’t be alone
5) Try to speak to person privately

Anger, Hostility, Aggression

27

Any behavior that would normally be seen as explicitly (openly) sexual or as provoking a sexual response

Seductive Behavior and Sexual Acting Out

28

These are strategies of what diagnosis:
1) Talk to them in calm, nonjudgemental manner
2) Setting rules should be strictly enforced
3) Avoid physical contact
4) Explain nature of therapeutic relationship
5) Have another staff work with client

Seductive Behavior and Sexual Acting Out

29

An impairment or defect in one or more of the mental functions needed for thinking

COGNITIVE DEFICITS: Confusion and Impaired Memory

30

These are strategies of what diagnosis:
1) Be clear, concise, concrete and consistent
2) Speak slow, use common terms
3) Match your tempo with what patient can handle
4) 5 C’s - calm, clear, concise, concrete and consistent

COGNITIVE DEFICITS: Confusion and Impaired Memory

31

Problems in directing attention to a task or in sustaining attention for a reasonable length of time

Attention Deficits

32

Lack of planning and order that interferes with successful completion of activities

Disorganization

33

These are strategies of what diagnosis:
1) say name loudly to get attention
2) firm but gentle touch on arm or shoulder
3) environment should avoid distractions
4) simple crafts

Attention Deficits & Disorganization

34

What diagnosis states that the first activities used should be ones at which the person is guaranteed success?

Depression

35

What diagnosis should use activities with strong sensory stimulation (music, dance, films, cooking)?

Hallucinations

36

What diagnosis should use intellectually challenging verbal activities... board games, current events, puzzles, word games... computer?

Delusions

37

What diagnosis should use have clients work independently without much need for instruction?

Paranoia

38

What diagnosis should use active sports - gross motor to release tension, sanding large projects?

Anger, Hostility, Aggression

39

What diagnosis should use forceful gross motor activities without physical contact and do things in their own personal space - protected from sudden touch, smell and warmth of others?

Seductive and Sexual Acting Out

40

These are strategies of modifying the enviro for WHO?
Safe, subdued
Limit stimulators (gradual increase w/comfort)
Reduce lighting & noise level
One-on-one
Encourage decision making skills gradually
Provide opportunities to make choices

Depression

41

These are strategies of modifying the enviro for WHO?
Eliminate or reduce distractions.
Solo activity, facing a blank wall.

Mania

42

These are strategies of modifying the enviro for WHO?
AVOID stressful & overstimulating; isolation
PROVIDE quiet, calm, & non-distracting

Hallucinations

43

These are strategies of modifying the enviro for WHO?
Relatively stimulating
Provide opportunities for involvement in real-life activities.

Delusions

44

These are strategies of modifying the enviro for WHO?
Stable & reliable (less change is better)
Prepare client for any changes
Tolerate & support those who isolate until client is comfortable
DON'T FORCE social contact
Gradually encourage group participation (even if just sitting on the outside and watching)

Paranoia

45

These are strategies of modifying the enviro for WHO?
Isolate client from others who irritate them
Stand 4-5 ft. away, to the side, not facing the person directly
Don't be alone w/client who may be violent
Leave room door open & position youself closer to door than client
Don't touch client
Remove all sharp objects & potential weapons (brooms, mops)

Anger, Hostility, Aggression

46

These are strategies of modifying the enviro for WHO?
Solo work, facing blank wall
Limit tools/supplies
May need vigorous stimulation to grab attention
Play classical and/or favorite music (monitor if distracting)

Attention Deficits and Disorganization