Midterms

Question 1

It involves a general orientation to relating to others and a usual way of responding to change, challenge and frustration.

Client’s enduring characteristics
Client’s situational characteristics
Client’s interpersonal skills
Client’s therapeutic modes

Answer 1

Client’s enduring characteristics

Question 2

In accounting and documentation of client’s past episodes, it should be described in an order according to the severity of symptoms experienced rather than in chronological order. If the patient is unable to remember past episodes, the therapist must record where the past information was obtained.

First statement is false while the second statement is true.
First statement is true while the second statement is false.
Both statements are true.
Both statements are false.

Answer 2

First statement is false while the second statement is true.

Question 3

“I don’t know why I’m here, I am not even sick—my family just insisted on bringing me here.”

Chief complaint
Personal-Social Context
Current level of function
Goals

Answer 3

Chief complaint

Question 4

First step of the occupational therapy process where the therapist sees the patient to determine whether intervention or further evaluation is necessary to identify dysfunctions in the patient’s occupational performance.

Screening
Analysis of Occupational Performance
Intervention
Synthesis of the Evaluation Process

Answer 4

Screening

Question 5

Which among the following is/are given focus during the gathering of history of present illness?

All of the following 
Treatments received and their effectiveness 
Changes in performance patterns 
Nature of the onset of symptoms 
Physical symptoms

Answer 5

A

Question 6

Which among the following DOES NOT describe the principles underlying the Intentional Relationship Model?

None of the above
Mode shifts can occur
given the wide range of therapeutic modes that can work with a client.
Therapists are responsible for expanding their interpersonal knowledge base.
Therapist defines the successful relationship.

Answer 6

Therapist defines the successful relationship.

Question 7

According to the Intentional Relationship Model, this element serves as the focal point of the therapeutic relationship:

Therapist
Interpersonal events
Occupation
Client

Answer 7

Client

Question 8

The patient history is based on the subjective report of the patient and in some cases the report of other health care workers, family, and other caregivers. Likewise, the mental status examination is the therapist’s subjective tool in determining other areas relevant to the client’s diagnosis.

Both statements are true.
First statement is true while the second statement is false.
First statement is false while the second statement is true.
Both statements are false.

Answer 8

First statement is true while the second statement is false.

Question 9

All of the following poses cautions when using the collaborative mode with clients, EXCEPT:

None of the above
Risk for overestimating the strengths and capabilities of the client which minimizes client’s need for assistance or direction
May cause client to feel confused, lost, or anxious about the therapy process when not fully prepared
May cause confusion about roles in the therapeutic process
All of the above

Answer 9

None of the above

Question 10

Katy, an occupational therapist, responded spontaneously by giving positive feedback upon seeing the client who after a week of reluctance to join any group session, started singing along with other patients during their group activity. Katy is using which therapeutic mode?

Collaborating
Empathizing
Encouraging
Advocating

Answer 10

Encouraging

Question 11

“I have been working as a preschool teacher for almost 10 years now in a school inside our village.”

History of Present Illness
Personal-Social Context
Values
Family History

Answer 11

Personal-Social Context

Question 12

Which among the following statements is TRUE during an interview with a patient?

All psychiatric examinations and investigations must be conducted in privacy. All of the above
There is a place for both specific questions and open-ended questions, while still considering the mental state of the patient.
During, or at the end of the interview, the patient must be given the opportunity to ask questions and the clinician must answer these as fully as possible.

Answer 12

All of the above

Question 13

In the therapeutic relationship, it is the therapist’s responsibility to ensure positive interpersonal relations with the client. Along with this, appropriate definitions and boundaries of the therapeutic relationship should be established and sustained.

Both statements are true.
Both statements are false.
First statement is true while the second statement is false.
First statement is false while the second statement is true.

Answer 13

Both statements are true.

Question 14

“I have been meaning to end my life. I want to kill myself to forget all the pain and sorrows that I currently have.”

Personal-Social Context
Chief complaint
Goals
Diagnosis

Answer 14

Chief complaint

Question 15

All of the following depicts role of occupational therapists in the mental health setting, EXCEPT:

Assist patients in organizing their daily life activities to maximize performance.

All of the above

Facilitate therapy groups to address goal setting, community reintegration, performance of IADLs, and prevocational skills.

Teach stress management techniques and coping skills.

None of the above

Answer 15

Assist patients in organizing their daily life activities to maximize performance.

Question 16

Matthew is an occupational therapist working with a client diagnosed with anxiety disorder whose goals are focused on return to work and improvement of social skills. He finds means to ensure equal opportunities and access for the client to find employment despite his condition. He also discusses possible environmental/social barriers the client may encounter. Matthew is using which therapeutic mode?

Answer 16

Empathizing
Collaborating
Advocating
Instructing

Question 17

People who no longer acute but still need daily supports to manage symptoms and begin recovery process can be included in this treatment setting:

Acute in-patient

Community support programs

Long-term psychiatric services

Intensive out-patient services

Answer 17

Intensive out-patient services

Question 18

All of the following statements describe the state of mental health in the Philippines, EXCEPT:

The Philippines has the third highest rate of mental disorders in the Western Pacific Region.

None of the above

RA 11036 otherwise known as the “Philippine Mental Act” seeks to establish access to comprehensive and integrated mental health services.

Roughly 7.5% of healthcare expenditures is directed towards mental health services.

Stigma and discrimination toward mental issues became a part of the Filipino culture, and this has greatly affected the people and economy.

Answer 18

Roughly 7.5% of healthcare expenditures is directed towards mental health services.

Question 19

The goal of this treatment setting is to stabilize the patient’s medical status and address life-threatening issues.

Inpatient Acute Hospital
Intensive Outpatient Care
Long-term Care Facilities
Partial Hospitalization

Answer 19

Inpatient Acute Hospital

Question 20

Which of the following can be applied when assessing a client with paranoia?

The OT should strictly set house rules during their first meeting.

The OT should make a deal with the client that if the assessment goes bad, they will never see each other again.

The OT should speak loudly and use firm touch to redirect the client.

The OT should offer constant reassurance to make the client feel safe and comfortable.

Answer 20

The OT should offer constant reassurance to make the client feel safe and comfortable.

Question 21

It is important to assess if there are any perceptual disturbances present in a patient with major depressive disorder.

True
False

Answer 21

True

Question 22

The person, as an open system, has 5 subsystems which are arranged in a hierarchy and influenced by a cybernetic cycle.

True
False

Answer 22

False

Question 23

When interviewing a mental health client, it is important to:

Remain open and accepting towards the client

Allow your personal feelings to impact the professional relationship that is developing

Allow the content of the interview to follow the client’s train of thought

Stop the interview immediately when any maladaptive behavior occurs.

Answer 23

Remain open and accepting towards the client

Question 24

It refers to a false belief that is patently absurd or fantastic.

Non-bizarre delusions
Bizarre illusions
Bizarre delusions
Hallucinations

Answer 24

Bizarre delusions

Question 25

Which of the following characteristics of a depressive mood could be better attributed to an episode of major depressive disorder instead of being a part of the normal grieving process? All of these Feelings of loss and emptiness with intact self-esteem Depressed mood accompanied with humorous memories Feelings of worthlessness that leads to suicidal ideations

Answer 25

Feelings of worthlessness that leads to suicidal ideations

Question 26

As a practitioner working in a mental facility, you are aware that this symptom is very common in individuals receiving antipsychotic medications. This extrapyramidal side effect presents with impairment in swallowing, and jerky arm and leg movements. Lithium toxicity Parkinsonian syndrome Antipsychotic medication overdose Tardive dyskinesia

Answer 26

Tardive dyskinesia

Question 27

Word salad refers to the coherent, essentially incomprehensible, mixture of words and phrases which is commonly seen in far-advanced cases of schizophrenia. True False

Answer 27

True

Question 28

During a group activity, a patient was observed to repeatedly say “Kamukha mo ‘yung pinsan ko” to everyone he sees. He may be manifesting: Verbigeration Incoherence Perseveration Echolalia

Answer 28

Perseveration

Question 29

Which should you NOT do in a teletherapy evaluation session with a patient with MDD? Create a friendly environment by making jokes Ask if you can call her by her first name Create a warm environment Use active friendliness

Answer 29

Create a friendly environment by making jokes

Question 30

These are false sensory perception occurring in the absence of any relevant external stimulation of the sensory modality involved. Hallucinations Illusions Perceptual disturbance Delusions

Answer 30

Hallucinations

Question 31

This model posits that medical illness is not solely the result of a dysfunction in a person’s biological state, but also contends that the psychological and sociocultural makeup of a person can directly result in mental illness. Biopsychosocial model Biomedical model MOHO PEOP model

Answer 31

Biopsychosocial model

Question 32

Panic attack is considered as a psychiatric diagnosis. True False

Answer 32

False

Question 33

Which of the following is a mature type of defense mechanism? Sublimation Projection Regression Somatization

Answer 33

Regression

Question 34

Your patient confided to you that he is bisexual. This information is: Pertinent only to social workers For any research Available to anyone Confidential

Answer 34

Confidential

Question 35

According to this theory a new stimulus becomes capable of evoking a given response because the new stimulus is presented together with a stimulus that already evokes the response. Operant Conditioning Classical Conditioning Cognitive behavioral theory Social Learning Theory

Answer 35

Classical Conditioning

Question 36

Which of the following is an example of a predisposing factor to a psychiatric disorder? history of sexual abuse effects of medication poor family support recent death of a loved one

Answer 36

history of sexual abuse

Question 37

During your initial evaluation with a depressed patient, she confided to you about suicidal intentions, claiming she wanted to die because she is worthless. Which is an appropriate initial response? “You must be feeling tired and sad, and I know feelings can sometimes be strong. Tell me about it.” “Life is filled with challenges, but you will see the day only if you get through the night.” “I think it is worth it to live because things do get better. I am here to give you tips for your problem.” “I know you are feeling so down today but I believe you will get well soon.”

Answer 37

“You must be feeling tired and sad, and I know feelings can sometimes be strong. Tell me about it.”

Question 38

Halfway through the evaluation of a patient with paranoid schizophrenia, the patient states that the referral for this day program is inappropriate and unnecessary. The client becomes visibly upset and loud when talking about the unfounded referral and the psychiatrist’s incompetence. Which is the BEST initial action for the OT to take? Acknowledge that the client appears upset and ask if the client is able to focus on the remaining evaluation. Contact the chief psychiatrist to report the client’s stated concerns. Assure the client of the referring psychiatrist’s competence and advise the client to discuss concerns with the doctor. End the evaluation session and tell the client to call to re-schedule when feeling better.

Answer 38

Acknowledge that the client appears upset and ask if the client is able to focus on the remaining evaluation.

Question 39

A client has been in a fixed position for days and has not responded to others in the environment. The client just sits and stares and does not move. This position is often seen in: Depression Mutism Catatonia Mimicry

Answer 39

Catatonia

Question 40

The use of battery tests is supported and revolves around the assumptions of which frame of reference? Object relations Cognitive-behavioral Behavioral Cognitive disability

Answer 40

Object relations

Question 41

According to the psychodynamic FOR, all cognitive processes and content are accessible and can be known. True False

Answer 41

False

Question 42

When applying a Psychodynamic frame of reference perspective to mental health occupational therapy: Occupations can be used to uncover unconscious drives and feelings. Mental disorders are believed to be the result of faulty learning. The environment must be adapted to positively impact the patient’s functioning. Cognitive functioning is the result of physical or chemical dysfunction in the brain.

Answer 42

Occupations can be used to uncover unconscious drives and feelings.

Question 43

During the whole duration of your assessment, your patient answers either “Yes” or “No” only to your questions. What symptom may she be manifesting? Flight of ideas Poverty of speech Tangentiality Pressured speech

Answer 43

Poverty of speech

Question 44

Which of the following is a social perpetuating factor to a psychiatric disorder? non-compliance to medications poor coping mechanism good family support lack of financial resources

Answer 44

lack of financial resources

Question 45

One of the activities of this battery test uses a plywood board and tiles with 10 different colors. In this activity, the patient is asked to arrange and glue these tiles in any form or shape he/she wants. BH Battery Test Azima Battery Test Goodman Battery Test Shoemyen Battery Test

Answer 45

Shoemyen Battery Test

Question 46

The activities in the Goodman Battery Test are administered in a progression of _________ structure. Decreasing Increasing

Answer 46

Decreasing

Question 47

This test uses the art of tearing and gluing bits of cut or torn paper or other materials to create a single theme or story. Draw-a-person test Finger painting Mosaic tiling Magazine picture collage

Answer 47

Magazine picture collage

Question 48

After careful assessment, you decided to use the Azima battery test in your 23-year old patient with Schizophrenia. Which of the following activities from this battery test should be done first? Draw 2 persons task Finger painting Free drawing task Clay modeling

Answer 48

Free drawing task

Question 49

Which of the following is an example of immediate memory? Your breakfast that morning The birthday presents you received on your birthday last year The meaning of a proverb Your home address

Answer 49

Your home address

Question 50

What is the best way to test a patient’s concentration? Tapping upon hearing a letter State the alphabets backwards Serial 7’s test Digit span exercise

Answer 50

Serial 7’s test

Question 51

A client is referred for an OT evaluation. As you observe the client briefly in the clinic, you noted that the patient fluctuates between crying and laughing. You may note that the patient’s affect is: Labile Blunted Full Constricted

Answer 51

Labile

Question 52

It was your first time to evaluate a psychiatric patient and you had a really difficult time completing your assessment because the patient kept shifting from one idea to another all throughout your conversation. You then documented that the patient shows: Flight of ideas as a thought process problem Flight of ideas as a thought content problem Thought blocking as a thought content problem Thought blocking as a thought process problem

Answer 52

Flight of ideas as a thought process problem

Question 53

What is the standard material used in the sculpting task of the Shoemyen Battery Test? Vermiculite Wood Perlite Glass

Answer 53

Vermiculite

Question 54

The level of judgment may or may not correlate to the level of insight. Hence, a patient may have no insight into his or her illness but may have good judgment. True False

Answer 54

True

Question 55

Which of the following BEST describes the benefit of using clay modeling as a projective test? It allows a cathartic expression of affect and an opportunity for symbolic release of hostility. It encourages free creation of objects. It may be used in family therapy wherein it may reveal hidden reciprocal conflicts. It provides an understanding of the client’s distorted object relations and other regressive phenomena.

Answer 55

It allows a cathartic expression of affect and an opportunity for symbolic release of hostility.

Question 56

A client's self-esteem can be assessed by asking the client to name 3 characteristics she likes about herself and 3 characteristics that she does not like. True False

Answer 56

True

Question 57

In psychiatry, it refers to the conscious awareness and understanding of one’s own psychodynamics and symptoms of maladaptive behavior; highly important in effecting changes in the personality and behavior of a person. Insight Reality testing Chief complaint Judgment

Answer 57

Insight

Question 58

During MSE, what is the proper way to ask about the client's suicidal ideations? "Gusto mo bang saktan ang sarili mo ngayon?" "Naiisip mo bang magpakamatay ngayon?" "Ngayon, naiisip mo bang saktan ang sarili mo?" "Gusto mo na bang mamatay?"

Answer 58

"Ngayon, naiisip mo bang saktan ang sarili mo?"

Question 59

Which of the following activities assess the ability of the client to conceptualize and destruct an appropriate medium to form one whole concept? Magazine picture collaging Finger painting Sculpting

Answer 59

Sculpting

Question 60

What is the order of tasks in the Goodman Battery Test? Clay modelling – Figure drawing – Spontaneous drawing – Mosaic tiling Mosaic tiling – Spontaneous drawing – Figure drawing – Clay modelling Mosaic tiling – Figure drawing – Spontaneous drawing – Clay modelling Clay modelling – Spontaneous drawing – Figure drawing – Mosaic tiling

Answer 60

Mosaic tiling – Spontaneous drawing – Figure drawing – Clay modelling

Question 61

All of the following behaviors are assessed in BH battery test, EXCEPT: Abstract reasoning Egotistic and psychic drives State of internal organization Frustration tolerance

Answer 61

Egotistic and psychic drives

Question 62

Problem solving refers to the ability to grasp the essentials of a whole, to break a whole into its parts, and to discern common properties. True False

Answer 62

False

Question 63

When administering the Goodman Battery Test, where should the therapist sit? Slightly behind the client Left side of the client Beside the client Left and slightly behind the client

Answer 63

Left and slightly behind the client

Question 64

As a therapist, we always have to be cautious on asking clients about their suicidal thoughts as asking it may give the patient an idea to hurt herself. True False

Answer 64

False

Question 65

During a home-based OT session, the client claims to see an indoor plan décor as a form of a man. This should be documented at which part of the MSE? Thought process Perceptual disturbances Sensorium and Cognition Thought control

Answer 65

Perceptual disturbances

Question 66

What are the colors of the tiles in the BH battery test? Red, Blue and Yellow Red, Green, Blue, White and Black Red, Yellow, Green, Blue, Black Yellow, Red, Blue, White, Black and Green

Answer 66

Yellow, Red, Blue, White, Black and Green

Question 67

Where should you place the glue when administering the mosaic tile task from the BH battery test? Right side of the table Left side of the table Upper edge of the table Upper right edge

Answer 67

Right side of the table

Question 68

When you asked your client's mood, she stated that she feels that things are hopeless and “I might as well be dead." In this case you would: Tell the patient that those thoughts will pass. Ask some questions to find out more about her suicidal thoughts. Ignore it and change the subject to something brighter. Tell the patient that you have thought about suicide, too.

Answer 68

Ask some questions to find out more about her suicidal thoughts.

Question 69

What is the maximum allotted time for each activity for the Shoemyen Battery Test? 40 minutes 45 minutes 55 minutes 60 minutes

Answer 69

45 minutes

Question 70

If the patient is uncooperative during the mental status examination, it is best to discontinue the assessment then continue it once the patient becomes cooperative. True False

Answer 70

False

Question 71

The client's affect reflects her subjective experience of her mood, therefore, it is best described using client's own words. True False

Answer 71

False

Question 72

During an interview, your patient suddenly stopped talking in the middle of a sentence and stared at you with a blank face. At which part of MSE will you document this Perceptual disturbances Sensorium and cognition Thought process Thought content

Answer 72

Thought process

Question 73

While the client is doing the magazine picture collage, which of the following behaviors should you take note and include in your documentation: All of these The client picked the first picture she saw in the front cover of the magazine. The client formed a picture depicting an oceanic scenery. The client puts an excessive amount of glue in each cut-out. You Answered The client used her bare hands to tear the pictures from the magazines.

Answer 73

All of these

Question 74

During the evaluation, you patient is talking very fast and insists on discussing why their religion is the “one true religion”. These symptoms should be documented at which part of MSE? Thought process and Sensorium and cognition Thought process and thought content Insight and Sensorium and cognition Thought content and perceptual disturbances

Answer 74

Thought process and thought content

Question 75

The maximum amount of point allocated for the clock drawing is: 10 points 3 points 1 point 5 points

Answer 75

3 points

Question 76

MMSE

Answer 76

Mini Mental State Exam

Question 77

When testing the reading component under MMSE, you instructed your client to read and do the statement “Close your eyes”. Client correctly read the statement but failed to perform it. What is the client’s score for this? Needs further assessment Not applicable 1 0

Answer 77

0

Question 78

COPM measures the following areas of occupation, EXCEPT: None of the above Social participation Recreational activities Community management Play

Answer 78

None of the above

Question 79

MMSE score of 21 level of severity Mild cognitive impairment Severe cognitive impairment Moderate cognitive impairment No cognitive impairment

Answer 79

Mild cognitive impairment

Question 80

Accomplishment of the selected occupation resulting from the dynamic transaction among the client, their contexts, and the occupation. Occupational justice Synthesis of the evaluative process Occupational performance Analysis of occupational performance

Answer 80

Occupational performance

Question 81

In the MoCA-Filipino version, what is the animal identified in replacement of the rhinoceros? Camel Owl Lion Eagle

Answer 81

Owl

Question 82

Which among the following clients will get a point for numbers in the clock drawing? Zack and Sam Julia, Zack, and Sam ​​Katie and Zack Katie and Sam

Answer 82

Katie and Zack

Question 83

It is a standardized assessment tool used to assess cognitive skills that underlie everyday functioning in the areas of orientation, visual spatial perception, praxis, visuomotor construction, thinking operations, and memory. Bay Area Functional Performance Evaluation Assessment of Motor and Process Skills MMSE Lowenstein Occupational Therapy Assessment

Answer 83

Lowenstein Occupational Therapy Assessment

Question 84

All of the following SATs highly incorporates client-centered approach, EXCEPT: Assessment of Motor and Process Skills Canadian Occupational Performance Measure Bay Area Functional Performance Evaluation None of the above

Answer 84

Bay Area Functional Performance Evaluation

Question 85

Under AMPS, the person’s quality of performance in a specific task is graded according to the following, EXCEPT: Speed Effort Efficiency Safety

Answer 85

Speed

Question 86

What specific time is instructed to the client on the Clock Drawing Task under MoCA? Ten past twelve Twelve past ten Eleven past ten Ten past eleven

Answer 86

Ten past eleven

Question 87

Which among the following statements is FALSE regarding MMSE? It is also called the Folstein test. It can be used for patients with dementia, Alzheimer's disease, Stroke, and those with brain injury. MMSE provides a quantitative assessment of cognitive impairment and to record cognitive changes over time. It is a 30-point test that consists of 11 questions. None of the above

Answer 87

None of the above

Question 88

During your administration of the registration component under MMSE, you asked your client to repeat the words, “ball, pen, bike.” The client responded “Pen, ball, uhmm I forgot the last one.” What is the client’s score for this? 2 0 1 3

Answer 88

2

Question 89

What are the two components assessed or scored in the COPM? Performance and quality of life Roles and level of functioning Processing and satisfaction Performance and satisfaction

Answer 89

Performance and satisfaction

Question 90

When testing the client’s ability to copy the pentagon figure under MMSE, which among the following statements is FALSE? None of the above Two pentagons must intersect together. A point is given even if the 10 angles are not present as considerations are provided due to possible physical problems of the client. Tremor and rotation are ignored when testing this component.

Answer 90

A point is given even if the 10 angles are not present as considerations are provided due to possible physical problems of the client.

Question 91

Which among the following is FALSE regarding MMSE and MoCA? None of the above MMSE has a total score of 30 with 11 point items while MoCA has a total score of 30 with 15 test items. Both test the client’s cognitive function. Both test the client’s calculation skills.

Answer 91

MMSE has a total score of 30 with 11 point items while MoCA has a total score of 30 with 15 test items.

Question 92

When testing the trail making component of MoCA, the client was able to successfully follow the pattern without drawing any line that overlaps with 2 errors that were immediately corrected. What is the client’s score for this component? 0 Needs further assessment Not applicable 1

Answer 92

1

Question 93

When testing the vigilance component of MoCA, the client committed 1 error during tapping of the letter. What is the client’s score for this component? 0 Needs further assessment Not applicable 1

Answer 93

1

Question 94

COPM is a client-centered assessment used to measure occupational performance in all areas of life. The client is asked to rate components from a score ranging from 0-10. Both statements are false. Both statements are true. First statement is false while the second statement is true. First statement is true while the second statement is false.

Answer 94

First statement is true while the second statement is false.

Question 95

For each AMPS observation, the occupational therapist must ensure that the tasks are performed the way the person normally does them and that the way they do them matches the specific criteria in the AMPS manual. “Organizes” is one of the motor skills assessed. Both statements are false. First statement is true while the second statement is false. First statement is false while the second statement is true. Both statements are true.

Answer 95

First statement is true while the second statement is false.

Question 96

Which among the following is a component of Task Oriented Assessment (TOA) under BAFPE? None of the above Mealtime Home Drawing Picture Collage

Answer 96

Home Drawing

Question 97

What component does MoCA assess but MMSE does not include? Attention Memory Executive functions Language

Answer 97

Executive functions

Question 98

All of the following are tested in the MMSE, EXCEPT: ``` None of the above Mood and affect Registration Language Attention and calculation ```

Answer 98

Mood and affect

Question 99

During your administration of the repetition component under MMSE, you asked your client to repeat the statement, “No ifs, ands, or buts.” and the client responded “No ifs, buts, ands.” What is the client’s score for this? 0 3 2 1

Answer 99

0