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68 Cards in this Set

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T or F
according to the author of using the ACL w indvls w dementia, Medicare will cover the expense of an OT carrying out a maintenance plan w an indvl
false
in cognitive disabilities theory, this level of function is sufficient for a person to function (w additional support)in community?
level 3
T or F
Unless an activity is going to provide assessment data or help the client reach treatment goals, there is not reason to consider it.
true
What is the differ btwn a structured and semi structured interview?
structured- ask on specfic questions
semi-structured-interview can ask additional questions or reword the questions
What is the differ btwn observation and inference?
(1)observation-is what you physical see such as body language (2)inference-include any opinions you draw from your obsevations
What is gradation?
is making an activity easier or harder for the patient to do
What is adaptation?
is a change in the task or environment that improves occupational performance
T or F
the cause of a delirium rests w.in the CNS
false
which of the following accurately desecibes symptoms of delirium?
a)reduced clarity of awareness and slow onset
b)rapid onset but thinking reamins orgnaized
c)slow onset w memory impairments
d)reduced clairty of awarness and rapid onset
d
T or F
to diagnose dementa, there must be memory loss as well as other cogintive defeicits
true
An inability to maintain attention is associated w
(1)delirum
(2)dementia
(3)both
(4)neither
both
T or F
an inability to maintain attention is associated w dementia only not delirum
false
T or F
occasionally, more than one cause for a delirium may be found in a patient
true
T or F
according to the DSM IV,any indvl who has an IQ of 70 or automatically qualifies for mental retardation
false
Which of the following statements provides an objective basis for judgement
(1)patient enjoys reading magizines
(2)patients likes new magizines
(3)patient obviosuly likes to read people magizine
(4)patient states that he likes to read magizines
4
An OTR is working an a sheltered workshop w adults w developmental disabilites. He provides project samples for clients to duplicate. the action is most appropriate at ACL (1)
level 4
An ot changes a tile activity for a patient by providing blue craft glue instead of white glue to a client who confuses the glue w grout. this is an ex of (1)
adapation
T or F
indvls diagnosed w anorexia may exhibit binge eating and purging
true
the ability to focus one's energies to the task at hand (1)
concentration
What the 5 Cs to consider when prevent directions to a person w cognitive deficits?
clear
concise
concrete
calm
consistent
NAME
suggests that the person is hiring the OT to provide services
client
NAME
suggests a dependent relationship to professional staff
patient
NAME
this term is preferred by persons who belong to club
member
NAME
preferred by persons w severe/persistent mental illness bc it suggests voluntary use of services
consumer
what is the main differ btwn inpatient hospitalization and partial hospital programs?
(1)inpatient-very structured, more expensive, there 24 hours, goal is often discharge (2)partial hospital program-are not there 24 hours,less costly, have indvl goals for patients
What are (3)levels of environmental intervention w.in which ots work?
mesoenvironment, marcoenvironment and microenvironment
in the article, paradigms of community practice, the author determined that her patient had specfic need that (RACHEL) was not being met in her new group home. what was that need?
Rachel felt useless bc the only thing she did was put on her clothes. the ot gave her the role of watching over the house
NAME
w.this type of group leadership, there is a greater dependency and less individuality
autocratic
NAME
this is the rules or standards that are expected of group members
group norms
NMAME
a shared experience in which members learns that others are in the same boat
universality
NAME
the sense of solidarity that members feel toward each other and the group based on a sense of id and closeness
cohesivness
NAME
the degree to which the group members believe they are like each other or share a sense of common purpose for being in the group together
intermember simialirty
NAME
this refers to how often the group occurs
frequency
NAME
the progress by which "seasoned members" teacher or tell a new group member what kind of behavior is expected
socialization
NAME
the amount of time that the group meeting runs
length
NAME
the purpose for which the group meets
group goal
What is therapeutic use of self?
is being aware of ones self and the patient and being able to control what one communciates
T or F
when trying to develop a relationship w a new patient, provide as much time as possible in 1st contact
false
What is transinstitutionalization?
is when mental health care patients went from state hospitals to the community programs to other instuations like jails, nursing homes, or homeless
NAME
this term is used to describe frequent and unpredictable mood changes
labile
Name on group take role and describe its function
initiator contributor-suggests new ideas, solutions to problems, or new ways to do things
Name one indvl group role and def?
blocker-engages in beavhior that prevents group progress
What are the differ roles that group members can take on? (30
(1)group task roles (2)indvl group roles (3)group maintenance roles
What are the differ group task roles? (10) give def
(1)initiator-contributor-sugessts new ideas, soluations, or new ways (2)info seeker-asks questions (3)opinion seeker-seeks clarfication of values and attiudes (4)elaborator= expands and clarifies the outcomes made by group members (5)coordinator-attempts to combine new ideas (6)orienter-summarizes group process (7)evaulator- compare the groups progress to group performance standards (8)energizer-attempts to increase group interaction (9)procedure assisant-helps the group to achieve goals (10)recorder-docs everything
what are the differ indvl group roles? (8)give def
(1)agresssor- takes advantage of others (2)blocker-engages in behavior that stops group progress (3)recoginition seeker-engages in behavior to get attention (4)self-confesor-promotes personal cocerns rather than stay on focus (5)playboy-distracts group progress by goofing off (6)dominator-controls and mainpulates others in the group (7)the help-seeker-use self-derogatory statements to get attention from others (8)speacil-interest pleader-predominantily speaks out about bias under the guise of speaking on behalf of
what are some group maintenance roles?(6)give defs
(1)encourager-acknowledges the contributions of others (2)harmonizer-helps to resolve conflict (3)compromiser-yields during conflicts to meet person halfway (4)gatekeeper-monitors the group's partiicpation and facilties communication to increase opportuntiy for all to be heard (5)standard setter-verbalizes the groups rules and conduct (6)follower- passively particpates in the group through active listening
in the article mental health care, reflections in a time of turmoil, the author discuesses many opportunities and the challenges for ot in the changing field of mental health. please list one of the opportunities or challenges cited in the article.
lack of funds lead to discontinuation of services and lack of ots going into the mental health field
what are the (4)steps to an I messge
(1)the situation (2)how you are feeling (3)self talk (4)question
NAME
in this theory mental illness occurs when the ego in unable to achieve compromise btwn the id, ego, and superego
object relations
NAME
this theory looks at the relationships btwn events, self talk, feelings, and beahviors
cognitive-behavioral theory
NAME
in this theory, a person matures through a series of stages that occur in a fixed sequence
developmental
NAME
this is a model not a theory
psyc rehab
NAME
according to this all behavior is learned
behavioral
NAME
in this theory, the therapist must be able to provide unconditional positive regard for client
client centered
T or F
Psychoeducation is a treatment model
false
T or F
in the model of role acquisition, it is important that the client develop an awareness of what is doing and why
true
Controling the quaility and tone of voice and articulating words clearly are comprise what type of social skill?
communciation skills
T or F
there is no one theory or model that adequalitely explains all that we want to know about the mind, consequently many theories try to explain the same thng
true
what is axis I?
primary disorders
What is axis 2?
mental retardation and personality disorders
What is axis 3?
medical conditiosn
What is axis 4?
psy-social and environmental problems
what is axis 5?
GAF
Give an ex of repression?
a person was abused as a child. however, they do nto remember that it happende
give ex of denial?
a love one dies and they have trouble believing that it happened
give ex of displacement
you are mad at your roomate so you go home and yell at your mom
Give ex of rationlization?
you are on a diet and you go off of it. you tell yourself that it was bc you had a bad day
Give ex of projection?
you ask a person to leave bc you dont want them to get angry and say something they dont mean when you are the one that really fears that you are going to get angry