Question 1

According to the Intentional Relationship Model (IRM), which of the following is not a strategy for providing clients with structure, direction, and feedback within the context of occupational therapy?

A) Educating the client about the purpose and potential utility of therapy
B) Using goal setting to track progress and assess outcomes
C) Informing the client about openness to change based on feedback
D) Making expectations for client's role in therapy clear
E) None of the above.

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Accepted Answer

The Intentional Relationship Model emphasizes the importance of therapeutic communication that is responsive to the client's readiness and receptiveness. Asserting an expert stance when knowing the client is not ready or will not respond well does not align with the principles of therapeutic communication in this model.

Question 2

Which of the following is not a major component of therapeutic communication?&#10;A) Providing structure, direction, and feedback&#10;B) Multidirectional communication&#10;C) Verbal and nonverbal communication&#10;D) Seeking and responding to client feedback&#10;E) Therapeutic listening

Accepted Answer

Multidirectional communication is not a major component of therapeutic communication, which typically focuses on a more directed and purposeful form of communication between the healthcare provider and the client, rather than a multidirectional exchange among multiple parties.

Question 3

Which of the following definitions of communication is (are) correct?&#10;A) Unidirectional communication is communication that does not feel reciprocal to the therapist because it is initiated and sustained by the therapist without any apparent response from the client.&#10;B) Bidirectional communication is communication that feels reciprocal to the therapist because at minimum it involves some indication that the client has received the communication.&#10;C) Unidirectional communication is communication that does not feel reciprocal to the therapist because it is initiated and sustained by the therapist with active dismissal or rejection by the client.&#10;D) Bidirectional communication is communication that feels reciprocal to the therapist because at minimum it involves active engagement and response (verbal or nonverbal) from the client.&#10;E) Both answers A and B&#10;F) Both answers C and D

Accepted Answer

Unidirectional communication is initiated and sustained by the therapist without apparent response from the client, while bidirectional communication involves some indication that the client has received the communication.

Question 4

According to the Intentional Relationship Model (IRM), which of the following is not a strategy for providing clients with structure, direction, and feedback within the context of occupational therapy?

A) Educating the client about the purpose and potential utility of therapy
B) Using goal setting to track progress and assess outcomes
C) Informing the client about openness to change based on feedback
D) Making expectations for client's role in therapy clear
E) None of the above.

Accepted Answer

The Intentional Relationship Model (IRM) emphasizes the importance of nonverbal communication in therapeutic relationships, which includes both interpreting the client's nonverbal cues (A) and being mindful of the therapist's own nonverbal communication (B). It also involves maintaining appropriate nonverbal engagement with the client, such as eye or body orientation, even while multitasking (C). Therefore, all the options (A, B, and C) are encompassed in nonverbal communication according to the IRM.

Question 5

Ms. Beatle, an anxious client receiving occupational therapy to recover fine motor functioning following a bite on her finger by a brown recluse spider, harshly criticizes the therapist for suggesting a compensatory strategy that did not work for her in the kitchen. The occupational therapist responds by making a summary statement in an attempt to recount and affirm the client's experience. What therapeutic listening skill did the occupational therapist employ?

A) Empathic listening
B) Guided listening
C) Verbal prompts and sounds
D) Enrichment questions

Accepted Answer

Empathic listening involves understanding and reflecting the client's feelings and experiences, which is what the occupational therapist did by summarizing and affirming the client's experience.

Question 6

Which of the following is a function served by empathic listening in occupational therapy? Please choose the best answer.&#10;A) Empathic listening provides a means by which to summarize and clarify the content of what a client is communicating.&#10;B) Empathic listening shows a client that a therapist is continually striving to understand his or her thoughts, feelings, or behavior.&#10;C) Empathic listening can be used effectively to repair rifts and resolve conflicts.&#10;D) All of the above

Accepted Answer

Empathic listening in occupational therapy serves multiple functions: it helps in summarizing and clarifying the client's communication, demonstrates the therapist's effort to understand the client's perspective, and can be instrumental in repairing relationships and resolving conflicts.

Question 7

According to the Intentional Relationship Model (IRM), which of the following is not a strategy for providing clients with structure, direction, and feedback within the context of occupational therapy?

A) Educating the client about the purpose and potential utility of therapy
B) Using goal setting to track progress and assess outcomes
C) Informing the client about openness to change based on feedback
D) Making expectations for client's role in therapy clear
E) None of the above.

Accepted Answer

All the options listed (A, B, C, D) are strategies within the Intentional Relationship Model (IRM) for providing clients with structure, direction, and feedback in occupational therapy. Educating the client, using goal setting, informing about openness to change, and making expectations clear are all integral to fostering a productive therapeutic relationship and environment.

Question 8

According to the Intentional Relationship Model (IRM), although cultural competence is an important aspect of clinical care it does not contribute to establishing effective relationships with clients.

Accepted Answer

The Intentional Relationship Model (IRM) emphasizes that cultural competence is crucial for establishing effective therapeutic relationships with clients, recognizing the importance of understanding and respecting cultural differences in clinical care.

Question 9

Some clients may have a difficult time receiving positive feedback from a therapist.

Accepted Answer

Some clients may struggle with receiving positive feedback due to low self-esteem, feelings of unworthiness, or past experiences that have influenced their ability to accept positive remarks about themselves.

Deck 8: Therapeutic Communication