Deck 13: Psychosocial Issues Affecting Social Participation

Question 1

The occupational therapist working in the community clinic observes that 5-year-old Paul is lethargic and seems to be slurring his words at today's session. Paul's mother notes that he is taking a new psychotropic medication. Which statement best reflects the role of the occupational therapist relative to this situation?

A) Document the findings in the occupational therapy daily progress note
B) Report the findings immediately to the prescribing physician and in the client's record
C) Call 911 immediately
D) Tell the mother to take the child home until he feels better

Answer 1

B

Question 2

Molly is playing jump rope nicely with Thyme. They are sharing one jump rope. Virginia, who has attention deficit disorder, comes over and snatches the jump rope away. Molly and Thyme are angry. According to rational intervention principles, what should the adult who has observed this event do?

A) Intervene immediately; speak to all three girls and get them to play together.
B) Take the rope away from Virginia and give it back to Molly and Thyme.
C) Watch to see how the children resolve this.
D) Let Virginia keep the rope; Molly and Thyme had their turn.

Answer 2

C

Question 3

Which statement is true concerning abuse and children with disability?

A) The incidence of abuse is 10 times greater for children with disabilities than for those without.
B) There is no difference in the incidence of abuse between children with disabilities and those without.
C) The incidence of abuse is much lower for children with disabilities than for those without.
D) The incidence of abuse is 3.4 times greater for children with disabilities than for those without.

Answer 3

D

Question 4

Nina, the occupational therapist, is designing intervention activities for her clients. Which description does not reflect what she should consider to provide optimally therapeutic activities?

A) Activities that are interesting and motivating to the client
B) Activities that are fun and rejuvenating to the client
C) Activities that can be used with all of her clients
D) Activities that challenge one or more skills of the client

Question 5

Heidi is a 15-year-old girl with bipolar disorder whose mother has requested that she receive services outside of school to help her control her moods. Heidi attends school during the day and is being followed by a psychiatrist. Which setting is most appropriate to help Heidi?

A) Outpatient treatment
B) Inpatient psychiatric hospital
C) Residential treatment center
D) Juvenile corrections center

Question 6

Marcus experiences such anxiety and agitation in the classroom that he is unable to attend to his academic studies. He has severe anxiety disorder. Furthermore, his home environment is chaotic, and he receives little support from his parents. What is the school's role in meeting Marcus's needs?

A) Marcus must attend a regular classroom and not disrupt others.
B) Marcus can receive special education services by being classified as emotionally disturbed.
C) Marcus does not have any physical disability and therefore cannot receive special services.
D) Marcus must attend a special school for children with psychosocial disabilities.

Question 7

Which goal is most appropriate for Karen, a 12-year-old girl with a behavioral disorder who wants to be successful at painting pictures with others in art class?

A) Karen will paint a picture in the occupational therapy room, requiring verbal prompts to remain on task.
B) Karen will discuss strategies to help her remain in class and not disrupt her peers.
C) Karen will pass out art supplies to her peers during art class, requiring 0-1 verbal correction per class.
D) Karen will ask for supplies politely from peers while painting a picture in art class, with 1-2 verbal cues to remain on task.

Question 8

Which statement is not a characteristic of autism spectrum disorders?

A) Well-established pattern of disobedience and hostility toward authority figures
B) Abnormal relating to people, objects, and events
C) Delayed or missing speech, language, and/or nonverbal communication skills
D) Restricted, repetitive, and stereotyped patterns of behavior, interest, and/or activities

Question 9

Margaret leaves her infant daughter at home with her 7-year-old brother for the evening. What term describes this scenario?

A) Neglect
B) Physical abuse
C) Poor parenting
D) Medical neglect

Question 10

Robert is an 8-year old boy who is frequently negative and irritable at school. He has a high activity level and becomes easily frustrated when he does not understand the work. How could one categorize his temperament?

A) Easy child
B) Difficult child
C) Slow-to-warm-up child
D) Typical child

Question 11

A parent tells Mary, the occupational therapist working in an early childhood intervention program, that she leaves her 6-month-old infant at home alone for hours so she can meet up with friends on the corner during the day. Mary suspects that this is related to the parent's history of drug abuse. What must Mary do?

A) Tell the parent not to do this again or she will call child protective services
B) Inform the parent of the dangers of doing this
C) Document this in the occupational therapy session note
D) Call the state's Child Protective Services

Question 12

Mya is a 13-year-old girl who is doing poorly in school. Her mother reports that she sleeps all day, does not eat well, and cries a lot for no reason. Mya makes very little eye contact and complains that her life is boring and pointless. What type of disorder do these symptoms suggest?

A) Bipolar disorder
B) Anxiety disorder
C) Obsessive-compulsive disorder
D) Depressive disorder

Question 13

What is the best way for an occupational therapist to help parents develop strong attachments with their infants?

A) Suggest learning toys and music
B) Suggest an in-home nanny
C) Help parents care and play with infant
D) Provide parents with time away from infant

Question 14

Trevor is a 10-year-old boy who is having difficulty getting on the bus in the morning. He reports feeling very upset, like something bad is going to happen. He says this started at the beginning of the school year (almost 7 months ago), and he just can't shake it. He says he feels this way all day long, and he is beginning to struggle in school. What type of disorder do these symptoms suggest?

A) Bipolar disorder
B) Anxiety disorder
C) Obsessive-compulsive disorder
D) Depressive disorder

Question 15

What is an environmental factor contributing to physical and emotional child abuse?

A) Limited coping skills of mother
B) Father's unrealistic expectations
C) Child's high activity level
D) Poverty