Question 1

Steven is a 24-year-old who was referred to you for vocational counseling. He states he wants to work as a welder and has gotten an apprenticeship but has been having difficulty maintaining his temper. He states that when something unexpected happens he gets angry and on several occasions he has yelled at his supervisor. He has gotten two warnings about his behavior. One more and he will be fired. Which of the following would be the most effective strategy Steven could implement?

Accepted Answer

Identifying coping skills that Steven can use when he feels his temper beginning to rise would be the most effective strategy to address his anger management issue. This would provide Steven with tools to regulate his emotions and respond appropriately in unexpected situations at work. Engaging in leisure planning or social skills training may be helpful, but may not directly address the issue of Steven's anger outbursts. Asking for a consistent and rigid schedule may also not be feasible in all work environments and may not necessarily address his anger issues.

Question 2

You have been asked to work with a second grader with a conduct disorder. While performing a classroom observation, you would expect to see this student ______.

Accepted Answer

Students with conduct disorder often exhibit aggressive behaviors such as throwing or breaking objects. The other options listed (preoccupation with a toy, complaining about classmates, tattling on classmates) may be indicative of other issues, but are not necessarily associated with conduct disorder.

Question 3

Which of the following most accurately reflects antisocial personality disorder?

Accepted Answer

Antisocial personality disorder is considered chronic, meaning it is long-lasting and can persist throughout an individual's life. While some individuals with conduct disorder may develop antisocial personality disorder, it is not a certainty for all. Behaviors associated with antisocial personality disorder do not necessarily worsen with age; in some cases, they may lessen. Lastly, there is no specific medication for antisocial personality disorder; treatment usually focuses on psychotherapy.

Question 4

The type of medications most commonly associated with the treatment of disruptive behavior disorders are__________.

Accepted Answer

Neuroleptics such as Risperdal are the most commonly prescribed medications for disruptive behavior disorders, particularly when aggressive or violent behavior is present. Stimulants such as Ritalin may be prescribed for ADHD, which is often comorbid with disruptive behavior disorders, but they are not specifically used to treat disruptive behavior. Antianxiety drugs such as Diazepam and antiseizure drugs such as Tegretol may be used in certain cases, but they are not the first-line treatment for disruptive behavior disorders.

Question 5

Jackson is a patient at your clinic. When you meet with him for the occupational therapy evaluation you note that he gets annoyed easily, appears to be vindictive toward the doctor who referred him to the clinic, and he repeatedly refuses to do activities you ask him to do as part of the evaluation. When you try to talk to him about intervention options, he becomes defiant, stating he will not be participating in any of those groups. Following your interaction, you go back to revisit the medical record and find this was not a new pattern of irritability and defiance; it has been evident for the past year. Which diagnosis does this best represent?

Accepted Answer

Jackson's behavior of easily getting annoyed, being vindictive, and repeatedly refusing to do activities aligns with the diagnostic criteria for Oppositional Defiant Disorder. The fact that this behavior has been present for a year also supports this diagnosis. Intermittent Explosive Disorder involves recurrent outbursts of verbal or physical aggression, which is not fully evident in this case. Antisocial Personality Disorder and Conduct Disorder involve more serious and persistent behavioral issues, such as violating the rights of others or committing crimes, which do not seem to be present here.

Question 6

You are working with a middle school student who has been diagnosed with oppositional defiant disorder. Which of the following are you most likely concerned about as he transitions to high school?

Accepted Answer

Students with oppositional defiant disorder (ODD) are at a higher risk of engaging in risky behaviors, including substance abuse. As they transition to high school, where there is often more exposure to drugs and alcohol, this becomes a significant concern.

Question 7

The prevalence of disruptive behavior disorders is most similar between adolescent males and females in which of the following?

Accepted Answer

Oppositional defiant disorder (ODD) shows a more similar prevalence rate between adolescent males and females compared to the other disorders listed. While disorders like conduct disorder and antisocial personality disorder tend to be more common in males, and intermittent explosive disorder also shows a gender disparity, ODD's prevalence rates are more evenly distributed between genders during adolescence.

Question 8

Which of the following statements best explains why occupational therapy practitioners need to be aware of medication(s) their patients are taking?

Accepted Answer

Knowing the medication(s) a patient is taking allows occupational therapy practitioners to consider any potential side effects that may impact the patient's ability to engage in therapy and perform daily activities. This information is important to ensure safe and effective treatment. The other options do not provide a valid explanation for why medication awareness is necessary.

Question 9

Individuals with disruptive behavior disorders tend to have difficulty in all areas of occupation. Which of the following best explains these difficulties?

Accepted Answer

Disruptive behavior disorders involve difficulty following rules and regulations which can cause issues in school, work, and other areas of occupation. This can result in decreased performance and potentially negative consequences.

Quiz 10: Disruptive, Impulse-Control, and Conduct Disorders