Question 1

Which of the following is a consideration occupational therapy practitioners should be aware of when evaluating individuals in a state hospital?&#10;A) Individuals may have physical disabilities as well as psychiatric disabilities.&#10;B) Individuals who are deaf should be evaluated using written self-assessments.&#10;C) Many individuals in state hospitals have lower extremity injuries caused by self-injurious behaviors.&#10;D) Individuals should always be evaluated in the presence of security personnel because of safety concerns.

Accepted Answer

Occupational therapy practitioners should be aware that individuals in a state hospital may have physical disabilities in addition to psychiatric disabilities. It is important to assess their functional abilities in all areas to develop an appropriate treatment plan. Option B is incorrect because individuals who are deaf may need to be evaluated using sign language or other communication methods, not just written self-assessments. Option C is also incorrect because while some individuals may have self-injurious behaviors, it is not necessarily the case that they will have lower extremity injuries. Option D is not necessarily true for all individuals and may not be appropriate for every evaluation situation.

Question 2

Which of the following research findings supports the use of sensory approaches in inpatient psychiatric facilities?&#10;A) It has been shown to reduce the use of seclusion and restraints.&#10;B) It has been shown to increase social participation.&#10;C) It has been shown to decrease recidivism rates.&#10;D) It has been shown to increase staff morale.

Accepted Answer

Research has shown that the use of sensory approaches, such as sensory rooms or gardens, can help reduce the use of seclusion and restraints in inpatient psychiatric facilities. This is because sensory approaches provide alternative methods for patients to cope with their emotions and feelings, avoiding the need for restrictive measures.

Question 3

Identify which of the following best reflects an administrative opportunity for an occupational therapy practitioner working in a state hospital.&#10;A) Provide services based on the Recovery Model&#10;B) Implement a vocational skills development group&#10;C) Advocate for consumer needs on the strategic planning committee&#10;D) Serve as a liaison between the state hospital and community mental health center

Accepted Answer

Advocating for consumer needs on the strategic planning committee would provide an administrative opportunity for an occupational therapy practitioner to have a voice in decision-making processes related to the state hospital. This could involve developing and implementing policies, programs, and initiatives that improve the quality of care and services provided to patients. Implementing vocational skills development group (B) and serving as a liaison between the state hospital and community mental health center (D) could also be responsibilities of an occupational therapy practitioner but they do not necessarily reflect an administrative opportunity. Providing services based on the Recovery Model (A) is a treatment approach rather than an administrative opportunity.

Question 4

When individuals who have experienced long-term hospitalizations are preparing for discharge, which of the following is the most beneficial intervention approach for occupational therapy practitioners?

A) Increasing impulse control
B) Establishing medication routine
C) Addressing reality orientation
D) Developing functional living skills

Accepted Answer

Developing functional living skills is the most beneficial intervention approach for occupational therapy practitioners when individuals who have experienced long-term hospitalizations are preparing for discharge. This helps ensure that the individual is able to perform daily self-care tasks and is prepared to live independently or with support in the community. Increasing impulse control, establishing a medication routine, and addressing reality orientation may also be important interventions, but they are not as essential to the successful transition from hospital to community living as developing functional living skills.

Question 5

Which of the following most accurately reflects the role of the occupational therapy practitioner in state hospitals?&#10;A) Focus on addiction services&#10;B) Focus on vocational services&#10;C) Focus on skill development to promote successful community reintegration&#10;D) Focus on forensic services

Accepted Answer

The role of occupational therapy practitioners in state hospitals typically involves focusing on skill development to promote successful community reintegration for individuals who have mental illness, developmental disabilities, or other conditions requiring specialized care. While addiction services and vocational services may be a part of this work, they are not the primary focus of occupational therapy practitioners in state hospitals. Forensic services may also be provided in some contexts but would not be the primary role of occupational therapy practitioners in state hospitals.

Question 6

The best example of a Recovery Model-focused treatment intervention is which of the following?&#10;A) Development of the treatment plan based on patient deficits&#10;B) Allowing clients to choose the menu during a cooking group&#10;C) Treatment team providing the client with a preestablished group schedule&#10;D) Purchasing a coat for a client without asking for hi or her preference in style or color

Accepted Answer

Allowing clients to choose the menu during a cooking group is an example of Recovery Model-focused treatment intervention because it empowers clients to make choices about their own lives and encourages autonomy and self-determination. This approach aligns with the principles of the Recovery Model, which emphasizes the importance of the client's own goals, preferences, and values in shaping their treatment and recovery journey. The other choices do not align with the Recovery Model approach as they impose the treatment team's preferences or decision-making on the client.

Question 7

Which of the following most accurately reflects involuntary civil commitment to a state mental health hospital?&#10;A) An individual recognizes he or she needs to be hospitalized for his or her psychiatric symptoms.&#10;B) The courts order an individual to be hospitalized because the person is a danger to himself or herself, or others.&#10;C) The courts order an individual to be hospitalized because he or she has been accused of committing a crime but is not competent to stand trial.&#10;D) An individual is accused of civil disobedience.

Accepted Answer

Involuntary civil commitment to a state mental health hospital occurs when the courts order an individual to be hospitalized because the person is a danger to himself or herself, or others. This is typically done in situations where the individuals cannot make rational decisions about their own healthcare and are deemed a threat to themselves or others.

Question 8

The treatment mall approach provides clients with which of the following?&#10;A) A decentralized structure of programming that allows the client to have more choice in the programming attended&#10;B) Ward-based groups and treatment sessions&#10;C) Smaller groups because of lower participation rates&#10;D) Social isolation and dependence upon staff

Accepted Answer

The treatment mall approach provides clients with a decentralized structure of programming that allows the client to have more choice in the programming attended. This approach offers a variety of treatment options and activities that clients can choose based on their individual needs and preferences. It allows for greater autonomy and self-determination, which can promote motivation and engagement in the recovery process.

Question 9

Which adjunctive treatment team members work to assist in the development of the worker role in teaching and reinforcing work habits and behaviors?&#10;A) Social workers&#10;B) Addiction counselors&#10;C) Vocational adjustment services&#10;D) Certified therapeutic recreation specialists

Accepted Answer

Vocational adjustment services work specifically to assist individuals in developing the necessary work habits and behaviors to enter or re-enter the workforce. Social workers and addiction counselors may address work issues tangentially, but it is not their primary focus. Certified therapeutic recreation specialists may help develop leisure skills, but not necessarily work-related skills.

Question 10

Daily observations of an individual's behavior in the milieu and in group therapy can best be described as_________.&#10;A) Initial evaluation&#10;B) Informal reevaluation&#10;C) Formal reevaluation&#10;D) Discharge evaluation

Accepted Answer

Daily observations of an individual's behavior in the milieu and in group therapy would be considered an informal reevaluation, as it is ongoing and not a formalized process like an initial evaluation or discharge evaluation.

Question 11

Group interventions in state hospitals present opportunities and challenges. Which of the following is the most beneficial aspect of groups for hospitalized individuals?&#10;A) It is an efficient way to deliver interventions when staffing is limited.&#10;B) It provides opportunities for group members to engage in social participation.&#10;C) It allows practitioners to deliver interventions to a larger number of individuals than would be allowed by one-to-one interventions.&#10;D) It allows practitioners to address each client's individual goals.

Accepted Answer

The answer of Group interventions in state hospitals present opportunities...

Deck 40: State Hospitals