Question 1

Which of the following is the most important reason for implementing group interventions when working with adolescents and young adults?&#10;A) They are a cost efficient way to deliver interventions.&#10;B) They promote social skills functioning in clients.&#10;C) They highlight the homogeneity of client issues.&#10;D) They can address a broad array of client issues.

Accepted Answer

Group interventions are particularly effective for adolescents and young adults because they promote social skills functioning, which is crucial during this developmental stage. These settings provide a unique opportunity for peers to interact, learn from each other, and practice new skills in a safe environment, which can be particularly beneficial for this age group that is heavily influenced by peer relationships and social learning.

Question 2

The occupational therapist is the only team member on an early psychosis program team to evaluate which of the following factors?&#10;A) Person-Environment-Occupation interaction&#10;B) Cognition&#10;C) Social skills&#10;D) School/employment performance

Accepted Answer

Occupational therapists are trained to evaluate the Person-Environment-Occupation interaction, which involves looking at how the individual's abilities and preferences interact with their environment and the activities they engage in. This is important in early psychosis programs as it can help identify and address any difficulties the individual may have in managing their daily life activities. While cognition, social skills, and school/employment performance may also be important factors to evaluate, they are not exclusive to the role of the occupational therapist on the team.

Question 3

You are working in an early psychosis program and meet with a new client, Jesus, and his family for an initial interview. In discussions with Jesus and his family, you discover that he tends to stay in his room with the lights dimmed and has dropped out of many of the activities he used to participate in at school. You have reports from his teachers that his grades have been dropping and that Jesus appears to be having difficulty staying awake and focusing in lecture classes but that he becomes somewhat reactive and irritable in his large laboratory class, which is very physically busy and loud. When you perform the adolescent/adult sensory profile with Jesus, which sensory processing pattern are you likely to see?

A) High scores in low registration, sensory sensitivity, and sensation avoidance with low scores in sensation seeking
B) High scores in low registration and sensation seeking with low scores in sensation avoidance and sensation seeking
C) Low scores in low registration and sensory seeking with high scores in sensation avoiding and sensory sensitivity
D) Average scores in low registration, sensation seeking, and sensation avoiding but high scores in sensory sensitivity

A

Accepted Answer

Based on the information provided, Jesus appears to be exhibiting signs of sensory sensitivity, as evidenced by his preference for dim lighting and his aversion to loud and physically busy environments. Additionally, his difficulty staying awake and focusing in lecture classes may indicate low registration, while his reactive and irritable behavior in the laboratory class may suggest sensation avoidance. There is no indication of high scores in sensation seeking. Therefore, the best answer is A, with high scores in low registration, sensory sensitivity, and sensation avoidance, and low scores in sensation seeking.

Question 4

You are a practitioner working in an early intervention program using the Model of Human Occupation to guide your practice. You are interested in using an assessment to examine how an individual perceives his own competence in daily occupations and how important these occupations are to the individual. Which assessment would you choose?

A) Occupational self-assessment
B) Canadian occupational performance measure
C) Structured interview for prodromal syndromes
D) Occupational circumstances assessment interview and rating scale

Accepted Answer

The Occupational Self-Assessment (OSA) is specifically designed to capture an individual's perception of their competence in daily occupations and the importance of these occupations to them, aligning with the scenario described.

Question 5

Identify the most important reason for acceptance of a clinical staging approach to early psychosis.&#10;A) It predicts the potential progression of symptoms into a full-blown psychosis.&#10;B) It predicts potential functional impairments.&#10;C) It facilitates reimbursement.&#10;D) It helps determine the most effective treatment approach.

Accepted Answer

The answer of Identify the most important reason for acceptance...

Question 6

Psychotic disorders typically have their onset during what age range?&#10;A) 5 to 15 years old&#10;B) 10 to 20 years old&#10;C) 15 to 25 years old&#10;D) 20 to 30 years old

Accepted Answer

Psychotic disorders typically have their onset during the age range of 15 to 25 years old. While psychotic symptoms can occur at any age, the peak age of onset for schizophrenia is between late adolescence and early adulthood. Other psychotic disorders, such as brief psychotic disorder or schizophreniform disorder, may have an earlier onset, but generally still fall within the 15 to 25-year-old range.

Question 7

Evidence suggests that recovery-oriented early psychosis programs result in which of the following?&#10;A) No improvements in symptoms or functioning&#10;B) Improvements in symptoms but not functioning&#10;C) Improvements in functioning but not symptoms&#10;D) Improvements in symptoms and functioning

Accepted Answer

Evidence suggests that recovery-oriented early psychosis programs result in improvements in both symptoms and functioning. These programs focus on holistic and person-centered treatments, including medication management, psychotherapy, social support, and education, with the ultimate goal of helping individuals with psychosis live independently and thrive in their communities. Studies have shown that these programs can lead to significant improvements in symptoms, such as hallucinations and delusions, as well as in functioning, such as employment and daily living skills.

Question 8

Evidence indicates that individuals at clinical high risk for psychosis displayed patterns of higher scores in low registration, sensation sensitivity, and sensation avoiding and lower scores in sensation seeking. Which model was this research based on?

A) Person-Environment-Occupation
B) Model of Human Occupation
C) Dunn's Model of Sensory Processing
D) Canadian Model of Occupational Performance

Accepted Answer

The research is based on Dunn's Model of Sensory Processing, which assesses an individual's sensory processing patterns in response to environmental stimuli. The model includes four sensory processing patterns: low registration, sensation seeking, sensory sensitivity, and sensation avoiding. The research findings indicate that individuals at clinical high risk for psychosis displayed patterns of higher scores in low registration, sensation sensitivity, and sensation avoiding and lower scores in sensation seeking, which are all components of Dunn's Model of Sensory Processing.

Question 9

Identify the most important reason for occupational therapy practitioners to be involved in early psychosis programs.&#10;A) They help clients maintain a sense of self through ongoing engagement in meaningful roles and activities.&#10;B) They help clients develop performance skills.&#10;C) They help identify client factor impairments.&#10;D) They help with environmental adaptations.

Accepted Answer

The most important reason for occupational therapy practitioners to be involved in early psychosis programs is because they help clients maintain a sense of self through ongoing engagement in meaningful roles and activities. This is crucial in fostering personal identity and supporting recovery in individuals experiencing psychosis.

Question 10

In the clinical staging approach to treating first episode psychosis, which stage includes help-seeking, mild symptoms of psychosis, neurocognitive deficits, and mild functional impairment?&#10;A) Stage 0-Increased risk of psychosis&#10;B) Stage 1-Possible prodrome&#10;C) Stage 2-First episode psychosis or mood disorder&#10;D) Stage 3-Recurrent or persistent disorder&#10;E) Stage 4-Severe, persistent, and unremitting illness

Accepted Answer

Stage 1-Possible prodrome includes early symptoms of psychosis and mild functional impairment, which typically leads to help-seeking. This stage also includes neurocognitive deficits.

Question 11

Initiatives that focus on public education campaigns, targeted education for high-risk groups, and increasing awareness of cultural contexts represent which core principle of early psychosis programs?&#10;A) Promoting recovery&#10;B) Increasing public awareness and decreasing stigma&#10;C) Family engagement and support&#10;D) Practitioner training

Accepted Answer

The answer of Initiatives that focus on public education campaigns,...

Question 12

Identify the most important reason why early psychosis programs focus on the prodrome and first episode psychosis periods as it relates to occupational therapy.&#10;A) It can prevent a full-blown psychotic episode.&#10;B) It can prevent the progression of symptoms into a diagnosable mental illness.&#10;C) This is the period where the majority of functional decline occurs.&#10;D) It allows for the diagnosis of attenuated psychotic symptoms.

Accepted Answer

The answer of Identify the most important reason why early...

Question 13

Which of the following early psychosis interventions has a primary focus on teaching problem-solving skills?&#10;A) Multifamily group&#10;B) Case management&#10;C) Community integration&#10;D) Supported employment

Accepted Answer

The answer of Which of the following early psychosis interventions...

Deck 37: Early Psychosis Programs for Adolescents and Young Adults