Question 1

You are working with a young adult who reports difficulty keeping a job. When you ask him what he thinks impacts his job performance, he states he knows he has difficulty "keeping his cool" in stressful situations and often ends up yelling at his boss and coworkers. You decide to implement an approach that incorporates role-play, rehearsal, modeling, and coaching to modify his responses. Which intervention best reflects this approach?

A) Psychoeducation
B) Interpersonal skills training
C) Mindfulness meditation
D) Progressive muscle relaxation

B

Accepted Answer

Interpersonal skills training involves teaching individuals effective communication skills, conflict resolution strategies, and stress management techniques through role-play, rehearsal, modeling, and coaching. It is the most appropriate intervention for someone who struggles with regulating their emotions in the workplace and needs to learn more effective responses. Psychoeducation, mindfulness meditation, and progressive muscle relaxation may be helpful for other issues, but are not the best choice for this specific situation.

Question 2

Following your assessment of Emily, you decide you want to use an approach that will allow creative expression to promote insight into herself and the situations she perceives as stressful. Specifically, you decide you want to use an open-ended, exploratory writing activity. Which theoretical framework does this best represent?

A) Cognitive behavioral
B) Model of Human Occupation
C) Psychodynamic-object relations
D) Occupation-based approach

C

Accepted Answer

The use of open-ended, exploratory writing activities to promote insight and creative expression aligns with the psychodynamic-object relations framework. This approach emphasizes understanding and exploring unconscious processes, emotions, and the client's internal world, which can be facilitated through creative and expressive activities like writing.

Question 3

Adam is a 60-year-old who has been referred to occupational therapy because of increased anxiety and decreased ability to engage in valued occupations. During your initial interview he states he has been experiencing a lot of stress during the past year: He retired 6 months ago and his wife passed away a month ago. His children recently moved out of the area and he states he is feeling lost given all the changes he has experienced during the past year. You want to administer an assessment that measures the impact stress has had on him during the past year. Adam appears to have intact cognitive functioning and you decide to use a self-inventory. Based on this information, which assessment would you choose?

A) Life events checklist
B) Coping responses inventory
C) Coping strategies inventory
D) Recent life changes questionnaire

D

Accepted Answer

The Recent Life Changes Questionnaire is designed to measure the impact of stress due to recent life changes, making it the most appropriate choice given Adam's situation of experiencing multiple significant life changes (retirement, loss of a spouse, and children moving away) within the past year.

Question 4

The concept that individuals have a predisposition to stress, which makes an individual more vulnerable to the challenges of daily living and potential mental illness, such as depression or bipolar disorder, can best be defined as ___________.

A) Diathesis stress model
B) Generalized adaptation syndrome
C) Allostasis
D) Maladaptive coping syndrome

Accepted Answer

The concept described in the question is known as the diathesis stress model. This model suggests that individuals have a genetic or biological predisposition (diathesis) to stress and that when faced with environmental challenges, this can lead to the development of mental health conditions. The model proposes that both the diathesis and the stressor are necessary factors in the development of mental illness, and that the stronger the diathesis, the less stress is needed to trigger mental health symptoms.

Question 5

Sabrina is a 50-year-old with depression. During a family meeting, her husband expresses his frustration with Sabrina. He believes she could get better if she tried and that her current situation is bringing embarrassment to the family. The husband's response can best be described as ___________________.

A) Expressed anxiety
B) Expressed emotion
C) Expressed negative coping
D) Caregiver burden

Accepted Answer

The husband's response is best described as "Expressed emotion," which refers to critical, hostile, or emotionally over-involved attitudes and behaviors of family members towards a relative with a mental illness, often leading to a negative impact on the individual's well-being and recovery.

Question 6

You have a client who is currently working in a factory job. He states he is unhappy in this position and currently spends a lot of time outside of work searching online for a new job in hopes he can change careers in the future and find happiness. Which coping strategy does this best represent?

A) Cognitive restructuring
B) Information seeking
C) Wish-fulfilling fantasy
D) Emotional expression

Accepted Answer

The answer of You have a client who is currently...

Question 7

You are working with Emily, a 16-year-old who was recently referred to your outpatient clinic. She appears hyper-reactive to daily events that occur at school and home. You decide you want to administer an assessment that will allow her to rate daily events she encounters and the stress she perceives related to each of these events. Based on this information, which assessment would you choose?

A) Life events checklist
B) Coping responses inventory
C) Coping strategies inventory
D) Recent life changes questionnaire

Accepted Answer

The Life events checklist is a measure that allows individuals to rate daily events they encounter and the stress they perceive related to each of these events. This measure is commonly used in clinical settings with adolescents and adults to assess the impact of stressful events on emotional health. Therefore, it is the best choice for assessing Emily's reaction to daily events at school and home.

Question 8

Which of the following characteristics is most reflective of resilience?&#10;A) Avoidance of change to allow for growth and development in one's current situation&#10;B) An individual's belief he or she can influence his or her life situation&#10;C) Realization that change requires help from others&#10;D) An individual's acceptance of his or her current situation

Accepted Answer

Resilience is often characterized by an individual's belief in his or her own ability to influence or shape his or her life situation despite challenging circumstances or change. This belief can motivate individuals to persevere and adapt to changing situations. Therefore, choice B, an individual's belief he or she can influence his or her life situation, is the most reflective of resilience. Choices A, C, and D may reflect other characteristics, but they are not necessarily indicative of resilience.

Deck 23: Coping and Resilience