Question 1

Tanisha is a young woman who has a fear of public transportation. On the occasions when she has needed to take public transportation to get to work she becomes extremely fearful that something bad will happen to her and could result in serious injury. Therefore, she begins to have heart palpitations, shortness of breath, and at times immobility. Which psychiatric disorder does this best describe?

A) Depression
B) Panic disorder
C) Eating disorder
D) Schizophrenia

B

Accepted Answer

The symptoms described match those of a panic disorder, which is characterized by sudden and recurring panic attacks with physical symptoms such as heart palpitations, shortness of breath, and immobility. The fear of taking public transportation and the anticipation of a panic attack indicate a specific phobia, which is a subtype of anxiety disorders.

Question 2

You are working with a 27-year-old who demonstrates adequate metacognition but continues to experience disruptive cognitive beliefs. You decide to incorporate a cognitive restructuring intervention that requires the individual to examine irrational beliefs and related emotional and behavioral responses related to a specific situation that is interfering with his or her occupational performance. Which intervention approach best describes this scenario?

A) Socratic questioning
B) Self-talk and affirmations
C) Behavioral experiments
D) Rational emotive behavior therapy

C

Accepted Answer

C

Question 3

You are working in an adolescent psych clinic and are looking for an assessment that will allow you to engage in a semi-structured dialogue to assess an individual's belief in what supports and what interferes with occupational performance. Which assessment would be best in this situation?

A) Self-efficacy gauge
B) Dysfunctional thought records
C) TIC-TOC technique
D) Socratic questioning

D

Accepted Answer

Socratic questioning is a semi-structured dialogue that allows the clinician to explore an individual's beliefs about what supports and what interferes with their occupational performance.

Question 4

After working in the adolescent psych clinic for a while, you decide an assessment that examines automatic thoughts related to distressing occupational performance situations would be beneficial for some of your clients. You decide to use an assessment that would have clients identify specific situations, emotions they experience in this situation, automatic thoughts, thought distortions, and alternate thoughts. Which assessment would be best in this situation?

A) Self-efficacy gauge
B) Dysfunctional thought records
C) TIC-TOC technique
D) Socratic questioning

Accepted Answer

Dysfunctional thought records are specifically designed for identifying specific situations, emotions, automatic thoughts, thought distortions, and alternate thoughts. This assessment would be the best choice in this situation. Self-efficacy gauge measures beliefs about one's ability to perform a specific task or behavior. TIC-TOC technique and Socratic questioning are therapeutic techniques used to challenge and change negative thought patterns, but do not include the specific components of identifying situations, emotions, and alternate thoughts that are present in a dysfunctional thought record.

Question 5

Which of the following most accurately reflects the theoretical assumption about the nature of cognitive beliefs?&#10;A) Core beliefs are easy to modify with sufficient evidence and experience.&#10;B) Core beliefs influence our thoughts, emotions, behaviors, and physiological arousal.&#10;C) Core beliefs are facts and rules agreed upon by an individual's community.&#10;D) Core beliefs begin to develop in early adolescence.

Accepted Answer

The most widely accepted theoretical assumption about cognitive beliefs is that core beliefs strongly influence a person's thoughts, emotions, behaviors, and physiological arousal. This assumption is the basis for various cognitive-behavioral therapies that aim to modify maladaptive core beliefs to alleviate psychological distress. Option A is not accurate because core beliefs are often deeply ingrained and resistant to change. Option C is incorrect as core beliefs aren't necessarily agreed upon by a person's community, and option D is partially correct, but core beliefs can begin to develop from childhood.

Question 6

Which of the following best defines cognitive beliefs according to the Occupational Therapy Practice Framework?&#10;A) Beliefs that reside within the client&#10;B) Motivation to engage in occupation&#10;C) Beliefs that impact an individual's interaction with the environment and occupations&#10;D) Cognitive content that the individual holds as true

Accepted Answer

Cognitive beliefs are defined as the cognitive content that an individual holds as true, according to the Occupational Therapy Practice Framework. These beliefs can influence an individual's perception of their abilities and limitations in engaging in occupations, as well as their motivation to participate in activities.

Question 7

Negative beliefs resulting from judgment from others that an individual with schizophrenia has started to internalize can best be described as __________.&#10;A) Recovery-stigma&#10;B) Mental illness-stigma&#10;C) Public stigma&#10;D) Self-stigma

Accepted Answer

Self-stigma refers to negative beliefs and attitudes that individuals with mental illness develop about themselves as a result of internalizing public stigmatizing attitudes and judgments from others. This can lead to low self-esteem, decreased self-efficacy, and reluctance to seek treatment.

Question 8

Which of the following is most descriptive of therapeutic principles that are shared between cognitive behavioral therapy (CBT) and occupational therapy?&#10;A) Intervention is client-centered.&#10;B) Intervention is future-oriented.&#10;C) Intervention is problem-focused.&#10;D) Intervention is continuous.

Accepted Answer

Both cognitive behavioral therapy and occupational therapy emphasize a client-centered approach, tailoring interventions to the individual's specific needs and goals.

Deck 21: Cognitive Beliefs