Question 1

One intervention approach that is used with individuals with acquired physical disabilities includes the engagement in physical activities that the individual enjoys to increase strength and endurance while at the same time reducing stress. Which intervention approach does this best represent?

A) Cognitive behavioral approach
B) Exercise/Physical activity
C) Mindfulness meditation
D) Self-advocacy

B

Accepted Answer

The approach described involves engagement in physical activities, which falls under the category of exercise/physical activity interventions. This approach aims to improve physical fitness, reduce stress, and enhance overall well-being, specifically targeting individuals with acquired physical disabilities.

Question 2

Abe's medical record indicates that he had past episodes of depression and was hospitalized for a failed suicide attempt. As an occupational therapy practitioner working with Abe, you are concerned about his reports of increased depression and the potential for another suicide attempt. Which of the following is the greatest concern regarding potential suicidal ideation?

A) Increased attention to physical appearance
B) Development of symptoms of posttraumatic stress disorder (PTSD)
C) Refusal of necessary medical care
D) Development of future goals

C

Accepted Answer

Refusal of necessary medical care is a significant concern when it comes to potential suicidal ideation as it may indicate a lack of desire to continue seeking help and treatment for mental health concerns. This could lead to the worsening of their symptoms and increase the risk of another suicide attempt. Increased attention to physical appearance may also be a concern, but is not as significant as the refusal of medical care. Development of symptoms of PTSD and the development of future goals may not necessarily be indicators of suicidal ideation.

Question 3

A mother is the primary caregiver for her son who has a spinal cord injury. She has recently reported increased fatigue and stress, as well as concerns that she doesn't think she can continue to provide care for her son. Which of the following best represents this scenario?

A) Depression
B) Role overload
C) Increased satisfaction with altered roles and responsibilities
D) Caregiver burnout

D

Accepted Answer

The mother's reported increased fatigue, stress, and concern about her capacity to continue providing care indicate symptoms of caregiver burnout. This condition commonly affects caregivers of individuals with chronic illnesses, disabilities, or other complex care needs, as they may experience physical, emotional, and financial strain as well as social isolation and lack of support. Effective strategies for preventing or addressing caregiver burnout may include seeking respite care, counseling or therapy, peer support, and self-care activities.

Question 4

Shifting from a loss perspective to an assets perspective following an acquired physical disability best represents which of the following?&#10;A) Identity reconstruction&#10;B) Recovery&#10;C) Accepting they will never fulfill their life goals&#10;D) Accepting that life will always be filled with challenges that weren't there before

Accepted Answer

Shifting from a loss perspective to an assets perspective following an acquired physical disability involves identity reconstruction, which is about redefining one's sense of self, purpose, and role in life. It is a process that enables individuals to move beyond their disability and reconceive themselves as capable, competent, and valuable members of society. Recovery may be a part of this process, but it is not the central focus. Accepting that one will never fulfill their life goals, or that life will always be filled with challenges that weren't there before, suggests a defeatist mentality that is not consistent with the asset-based approach to disability.

Question 5

Abe experienced a spinal cord injury 3 years ago. Because of his injury he has had to adjust to changes in the roles and activities that he had participated in for many years. One of those roles was being a member of the softball team. In addition, Abe is no longer able to perform his work as a baggage handler at the local airport. This has also altered his social relationships. Since his accident he has had difficulty getting out in the community because of environmental barriers and has been seeing his friends from work and the softball team less frequently. Lately he has been expressing decreased satisfaction with his life and increased feelings of depression. Which of the following psychological implications related to physical disabilities does this best represent?

A) Body image
B) Isolation
C) Gender role issues
D) Cognition

Accepted Answer

Abe's decreased social relationships and difficulty getting out in the community are indicative of social isolation, which is a common psychological implication of physical disabilities.

Question 6

Abe has been making progress in his rehab sessions and has started to demonstrate signs of positive adaptation. He has started to recognize that he has some control regarding his current situation, has started to gather more information about his disability, and wants to start working on developing a plan to develop new skills that will allow him to explore new roles and activities to participate in. Which factor related to positive adaptation does this best represent?

A) Gaining knowledge and communication
B) Locus of control
C) Social support
D) Resilience

Accepted Answer

Abe's recognition that he has some control over his situation indicates an internal locus of control, which is a factor related to positive adaptation. gaining knowledge and communication, social support, and resilience are also important factors, but they are not clearly demonstrated in this scenario.

Question 7

The ability of an individual with an acquired physical disability to maintain a relatively healthy level of psychological and social functioning, as well as a positive sense of self, can best be described as _______________.

A) Generativity
B) Positive coping
C) Internal locus of control
D) Resilience

Accepted Answer

Resilience refers to an individual's ability to adapt and cope in the face of adversity or significant stressors, such as acquiring a disability. Resilience involves maintaining a positive sense of self, being able to function socially and psychologically, and finding ways to cope with the challenges presented by the disability.

Question 8

Which of the following best describes the response of role changes that occurs following an acquired physical disability?&#10;A) Excitement at the opportunity to explore new roles&#10;B) Relief that a family member can assume the financial responsibilities for the family&#10;C) Fear of losing their identity&#10;D) Opportunity to reassess sense of self-worth

Accepted Answer

An acquired physical disability often leads to a fear of losing one's identity as the individual must adapt to a new way of life with potential changes in their roles and relationships. While some individuals may also experience an opportunity to reassess their sense of self-worth or explore new roles, these are not the most common immediate responses. There is no evidence to suggest that individuals feel relieved when a family member assumes financial responsibilities.

Deck 19: Psychosocial Concerns With Physical Disabilities