Question 1

Within Interpersonal and Social Rhythm Therapy, individuals learn to monitor their routines and strive for regularity. This emphasis on scheduling makes it most appropriate for persons with which of the following diagnoses?

Accepted Answer

Interpersonal and Social Rhythm Therapy is specifically designed for individuals with bipolar disorder. The emphasis on regularity helps to manage and prevent mood swings that are common in bipolar disorder.

Question 2

Life skills training such as money management, social skills, and home management best exemplifies which intervention approach?

Accepted Answer

Life skills training falls under the category of education intervention approach, as it focuses on equipping individuals with knowledge, skills, and abilities to successfully navigate and manage various aspects of their life.

Question 3

You have a client who is demonstrating difficulty with community mobility. Because of the symptoms related to his schizophrenia, he is no longer able to drive and relies on public transportation. You want to assess his ability to use public transportation so you choose an assessment that incorporates an item that asks the individual to read a bus schedule. Which assessment would you choose?

Accepted Answer

D

Question 4

You are working with a client diagnosed with bipolar disorder who is demonstrating difficulty completing activities of daily living and instrumental activities of daily living. You decide to employ an occupation-based intervention that requires the client to keep a daily record of the activities he or she engages in. This will allow your client to monitor his or her daily routine with the goal of establishing the regularity in the timing of the daily activities. Which intervention would you choose?

Accepted Answer

Interpersonal and social rhythm therapy (IPSRT) is a well-established occupation-based intervention for individuals with bipolar disorder. IPSRT involves identifying and maintaining a daily routine, which is achieved through monitoring and recording daily activities. By establishing regularity in the timing of daily activities, clients with bipolar disorder are better able to manage their symptoms and improve their daily functioning. The other interventions listed may be useful for other goals but are not directly related to establishing a daily routine.

Question 5

You are working in a dementia care unit. You want to assess a client's performance in activities of daily living by observing him or her complete a series of activities such as bathing, dressing, and toileting. Which assessment would you choose?

Accepted Answer

The Katz Index is specifically designed to assess a client's performance in activities of daily living such as bathing, dressing, and toileting. It contains six items that are essential for basic daily functioning and requires observation of the client's performance to determine their level of independence in each activity.

Question 6

You are working with a client who has expressed interest in getting a dog for companionship. Your intervention focuses on identifying the responsibilities of and developing the skills required for pet ownership. This activity best represents which of the following?

Accepted Answer

The activity described falls under the category of instrumental activities of daily living (IADLs) which includes activities related to independent living such as managing finances, transportation, meal preparation, and pet care. The skills required for pet ownership, such as feeding and grooming, fall under the IADLs.

Question 7

Which of the following is an approach consistent with cognitive adaptation training?

Accepted Answer

Posting checklists in key areas around a client's home to ensure completion of tasks is consistent with the approach of cognitive adaptation training, which involves using external aids to compensate for cognitive deficits. The other choices are not consistent with this approach.

Question 8

Which of the following is an instrumental activity of daily living?

Accepted Answer

Money management is an instrumental activity of daily living which involves managing finances, balancing a checkbook, paying bills and using financial resources intelligently. Grooming and eating are basic activities of daily living, while sleep is a restorative activity that is not classified as an ADL or IADL.

Question 9

You are working in an inpatient mental health unit and want to employ a valid and reliable assessment that assesses your client's ability to complete instrumental activities of daily activity, such as banking and cellphone use. You choose an assessment that utilizes a combination of interview- and performance-based items. Which assessment would you choose?

Accepted Answer

The Kohlman Evaluation of Living Skills (KELS) is a valid and reliable assessment that measures a client's ability to perform instrumental activities of daily living, such as managing money and using technology. It utilizes both interview- and performance-based items to assess the client's abilities. The other assessments listed may assess activities of daily living in general, but they do not specifically assess instrumental activities of daily living as comprehensively as the KELS.

Question 10

You are working with a client who has required repeated hospitalizations because of not taking her medications. You administer the Performance Assessment of Self-Care Skills and determine she is not able to read the medication information on the pill bottle and that has been interfering with the client knowing which medication is in which pill bottle and how often to take each of the medications. Which of the following is the best intervention to use to address this problem?

Accepted Answer

Creating large print labels with the name of the medication and dosage directions to put on the medication bottles would be the best intervention as it directly addresses the client's difficulty in reading the medication information on the pill bottle. This will improve the client's ability to identify which medication is in which pill bottle and how often to take each of the medications. Using a visual scheduler or a mobile phone app may be helpful but these interventions do not address the root cause of the problem. Having the client organize her medication in a pillbox may also be helpful but this does not address the issue of being able to read the medication information on the pill bottle.

Question 11

Which of the following is an activity of daily living?

Accepted Answer

The answer of Which of the following is an activity...

Question 12

A 24-year-old with a diagnosis of schizophrenia was just referred to your clinic. He lives with his parents, who currently assist him with the completion of his instrumental activities of daily living. During your assessment, he identifies a goal of independently doing his own laundry. He states that when he tries to do it by himself he forgets certain steps of the task. For instance, at times he loads the washer but forgets to turn it on, whereas other times he forgets to add the laundry detergent. You decide to use a laundry app that will remind him of the different steps in doing laundry. Which intervention approach does this best represent?

Accepted Answer

The use of a laundry app to remind the individual of the different steps in doing laundry is a preparatory method. Preparatory methods are interventions that prepare the client for occupational performance, often through the use of tools, equipment, or techniques that address specific performance skills or client factors. In this case, the app is a tool that addresses the client's memory issues related to the task of doing laundry, thus preparing him to perform the task more independently.

Quiz 49: Questions