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PURPLE BOOK/107 QUESTIONS AND ANSWERS (A+)
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PURPLE BOOK/107 QUESTIONSAND ANSWERS (A+)
An individual with a history of depression and low self-
esteem has just begun to participate in a home
management group. This individual had previously
identified cooking as a leisure interest that he is good at.
Which of the following approaches will MOST effectively
promote individual growth and self-confidence? (#90) -
√Answer :During a meal preparation activity, have the
individual demonstrate a step that he is familiar with to
two or three group members
Quiz :An individual diagnosed with borderline
personality disorder tells a COTA that she is the only
one she can trust. The next day she accuses the COTA
of lying to her. The best way for the COTA to respond is
to: - √Answer :Remain matter of fact and consistent in
approach (#96)
Quiz :When working with an individual who is severely
depressed and demonstrated psychomotor retardation,
it is MOST important to: - √Answer :Give simple
directions and patiently wait for responses (#102)
Quiz :A COTA is working with an elderly woman with a
diagnosis of depression and dementia during the clean-
up portions of a cooking activity. The patient begins to
dry the plates and utensils she has already dried. The
COTA should: - √Answer :Put the dried dishes away
and begin to hand her wet dishes (#120)
,Quiz :A very confused nursing home resident is
frequently found in the rooms of other residents in the
middle of the night. Which of the following
environmental adaptations would MOST effectively
prevent wandering? - √Answer :Disguise the bedroom
door with wallpaper so it blends in with the surroundings
(#123)
Quiz :A client with severe depression and suicidal
ideation stops the COTA as she is about to leave the
inpatient unit at the end of the day and asks her to
accept her favorite necklace as a gift of thanks. Which
of the following responses is MOST important? -
√Answer :Report the incident to the client's physician
(#132)
Quiz :A COTA is leading a craft media group with
adolescents diagnosed with schizophrenia. Which of the
following is the BEST method to use to facilitate
problem solving? - √Answer :Begin with activities that
have obvious solutions and a high probability of
success, and then gradually increase the level of
complexity (#141)
Quiz :A client with schizophrenia begins to experience
hallucinations while participating in a life skills group led
by a COTA. Which environmental strategy would be
BEST to minimize the hallucinations? - √Answer :Move
the person to a quieter, less stimulating environment
(#147)
Quiz :A COTA is leading a discussion with a group of
individuals who are diagnosed with major depression.
, The MOST helpful approach for the COTA to take is to:
- √Answer :Offer even-tempered acceptance, reflecting
back what is heard without agreeing that the situation is
hopeless (#153)
Quiz :A COTA is working with an indivdual who has
identified alcohol abuse as a contributing factor to the
depression that he has been experiencing. At discharge,
the MOST appropriate type of group to recommend to
this individual is a(n): - √Answer :Self-help group (162)
Quiz :A 12-year-old student will be discharged after
receiving treatment for anxiety disorder. Which would be
the MOST appropriate recommendation for an
extracurricular school activity? - √Answer :School
newspaper (163)
Quiz :An individual with Alzheimer's disease has
difficulty following multiple-step instructions. Which
method will the COTA instruct the caregiver to use when
presenting instructions? - √Answer :Give frequently
repeated one or two-step instructions (165)
Quiz :An OT practitioner is planning to provide a
program to address the needs of persons with
Alzheimer's disease, and their families, as part of a
hospital outreach program. One of the areas of
intervention which would be MOST beneficial to
maintaining safety and supporting function at home in
the advanced stages of Alzheimer's is: -
√Answer :Environmental modification (181)
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