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Adult Mental Health Final Exam Questions And Answers

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  • Adult Mental Health

Adult Mental Health Final Exam Questions And Answers A COTA® is providing intervention to a client with an anxiety disorder who hyperventilates when faced with difficult work tasks. The COTA suggests that the client use breathing techniques and relaxation breaks during the work day to minimize ...

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  • August 6, 2024
  • 16
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Adult Mental Health
  • Adult Mental Health
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NURSINGSTUDYSTORE
Adult Mental Health Final Exam
Questions And Answers
A COTA® is providing intervention to a client with an anxiety disorder who
hyperventilates when faced with difficult work tasks. The COTA suggests that the client
use breathing techniques and relaxation breaks during the work day to minimize the
client's response to stressful events at work. What frame of reference does this
intervention suggest?
A. Cognitive-behavioral
B. Psychodynamic
C. Cognitive disability
D. Behavioral - ANSWER- Behavioral

A COTA® is using groups in a residential rehabilitation facility for people with substance
abuse. The COTA has identified a group of clients who have difficulty with
assertiveness during encounters with significant others. The COTA decides to use role
playing with the group members to help them improve their response in such events.
What frame of reference does this intervention choice suggest?
A. Psychodynamic
B. Sensorimotor
C. Behavioral
D. Developmental - ANSWER- Behavioral

A client who has undergone electroconvulsive therapy (ECT) in the early morning
arrives for an evening occupational therapy task group in an inpatient psychiatric unit.
What is the COTA®'s BEST choice for working with the client at this time?
A. Contact the nursing staff to escort the client back to the client's room.
B. Remind the client of the need for 24 hours of bed rest after ECT.
C. Invite the client to participate in a different group that focuses on reminiscence.
D. Encourage the client to choose one of the available tasks to work on during the
group. - ANSWER- Encourage the client to choose one of the available tasks to work on
during the group

A COTA® working in an inpatient mental health forensic facility is leading a group of
clients who have histories of emotional outbursts and causing harm to themselves or
others. Which group design element would have the highest priority?
A. Cognitive and educational level of the participants
B. Age and gender of the participants
C. Location of the meeting room and exits
D. Climate and temperature of the meeting room - ANSWER- Location of the meeting
room and exits

A patient has an anxiety disorder and has been undergoing treatment in a psychiatric
facility. During an occupational therapy session, the COTA® observes the patient's

,anxiety increasing and level of concentration has diminished compared to the behaviors
observed in previous sessions. What INITIAL action should the COTA® take based on
these observations?
A. Talk with the patient about the changes in function
B. Divert the patient's attention away from the anxious feelings
C. Redirect the patient's attention to positive thoughts
D. Inform the nursing staff about the behavioral changes - ANSWER- Talk with the
patient about the changes in function

A COTA® work in an interdisciplinary adult day program for clients with chronic mental
illness. Other professionals working in the program include a recreational specialist, an
art therapist, and a social worker. For what area is the COTA® MOST likely to assume
leadership?
A. Creative expression
B. Crisis management
C. Sports activities
D. Community integration - ANSWER- Community integration

A client diagnosed with dissociative personality disorder is admitted to an inpatient
psychiatric hospital as a result of suicidal behavior and impulses, severe anxiety, and
periods of violence brought on by the emergence of new personalities. How is the
COTA® in this milieu therapy setting likely to intervene?
A. Provide a safe, nonthreatening, success-oriented environment to increase the client's
sense of control.
B. Offer group therapy opportunities for verbalizing experiences and describing other
personalities.
C. Offer group training in development of coping skills.
D. Offer participation in psychodrama groups to encourage catharsis. - ANSWER-
Provide a safe, nonthreatening, success-oriented environment to increase the client's
sense of control

A COTA® is working in a clubhouse with a group of clients who have mental health
issues. Which leadership style would be MOST effective for the COTA® to use?
A. Director
B. Authority figure
C. Facilitator
D. Advisor - ANSWER- Advisor

A client has two children, a 3½-year-old and a 2-year-old. Because of postpartum
depression, she has been unable to return to work since the birth of the younger child.
What home- and community-based occupational therapy services would BEST help the
client improve her worker role?
A. Job simulation and work retraining in the home
B. Facilitation of employer-client meetings to negotiate bringing the children to work
C. Weekly goal setting, time management activities, and use of a positive-events diary
to build self-confidence

, D. Facilitation of employer-client meetings to negotiate work- at-home options -
ANSWER- Weekly goal setting, time management activities, and use of a positive-
events diary to build self-confidence

An 18-year-old client is admitted to an inpatient psychiatric hospital. The psychiatrist
describes an uninterrupted 18-month period of illness that includes visual and auditory
hallucinations. What type of issues would the COTA® expect to see when the client
attempts to do a task?
A. Aggressive outbursts of behaviors when frustrated with a project
B. Overassertive, controlling behaviors during group activities
C. Difficulty engaging in problem solving
D. Panic over task choices - ANSWER- Aggressive outbursts of behaviors when
frustrated with a project

An OTR® supervises a COTA® who works with a group of adults who are continuing
their recovery from alcohol and drug addiction by living in a halfway house. The OTR®
suggests that the COTA® become familiar with a particular group intervention in
working with these clients. What type of intervention would the OTR® MOST likely
suggest?
A. An occupational deprivation group
B. Project MAINSTREAM
C. A heavy work activity group
D. A 12-step self-help group - ANSWER- A 12-step self-help group

Through what type of interventions is the field of occupational therapy MOST likely to be
successful in demonstrating a population impact on the problem of cocaine and
amphetamine abuse disorder?
A. Restorative
B. Adaptive
C. Preventive
D. Consultative - ANSWER- Preventive

Which class of psychopharmaceutical drugs is mood elevating but may increase
suicidal tendencies in young adults and carries a small risk of causing hypomania or
mania?
A. Adrenergic receptor drugs
B. Antidepressants
C. Anticholinergics
D. Antipsychotics - ANSWER- Antidepressants

A COTA® is running a group in an innovative preventive program for parolees. The goal
of the program is to assist parolees with establishing or restoring occupational balance
and productive occupations. The current group has been meeting regularly for 6
months. The members have good insight, and they understand the goals of the
program. What leadership style should the COTA use in this setting?
A. Directive

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