OT Mental Health & Psychosocial OT 2 — Questions and Answers
Question 1: A client with major depressive disorder declines to participate in morning ADL routines. The BEST OT strategy is:
- Begin with brief, achievable tasks within the client's capacity and build gradually (Correct answer)
- Require full ADL completion before allowing leisure activities
- Provide complete ADL assistance to prevent exhaustion
- Postpone intervention until the client's mood improves
Correct answer: Begin with brief, achievable tasks within the client's capacity and build gradually
Starting with manageable tasks builds self-efficacy and provides positive reinforcement, which is essential in treating depression.
Question 2: Which recovery-oriented principle should guide OT practice in mental health settings?
- Self-determination and client-directed goal setting (Correct answer)
- OT establishes goals based on diagnostic criteria
- Recovery requires full symptom elimination before function is addressed
- Institutionalization supports safety in recovery
Correct answer: Self-determination and client-directed goal setting
Recovery-oriented OT practice centers on self-determination, empowering clients to direct their own goals and recovery process.
Question 3: Sensory modulation rooms in psychiatric inpatient units are used primarily to:
- Help clients self-regulate arousal levels and reduce use of seclusion and restraint (Correct answer)
- Provide recreational distraction from symptoms
- Assess vestibular and proprioceptive processing disorders
- Replace pharmacological management of agitation
Correct answer: Help clients self-regulate arousal levels and reduce use of seclusion and restraint
Sensory modulation rooms provide self-regulation tools that research shows reduce the need for seclusion and restraint in psychiatric settings.
Question 4: A client with PTSD avoids leaving home and attending appointments. Which OT intervention is MOST appropriate?
- Graded community reintegration with sensory coping strategies (Correct answer)
- Flooding the client with maximum community exposure immediately
- Recommending permanent home-based employment only
- Restricting all community participation until trauma is processed
Correct answer: Graded community reintegration with sensory coping strategies
Graded exposure with sensory coping strategies gradually rebuilds community participation tolerance consistent with trauma-informed OT practice.
Question 5: The Wellness Recovery Action Plan (WRAP) tool used in OT mental health practice helps clients:
- Identify personal wellness strategies and early warning signs of relapse (Correct answer)
- Design home modification plans for physical disabilities
- Establish ADL schedules for inpatient programming only
- Complete vocational interest inventories for employment
Correct answer: Identify personal wellness strategies and early warning signs of relapse
WRAP empowers clients to identify their own wellness tools, triggers, and action plans for maintaining recovery and managing crises.
Question 6: Which work rehabilitation approach is used when a client with mental illness needs to build work skills in a real, paid employment setting?
- Supported Employment (Individual Placement and Support model) (Correct answer)
- Sheltered workshop with unpaid work samples
- Pre-vocational skills training in a simulated classroom
- Vocational evaluation only before any work trial
Correct answer: Supported Employment (Individual Placement and Support model)
The IPS model of Supported Employment places clients in competitive integrated employment immediately with ongoing job coaching support.
OT Mental Health & Psychosocial OT 2
A client with major depressive disorder declines to participate in morning ADL routines.
The BEST OT strategy is: