OTR Mental Health & Psychosocial Occupational Therapy 2

Question 1

When working with clients on antipsychotic medications, OTs should monitor for extrapyramidal symptoms (EPS), which include:

Accepted Answer

Tardive dyskinesia, akathisia, and acute dystonia

Answer

Increased appetite, weight gain, and metabolic changes only

Answer

Hypertension, tachycardia, and diaphoresis

Answer

Cognitive enhancement and improved concentration

Question 2

The most effective initial approach when de-escalating an agitated patient in a psychiatric setting is to:

Accepted Answer

Remain calm, use a low tone, and provide personal space

Answer

Immediately request physical restraints to prevent harm

Answer

Administer PRN medications before attempting verbal intervention

Answer

Involve multiple staff members simultaneously to show authority

Question 3

The Wellness Recovery Action Plan (WRAP) is a self-designed tool that:

Accepted Answer

Helps individuals identify triggers, early warning signs, and personal recovery strategies

Answer

Replaces clinical treatment with peer support exclusively

Answer

Is mandated by AOTA for all mental health OT programs

Answer

Provides structured medication management protocols

Question 4

A core principle of trauma-informed care in OT practice is:

Accepted Answer

Ensuring physical safety, trustworthiness, and client empowerment throughout care

Answer

Focusing primarily on occupational deficits rather than trauma history

Answer

Requiring clients to process traumatic memories before beginning OT

Answer

Limiting discussion of trauma to minimize therapeutic disruption

Question 5

In OT-led social skills training for clients with schizophrenia, which approach is most evidence-based?

Accepted Answer

Role-playing and behavioral rehearsal of specific social interactions

Answer

Psychoanalytic exploration of interpersonal conflicts

Answer

Medication optimization as the primary intervention

Answer

Unstructured social activities without guided feedback

Question 6

The Clubhouse Model of psychiatric rehabilitation is primarily based on:

Accepted Answer

Peer mentorship where members with lived experience take on meaningful work roles within the community

Answer

Therapist-led individual treatment sessions in outpatient settings

Answer

Strict behavioral contingency management for skill acquisition

Answer

Acute inpatient care focused on rapid stabilization

Question 7

Why is leisure participation particularly emphasized in mental health occupational therapy?

Accepted Answer

Engagement in meaningful leisure supports recovery, social connection, and quality of life

Answer

Leisure replaces work as the primary occupational area in psychiatric treatment

Answer

Leisure activities are easier for clients to perform than self-care tasks

Answer

Leisure assessment is required for NBCOT certification maintenance