Ch37 Early Psychosis Programs For Adolescents And Test Bank

Chapter 37: Early Psychosis Programs for Adolescents and Young Adults

Multiple Choice

1. Identify the most important reason why early psychosis programs focus on the prodrome and first episode psychosis periods as it relates to occupational therapy.

a. It can prevent a full-blown psychotic episode.

b. It can prevent the progression of symptoms into a diagnosable mental illness.

c. This is the period where the majority of functional decline occurs.

d. It allows for the diagnosis of attenuated psychotic symptoms.

Topic: Overview of Early Psychosis

LO: 37.1

2. Evidence suggests that recovery-oriented early psychosis programs result in which of the following?

a. No improvements in symptoms or functioning

b. Improvements in symptoms but not functioning

c. Improvements in functioning but not symptoms

d. Improvements in symptoms and functioning

Topic: Overview of Early Psychosis

LO: 37.2

3. Initiatives that focus on public education campaigns, targeted education for high-risk groups, and increasing awareness of cultural contexts represent which core principle of early psychosis programs?

a. Promoting recovery

b. Increasing public awareness and decreasing stigma

c. Family engagement and support

d. Practitioner training

Topic: Core Principles and Components of Early Psychosis Programs

LO: 37.2

4. Identify the most important reason for acceptance of a clinical staging approach to early psychosis.

a. It predicts the potential progression of symptoms into a full-blown psychosis.

b. It predicts potential functional impairments.

c. It facilitates reimbursement.

d. It helps determine the most effective treatment approach.

Topic: The Clinical Staging Approach

LO: 37.3

5. Identify the most important reason for occupational therapy practitioners to be involved in early psychosis programs.

a. They help clients maintain a sense of self through ongoing engagement in meaningful roles and activities.

b. They help clients develop performance skills.

c. They help identify client factor impairments.

d. They help with environmental adaptations.

Topic: Role of Occupational Therapy

LO: 37.4

6. Evidence indicates that individuals at clinical high risk for psychosis displayed patterns of higher scores in low registration, sensation sensitivity, and sensation avoiding and lower scores in sensation seeking. Which model was this research based on?

a. Person-Environment-Occupation

b. Model of Human Occupation

c. Dunn’s Model of Sensory Processing

d. Canadian Model of Occupational Performance

Topic: Models of Practice

LO: 37.5

7. You are a practitioner working in an early intervention program using the Model of Human Occupation to guide your practice. You are interested in using an assessment to examine how an individual perceives his own competence in daily occupations and how important these occupations are to the individual. Which assessment would you choose?

a. Occupational self-assessment

b. Canadian occupational performance measure

c. Structured interview for prodromal syndromes

d. Occupational circumstances assessment interview and rating scale

Topic: Assessments

LO: 37.6

8. Which of the following is the most important reason for implementing group interventions when working with adolescents and young adults?

a. They are a cost efficient way to deliver interventions.

b. They promote social skills functioning in clients.

c. They highlight the homogeneity of client issues.

d. They can address a broad array of client issues.

Topic: Interventions

LO: 37.7

9. Psychotic disorders typically have their onset during what age range?

a. 5 to 15 years old

b. 10 to 20 years old

c. 15 to 25 years old

d. 20 to 30 years old

Topic: Overview of Early Psychosis

10. In the clinical staging approach to treating first episode psychosis, which stage includes help-seeking, mild symptoms of psychosis, neurocognitive deficits, and mild functional impairment?

a. Stage 0–Increased risk of psychosis

b. Stage 1–Possible prodrome

c. Stage 2–First episode psychosis or mood disorder

d. Stage 3–Recurrent or persistent disorder

e. Stage 4–Severe, persistent, and unremitting illness

Topic: Overview of Early Psychosis

11. Which of the following early psychosis interventions has a primary focus on teaching problem-solving skills?

a. Multifamily group

b. Case management

c. Community integration

d. Supported employment

Topic: Early Psychosis Programs

12. The occupational therapist is the only team member on an early psychosis program team to evaluate which of the following factors?

a. Person-Environment-Occupation interaction

b. Cognition

c. Social skills

d. School/employment performance

Topic: Early Psychosis Programs

13. You are working in an early psychosis program and meet with a new client, Jesus, and his family for an initial interview. In discussions with Jesus and his family, you discover that he tends to stay in his room with the lights dimmed and has dropped out of many of the activities he used to participate in at school. You have reports from his teachers that his grades have been dropping and that Jesus appears to be having difficulty staying awake and focusing in lecture classes but that he becomes somewhat reactive and irritable in his large laboratory class, which is very physically busy and loud. When you perform the adolescent/adult sensory profile with Jesus, which sensory processing pattern are you likely to see?

a. High scores in low registration, sensory sensitivity, and sensation avoidance with low scores in sensation seeking

b. High scores in low registration and sensation seeking with low scores in sensation avoidance and sensation seeking

c. Low scores in low registration and sensory seeking with high scores in sensation avoiding and sensory sensitivity

d. Average scores in low registration, sensation seeking, and sensation avoiding but high scores in sensory sensitivity

Topic: Assessment