Test Bank Chapter 32 Families And Family-Focused Practice

Chapter 32: Families and Family-Focused Practice

Multiple Choice

1. Which of the following is most reflective of why occupational therapy practitioners should have an understanding of the family environment and the impact mental illness has on that environment?

a. Recognition that experiences of family members dealing with someone with mental illness are similar allows for the development of standardized family protocols.

b. Family members often interfere with an individual with mental illness seeking appropriate treatment.

c. Interventions for family members are readily available.

d. Recognition that caring for someone with mental illness can be distressing, and this can impact the health and well-being of other family members.

Topic: Introduction

LO: 32.1

2. Carole’s son was diagnosed with schizophrenia 15 years ago. He has been in and out of the hospital five times. When discharged, her son takes his medication regularly and his symptoms are controlled. About a year after discharge, when he is feeling good, he stops taking his medication thinking he doesn’t need it. Slowly, his symptoms of hallucinations and delusions return. He stops caring for himself and can become violent toward his family members. In addition to the stress of watching her son decompensate, Carole also experiences heightened stress at having to hospitalize him. She reports that she never really relaxes because even when her son is on his medication she worries about when he will stop taking his medication and is always on alert watching for the return of symptoms. This can best be described as _________.

a. Objective burden

b. Subjective burden

c. Family resilience

d. Family culture

Topic: Overview of the Family

LO: 32.3

3. Which of the following best explains why it is important to use a life-span developmental perspective when working with a family dealing with mental illness?

a. It alleviates objective burden.

b. It alleviates subjective burden.

c. It allows the practitioner to consider the roles of different family members.

d. It helps identify family resilience.

Topic: Life Span and Occupations of Families: A Developmental Perspective

LO: 32.3

4. Which of the following best represents occupational therapy’s conceptualization of family?

a. It is a linear social system.

b. There are both shared occupations and coordinated individual activities that occur within a family.

c. It is comprised of those who are related and live in the same household.

d. The main objective is to establish and sustain the diagnosed individual’s roles and routines.

Topic: Overview of the Family

LO: 32.4

5. You have been working with Larry, who is 45 and was diagnosed with depression 10 years ago. He has had minimal response to treatment. Because his family has been experiencing both subjective and objective burden, you begin to have family sessions with the goal of increasing the family’s health and well-being by facilitating changes within the family unit to increase participation in valued occupations, while still supporting Larry. As you begin working with the family, you want to acknowledge the family’s strengths as well as their vulnerabilities, increase the family’s understanding of mental illness, and connect them with resources that will support all family members. Which framework does this best represent?

a. Model of Human Occupation

b. Canadian Model of Occupational Performance and Engagement

c. Family Development Framework

d. Recovery Framework

Topic: Frameworks for Family-Focused Practice

LO: 32.4

6. Which of the following best reflects the role an occupational therapy practitioner should assume when collaborating with a family of someone with mental illness?

a. Assume the doctor has explained the mental illness and treatment options.

b. Listen without judgment when the family is experiencing frustration.

c. Recognize your expertise in the area of mental illness and how you can effectively help the family navigate through the daily challenges of caring for someone with a mental illness.

d. The practitioner should identify the goals for the collaboration and the plan to achieve these goals.

Topic: Collaboration in Family-Focused Practice

LO: 32.5

7. As an occupational therapy practitioner, you decide you want to gather information to generate a family occupational profile. You want to use a tool that will allow the family to identify their occupational choices, co-occupations, family routines, and information regarding the influence of social and physical environmental influences on the family. Which tool would you choose?

a. Role checklist

b. Involvement evaluation questionnaire

c. Occupational performance history interview

d. Family burden interview schedule

Topic: Assessment

LO: 32.6

8. You have been asked to work with a family who has been experiencing increased stress and overall decreased occupational engagement. You decide to use an approach that would allow you to provide information about coping and stress management skills and how to use these skills while engaged in meaningful activities and occupations. Which family education approach does this best represent?

a. Family psychoeducation

b. Family consultation

c. Family support group

d. Family peer education support group

Topic: Information Sharing and Education

LO: 32.7 & 32.8

9. After working with the family from Question 8, you think they would benefit from talking to other families who have dealt with mental illness. You hope that this type of intervention will not only help the family gain more information related to how to cope with mental illness, but also allow the family to find support from people who have had similar experiences. Which family education approach does this best represent?

a. Family psychoeducation

b. Family consultation

c. Family support group

d. Family peer education support group

Topic: Information Sharing and Education

LO: 32.7 & 32.8

10. Which of the following terms most accurately describes the term “family”?

a. Blood relative

b. Relative through marriage

c. Someone who is part of the person’s social network

d. Someone who lives in the same household

e. Someone who is known to the person

Topic: Overview of the Family

11. When a family member is diagnosed with a mental illness, the family can experience feelings of grief, loss, and despair through a prolonged period of time. This emotional response is commonly referred to as _____________.

a. The grieving process

b. Subjective burden

c. Familial depression

d. Objective burden

e. Emotional burden

Topic: Emotional Responses

12. Which of the following most accurately describes the term “family resilience”?

a. The strength of relationships within families

b. How well the family helps the person who is unwell

c. The successful coping of families during life transitions, stress, or adversity

d. How well a family understands mental illness

e. How well family members manage an illness

Topic: Family Culture as Context