Verified Test Bank State Hospitals Chapter 40 nan

Chapter 40: State Hospitals

Multiple Choice

1. Which of the following most accurately reflects involuntary civil commitment to a state mental health hospital?

a. An individual recognizes he or she needs to be hospitalized for his or her psychiatric symptoms.

b. The courts order an individual to be hospitalized because the person is a danger to himself or herself, or others.

c. The courts order an individual to be hospitalized because he or she has been accused of committing a crime but is not competent to stand trial.

d. An individual is accused of civil disobedience.

Topic: Overview of State Hospitals in the United States

LO: 40.1

2. Which of the following most accurately reflects the role of the occupational therapy practitioner in state hospitals?

a. Focus on addiction services

b. Focus on vocational services

c. Focus on skill development to promote successful community reintegration

d. Focus on forensic services

Topic: The Treatment Team

LO: 40.3

3. Identify which of the following best reflects an administrative opportunity for an occupational therapy practitioner working in a state hospital.

a. Provide services based on the Recovery Model

b. Implement a vocational skills development group

c. Advocate for consumer needs on the strategic planning committee

d. Serve as a liaison between the state hospital and community mental health center

Topic: The Role of Occupational Therapy

LO: 40.4

4. Daily observations of an individual’s behavior in the milieu and in group therapy can best be described as_________.

a. Initial evaluation

b. Informal reevaluation

c. Formal reevaluation

d. Discharge evaluation

Topic: Evaluation

LO: 40.5

5. Which of the following is a consideration occupational therapy practitioners should be aware of when evaluating individuals in a state hospital?

a. Individuals may have physical disabilities as well as psychiatric disabilities.

b. Individuals who are deaf should be evaluated using written self-assessments.

c. Many individuals in state hospitals have lower extremity injuries caused by self-injurious behaviors.

d. Individuals should always be evaluated in the presence of security personnel because of safety concerns.

Topic: Evaluations

LO: 40.5

6. When individuals who have experienced long-term hospitalizations are preparing for discharge, which of the following is the most beneficial intervention approach for occupational therapy practitioners?

a. Increasing impulse control

b. Establishing medication routine

c. Addressing reality orientation

d. Developing functional living skills

Topic: Interventions

LO: 40.6

7. Group interventions in state hospitals present opportunities and challenges. Which of the following is the most beneficial aspect of groups for hospitalized individuals?

a. It is an efficient way to deliver interventions when staffing is limited.

b. It provides opportunities for group members to engage in social participation.

c. It allows practitioners to deliver interventions to a larger number of individuals than would be allowed by one-to-one interventions.

d. It allows practitioners to address each client’s individual goals.

Topic: Limitations of Context

LO: 40.7

8. Which of the following research findings supports the use of sensory approaches in inpatient psychiatric facilities?

a. It has been shown to reduce the use of seclusion and restraints.

b. It has been shown to increase social participation.

c. It has been shown to decrease recidivism rates.

d. It has been shown to increase staff morale.

Topic: Sensory Approaches

LO: 40.8

9. The best example of a Recovery Model-focused treatment intervention is which of the following?

a. Development of the treatment plan based on patient deficits

b. Allowing clients to choose the menu during a cooking group

c. Treatment team providing the client with a preestablished group schedule

d. Purchasing a coat for a client without asking for hi or her preference in style or color

Topic: Interventions

Rationale: Interventions in the Recovery Model are focused on providing individuals with choice, which is focused on strengths supporting them in achieving self-identified goals and empowering them to make decisions and do for themselves. Occupational therapists must help clients maximize individuality and offer choice.

10. Which adjunctive treatment team members work to assist in the development of the worker role in teaching and reinforcing work habits and behaviors?

a. Social workers

b. Addiction counselors

c. Vocational adjustment services

d. Certified therapeutic recreation specialists

Topic: The Treatment Team

Rationale: Vocational adjustment services teach basic job-related skills and provide feedback regarding work attitudes, working relationships, and habits. These staff members work in conjunction with the treatment team to assist and support transition to working within the community upon discharge.

11. The treatment mall approach provides clients with which of the following?

a. A decentralized structure of programming that allows the client to have more choice in the programming attended

b. Ward-based groups and treatment sessions

c. Smaller groups because of lower participation rates

d. Social isolation and dependence upon staff

Topic: Group Intervention

Rationale: Treatment malls are based on the psychoeducational model and clients participate in groups designed to assist in improving life skills. They are typically held in locked buildings away from where the clients live and are integrated with other wards for increased social interaction. Typical treatment malls run on a rotational 12-week style in which treatment interventions are altered, offering new selections for patients at designated intervals.