OT Mental Health & Psychosocial OT 1 — Questions and Answers
Question 1: Which frame of reference guides OT practice for clients with mental illness by focusing on the relationship between occupation and mental health?
- Model of Human Occupation (MOHO) (Correct answer)
- Biomechanical Frame of Reference
- Neurodevelopmental Treatment
- Sensory Integration Frame of Reference
Correct answer: Model of Human Occupation (MOHO)
MOHO explains how volition, habituation, and performance capacity interact with the environment to influence occupational participation and mental health.
Question 2: A client with schizophrenia demonstrates negative symptoms. Which negative symptom is most commonly addressed by OT?
- Avolition (lack of motivation to initiate tasks) (Correct answer)
- Hallucinations
- Delusions of grandeur
- Thought disorganization
Correct answer: Avolition (lack of motivation to initiate tasks)
Avolition is a negative symptom that directly impairs ADL initiation; OT uses structured routines and motivation-building interventions.
Question 3: The COPM (Canadian Occupational Performance Measure) is most useful in mental health OT because it:
- Identifies client-perceived occupational performance problems and satisfaction (Correct answer)
- Measures cognitive status objectively
- Provides a standardized psychiatric diagnosis
- Rates ADL function on a 7-point FIM scale
Correct answer: Identifies client-perceived occupational performance problems and satisfaction
COPM is client-centered, allowing individuals to identify their own priority occupational issues and rate performance and satisfaction.
Question 4: A client with borderline personality disorder is admitted to inpatient psychiatry. The OT's INITIAL assessment should focus on:
- Occupational functioning, daily routine, and coping skill repertoire (Correct answer)
- Muscle strength and range of motion
- Cognitive deficits using standardized cognitive battery
- Social history only, deferring all assessment to psychiatry
Correct answer: Occupational functioning, daily routine, and coping skill repertoire
OT's initial psychiatric assessment focuses on occupational functioning, daily routines, and current coping strategies to guide group and individual intervention.
Question 5: Which group therapy format is MOST consistent with OT's occupational therapy process in a community mental health setting?
- Skills training group using actual ADL tasks (Correct answer)
- Insight-oriented verbal psychotherapy group
- Pharmacology education group led by a pharmacist
- Diagnostic education group focusing on DSM criteria
Correct answer: Skills training group using actual ADL tasks
OT groups in community mental health use actual task performance to develop and practice functional daily living skills.
Question 6: Which OT assessment tool is specifically designed to evaluate the daily living skills of adults with psychiatric disabilities?
- KELS (Kohlman Evaluation of Living Skills) (Correct answer)
- AMPS
- Sensory Profile
- Nine-Hole Peg Test
Correct answer: KELS (Kohlman Evaluation of Living Skills)
KELS assesses basic living skills including self-care, safety, money management, and community access in adults with psychiatric conditions.
OT Mental Health & Psychosocial OT 1
Which frame of reference guides OT practice for clients with mental illness by focusing on the relationship between occupation and mental health?