NBCOT COTA Exam Prep: Mental Health
(Adult) Questions and Answers.
cognitive disorders -
\Delirium, dementia, and amnesia.
these disorders are characterized by clinically relevant changes in thinking and memory
in contrast to previous thinking and memory abilities
Aphasia -
\This essential feature of dementia demonstrates the absence or impairment of ability to
communicate through writing, speech, or signs
Apraxia -
\This essential feature of dementia demonstrates the inability to perform purposive
movements without sensory or motor impairment
Agnosia -
\This essential feature of dementia demonstrates the loss of comprehension of visual,
auditory, or other sensations
Loss of executive function -
\This essential feature of dementia demonstrates an impairment in ability to think
abstractly, plan, initiate, sequence, monitor, and stop complex behaviors.
OT interventions for dementia -
\These OT interventions for this cognitive disorder include the following:
a. environmental adaptations for safety
b. caregiver education
c. behavioral intervention to manage fatigue and sleep-wake cycles
substance abuse disorders -
\this category of mental health disorders relates to drug abuse, medications, and other
toxins resulting in a combination of cognitive, behavioral, and physiological symptoms
that lead to addiction and and compulsive actions to obtain desired substances and
maintain ongoing use
OT interventions for substance abuse disorders -
\interventions for this mental health disorder include the following:
a. psychosocial therapies including coping, stress management, and social skills
training
b. cognitive based interventions geared towards increasing client motivation and control
of life
schizophrenia -
,\this mental health disorder is characterized by psychotic symptoms including delusions
and hallucinations
impact of schizophrenia on occupational performance -
\impact of this MH disorder on occupational performance includes:
a. cognitive impairments, including problems with inattention, memory, executive
functions, and screening of relevant v. irrelevant information
b. compromised health and wellness
c. recovery and reintegration hindered by community barriers and social stigma
OT interventions for schizophrenia -
\OT interventions for this mental health disorder include the following:
a. illness management and recovery, including group and individual programs
b. assertive community treatment to provide support and skills training in natural
environments
c. family psychoeducation
d. supported employment
e. integrated dual diagnosis tx for co-occuring mental illness and SA
Typical antipsychotics -
\These antipsychotic medications include the following:
chlorpromazine
haloperidol
fluphenazine
Atypical antipsychotics -
\these medications include the following:
clozapine
risperidone
olanzapine
quetiapine
ziprasidone
aripiprazole
Mood disorders -
\The characteristics of this mental health disorder include feelings of severe and
sustained sadness and hopelessness and contrasting feelings of euphoria, both of
which can alter thinking and behavior in detrimental ways.
Bipolar I -
\this type of bipolar disorder is characterized by one or more manic episodes or mixed
episodes
Bipolar II -
\This type of bipolar disorder is characterized by one or more major depressive
episodes and at least one hypomanic episode
, Cyclothymic disoder -
\This type of bipolar disorder is chronic (lasting 2 years) mood disturbance with
fluctuating hypomanic and depressive symptoms.
impact of mood disorders on occupational performance -
\impact of this MH disorder on occupational performance includes:
a. low self-esteem/motivation levels, compromising completion of daily tasks
b. family/work roles affected by mood
c. daily routines disrupted during manic episodes
d. high work loss rates
OT interventions for mood disorders -
\OT interventions for this MH disorder include:
a. CBT to uncover distorted beliefs and faulty thinking patterns
b. interpersonal psychotherapy to improve interpersonal and psychosocial functioning
pharmacological intervention for depressive disorders -
\pharmacological intervention for this MH disorder include:
a. selective serotonin reuptake inhibitors (SSRIs): citalopram, escitalopram, fluoxetine,
paroxetine, setraline
b. serotonin-norepinephrine reuptake inhibitors: duloxotine, venlafaxine
antidepressants: buproprion, mirtazapine
pharmacological intervention for bipolar disoder -
\pharmacological interventions for this MH disorder include:
a. mood stabilizers: lithium carbonate
b. anticonvulsants: carbamazepine, divalproex sodium, gabapentin
Anxiety disorders -
\This general group of mental health disorders is characterized by panic, stress, and
generalized worry resulting in alteration of behavior, emotions, and cognitive processing
for the purpose of avoiding the associated negative physiological, emotional, and
psychological impact.
impact of anxiety disorders on occupational performance -
\The impact this group of MH disorders has on occupational performance includes the
following:
a. physical impairments, including difficulty responding to stress in PTSD and cardiac
problems in panic disorder
b. cognitive impairments, including difficulty following directions and concentrating
because of hyperaroused states and lowered memory capacity because of trauma
c. psychological impairments, including disruptions in relationships and career
development
OT interventions for anxiety disorders -
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