Stages of Change
CO-OP
Chaining
Health Interventions/ Emotions
Disability Studies
100

What is this describing? “ Person may feel like a failure, resume old behaviors, feel like they are no good and experience disappointment”

Relapse

100

What metacognitive function is the first step of the CO-OP model?

Self-interrogation 



100

What is chaining?

Reinforcing each action involved with a task that involves a series of actions

100

 In public health interventions, what is tertiary?

Prevention that refers to prevention of complications in persons known to be ill

100

In disabilities studies “succeeding to appear ‘normal’” is also known as

Passing

200

Explain the difference between a slip vs. a relapse

Relapse is a full change of behavior back into old habits and a slip is a temporary “treat yourself day” and they did not go back into old behaviors

200

 What are the 3 skills or goals for the client prerequisites in the CO-OP model?

Language Fluency

 Cognitive Ability

Behavioral Responsiveness



200

What type of chaining does the therapist perform all the steps with the client besides the last one?

Backward chaining

200

Heart failure screenings, mammograms, pap smears, and preventative screenings and services are examples of what public health intervention?

Secondary preventative services

200

What is a dominant culture within a society?

A dominant culture is the group whose members are in the majority or who wield more power than other groups

300

How long do you have to sustain a changed behavior for it to be considered in the maintenance stage?

6 months or more

300

 In the CO-OP model what prerequisite skills would a therapist follow or have? Name two pre-requisite.

 Client-centered

Understanding of disabilities

Manage clients behaviors

 Effective communication skills

  Skilled at activity analysis

  Basic understanding of learning theories

  Ability to work with caregivers 



300

 What type of chaining would a client need to initiate the first step of an activity, and then a therapist would help to complete the remaining steps with them?

Forward chaining

300

During the COVID-19 pandemic a universal vaccination was made readily available to the public to prevent the onset of illness. This is an example of what public health intervention?

 Primary/Universal

300

Downplaying or re-assigning symptoms would be what?

Covering

400

Jim has decided for their new resolution that they want to start going to the gym. Jim called around to do some research about different gym prices and to check out their amenities. Jim decided to purchase one of the gym memberships and bought all of the necessary starting equipment (new clothes, protein powder, and supplements). What stage of change is Jim currently in?

Preparation

400

A therapist is working with the client and observing them making mac and cheese independently. After completing the activity the client states “I don't think the noodles were done all the way”. What metacognitive function of CO-OP is this example?

Self-evaluation and self-reinforcement

400

The therapist is working with the client to work on brushing their teeth. The therapist starts to go through the steps with the client in order to complete the activity. The last step is then completed by the client without the therapist's help. What type of chaining is this?

Backward chaining

400

What is self-management?

How people take care of themselves and life choices that enable them to continue doing what they love to do

400

Speaking a different language in the United States would be considered a _____ within our culture.

Subculture

500

 List stages of change in order

Pre-contemplation

 Contemplation

 Preparation

  Action

Maintenance

Termination 



500

 If a patient came in with a diagnosis of a TBI what client prerequisites of CO-OP would a therapist utilize when developing intervention plans? This client happens to be a lawyer and needs to have a good memory to be able to look over important documents.

Cognitive ability

500

Kendall Jenner is working with an OT to learn how to cut a cucumber. The therapist does not initiate the first step and asks her “What would you do first?”. After Kendall initiates the first step the therapist then completes the rest of the steps with her. What type of chaining would this be?

Forward chaining

500

Why is it important for people to have self management?

 It allows people to engage and participate in the meaningful and necessary occupations throughout everyday life and to become more independent

500

Bob (from Bob’s Burgers) is suffering from anxiety and depression. He always jokes around that one day he will have a heart attack because of his anxiety. What is Bob doing?

 Covering

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