Group Dynamics and Leadership
A therapist wants to explore emotional reactions members had during the group task. Which Cole step should the therapist guide?
What is Processing?
A client recounts traumatic memories, and the group becomes visibly distressed. The OT guides grounding using sensory awareness. What is the purpose of this?
What is restoring emotional regulation in the present moment?
An OT integrates client interview, caregiver input, and observation data. What evaluation approach is this?
What is triangulation?
A client can follow simple, visible tasks but gets lost when items are not where they are expected to be. Which Allen level is indicated?
What is Level 4 (Goal-directed actions)?
A philosophical shift emphasizing humane treatment and mind–body unity belongs to which historical movement?
What is Moral Treatment?
A newly formed group is polite, cautious, and looking to the therapist for structure. Identify the Tuckman stage and appropriate therapist response.
What is Forming with clear guidance and expectations?
Caregivers with their own trauma histories display inconsistent emotional responses toward their child. The child is at risk of what?
What is intergenerational trauma?
A client’s self-report doesn’t match observed performance. What should the OT do next?
What is consult additional sources to verify and compare information?
What group activity is most suitable for clients at Allen Level 5?
What is trial-and-error problem-solving tasks?
Which movement emphasized the therapeutic value of making things by hand?
What is the Arts and Crafts Movement?
Members cannot link the session’s learning to their daily routines. Which step of Cole’s model is missing?
What is Application?
A client avoids trauma reminders/triggers, has nightmares, and shows hyperarousal. What does this pattern indicate?
What is a PTSD-like response?
Which 4-word assessment best captures self-perceived occupational performance?
What is the Canadian Occupational Performance Measure (COPM)?
A client avoids touch-based activities and becomes distressed by messy textures. Which sensory pattern does this reflect?
What is sensory hyperresponsiveness?
The large-scale release of people from state hospitals in the mid-20th century is known as what?
What is deinstitutionalization?
A group frequently gets sidetracked, with no one summarizing or maintaining focus. Which functional role is absent?
Who is the Coordinator?
A child with multiple ACEs displays difficulty with behavior at school, as evidenced by yelling, crying, and leaving class. What trauma-informed strategy can be used to support the child, where the therapist uses themselves to support down-regularion of the CNS?
What is co-regulation?
Why combine formal and informal assessment methods with adults with SMI?
What is obtaining a comprehensive, context-rich understanding of functioning?
A client repeats the same mistake while learning a new ADL. Which teaching approach would minimize frustration?
What is errorless learning?
A model highlighting autonomy, competence, and relatedness as foundations of motivation is what?
What is Self-Determination Theory?
A group becomes chaotic when a new member arrives and conflict re-emerges. What explains this?
What is regression into Storming due to group system disruption?
A therapist notices resentment and emotional strain when working with trauma-survivors and reflects on personal triggers. What process is this?
What is self-reflection to reduce vicarious trauma and countertransference?
A therapist paraphrases a client’s statements to ensure accurate interpretation. What is this called?
What is reflective listening/reflective accuracy checking?
A client with a history of neurotrauma can successfully follow a structured morning routine at home but becomes disorganized and overwhelmed when attempting similar tasks in a busy community center. Which cognitive concept BEST explains why performance breaks down in the new environment?
What is limited transfer/generalization of skills across contexts due to environmental cognitive load?
An OT student argues that modern practice relies too heavily on symptom reduction and risks neglecting the client’s lived experience and intrinsic motivation. The instructor responds by referencing which theoretical perspective that emphasizes autonomy, personal meaning, and the client’s internal drive as essential to therapeutic engagement?