Perspectives & IRM
An OT validates a client’s emotional experience without agreeing or disagreeing with distorted thinking. Which IRM mode is MOST congruent with this interaction?
What is empathizing?
A client continues using a substance despite losing relationships and failing work responsibilities. Which symptom category of SUD does this demonstrate?
What is social impairment?
A child repeatedly blames peers for their own behavior, argues with adults, and displays vindictive behavior for over 6 months. Which diagnosis is MOST likely?
What is Oppositional Defiant Disorder?
Flat affect and avolition are examples of which type of schizophrenia symptoms?
What are negative (absent) symptoms?
In motivational interviewing, which principle is being used when the therapist highlights inconsistencies between the client’s values and current behaviors?
What is a developing discrepancy?
A therapist uses values clarification and meaningful occupations to strengthen identity and motivation for change. Which perspective is MOST aligned with this approach?
What is the humanistic perspective?
A client with bulimia nervosa engages in binge eating followed by excessive exercise and vomiting, yet remains within a normal weight range. What eating disorder is being described?
What is Bulimia Nervosa?
An OT teaches abdominal breathing, visualization, and progressive relaxation before exposing a client to stressful community mobility tasks. Which perspective is primarily guiding intervention?
What is the behavioral perspective?
A client rapidly shifts from idealizing staff members to believing they are harmful and uncaring. What cognitive belief pattern is this called?
What is splitting?
Which stage of change is characterized by ambivalence and weighing the pros and cons of change?
What is contemplation?
A therapist asks strategic questions to help a client generate possible solutions and perspectives about a stressful occupational challenge. Which IRM mode is MOST evident?
What is problem solving?
A therapist helps a client identify irrational beliefs connecting self-worth to body shape and perfectionism. Which intervention perspective is MOST consistent with this strategy?
What is the cognitive beliefs perspective?
A student who has been bullied begins avoiding school, reports headaches, and demonstrates declining grades. These symptoms BEST represent what OT concern area?
What are occupational performance problems affecting social participation and education?
A client in the acute phase of schizophrenia is actively hallucinating and demonstrating disorganized thought processes. Which Allen Cognitive Level is MOST likely?
What is Allen Cognitive Level 3 or 4?
In the seven steps of group activity, which step involves identifying principles learned that apply beyond the activity itself?
What is generalizing?
A therapist intentionally avoids reinforcing perfectionistic thinking by offering multiple acceptable standards for task completion rather than one “correct” outcome. Which IRM mode is being demonstrated?
What is collaborating?
A client with substance use disorder demonstrates denial, impaired impulse control, poor stress management, and difficulty maintaining routines. Name TWO occupational performance problem areas represented.
What are cognitive beliefs, emotion regulation, coping skills, habits/routines, or communication skills? (Any two)
A therapist responds to escalating anger by maintaining a neutral tone, offering choices, positioning near an exit, and avoiding argumentation. Which OT principle is MOST emphasized?
What is proactive anger management/de-escalation?
A client with schizophrenia in the chronic phase struggles with medication management, routines, and recognizing relapse warning signs. Which recovery-oriented intervention approach BEST addresses these concerns?
What is self-management training?
A therapist supports a client in recognizing relapse warning signs, monitoring symptoms, maintaining medication routines, and following structured daily habits. This reflects which major recovery principle?
What is self-management?
A client with severe anxiety states, “If I make one mistake during the presentation, everyone will think I’m incompetent.” The OT uses graded exposure, coping statements, and opportunities for successful performance experiences. Name BOTH intervention perspectives guiding treatment.
What are the behavioral and cognitive beliefs perspectives?
During motivational interviewing, a therapist responds to resistance by saying, “What concerns do you think your family might have about your current substance use?” Which MI principle and stage of change are MOST likely represented?
What are rolling with resistance and contemplation/preparation?
A child with conduct disorder demonstrates aggression, property destruction, and lack of empathy. The OT designs cooperative project groups where peers discuss how behaviors impact others. Explain the PRIMARY therapeutic rationale.
What is increasing self-awareness, empathy, social participation, and understanding consequences of behavior on others?
A therapist working with borderline personality disorder remains calm and consistent, avoids being pulled into “good staff vs bad staff” dynamics, and models that beliefs are not absolute. Which IRM modes are MOST critical in this interaction?
What are problem solving and instructing?
A client recovering from schizophrenia is provided with visual cues, concrete outcomes, and short-term goal-directed activities with opportunities for choice. Which Allen Cognitive Level is being addressed, and why are these strategies appropriate?
What is Allen Cognitive Level 4 because clients benefit from visual cues, concrete tasks, and structured goal-directed activities?