TEST BANK
Occupational Therapy in Mental Health: A Vision for
Participation
Catana Brown, Jaime Phillip. Muñoz, and Virginia C. Stoffel
3rd Edition
,Table of Contents
Chapter 01 Occupational Therapy Practice Across the Mental Health Continuum 1
Chapter 02 Recovery and Wraparound Models 3
Chapter 03 Person-Environment-Occupation Model 6
Chapter 04 Person-Centered Evaluation 13
Chapter 05 Trauma-Informed Practice 15
Chapter 06 Evidence-Based Practice 17
Chapter 07 Cognition 19
Chapter 08 Cognitive Beliefs 22
Chapter 09 Sensory Processing and the Lived Sensory Experience 24
Chapter 10 Coping and Resilience 26
Chapter 11 Motivation 28
Chapter 12 Emotion Regulation 31
Chapter 13 Communication and Social Skills 34
Chapter 14 Time Use and Habits 36
Chapter 15 Pain 38
Chapter 16 Acquired Physical Disability and Mental Health 41
Chapter 17 Chronic Health Conditions and Mental Health 43
Chapter 18 Anxiety Disorders 45
Chapter 19 Eating Disorders 47
Chapter 20 Mood Disorders 48
Chapter 21 Obsessive Disorders 50
Chapter 22 Personality Disorders 52
Chapter 23 Schizophrenia Spectrum and Psychotic Disorders 55
Chapter 24 Substance Related and Addictive Disorders 57
Chapter 25 Trauma and Stressor-Related Disorders 59
Chapter 26 The Public Policy Environment 61
Chapter 27 Mental Health Stigma and Sanism 63
Chapter 28 Social Determinants and Mental Health 65
Chapter 29 Families 67
Chapter 30 Natural Environments 69
Chapter 31 The Home Environment-Permanent Supportive Housing 71
Chapter 32 The Neighborhood and Community 73
Chapter 33 Virtual Environments 76
Chapter 34 Integrated Behavioral Health and Primary Care 78
Chapter 35 Practice Across the Continuum of Service Needs 80
Chapter 36 Early Intervention-A Practice Setting for Early Childhood Mental Health 82
Chapter 37 School Mental Health 85
Chapter 38 Early Psychosis Programs for Adolescents and Young Adults 87
Chapter 39 Peer-Led Services 91
Chapter 40 Criminal Justice Systems 93
Chapter 41 State Hospitals 95
,Chapter 42 Homelessness and Housing Insecurity 98
Chapter 43 Serving Veterans and Service Members 100
Chapter 44 Addressing Suicide Across the Continuum 102
Chapter 45 Self-Care and Well-Being Occupations 105
Chapter 46 Activities of Daily Living, Instrumental Activities of Daily Living, and Health
Management Occupations 108
Chapter 47 Work and Volunteer Occupations 110
Chapter 48 Connectedness and Belonging 112
Chapter 49 Play 114
Chapter 50 Leisure and Creative Occupations 116
Chapter 51 Sleep 118
Chapter 52 Spiritual Occupations 120
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
Chapter 1: Occupational Therapy Practice Across the Mental Health Continuum
Test Bank Questions
1. The number of people experiencing mental health conditions has increased for many
reasons. The Minority Stress Theory attempts to explain the prevalence of mental health
conditions for marginalized people by proposing
a. People from certain ethnic groups are biologically predisposed to mental illness.
b. People in marginalized groups are exposed to greater discrimination and social
stressors, which results in higher levels of mental and physical illness.
c. People from marginalized groups are better able to manage their stress and
consequently experience fewer instances of mental illness.
ANS: B OBJ: LO: 1-1
2. Which of the following best characterizes the global state of mental illness/mental wellness?
a. Because of increased knowledge of mental health conditions, fewer people are
experiencing mental illness.
b. Most people experiencing mental health issues are able to receive evidence-based
interventions.
c. An appreciation for the importance of self-care has led to a decrease in mental
health concerns.
d. People are currently experiencing a global mental health crisis because of issues
associated with the COVID-19 pandemic, social media, climate change, and
discrimination.
ANS: D OBJ: LO: 1-1
3. Which historical movement led to a greater appreciation for the health benefits associated
with manual occupations/handiwork?
a. The Arts and Crafts Movement
b. The Industrial Revolution
c. The Labor Movement
d. Women’s Suffrage
ANS: A OBJ: LO: 1-2
4. The Recovery Model in mental health was initiated by
a. OTPs working in both hospital and community-based mental health settings
b. Consumers and survivors of the mental health system
c. Political leaders interested in reforming mental health care and mental health
systems
d. Members of the Psychiatric Rehabilitation Association
ANS: B OBJ: LO: 1-2
5. One of the challenges for occupational therapy in mental health is associated with the
financing of mental health services. Most health-care spending goes toward what type of
mental health care?
a. Prevention of mental illness
b. Promotion of mental wellness
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
c. Acute hospital care for mental illness
d. Community-based mental health care
ANS: C OBJ: LO: 1-3
6. Occupational therapy practitioners address psychosocial needs
a. Primarily in psychiatric hospital settings
b. Every setting that provides occupational therapy services
c. Only when working with someone with a psychiatric diagnosis
ANS: B OBJ: LO: 1-4
7. The mental health continuum is best characterized by which of the following?
a. Positive emotions, healthy relationships, and meaningful activity versus serious
mental illness and lack of participation
b. Psychiatric symptoms versus no psychiatric symptoms
c. Living independently versus being unhoused
ANS: A OBJ: LO: 1-1
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
Chapter 2: Recovery and Wraparound Models
Test Bank Questions
1. What is occupational therapy’s key contribution supporting mental health?
a. Participation
b. Many pathways
c. Natural supports
d. Unconditional care
ANS: A OBJ: LO: 2-5
2. Sheree is a person with a history of major depression. She reports that her mood is now
stable, and she wants to focus on increasing her well-being. What does the concept of
mental well-being address for persons living with mental illness?
a. Treatment for psychiatric symptoms
b. Clinical recovery
c. Languishing
d. Capacity to reach full potential
ANS: D OBJ: LO: 2-2
3. Frank lives with schizophrenia. He tells you that he has had a hard several years but that his
experience has taught him a lot. What concepts best describe persons who are experiencing
resilience within their lives?
a. Functional improvement
b. Thriving and rising
c. Symptom management
d. Respect from peers
ANS: B OBJ: LO: 2-1
4. Henry has been diagnosed with bipolar disorder and has been struggling in school. He
became frustrated in class and the school resource officer was called to intervene. Instead of
leaning into behavioral consequences, what wraparound principle would best support a
better alternative?
a. Strengths-based interventions
b. Focus on functional improvement
c. Teams decide what are needed services
d. Self-management of emotional feelings
ANS: A OBJ: LO: 2-6
5. What is the perspective guiding services in the public health model?
a. Interventions are time-limited to address persons in acute crisis.
b. Support of mental well-being is available for persons with or without mental
illness.
c. Interventions are available for persons with diagnosed mental illness or substance
use.
d. Mitigating clinical symptoms is the priority for all persons.
ANS: B OBJ: LO: 2-8
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
6. Shirley has a history of trauma and has started participating in an occupation-based
community group. Which public health tier(s) addresses mental well-being of persons at risk
for mental illness?
a. Tier 1/universal and tier 3/intensive
b. Tier 3/intensive
c. Tier 2/targeted and tier 3/intensive
d. Tier 2/targeted
ANS: D OBJ: LO: 2-8
7. Betty presents in an agitated state and tells you she feels frustrated because no one is
listening to what she is saying. How do practitioners benefit from listening to individual
lived experiences?
a. Understanding measurable limitations in occupational performance
b. Recognizing the value of practitioner-driven intervention planning
c. Offering respect and hope for personal recovery journeys
d. Addressing functional recovery as a priority for recovery
ANS: C OBJ: LO: 2-3
8. Which dimension of recovery best aligns with the Substance Abuse and Mental Health
Services Administration’s dimension of wellness?
a. Community
b. Purpose
c. Spirituality
d. Health
ANS: D OBJ: LO: 2-4
9. What does occupational therapy’s partnership with the public health model emphasize?
a. Recovery focused solely on individuals
b. Occupational engagement and participation
c. Functional improvement in self-care and health management
d. Crisis intervention and symptom management
ANS: B OBJ: LO: 2-5
10. Jerry is a 9-year-old boy with significant behavioral problems. Which of the following is the
best role for occupational therapy practitioners in tier 3/intensive services for children and
youth?
a. Primary service providers within inpatient settings
b. Case managers driving determination of appropriate services
c. Wraparound team facilitators guiding strengths-based approaches
d. Providers of community and population wellness services
ANS: C OBJ: LO: 2-6
11. What tier 2/targeted impacts can result from occupational therapy’s roles in developing a
recovery-oriented workforce?
a. Identifying barriers and offering solutions for community integration
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
b. Educating other providers about negative impacts of social isolation
c. Providing services that assist persons to improve skills for community living
d. Encouraging mental wellness for all persons in society
ANS: A OBJ: LO: 2-8
12. What advocacy role may occupational therapy practitioners perform to improve mental
health or substance use services?
a. Educating policy leaders and funders about benefits of occupational therapy in
recovery-oriented services
b. Promoting medical approaches to mental illness and substance use disorders
c. Delivering interventions for children and youth with severe emotional disturbance
d. Negotiating for spaces to provide services in inpatient and community settings
ANS: A OBJ: LO: 2-7
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
Chapter 3: Person-Environment-Occupation Model
Test Bank Questions
1. What is the Person-Environment-Occupation model? (select the best answer)
a. A model used in practice to measure the success of people engaging in occupations
in specific environments
b. A systematic strategy used by therapists to think about people engaging in
occupations in specific environments
c. A systematic way to think about and understand complex occupational
participation issues a person experiences
d. A systematic way to analyze a person’s impairments and disabilities in current
occupational therapy practice
ANS: C OBJ: LO: 3-1
2. Occupational therapy practice has evolved and changed over the past 25 to 30 years. What
new concept is able to be integrated and understood with the
Person-Environment-Occupation model? (select the best answer)
a. Occupations are categorized as self-care, productivity, and leisure.
b. Occupational performance is the primary outcome for occupational therapy.
c. All OTPs work in a person-centered rehabilitation framework.
d. Intersectionality refers to forms of oppression that shape people’s identities and
limit occupational opportunities.
ANS: D OBJ: LO: 3-1
3. What is not a key theoretical principle underpinning the Person-Environment-Occupation
model?
a. Occupation is contextually situated and culturally linked.
b. Environments can press or have supporting/constraining effects on occupational
participation.
c. People are not “one size fits all”; they have diverse meanings about occupation and
life experiences.
d. Occupational participation is dependent on the person’s abilities and motivation.
ANS: D OBJ: LO: 3-1
4. The Person-Environment-Occupation (PEO) model is a transactive model. This concept is
used to explain the multiple complex PEO relationships. How is the concept “transactive”
illustrated when cooking a meal? (select the best answer)
a. The meal’s success influences and is influenced by the person cooking; it
influences and is influenced by elements in the environment such as the equipment
and the family eating the meal; and it influences and is influenced by the
occupational demands of cooking over time.
b. The meal’s success influences the person cooking; it influences elements in the
environment such as the equipment and the family eating the meal; and it
influences the occupation of cooking over time.
c. The meal’s success is influenced by the person cooking; it is influenced by
elements in the environment such as the equipment and the family eating the meal;
and it is influenced by the occupational demands of cooking over time.
______________________________________________________________________________________________
6|Page
, ______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
d. The person cooking determines the meal’s success using a particular approach that
follows a recipe with prescribed equipment for cooking the meal while cooking in
a particular environment.
ANS: A OBJ: LO: 3-2
5. The concept of “just right” challenges refers to when the perceived challenges match the
individual level of skill for that particular activity in that particular environment.
Practitioners use this concept to create situations for the person’s successful occupational
participation. Using the Person-Environment-Occupation model, practitioners can identify
and understand when people may experience “just right” challenges. Which of the following
best describes a “just right” challenge cooking experience?
a. A person feels overwhelmed and frustrated when they try to cook a meal from
memory by themselves in a friend’s strange kitchen under time pressure.
b. A person feels grounded and loses sense of time cooking a meal to their
satisfaction. They selected a comfort food that they have cooked many times
before from memory. Their friend is available to help them navigate the strange
kitchen.
c. A person feels confident and then frustrated when the mixed ingredients do not
hold together. The person is challenged to problem-solve how to create the right
consistency and does not have access to the internet or a knowledgeable friend.
d. A person feels confident while cooking a meal and becomes dissatisfied when a
key piece of equipment (blender) is unavailable and they have to make do with a
masher. The person views the meal as substandard.
ANS: B OBJ: LO: 3-2
6. OTPs are in positions of privilege and power. People experience different forms of systemic
oppression limiting occupational participation (e.g., ableism, ageism, racism, colonialism).
All human beings have a right to occupational participation. How can practitioners best
support that right using the Person-Environment-Occupation (PEO) model?
a. Use an intersectional lens to consider forms of systemic environmental oppression
and codesign with the person potential environmental interventions to create
occupational opportunities.
b. Use an intersectional lens to consider all forms of oppression influencing
transactive PEO relationships and codesign with the person potential occupational
opportunities.
c. Use an intersectional lens to consider forms of systemic environmental oppression
and create environmental interventions to support occupational engagement.
d. Reflect on the person’s experiences of oppression by considering how all forms of
oppression influence transactive PEO relationships.
ANS: B OBJ: LO: 3-2
7. What are the main components of the Person-Environment-Occupation model? (select the
best answer)
a. Patient, environment, occupation, occupational performance
b. Person, socioeconomic environment, occupation, occupational performance
c. Person, environment, activities, occupational participation
d. Person, environment, occupation, occupational participation
______________________________________________________________________________________________
7|Page
Occupational Therapy in Mental Health: A Vision for
Participation
Catana Brown, Jaime Phillip. Muñoz, and Virginia C. Stoffel
3rd Edition
,Table of Contents
Chapter 01 Occupational Therapy Practice Across the Mental Health Continuum 1
Chapter 02 Recovery and Wraparound Models 3
Chapter 03 Person-Environment-Occupation Model 6
Chapter 04 Person-Centered Evaluation 13
Chapter 05 Trauma-Informed Practice 15
Chapter 06 Evidence-Based Practice 17
Chapter 07 Cognition 19
Chapter 08 Cognitive Beliefs 22
Chapter 09 Sensory Processing and the Lived Sensory Experience 24
Chapter 10 Coping and Resilience 26
Chapter 11 Motivation 28
Chapter 12 Emotion Regulation 31
Chapter 13 Communication and Social Skills 34
Chapter 14 Time Use and Habits 36
Chapter 15 Pain 38
Chapter 16 Acquired Physical Disability and Mental Health 41
Chapter 17 Chronic Health Conditions and Mental Health 43
Chapter 18 Anxiety Disorders 45
Chapter 19 Eating Disorders 47
Chapter 20 Mood Disorders 48
Chapter 21 Obsessive Disorders 50
Chapter 22 Personality Disorders 52
Chapter 23 Schizophrenia Spectrum and Psychotic Disorders 55
Chapter 24 Substance Related and Addictive Disorders 57
Chapter 25 Trauma and Stressor-Related Disorders 59
Chapter 26 The Public Policy Environment 61
Chapter 27 Mental Health Stigma and Sanism 63
Chapter 28 Social Determinants and Mental Health 65
Chapter 29 Families 67
Chapter 30 Natural Environments 69
Chapter 31 The Home Environment-Permanent Supportive Housing 71
Chapter 32 The Neighborhood and Community 73
Chapter 33 Virtual Environments 76
Chapter 34 Integrated Behavioral Health and Primary Care 78
Chapter 35 Practice Across the Continuum of Service Needs 80
Chapter 36 Early Intervention-A Practice Setting for Early Childhood Mental Health 82
Chapter 37 School Mental Health 85
Chapter 38 Early Psychosis Programs for Adolescents and Young Adults 87
Chapter 39 Peer-Led Services 91
Chapter 40 Criminal Justice Systems 93
Chapter 41 State Hospitals 95
,Chapter 42 Homelessness and Housing Insecurity 98
Chapter 43 Serving Veterans and Service Members 100
Chapter 44 Addressing Suicide Across the Continuum 102
Chapter 45 Self-Care and Well-Being Occupations 105
Chapter 46 Activities of Daily Living, Instrumental Activities of Daily Living, and Health
Management Occupations 108
Chapter 47 Work and Volunteer Occupations 110
Chapter 48 Connectedness and Belonging 112
Chapter 49 Play 114
Chapter 50 Leisure and Creative Occupations 116
Chapter 51 Sleep 118
Chapter 52 Spiritual Occupations 120
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
Chapter 1: Occupational Therapy Practice Across the Mental Health Continuum
Test Bank Questions
1. The number of people experiencing mental health conditions has increased for many
reasons. The Minority Stress Theory attempts to explain the prevalence of mental health
conditions for marginalized people by proposing
a. People from certain ethnic groups are biologically predisposed to mental illness.
b. People in marginalized groups are exposed to greater discrimination and social
stressors, which results in higher levels of mental and physical illness.
c. People from marginalized groups are better able to manage their stress and
consequently experience fewer instances of mental illness.
ANS: B OBJ: LO: 1-1
2. Which of the following best characterizes the global state of mental illness/mental wellness?
a. Because of increased knowledge of mental health conditions, fewer people are
experiencing mental illness.
b. Most people experiencing mental health issues are able to receive evidence-based
interventions.
c. An appreciation for the importance of self-care has led to a decrease in mental
health concerns.
d. People are currently experiencing a global mental health crisis because of issues
associated with the COVID-19 pandemic, social media, climate change, and
discrimination.
ANS: D OBJ: LO: 1-1
3. Which historical movement led to a greater appreciation for the health benefits associated
with manual occupations/handiwork?
a. The Arts and Crafts Movement
b. The Industrial Revolution
c. The Labor Movement
d. Women’s Suffrage
ANS: A OBJ: LO: 1-2
4. The Recovery Model in mental health was initiated by
a. OTPs working in both hospital and community-based mental health settings
b. Consumers and survivors of the mental health system
c. Political leaders interested in reforming mental health care and mental health
systems
d. Members of the Psychiatric Rehabilitation Association
ANS: B OBJ: LO: 1-2
5. One of the challenges for occupational therapy in mental health is associated with the
financing of mental health services. Most health-care spending goes toward what type of
mental health care?
a. Prevention of mental illness
b. Promotion of mental wellness
______________________________________________________________________________________________
1|Page
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
c. Acute hospital care for mental illness
d. Community-based mental health care
ANS: C OBJ: LO: 1-3
6. Occupational therapy practitioners address psychosocial needs
a. Primarily in psychiatric hospital settings
b. Every setting that provides occupational therapy services
c. Only when working with someone with a psychiatric diagnosis
ANS: B OBJ: LO: 1-4
7. The mental health continuum is best characterized by which of the following?
a. Positive emotions, healthy relationships, and meaningful activity versus serious
mental illness and lack of participation
b. Psychiatric symptoms versus no psychiatric symptoms
c. Living independently versus being unhoused
ANS: A OBJ: LO: 1-1
______________________________________________________________________________________________
2|Page
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
Chapter 2: Recovery and Wraparound Models
Test Bank Questions
1. What is occupational therapy’s key contribution supporting mental health?
a. Participation
b. Many pathways
c. Natural supports
d. Unconditional care
ANS: A OBJ: LO: 2-5
2. Sheree is a person with a history of major depression. She reports that her mood is now
stable, and she wants to focus on increasing her well-being. What does the concept of
mental well-being address for persons living with mental illness?
a. Treatment for psychiatric symptoms
b. Clinical recovery
c. Languishing
d. Capacity to reach full potential
ANS: D OBJ: LO: 2-2
3. Frank lives with schizophrenia. He tells you that he has had a hard several years but that his
experience has taught him a lot. What concepts best describe persons who are experiencing
resilience within their lives?
a. Functional improvement
b. Thriving and rising
c. Symptom management
d. Respect from peers
ANS: B OBJ: LO: 2-1
4. Henry has been diagnosed with bipolar disorder and has been struggling in school. He
became frustrated in class and the school resource officer was called to intervene. Instead of
leaning into behavioral consequences, what wraparound principle would best support a
better alternative?
a. Strengths-based interventions
b. Focus on functional improvement
c. Teams decide what are needed services
d. Self-management of emotional feelings
ANS: A OBJ: LO: 2-6
5. What is the perspective guiding services in the public health model?
a. Interventions are time-limited to address persons in acute crisis.
b. Support of mental well-being is available for persons with or without mental
illness.
c. Interventions are available for persons with diagnosed mental illness or substance
use.
d. Mitigating clinical symptoms is the priority for all persons.
ANS: B OBJ: LO: 2-8
______________________________________________________________________________________________
3|Page
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
6. Shirley has a history of trauma and has started participating in an occupation-based
community group. Which public health tier(s) addresses mental well-being of persons at risk
for mental illness?
a. Tier 1/universal and tier 3/intensive
b. Tier 3/intensive
c. Tier 2/targeted and tier 3/intensive
d. Tier 2/targeted
ANS: D OBJ: LO: 2-8
7. Betty presents in an agitated state and tells you she feels frustrated because no one is
listening to what she is saying. How do practitioners benefit from listening to individual
lived experiences?
a. Understanding measurable limitations in occupational performance
b. Recognizing the value of practitioner-driven intervention planning
c. Offering respect and hope for personal recovery journeys
d. Addressing functional recovery as a priority for recovery
ANS: C OBJ: LO: 2-3
8. Which dimension of recovery best aligns with the Substance Abuse and Mental Health
Services Administration’s dimension of wellness?
a. Community
b. Purpose
c. Spirituality
d. Health
ANS: D OBJ: LO: 2-4
9. What does occupational therapy’s partnership with the public health model emphasize?
a. Recovery focused solely on individuals
b. Occupational engagement and participation
c. Functional improvement in self-care and health management
d. Crisis intervention and symptom management
ANS: B OBJ: LO: 2-5
10. Jerry is a 9-year-old boy with significant behavioral problems. Which of the following is the
best role for occupational therapy practitioners in tier 3/intensive services for children and
youth?
a. Primary service providers within inpatient settings
b. Case managers driving determination of appropriate services
c. Wraparound team facilitators guiding strengths-based approaches
d. Providers of community and population wellness services
ANS: C OBJ: LO: 2-6
11. What tier 2/targeted impacts can result from occupational therapy’s roles in developing a
recovery-oriented workforce?
a. Identifying barriers and offering solutions for community integration
______________________________________________________________________________________________
4|Page
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
b. Educating other providers about negative impacts of social isolation
c. Providing services that assist persons to improve skills for community living
d. Encouraging mental wellness for all persons in society
ANS: A OBJ: LO: 2-8
12. What advocacy role may occupational therapy practitioners perform to improve mental
health or substance use services?
a. Educating policy leaders and funders about benefits of occupational therapy in
recovery-oriented services
b. Promoting medical approaches to mental illness and substance use disorders
c. Delivering interventions for children and youth with severe emotional disturbance
d. Negotiating for spaces to provide services in inpatient and community settings
ANS: A OBJ: LO: 2-7
______________________________________________________________________________________________
5|Page
,______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
Chapter 3: Person-Environment-Occupation Model
Test Bank Questions
1. What is the Person-Environment-Occupation model? (select the best answer)
a. A model used in practice to measure the success of people engaging in occupations
in specific environments
b. A systematic strategy used by therapists to think about people engaging in
occupations in specific environments
c. A systematic way to think about and understand complex occupational
participation issues a person experiences
d. A systematic way to analyze a person’s impairments and disabilities in current
occupational therapy practice
ANS: C OBJ: LO: 3-1
2. Occupational therapy practice has evolved and changed over the past 25 to 30 years. What
new concept is able to be integrated and understood with the
Person-Environment-Occupation model? (select the best answer)
a. Occupations are categorized as self-care, productivity, and leisure.
b. Occupational performance is the primary outcome for occupational therapy.
c. All OTPs work in a person-centered rehabilitation framework.
d. Intersectionality refers to forms of oppression that shape people’s identities and
limit occupational opportunities.
ANS: D OBJ: LO: 3-1
3. What is not a key theoretical principle underpinning the Person-Environment-Occupation
model?
a. Occupation is contextually situated and culturally linked.
b. Environments can press or have supporting/constraining effects on occupational
participation.
c. People are not “one size fits all”; they have diverse meanings about occupation and
life experiences.
d. Occupational participation is dependent on the person’s abilities and motivation.
ANS: D OBJ: LO: 3-1
4. The Person-Environment-Occupation (PEO) model is a transactive model. This concept is
used to explain the multiple complex PEO relationships. How is the concept “transactive”
illustrated when cooking a meal? (select the best answer)
a. The meal’s success influences and is influenced by the person cooking; it
influences and is influenced by elements in the environment such as the equipment
and the family eating the meal; and it influences and is influenced by the
occupational demands of cooking over time.
b. The meal’s success influences the person cooking; it influences elements in the
environment such as the equipment and the family eating the meal; and it
influences the occupation of cooking over time.
c. The meal’s success is influenced by the person cooking; it is influenced by
elements in the environment such as the equipment and the family eating the meal;
and it is influenced by the occupational demands of cooking over time.
______________________________________________________________________________________________
6|Page
, ______________________________________________________________________________________________
Test Bank - Occupational Therapy in Mental Health: A Vision for Participation, 3rd Edition (Brown, 2025)
d. The person cooking determines the meal’s success using a particular approach that
follows a recipe with prescribed equipment for cooking the meal while cooking in
a particular environment.
ANS: A OBJ: LO: 3-2
5. The concept of “just right” challenges refers to when the perceived challenges match the
individual level of skill for that particular activity in that particular environment.
Practitioners use this concept to create situations for the person’s successful occupational
participation. Using the Person-Environment-Occupation model, practitioners can identify
and understand when people may experience “just right” challenges. Which of the following
best describes a “just right” challenge cooking experience?
a. A person feels overwhelmed and frustrated when they try to cook a meal from
memory by themselves in a friend’s strange kitchen under time pressure.
b. A person feels grounded and loses sense of time cooking a meal to their
satisfaction. They selected a comfort food that they have cooked many times
before from memory. Their friend is available to help them navigate the strange
kitchen.
c. A person feels confident and then frustrated when the mixed ingredients do not
hold together. The person is challenged to problem-solve how to create the right
consistency and does not have access to the internet or a knowledgeable friend.
d. A person feels confident while cooking a meal and becomes dissatisfied when a
key piece of equipment (blender) is unavailable and they have to make do with a
masher. The person views the meal as substandard.
ANS: B OBJ: LO: 3-2
6. OTPs are in positions of privilege and power. People experience different forms of systemic
oppression limiting occupational participation (e.g., ableism, ageism, racism, colonialism).
All human beings have a right to occupational participation. How can practitioners best
support that right using the Person-Environment-Occupation (PEO) model?
a. Use an intersectional lens to consider forms of systemic environmental oppression
and codesign with the person potential environmental interventions to create
occupational opportunities.
b. Use an intersectional lens to consider all forms of oppression influencing
transactive PEO relationships and codesign with the person potential occupational
opportunities.
c. Use an intersectional lens to consider forms of systemic environmental oppression
and create environmental interventions to support occupational engagement.
d. Reflect on the person’s experiences of oppression by considering how all forms of
oppression influence transactive PEO relationships.
ANS: B OBJ: LO: 3-2
7. What are the main components of the Person-Environment-Occupation model? (select the
best answer)
a. Patient, environment, occupation, occupational performance
b. Person, socioeconomic environment, occupation, occupational performance
c. Person, environment, activities, occupational participation
d. Person, environment, occupation, occupational participation
______________________________________________________________________________________________
7|Page
