,OCCUPATIONAL THERAPY MENTAL
HEALTH MASTERY: 6TH ED. Q&A
WORKBOOK (2025)
Comprehensive Review with NCLEX®-Style
Questions & Rationales – Cynthia Meyer &
Courtney Sasse, 6th Edition
• 23-Chapter Full Coverage | 20 MCQs Per
Chapter
• Verified Answers & Evidence-Based
Rationales
• Designed for OT/OTA Certification
Success
• Pass with Confidence – Ideal for
Coursework, Licensure & Board
,SECTION ONE: Principles of Occupational Therapy in Mental Health
Unit 1: History and Foundations
Chapter 1: History and Foundational Concepts
Chapter 2: Medical and Psychological Theories, Frames of Reference, and Models of Mental Health
and Mental Illness
Chapter 3: Occupational Therapy Frames of Reference and Practice Models
SECTION TWO: Mental Illness
Chapter 4: Understanding Psychiatric Diagnoses
SECTION THREE: Service Provision
Chapter 5: Human Occupation and Mental Health Throughout the Life Span With Those We Serve
SECTION THREE: Service Provision
Chapter 6: Methods and Models of Interaction and Intervention
Chapter 7: Service Areas, Environments, and Focuses
SECTION FOUR: Professional Practice Considerations
Chapter 8: Medications, Medical-Based Treatments, Complementary Practices, and Detoxification
Chapter 9: Safety Considerations and Techniques
Chapter 10: Using Evidence
Chapter 11: Professional Issues: Supervision, Teams, Roles, and Self-Management
Chapter 12: Evaluation and Data Collection
Chapter 13: Determining Type and Approach to Intervention
,Chapter 14: Matching Occupational Demands to Intervention Types
Chapter 15: Therapeutic Use of Self
Chapter 16: Group Concepts and Techniques in OT
Chapter 17: Facilitating Recovery Using Biopsychosocial Models
Chapter 18: Anxiety and Occupational Engagement
Chapter 20: Hallucinations, Delusions, and Paranoia
Chapter 22: Anger, Hostility, and Aggression
Chapter 23: Substance-Related and Addictive Disorders
,Chapter 1
1. Introduction
The foundational purpose of occupational therapy in
mental health is to:
A. Cure psychiatric disorders through medication
management
B. Facilitate meaningful engagement in daily activities to
support recovery
C. Eliminate all stressors from a client’s environment
D. Provide long-term custodial care in institutional settings
Correct: B
Rationale: OT focuses on using purposeful activities to
promote mental well-being; OT does not prescribe
medications (A), cannot remove all stressors (C), nor
primarily provide custodial care (D).
2. Introduction
Which principle best describes the OT approach to clients
with mental illness?
A. Deficit-based, focusing on what clients cannot do
B. Activity-based, emphasizing strengths and abilities
C. Medication-based, emphasizing pharmacotherapy
D. Isolation-based, to reduce symptoms
Correct: B
Rationale: OTs use an activity-based, strengths-focused
model; deficits (A) and isolation (D) conflict with OT
philosophy, and pharmacotherapy (C) is outside OT scope.
,3. Mental Health and Mental Illness
Which statement best distinguishes mental health from
mental illness?
A. Mental health is the absence of mental illness.
B. Mental illness always manifests with delusions.
C. Mental health includes positive functioning and
resilience.
D. Mental illness is purely a biological phenomenon.
Correct: C
Rationale: Mental health is more than no illness; it
includes positive coping and resilience (C). Absence-only
(A) is too narrow; delusions (B) and pure biology (D) are
incorrect oversimplifications.
4. Mental Health and Mental Illness
A client experiences persistent sadness, loss of interest,
and impaired concentration for over two weeks. This
presentation is most consistent with:
A. Bipolar I disorder
B. Major depressive disorder
C. Schizophrenia
D. Adjustment disorder
Correct: B
Rationale: Two weeks of core depressive symptoms meets
criteria for major depressive disorder; bipolar (A) requires
manic episodes, schizophrenia (C) involves psychosis,
adjustment disorder (D) is shorter and less severe.
,5. Relation of Occupation to Mental Health
Which of the following best exemplifies occupational
balance?
A. Engaging only in work and no leisure activities
B. Participating in a variety of meaningful roles and
activities
C. Prioritizing occupational performance above all else
D. Avoiding any activities that induce stress
Correct: B
Rationale: Occupational balance is attaining a satisfying
mix of activities; extremes (A, C) or avoidance (D)
undermine balance.
6. Relation of Occupation to Mental Health
An OT uses journaling to help a client identify stress
triggers. This intervention primarily addresses:
A. Sensory integration
B. Cognitive–behavioral self-awareness
C. Gross motor skills
D. Biomechanical endurance
Correct: B
Rationale: Journaling promotes cognitive insight and self-
regulation (B); it is unrelated to sensory integration (A),
motor skills (C), or endurance (D).
7. A Few Words About Language
Why is person-first language (“person with schizophrenia”
vs. “schizophrenic”) preferred?
, A. It lengthens clinical documentation
B. It reinforces a diagnosis as identity
C. It emphasizes the person over the condition
D. It simplifies communication
Correct: C
Rationale: Person-first language respects individuality (C);
it doesn’t reinforce identity (B) or necessarily simplify (D),
nor is length (A) the goal.
8. A Few Words About Language
The term “disordered thinking” best describes:
A. A client’s choice to avoid social situations
B. A symptom characterized by loose associations or
derailment
C. A cognitive strength in problem solving
D. A physical impairment after stroke
Correct: B
Rationale: Disordered thinking refers to thought process
abnormalities like loose associations; it’s not avoidance
(A), a strength (C), or stroke sequelae (D).
9. Thoughts About Terminology
Which term is outdated and stigmatizing when referring to
individuals with mental illness?
A. Consumer
B. Service user
C. Lunatic
D. Client
, Correct: C
Rationale: “Lunatic” is archaic and stigmatizing; consumer
(A), service user (B), and client (D) are accepted modern
terms.
10. Thoughts About Terminology
In OT documentation, using “symptom management” vs.
“symptom elimination” reflects:
A. A focus on long-term coping rather than cure
B. A disregard for clinical outcomes
C. An assumption that symptoms are voluntary
D. A physical rather than mental approach
Correct: A
Rationale: OT often works to help clients manage chronic
symptoms for functional living; it does not disregard
outcomes (B), assume voluntariness (C), or focus only
physically (D).
11. Historical Understanding
Philippe Pinel is credited with:
A. Inventing the occupation-based model
B. Advocating for moral treatment and removing chains
from asylums
C. Developing the DSM classification system
D. Founding modern pharmacotherapy
Correct: B
Rationale: Pinel championed humane asylum care (moral
, treatment); occupation-based OT (A) came later, DSM (C)
in 20th century, pharmacotherapy (D) much later.
12. Historical Understanding
The core tenet of the moral treatment era was that:
A. Mental illness was due to brain lesions
B. Kindness and purposeful activity could restore health
C. Institutionalization should be permanent
D. Only physicians could treat mental disorders
Correct: B
Rationale: Moral treatment emphasized compassion and
engagement in tasks; not brain lesion theory (A), lifelong
warehousing (C), or exclusive physician control (D).
13. The Moral Treatment Era
During the moral treatment era, occupational activities
often included:
A. Isolation in padded rooms
B. Chain-breaking ceremonies only
C. Farming, crafts, and manual work
D. Solely pharmaceutical interventions
Correct: C
Rationale: Patients engaged in therapeutic work like
farming; isolation (A) and chaining (B) were abolished, and
drugs (D) were not yet central.
14. The Moral Treatment Era
A vignette describes a patient in 1800s France who gains
self-esteem through gardening in an asylum. This reflects
HEALTH MASTERY: 6TH ED. Q&A
WORKBOOK (2025)
Comprehensive Review with NCLEX®-Style
Questions & Rationales – Cynthia Meyer &
Courtney Sasse, 6th Edition
• 23-Chapter Full Coverage | 20 MCQs Per
Chapter
• Verified Answers & Evidence-Based
Rationales
• Designed for OT/OTA Certification
Success
• Pass with Confidence – Ideal for
Coursework, Licensure & Board
,SECTION ONE: Principles of Occupational Therapy in Mental Health
Unit 1: History and Foundations
Chapter 1: History and Foundational Concepts
Chapter 2: Medical and Psychological Theories, Frames of Reference, and Models of Mental Health
and Mental Illness
Chapter 3: Occupational Therapy Frames of Reference and Practice Models
SECTION TWO: Mental Illness
Chapter 4: Understanding Psychiatric Diagnoses
SECTION THREE: Service Provision
Chapter 5: Human Occupation and Mental Health Throughout the Life Span With Those We Serve
SECTION THREE: Service Provision
Chapter 6: Methods and Models of Interaction and Intervention
Chapter 7: Service Areas, Environments, and Focuses
SECTION FOUR: Professional Practice Considerations
Chapter 8: Medications, Medical-Based Treatments, Complementary Practices, and Detoxification
Chapter 9: Safety Considerations and Techniques
Chapter 10: Using Evidence
Chapter 11: Professional Issues: Supervision, Teams, Roles, and Self-Management
Chapter 12: Evaluation and Data Collection
Chapter 13: Determining Type and Approach to Intervention
,Chapter 14: Matching Occupational Demands to Intervention Types
Chapter 15: Therapeutic Use of Self
Chapter 16: Group Concepts and Techniques in OT
Chapter 17: Facilitating Recovery Using Biopsychosocial Models
Chapter 18: Anxiety and Occupational Engagement
Chapter 20: Hallucinations, Delusions, and Paranoia
Chapter 22: Anger, Hostility, and Aggression
Chapter 23: Substance-Related and Addictive Disorders
,Chapter 1
1. Introduction
The foundational purpose of occupational therapy in
mental health is to:
A. Cure psychiatric disorders through medication
management
B. Facilitate meaningful engagement in daily activities to
support recovery
C. Eliminate all stressors from a client’s environment
D. Provide long-term custodial care in institutional settings
Correct: B
Rationale: OT focuses on using purposeful activities to
promote mental well-being; OT does not prescribe
medications (A), cannot remove all stressors (C), nor
primarily provide custodial care (D).
2. Introduction
Which principle best describes the OT approach to clients
with mental illness?
A. Deficit-based, focusing on what clients cannot do
B. Activity-based, emphasizing strengths and abilities
C. Medication-based, emphasizing pharmacotherapy
D. Isolation-based, to reduce symptoms
Correct: B
Rationale: OTs use an activity-based, strengths-focused
model; deficits (A) and isolation (D) conflict with OT
philosophy, and pharmacotherapy (C) is outside OT scope.
,3. Mental Health and Mental Illness
Which statement best distinguishes mental health from
mental illness?
A. Mental health is the absence of mental illness.
B. Mental illness always manifests with delusions.
C. Mental health includes positive functioning and
resilience.
D. Mental illness is purely a biological phenomenon.
Correct: C
Rationale: Mental health is more than no illness; it
includes positive coping and resilience (C). Absence-only
(A) is too narrow; delusions (B) and pure biology (D) are
incorrect oversimplifications.
4. Mental Health and Mental Illness
A client experiences persistent sadness, loss of interest,
and impaired concentration for over two weeks. This
presentation is most consistent with:
A. Bipolar I disorder
B. Major depressive disorder
C. Schizophrenia
D. Adjustment disorder
Correct: B
Rationale: Two weeks of core depressive symptoms meets
criteria for major depressive disorder; bipolar (A) requires
manic episodes, schizophrenia (C) involves psychosis,
adjustment disorder (D) is shorter and less severe.
,5. Relation of Occupation to Mental Health
Which of the following best exemplifies occupational
balance?
A. Engaging only in work and no leisure activities
B. Participating in a variety of meaningful roles and
activities
C. Prioritizing occupational performance above all else
D. Avoiding any activities that induce stress
Correct: B
Rationale: Occupational balance is attaining a satisfying
mix of activities; extremes (A, C) or avoidance (D)
undermine balance.
6. Relation of Occupation to Mental Health
An OT uses journaling to help a client identify stress
triggers. This intervention primarily addresses:
A. Sensory integration
B. Cognitive–behavioral self-awareness
C. Gross motor skills
D. Biomechanical endurance
Correct: B
Rationale: Journaling promotes cognitive insight and self-
regulation (B); it is unrelated to sensory integration (A),
motor skills (C), or endurance (D).
7. A Few Words About Language
Why is person-first language (“person with schizophrenia”
vs. “schizophrenic”) preferred?
, A. It lengthens clinical documentation
B. It reinforces a diagnosis as identity
C. It emphasizes the person over the condition
D. It simplifies communication
Correct: C
Rationale: Person-first language respects individuality (C);
it doesn’t reinforce identity (B) or necessarily simplify (D),
nor is length (A) the goal.
8. A Few Words About Language
The term “disordered thinking” best describes:
A. A client’s choice to avoid social situations
B. A symptom characterized by loose associations or
derailment
C. A cognitive strength in problem solving
D. A physical impairment after stroke
Correct: B
Rationale: Disordered thinking refers to thought process
abnormalities like loose associations; it’s not avoidance
(A), a strength (C), or stroke sequelae (D).
9. Thoughts About Terminology
Which term is outdated and stigmatizing when referring to
individuals with mental illness?
A. Consumer
B. Service user
C. Lunatic
D. Client
, Correct: C
Rationale: “Lunatic” is archaic and stigmatizing; consumer
(A), service user (B), and client (D) are accepted modern
terms.
10. Thoughts About Terminology
In OT documentation, using “symptom management” vs.
“symptom elimination” reflects:
A. A focus on long-term coping rather than cure
B. A disregard for clinical outcomes
C. An assumption that symptoms are voluntary
D. A physical rather than mental approach
Correct: A
Rationale: OT often works to help clients manage chronic
symptoms for functional living; it does not disregard
outcomes (B), assume voluntariness (C), or focus only
physically (D).
11. Historical Understanding
Philippe Pinel is credited with:
A. Inventing the occupation-based model
B. Advocating for moral treatment and removing chains
from asylums
C. Developing the DSM classification system
D. Founding modern pharmacotherapy
Correct: B
Rationale: Pinel championed humane asylum care (moral
, treatment); occupation-based OT (A) came later, DSM (C)
in 20th century, pharmacotherapy (D) much later.
12. Historical Understanding
The core tenet of the moral treatment era was that:
A. Mental illness was due to brain lesions
B. Kindness and purposeful activity could restore health
C. Institutionalization should be permanent
D. Only physicians could treat mental disorders
Correct: B
Rationale: Moral treatment emphasized compassion and
engagement in tasks; not brain lesion theory (A), lifelong
warehousing (C), or exclusive physician control (D).
13. The Moral Treatment Era
During the moral treatment era, occupational activities
often included:
A. Isolation in padded rooms
B. Chain-breaking ceremonies only
C. Farming, crafts, and manual work
D. Solely pharmaceutical interventions
Correct: C
Rationale: Patients engaged in therapeutic work like
farming; isolation (A) and chaining (B) were abolished, and
drugs (D) were not yet central.
14. The Moral Treatment Era
A vignette describes a patient in 1800s France who gains
self-esteem through gardening in an asylum. This reflects
