Deck 9: Establishing Intentional Relationships

Question 1

Which of the following is not one of the skill areas necessary for establishing effective client relationships in occupational therapy?

A) Rapport building, impression management, and setting an emotional climate
B) Mode matching and versatility
C) Managing emotional intensity
D) Intentional use of therapeutic touch
E) Cultural competence

Answer 1

Intentional use of therapeutic touch

Question 2

According to the Intentional Relationship Model (IRM), which of the following is not an example of rapport building?

A) Making eye contact and greeting the client in an earnest, professional, and friendly manner
B) Informing the client of your clinical training, approach to treatment, and your anticipated goals for the client's rehabilitation stay
C) Asking the client how he or she wants to be addressed, even if the client is a child
D) Asking the client how he or she is feeling today or how his or her day is going

Answer 2

Informing the client of your clinical training, approach to treatment, and your anticipated goals for the client's rehabilitation stay

Question 3

Which of the following may be taken as a sign that the mode selected by you does match the client's interpersonal needs?

A) Signs of decreased tension in the facial muscles and a relaxed posture
B) Signs of decreased interest or engagement in therapy
C) Decreased ability to attend to and concentrate on the activities and tasks of therapy
D) All of the above

Answer 3

Signs of decreased tension in the facial muscles and a relaxed posture

Question 4

Which of the following is true in regard to judicious use of touch?

A) Knowing how to use touch in a way that respects clients' boundaries and meets their interpersonal needs-whether they be for closeness or for distance
B) Knowing how to use touch in a way that respects clients' boundaries and meets their interpersonal needs for closeness and support
C) Knowing how to use touch in a way that respects clients' boundaries and meets their interpersonal needs for distance and intolerance for touch
D) Knowing how to use your clinical skill base in order to limit the frequency of touch or refrain from it entirely

Question 5

Which of the following represent(s) a responsibility on the part of a therapist in establishing and maintaining a relationship with a client?

A) Ensure that the relationship is socially defined as being an occupational therapy relationship and that professional boundaries are upheld.
B) Work to earn a client's trust through an intentional and effortful process of trying.
C) Recognize and respond, when appropriate, to interpersonal events.
D) All of the above

Question 6

An occupational therapist is administering an assessment to Ms. Danio. When the occupational therapist asks a question about Ms. Danio's relationship with her boss during her most recent job as a waitress, Ms. Danio begins to cry before she can even respond to the question. Which of the following represents the least optimal way for the occupational therapist to respond?

A) Pause a moment, perhaps offer a Kleenex, and watch silently to see where Ms. Danio takes the interview.
B) Tell Ms. Danio that she has the option of not responding to the question if she feels it is too sensitive of a topic area.
C) Apologize for asking and try to rephrase the question to make it sound less direct.
D) Ask Ms. Danio what about the question prompted her to cry.

Question 7

According to the Intentional Relationship Model (IRM), rapport building consists of simple topics of conversation and other basic interpersonal behaviors that allow a client to become familiar with who you are as a professional and as a person.

Question 8

According to the Intentional Relationship Model (IRM), impression management and setting an emotional climate are critical to rapport building as they help build trust in your client to begin to trust in your personal and professional integrity and help frame how the client will experience his or her interaction with you.

Question 9

To best meet the client's interpersonal needs, the therapist must demonstrate a strong capacity to monitor and read a client's reaction to a particular mode and then utilize the client's reaction as feedback to guide whether to remain in that mode or try a different one.

Question 10

It is best not to provide direction or reassurance to an anxious client.

Question 11

Some clients may not be able to tolerate a therapist who shows too much emotional resonance or attempts to have more of a bond than the client is ready to have.