Deck 14: Interventions and Strategies for Challenging Behaviors

Question 1

Which one of the following is least likely to be used to help children with transitions?

A) Timers
B) Visual schedules
C) Singing a song
D) Candy snacks

Answer 1

Candy snacks

Question 2

What is illustrated by the following example: Molly cannot go swimming (which she loves) until her room is cleaned?

A) Contingency method
B) Token economy
C) Positive reinforcement
D) Sensory processing

Answer 2

A

Question 3

Kim, who is 10 years old, lives with her mother in a small two-bedroom house. The rooms are cluttered with boxes and toys. Kim has no chores or duties at home, mealtimes change every day, and Kim goes to bed whenever she wants. Kim experiences difficulty with social boundaries and continues to throw tantrums when she does not get her way. She has difficulty at school. Which statement most closely describes Kim's behavior?

A) Kim is experiencing physical pain and cannot express herself.
B) Kim will outgrow this behavior if left alone.
C) Kim's mother is to blame; the house is a mess.
D) Kim would benefit from a consistent and predictable schedule.

Answer 3

D

Question 4

The occupational therapy practitioner asks Miya what she would like to do in the intervention session. Together, they write Miya's choices on the schedule. Miya completes the activities in order. How has the practitioner prevented challenging behaviors?

A) Minimized aversive events
B) Shared control
C) Promoted success
D) Clarified expectations

Question 5

Which of the following is not one of the core characteristics of children diagnosed with autism spectrum disorder?

A) Sensory processing deficits
B) Qualitative differences in communication
C) Restricted range of behaviors and interests
D) Challenging behavior
E) Qualitative differences in social interaction

Question 6

Which general approach to behavior management is not used by an occupational therapist?

A) Prevent challenging behavior
B) Punish challenging behavior
C) Reward appropriate behavior
D) Support positive behavior
E) Conduct a functional behavioral assessment

Question 7

Which of the following should be addressed in the occupational therapy evaluation of a child with autism spectrum disorder?

A) Orientation to date and time
B) Analysis of physiological function
C) Range of motion
D) Play skills

Question 8

Which description illustrates the child-and-therapist relationship?

A) Collaboration: Allowing the child to choose activities helps build his or her self-esteem.
B) The therapist is in charge of all aspects of the intervention; children have no choices.
C) The therapist pretends to allow the child to have some choice to make the child feel better.
D) The child chooses all the activities and is in charge of the intervention plan.

Question 9

Which of the following intervention approaches is not frequently used by occupational therapists when conducting intervention with children with autism spectrum disorder?

A) Behavioral
B) Neurodevelopmental (NDT)
C) Sensory integration
D) Cognitive-perceptual

Question 10

According to research evidence, what are the motivators for challenging behavior?

A) Avoid or obtain something
B) Irritate and agitate someone
C) Cause pain and harm to someone
D) Build or produce something

Question 11

Wendy, a 6-year-old girl with coordination difficulties, refuses to complete the paper and pencil game at the end of the session. Instead, she throws the paper on the floor and puts her head down on the desk. Which statement most closely describes this situation?

A) Wendy is tired of occupational therapy and should be allowed to leave.
B) Wendy is acting younger than her age.
C) The paper and pencil task is too difficult for Wendy.
D) Wendy prefers gross motor activities.

Question 12

Which statement is true?

A) All challenging behavior involves physical violence.
B) All challenging behavior should be completely eliminated.
C) All challenging behavior serves a purpose.
D) All challenging behavior should be punished.

Question 13

Which method is not used to diagnose autism spectrum disorder in children?

A) Observation of the child
B) Specially designed diagnostic assessment tools
C) Blood tests
D) Report of caregiver

Question 14

What is true concerning the functional behavioral assessment?

A) It is loosely structured and allows each team member to focus on whatever he or she wants.
B) It can be conducted quickly by a single service provider who then shares the results with any other service providers working with the child.
C) It is too complex and is not relevant to occupational therapists.
D) It is an intensive and critical first step in developing an effective positive support plan to address challenging behavior.

Question 15

It is bedtime for 10-year-old Johnny. After lying down for about 5 minutes, he gets out of bed and repeatedly throws himself on the bed while grunting and holding his stomach. He continues with this behavior for about 8 minutes, then climbs back into bed. After approximately 3 minutes, Johnny gets back out of bed and resumes throwing himself onto it. Which of the following approaches should be a first-line strategy for addressing the behavior?

A) Create a calm atmosphere
B) Rule out pain or illness
C) Use "do" statements
D) Provide an environment that promotes engagement
E) Share control