Question

A OTR is evaluating problem-solving and sequencing skills of a client with a long-standing history of mental illness while making brownies from a mix. The client is hesitant to engage in the task and requires multiple cues in order to initiate the task. In order to promote engagement of the client during evaluation, which is the most appropriate INITIAL action for the OTR to take based on this observation?

1) Evaluate the client's cognitive function to make a simple meal
2) Determine the client's interest in meal preparation as a goal
3) Schedule the client for meal preparation group sessions to improve skill level
4) Determine the client's home environment and need for meal preparation

Answer 1

The most appropriate initial action for the OTR to promote engagement of the client during evaluation is to evaluate the client's cognitive function to make a simple meal.

Step-by-step explanation:

Based on the observation that the client requires multiple cues to initiate the task and is hesitant to engage, the most appropriate INITIAL action for the OTR to take would be to evaluate the client's cognitive function to make a simple meal (Option 1). This will help the therapist assess the client's cognitive abilities and determine if they have the necessary skills to perform the task. By understanding the client's cognitive functioning, the OTR can tailor the evaluation and intervention strategies to promote the client's engagement and success in the task.