Daily Living Skills — MRCPsych Paper B MCQ

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ModerateRehabilitationDaily Living SkillsMRCPsych Paper B

A 50-year-old woman with treatment-resistant schizophrenia is receiving inpatient rehabilitation. She has difficulty preparing meals, shopping, managing money and travelling independently. Her care plan sets graded functional goals, and she repeatedly practises these tasks in the unit kitchen and local community, with prompts reduced as her competence improves. Which rehabilitation intervention is being delivered?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: E — Daily living skills training

The correct answer is E, daily living skills training. Cooking, shopping, budgeting and using transport are instrumental activities of daily living required for independent community functioning. NICE recommends individualised planning and practice in risk-managed real-life environments, such as kitchens and community settings. Interpersonal and social skills training primarily addresses communication and relationships rather than domestic functioning. Cognitive remediation targets cognitive processes such as attention, memory and executive functioning, although improved cognition may indirectly support everyday tasks. Individual Placement and Support aims to obtain and sustain competitive employment. Arts therapy uses creative expression within a therapeutic relationship and is not primarily intended to teach practical independent-living tasks.

Reference: National Institute for Health and Care Excellence. Rehabilitation for adults with complex psychosis (NG181), section 1.8, recommendations 1.8.1–1.8.3: Daily living skills. 2020. https://www.nice.org.uk/guidance/NG181/chapter/recommendations