Question 1

What is an important message to convey to families when first meeting them?&#10;A) You are interested in their child and respect what the family is doing to support and parent their child.&#10;B) Professionals have all of the answers.&#10;C) The road ahead with a child with disabilities will be hard.&#10;D) Therapy is the single most important activity in their child's life.

Accepted Answer

When meeting a family for the first time, it is important to show curiosity and interest about the unique ways in which the parents adapt to their child's disability-the ingenious ways that they cope in their daily lives-without judging and evaluating.

Question 2

What role is the OT practitioner using when he or she provides the family with a schedule for wearing a splint?&#10;A) Prescriptive&#10;B) Consultative&#10;C) Adaptive&#10;D) Resourceful

Accepted Answer

When working directly with the child, the OT practitioner functions primarily in the prescriptive and directive role; when working with the family, he or she functions primarily in the consultative role.The prescriptive role involves instructing clients or providing advice for the client to follow.

Question 3

Which statement best describes a family-centered approach to intervention?&#10;A) Families are told to put their children in the hands of specialists who will design and implement therapy.&#10;B) Families receive special training and instruction about disabilities.&#10;C) Practitioners develop intervention plans in collaboration with families.&#10;D) Practitioners tell families how to treat and educate their children.

Accepted Answer

A family-centered approach advocates the advantages of the OT practitioner functioning in a family-centered, consultative role, one that acknowledges and supports a family's central function in the design and implementation of intervention plans.

Question 4

What type of role is the OT practitioner using when developing a schedule for wearing a splint that incorporates the natural family routines?&#10;A) Prescriptive&#10;B) Consultative&#10;C) Adaptive&#10;D) Resourceful

Accepted Answer

Consulting with the family on the possibility of achieving the desired goals for the child and for the family builds collaboration and trust, which are key ingredients for intervention success with families.

Question 5

Which factor allows you to predict how a family will adapt to a crisis?&#10;A) Cannot necessarily predict adaptation&#10;B) Income level&#10;C) Past experience with crises&#10;D) Marital status

Accepted Answer

Families react and adapt to crises in individualized and unique ways.Family adaptation is affected by the interaction of family resources (e.g., time, money, and friends) and perceptions (the way events are defined).Social support plays an extremely important role in family and individual well-being.For the families of children with disabilities, the informal support of extended family, friends, and neighbors appears to be more important than formal support received from professionals and institutions.Of course, an important factor is the way families define their resources.It is not necessarily possible to predict adaptation.

Question 6

Which general systems theory principle refers to the capacity for change?&#10;A) Equifinality&#10;B) Morphogenetic&#10;C) Morphostatic&#10;D) Volition

Accepted Answer

General systems have a capacity for change, which has been named the morphogenetic (form-evolving) principle.Examples for families include gaining or losing a member through marriage, divorce, birth, or death, and the shifting roles of members through marriage, school progression, or aging.

Question 7

Which life-cycle event(s) is (are) considered normal for families with children?&#10;A) Child entering puberty&#10;B) Child having frequent hospitalizations&#10;C) Child attending school&#10;D) Both A and C&#10;E) All of the above

Accepted Answer

Children enter puberty and go to school, but it is not normal to have frequent hospitalizations as a child.

Question 8

Which statement is true concerning working with families according to family systems theory?&#10;A) Families with children with disabilities have lots of problems and cannot rely on their instincts and natural abilities to parent their children.&#10;B) The practitioner is always right when there is a disagreement with the family.&#10;C) There is always one correct way or set of procedures that works with all families.&#10;D) None of the above is true.

Accepted Answer

A major goal in working with families is establishing a trusting relationship, particularly with key members.One of the first steps in establishing trust is to identify the outcomes family members desire.Given that different family members have different priorities, helping them find verbal expression for outcomes that everyone can endorse builds that trust in a powerful way.Sometimes families simply have the basic desire to help their children grow and develop.Regardless of whether a family's goals are vague, it is important to acknowledge the ways family members perceive the current situation and priorities while helping them agree on goals.

Question 9

Which essential skill for successful intervention with families is most closely shown in the following scenario? The OT practitioner asks the parents what they hope to achieve by coming to therapy.The practitioner seeks to determine how the child spends her day and what problems occur so that an intervention plan can be developed.

A) Acknowledgment
B) Continuity
C) Collaborative goal setting
D) Solution-focused interest

Accepted Answer

A family that has requested or been referred for OT services has some goals, even if only vague ones, that they hope the services will help achieve.The practitioner may have a very different idea of what the goals should be.Collaborating with the family to clarify and develop a common set of goals helps practitioners efficiently and effectively manage the intervention planning process.Staying close to the agreed-upon plan while being willing to change the plan as family needs evolve builds trust, and family members perceive the therapist as being interested in helping them achieve their goals.

Question 10

What is the best approach if a family consistently misses therapy appointments?&#10;A) Give up because the family does not care about the child and does not understand the value of therapy&#10;B) Keep the therapy goals and continue to make appointments in hopes that the family will cooperate&#10;C) Report the family to the proper authorities to be investigated for negligence&#10;D) Reestablish the goals of therapy with family

Accepted Answer

Collaborating with the family to clarify and develop a common set of goals helps practitioners efficiently and effectively manage the intervention planning process.

Question 11

On what does the success of home-based intervention with children with disabilities most depend?&#10;A) The conceptual framework guiding the intervention&#10;B) The degree to which the intervention is supported by research&#10;C) The extent to which the family is involved in its design and implementation&#10;D) The skill of the practitioner in implementing therapy activities with children

Accepted Answer

The answer of On what does the success of home-based...

Question 12

Recent changes in service delivery have changed OT practitioners' roles.Which of the following is not part of the OT practitioner's duties?&#10;A) Assessing family interests, priorities, and concerns&#10;B) Observing daily routines of children and their families&#10;C) Sharing information with families about intervention strategies&#10;D) Helping families develop a household budget to meet all their needs

Accepted Answer

The answer of Recent changes in service delivery have changed...

Question 13

What is one of the first steps in establishing trust with a family?&#10;A) Identify outcomes that family members desire&#10;B) Prove that you are the expert and have the answers&#10;C) Use complicated language to impress the family&#10;D) Have a clear plan already established to show you are in charge

Accepted Answer

The answer of What is one of the first steps...

Question 14

What is meant by reframing as a perceptual coping strategy?&#10;A) Giving up and asking someone else to take charge&#10;B) Ignoring a problem&#10;C) Redefining a problem so that there are parts of the problem that can be managed and dealt with&#10;D) Taking up a hobby such as picture framing

Accepted Answer

The answer of What is meant by reframing as a...

Question 15

What is meant by solution-focused curiosity?&#10;A) Analyzing family records and documents to assess family needs&#10;B) Finding out as much about a family as possible, even if it means asking personal questions&#10;C) Sharing information with your colleagues about family problems you encounter in practice&#10;D) Showing nonjudgmental interest in families as a way of developing solutions to challenges

Accepted Answer

The answer of What is meant by solution-focused curiosity?&#10;A) Analyzing...

Deck 2: Family Systems