Question 1

Jeannie, the Certified Occupational Therapy Assistant (COTA), is responsible for planning and implementing an after-school exercise program for children in the second and third grades.In which of the following systems is Jeannie working?

A) Family
B) Community
C) Educational
D) Medical

Community

Accepted Answer

Treatment involves defining the community and working with the community in a variety of ways to support the client and enhance occupational functioning.

Question 2

What is it called when the practitioner is able to remember certain traditions and practices and use them in intervention sessions?&#10;A) Cultural awareness&#10;B) Cultural desire&#10;C) Cultural skill&#10;D) Cultural encounter

Accepted Answer

Cultural skill is the ability to identify significant cultural data relevant to the client's health status and therapy goals.

Question 3

Which of the following accurately defines the term community?&#10;A) One's natural environment&#10;B) Area with geographic boundaries&#10;C) Population with boundaries&#10;D) A and B only&#10;E) All of the above

Accepted Answer

One definition for community is stated as a "person's natural environment, that is, where the person works, plays, and performs other daily activities." Another definition for community is "an area with geographic and often political boundaries demarcated as a district, county, metropolitan area, city, township, or neighborhood-a place where members have a sense of identity and belonging, shared values, norms, communication, and helping patterns."

Question 4

What is it called when the practitioner hopes to learn more about the Hispanic culture?&#10;A) Cultural awareness&#10;B) Cultural desire&#10;C) Cultural skill&#10;D) Cultural encounter

Accepted Answer

Cultural desire is the health care practitioner's motivation to be culturally competent and motivation to work through the process.

Question 5

What is not considered a challenge to providing services in the community?&#10;A) Funding&#10;B) Maintaining good communication&#10;C) Cultural competence&#10;D) Natural context

Accepted Answer

There are a variety of challenges that exist when working within a community system.The biggest challenge facing occupational therapists may be funding.
Another challenge to working within community systems is the ability to maintain good communication between the practitioner and the child's guardians, caretakers, teachers, other health care providers, and administrative or other support persons within the community system.
The cultural competence of the therapist may also be a challenge when working within a community system.As we look toward the future, the U.S.Census Bureau projects that by 2043 no single racial group will represent a majority of the population, the United States will become a majority-minority nation with the non-Hispanic white population remaining the largest single race.

Question 6

What are the goals of Healthy People 2020?&#10;A) Document the need for OT services.&#10;B) Develop national health priorities.&#10;C) Increase life quality.&#10;D) Document health disparities.

Accepted Answer

The four overarching goals of Healthy People 2020 are to increase healthy years of life for all individuals, achieve health equity and end health disparities, create healthy social and physical environments, and promote healthy behavior and quality of life.

Question 7

When working with a child, what must the OT practitioner realize in regard to therapeutic relationships?&#10;A) The child is the most important relationship to consider.&#10;B) The practitioner must develop relationships with all those who are involved in the child's health care.&#10;C) It is most important to establish trust with the mother.&#10;D) It is most important to stay objective and distant from the caregivers.

Accepted Answer

When working with children, it is necessary to establish a therapeutic relationship with the child, the caretaker(s), and appropriate individuals within the community system(s) involved in the child's health care.This requires the therapist to be acutely aware of the many different relationships that must be nurtured and maintained to promote the most successful outcomes for the child.Not only must the child be empowered but the significant figures in the child's live must be empowered as well.This requires the therapist to strive to maintain multiple therapeutic relationships and this may require different approaches and strategies with the different individuals involved in the child's care.

Question 8

What is the largest community system in which occupational therapists and OTAs are employed?&#10;A) Hospital clinics&#10;B) Mental health centers&#10;C) School systems&#10;D) Assisted living centers

Accepted Answer

The largest community system that occupational therapists and OTAs are employed in is the school system.According to the 2010 AOTA Workforce Study, 21.6% of OT practitioners work in school systems.

Question 9

Which of the following is not considered necessary for a practitioner to be culturally competent?&#10;A) Awareness&#10;B) Knowledge&#10;C) Personal values&#10;D) Skills

Accepted Answer

One definition of cultural competence comes from the nursing literature and defines cultural competence as a process that requires the health care professional to address five constructs: cultural awareness, cultural knowledge, cultural encounters, cultural skill, and cultural desire.

Question 10

Which of the following is the definition of health in accordance with the World Health Organization (WHO)?&#10;A) Absence of disease and deformity&#10;B) Absence of infirmity&#10;C) State of well-being&#10;D) All of the above

Accepted Answer

The definition of health provided by the World Health Organization states that "health is a state of complete physical, mental, and social well-being and not merely the absence of disease or infirmity."

Question 11

Peter, the COTA, is collaborating with the local senior citizens program to determine what services can be implemented to promote health and wellness among the seniors who come to the center.Which of the following terms accurately describes the type of practice being provided by Peter?

A) Community-based practice
B) Medical-based practice
C) Community-built practice
D) Both A and C

Accepted Answer

The answer of Peter, the COTA, is collaborating with the...

Question 12

Mark is providing OT services for children twice monthly along with the nursing department in a van that goes to the rural communities in his state.He provides families with information on development and shows families how to engage children in healthy movement and eating.What type of practice is this?

A) Community-based practice
B) Community-built practice
C) Medical-based therapy
D) Traditional OT

Accepted Answer

The answer of Mark is providing OT services for children...

Question 13

All of the following describe components of therapeutic use of self except&#10;A) understanding client values.&#10;B) understanding personal values.&#10;C) negotiating relationships.&#10;D) A and B only.&#10;E) all of the above.

Accepted Answer

The answer of All of the following describe components of...

Question 14

The occupational therapist received a referral to evaluate a child.Which is not considered in the definition of clients by the Occupational Therapy Practice Framework (OTPF)?&#10;A) Physician who referred child&#10;B) Social environment&#10;C) Family of the child&#10;D) Child himself

Accepted Answer

The answer of The occupational therapist received a referral to...

Question 15

What was one of the most significant shifts from hospital to community care?&#10;A) Community Health Act of 2008&#10;B) Mental Health Center Act of 1963&#10;C) Americans with Disabilities Act&#10;D) No Child Left Behind

Accepted Answer

The answer of What was one of the most significant...

Deck 5: Community Systems