Question 1

Which statement does not reflect the intent of family-centered care?&#10;A) Families need professionals to tell them what to do.&#10;B) Importance is placed on the family strengths not deficits.&#10;C) Families deserve to have control and make choices.&#10;D) Occupational therapists develop goals collaboratively.

Accepted Answer

Family-centered care is built on the principle of collaboration and partnership between healthcare providers and families. Families are acknowledged as experts of their own lives and are given control and choices in decision-making processes, rather than being told what to do. Additionally, family strengths are emphasized over deficits. Choice A suggests that families are dependent on professionals, which contradicts the philosophy of family-centered care.

Question 2

What is included in the IFSP (Individualized Family Service Plan)?&#10;A) Intelligence quotient, medical management, service providers tax number&#10;B) Goals, type of services, providers, location, frequency, duration, and funding&#10;C) Insurance information, billing information, family address, and phone number&#10;D) Child's medical information, emergency contacts, goals for therapy, date

Accepted Answer

The IFSP includes goals for the child, the type of services that will be provided, the providers who will deliver those services, the locations where services will be delivered, the frequency and duration of services, and the funding for those services. The other options listed are not typically included in an IFSP.

Question 3

The parents of a 3-year-old boy would like the therapist to go to the daycare center and provide strategies to help him get along better with his friends. What is the correct response to this request?&#10;A) The therapist does not have to do this; this falls outside of service delivery.&#10;B) The therapist should contact another therapist that lives within the daycare region.&#10;C) It's a nice thing to do, but not necessary or within the therapist's job responsibility.&#10;D) Daycare is a natural environment for the child and thus, the therapist should plan on accommodating this request.

Accepted Answer

Daycare is a natural environment for the child, and providing support in this setting can be crucial for the child's social development. Therapists often work in various settings, including schools and daycares, to observe and support children in their natural environments. This approach can help the child learn to interact more effectively with peers and is within the scope of practice for many therapists, especially those specializing in pediatric or school-based therapy.

Question 4

How would an occupational therapist help Ali, a 2-year-old with sensation-avoiding behaviors using a family-centered approach?&#10;A) Provide strategies for modification or adaptation of the daily routine to help Ali participate&#10;B) Educate the mother on the developmental sequence of motor skills&#10;C) Provide Ali with reinforcements for good behaviors&#10;D) Play games that are fun and ask the parents to follow through with the home program

Accepted Answer

An occupational therapist using a family-centered approach would work with the family to modify or adapt the daily routine to help Ali participate in daily activities. This may include providing sensory-based interventions, such as deep pressure or proprioceptive input, to help Ali with his sensation-avoiding behaviors. The therapist would also work with the family to provide education and support, and may play games or provide reinforcements for good behaviors as part of the treatment plan. However, the primary focus would be on working collaboratively with the family to develop a plan that meets their specific needs and goals.

Question 5

Yolanda is the new occupational therapist working in early intervention. The team explains that Bob will be the primary therapist for the next child being evaluated and Yolanda will provide feedback and instruction from her discipline perspective. What terms best describe her intervention?

A) Coaching with direct service
B) Coaching with consultation
C) Multidisciplinary approach
D) Direct service and role reversal

Accepted Answer

Yolanda's role is to provide feedback and instruction from her discipline perspective, which falls under the category of coaching with consultation. She is not providing direct service or taking on a primary therapist role, and there is no indication of a multidisciplinary approach or role reversal.

Question 6

Which statement is not part of Part C of the Individuals with Disabilities Education Improvement Act?&#10;A) States are to establish a system to serve children birth to 6 years.&#10;B) States are to establish a child find system.&#10;C) States are to improve the quality and quantity of services for all children.&#10;D) States are to create a central directory with information on early intervention services.

Accepted Answer

Part C of the Individuals with Disabilities Education Improvement Act focuses specifically on infants and toddlers with disabilities and their families. It does not address improving the quality and quantity of services for all children.

Question 7

Which service is not specifically included as a required intervention service under IDEA (2004)? A) Occupational therapy B) Social work C) Psychological services D) Nutrition

Accepted Answer

While nutrition may be addressed in a student's individualized education plan (IEP) and some schools may provide nutrition education or services, it is not specifically listed as a required intervention service under IDEA (2004). The other services listed (occupational therapy, social work, psychological services) are all included in the list of required services.

Question 8

Which statement reflects the current research on providing services in natural environments?&#10;A) Children generalize skills more easily and sooner in natural settings.&#10;B) Therapists are more productive in clinic settings.&#10;C) Conducting therapy with other children is a breach of confidentiality.&#10;D) Home-based services are not effective and interfere with family time.

Accepted Answer

Current research supports the idea that providing services in natural environments, such as a child's home or community, can lead to easier and quicker skill generalization for children. This approach allows for a more tailored and individualized approach to therapy, as well as greater family involvement and collaboration.

Question 9

Which law first established regulations for early intervention services for infants and toddlers who experience developmental delays?&#10;A) Education of the Handicapped (EHA, 1986)&#10;B) Part B of Individuals with Disabilities Education Act (IDEA, 1990)&#10;C) Part C of Individuals with Disabilities Education Act (IDEA, 1990)&#10;D) Individuals with Disabilities Education Improvement Act (2004)

Accepted Answer

The answer of Which law first established regulations for early...

Question 10

Family-centered care includes all of the following, except:&#10;A) Building a relationship with families to enhance the early intervention process&#10;B) Being sensitive to multiple factors that impact family involvement&#10;C) Evaluating the family's health beliefs before making recommendations&#10;D) Treating children with similar diagnoses the same despite family circumstances

Accepted Answer

Family-centered care emphasizes the importance of treating each family as unique and tailoring interventions to meet their specific needs. Therefore, treating children with similar diagnoses the same despite family circumstances goes against the principles of family-centered care. Building a relationship with families, being sensitive to multiple factors that impact family involvement, and evaluating the family's health beliefs are all key components of family-centered care.

Question 11

Bobby is an 18-month-old boy whose parents report he does not "play like the other children." Which early intervention approach most clearly addresses the parent's concerns? A) Improve Bobby's gross and fine motor skills for play by providing weekly one to one intervention at a specialized clinic. B) Talk with the parents about the importance of play and how to stimulate play in children. C) Provide weekly intervention sessions at home and on the playground with one other peer; provide parents with weekly games. Help Bobby develop skills to manipulate toys. D) Evaluate Bobby's hand skill development, cognitive development, and gross motor development. Provide age equivalent scores and ask parents to play with child more.

Accepted Answer

The answer of Bobby is an 18-month-old boy whose parents...

Question 12

Which outcome most closely reflects occupational therapy's role in early intervention?&#10;A) To improve pincer grasp&#10;B) To feed himself or herself finger food&#10;C) To increase endurance&#10;D) To decrease bilateral hand use

Accepted Answer

The answer of Which outcome most closely reflects occupational therapy's...

Question 13

Kim is a new mother who has been asked to attend the IFSP meeting to discuss services for her 12-month-old daughter. Kim is nervous and asks her sister to come with her to the meeting, but they will have to reschedule the meeting. Which statement best reflects the team's procedures?

A) They do not have to reschedule the meeting; someone else can come
B) The sister is not allowed to attend the meeting
C) The team will reschedule the meeting so the sister can attend
D) Kim will forfeit services if she does not attend the meeting

Accepted Answer

The answer of Kim is a new mother who has...

Question 14

Greg is a 2-year-old boy followed by the occupational therapist in early intervention. He does not explore his surroundings, but sits quietly in the middle of the living room, while his brothers play around him. Greg does not seem to notice. His parents note that Greg is "very easygoing." What type of sensory processing difficulty does this scenario describe?

A) Low registration
B) Sensation seeking
C) Sensation avoiding
D) Sensory sensitivity

Accepted Answer

The answer of Greg is a 2-year-old boy followed by...

Deck 23: Early Intervention