Question 1

In occupational therapy practice, what are sexuality, body image, personal hygiene, and setting of personal space boundaries for adolescents considered?

Accepted Answer

Sexuality, body image, personal hygiene, and setting of personal space boundaries are important life skills for adolescents to learn and develop. Occupational therapists may address these areas to support their clients' overall well-being and independence in daily activities.

Question 2

Availability of funding for out-of-school programs and transportation represents which environmental context?

Accepted Answer

Availability of funding and transportation are part of the service systems and policies environmental context.

Question 3

John, an occupational therapy assistant, is working with Patrick, a 14-year-old boy with autism, on performance of instrumental activities of daily living. John has decided to set up the kitchen with ingredients needed to make a sandwich to facilitate Patrick's initiation in meal preparation. What type of intervention is this considered?

Accepted Answer

Setting up the kitchen with ingredients needed to make a sandwich is an example of a contextual approach, which involves modifying the environment to support the individual's successful performance of tasks. This intervention addresses Patrick's goal of improving his ability to perform instrumental activities of daily living, specifically meal preparation. Social skills training, mentoring and role-modeling, and discounting and empowering are not applicable in this scenario.

Question 4

What is the overall goal of occupational therapy practice with children and youth as they enter adult roles?

Accepted Answer

The overall goal of occupational therapy practice with children and youth as they enter adult roles is community participation. This includes being able to participate in daily routines, social activities, work, leisure, and educational pursuits. The goal is not necessarily full employment, which may not be possible for all individuals, or solely academic achievement, which is just one aspect of community participation. Sensory-motor skill development may be necessary for participation but is not the overall goal itself.

Question 5

Which age group is most developmentally ready to begin formal vocational exploration, instrumental activities of daily living, and community participation in occupational therapy?

Accepted Answer

Early adolescence (12-15 years) is the age group that is most developmentally ready to begin formal vocational exploration, instrumental activities of daily living, and community participation in occupational therapy. This is because they have achieved a degree of independence, have developed the cognitive skills necessary to understand the relationship between work and income, and have begun to develop their own personal interests and strengths that can be matched with potential vocations. They also have the ability to participate in more complex and structured activities within the community to develop their social and community integration skills.

Question 6

Which of the following is not considered a service provision model?

Accepted Answer

The model of human occupation is a theoretical framework used in occupational therapy practice, it focuses on the balance between the person, the environment, and the occupation itself. It is not considered a service provision model, but rather a theoretical framework that guides the intervention plans within the service provision models. The other options (B, C, and D) are all service provision models commonly used in healthcare, education, and community-based services.

Question 7

According to the Occupational Therapy Practice Framework, supports and barriers related to values, beliefs, and routines are associated with which environmental context?

Accepted Answer

Supports and barriers related to values, beliefs, and routines are associated with attitudes or cultural values, which is one of the components of the social environment context in the Occupational Therapy Practice Framework.

Question 8

Which of the following supports independent living skills, functional achievement, and community participation for children and youth?

Accepted Answer

The Individuals with Disabilities Educational Act (IDEA) supports independent living skills, functional achievement, and community participation for children and youth with disabilities by providing special education and related services to help them reach their full potential. IDEA focuses on preparing students for post-secondary education, employment, and independent living, as well as providing opportunities for community participation through extracurricular activities and transition planning. Medicaid and private health insurance may provide medical services and therapies, but they do not specifically address independent living skills or community participation.

Question 9

Which of the following statements regarding occupational therapy evaluation of instrumental activities of daily living and community participation of children and youth is true?

Accepted Answer

Program outcomes can be considered valid in some contexts, especially when evaluating community participation and instrumental activities of daily living in children and youth. However, it is important to also consider standardized assessments and developmental assessments for a comprehensive evaluation. Nonstandardized assessments may also be used if they are feasible and have been validated for use in this population.

Question 10

Sally, a school-based occupational therapist, has decided to include her client, Mary, a 12-year-old girl with cerebral palsy, in her intervention planning, goal setting, and outcome data collection. Sally's intervention is an example of which of the following?

Accepted Answer

Sally's intervention is client-centered because she is involving Mary in the decision-making process and considering her individual needs and preferences. This approach recognizes the importance of the client's perspective and autonomy in the therapy process.

Question 11

Sam is a 14-year-old with Down syndrome. After many successful years in supported school and therapy contexts, Sam is demonstrating goal-directed, self-regulated, independent behaviors and attitudes. Which term best describes this?

Accepted Answer

Self-determination refers to the ability to make choices and decisions that affect one's life, and to take responsibility for those decisions. Sam's demonstration of goal-directed, self-regulated, independent behaviors and attitudes reflects his growing self-determination, as he becomes more capable of taking charge of his own life. While self-esteem and community participation may be related to self-determination, neither term fully captures the idea of self-directed decision-making and responsibility-taking that defines self-determination. Over-confidence, on the other hand, suggests an unwarranted sense of certainty or competence, which is not necessarily evident in Sam's situation.

Question 12

Which term best describes instrumental activities of daily living skills performed in an occupational therapy session in the natural setting?

Accepted Answer

Instrumental activities of daily living (IADL) skills are those necessary for independent living, such as meal preparation, managing finances, and transportation. These skills are best addressed in the natural setting where the client will be using them, which is the basis of occupation-based practice. Therefore, option D - occupation-based practice, is the best term to describe instrumental activities of daily living skills performed in an occupational therapy session in the natural setting. Options A and B may also be used to describe specific types of activities, but do not fully encompass the breadth of IADLs. Option C, developmental skills, is not specific enough to the IADL context.

Question 13

In what contexts does research indicate that adolescents with developmental disabilities learn and develop best?

Accepted Answer

Research indicates that adolescents with developmental disabilities learn and develop best in contexts that support success. This includes environments that are structured, predictable, and provide opportunities for skill-building and social engagement. Inclusive contexts may be beneficial for some adolescents, but it ultimately depends on the individual's needs and capabilities. Academically rigid contexts may be too restrictive and may not allow for individualized learning and growth. While leisure and play groups can be beneficial for socialization, they may not provide enough structure and support for optimal learning and development.

Question 14

Which of the following occupations below is not considered an instrumental activity of daily living?

Accepted Answer

Eating and feeding are considered basic activities of daily living, rather than instrumental activities. Instrumental activities refer to tasks that are necessary for independent living but are not necessarily related to personal care. Meal preparation, grocery shopping, and money management are all examples of instrumental activities.

Question 15

Which one of the following is not considered an occupational therapy practice model?

Accepted Answer

The medical model is a model of medical care that focuses on the diagnosis and treatment of disease or injury. It is not considered an occupational therapy practice model, which instead focus on the use of occupation to promote health and well-being. The other choices, Person-environment-occupation, Ecology of human performance, and Occupational adaptation, are all considered occupational therapy practice models.

Quiz 17: Instrumental Activities of Daily Living and Community Participation

In occupational therapy practice, what are sexuality, body image, personal hygiene, and setting of personal space boundaries for adolescents considered?

Availability of funding for out-of-school programs and transportation represents which environmental context?

What is the overall goal of occupational therapy practice with children and youth as they enter adult roles?

Which age group is most developmentally ready to begin formal vocational exploration, instrumental activities of daily living, and community participation in occupational therapy?

Which of the following is not considered a service provision model?

According to the Occupational Therapy Practice Framework, supports and barriers related to values, beliefs, and routines are associated with which environmental context?

Which of the following supports independent living skills, functional achievement, and community participation for children and youth?

Which of the following statements regarding occupational therapy evaluation of instrumental activities of daily living and community participation of children and youth is true?

Sally, a school-based occupational therapist, has decided to include her client, Mary, a 12-year-old girl with cerebral palsy, in her intervention planning, goal setting, and outcome data collection. Sally's intervention is an example of which of the following?

Sam is a 14-year-old with Down syndrome. After many successful years in supported school and therapy contexts, Sam is demonstrating goal-directed, self-regulated, independent behaviors and attitudes. Which term best describes this?

Which term best describes instrumental activities of daily living skills performed in an occupational therapy session in the natural setting?

In what contexts does research indicate that adolescents with developmental disabilities learn and develop best?

Which of the following occupations below is not considered an instrumental activity of daily living?

Which one of the following is not considered an occupational therapy practice model?