Question 1

In occupational therapy practice, what are sexuality, body image, personal hygiene, and setting of personal space boundaries for adolescents considered?&#10;A) Medical practice&#10;B) Necessary life skills&#10;C) Leisure-based purposeful activity&#10;D) Educationally inappropriate

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?&#10;A) The natural and built environment (physical)&#10;B) Attitudes or cultural values&#10;C) Service systems and policies&#10;D) Support and relationships (social)

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?

A) Social skills training
B) Mentoring and role-modeling
C) Discounting and empowering
D) A contextual approach

D

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?&#10;A) Full employment&#10;B) Sensory-motor skill development&#10;C) Academic achievement&#10;D) Community participation

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?&#10;A) Preschoolers&#10;B) Middle childhood (6-12 years)&#10;C) Early adolescence (12-15 years)&#10;D) Late adolescence (16-18 years)

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? A) The model of human occupation B) The medical model C) The educational model D) The community 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?&#10;A) Support and relationships (social)&#10;B) Attitudes or cultural values&#10;C) The natural and built environment (physical)&#10;D) Service systems and policies

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?&#10;A) Individuals with Disabilities Educational Act&#10;B) Medicaid&#10;C) Private health insurance&#10;D) None of the above

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? A) Only standardized assessments are valid and reliable. B) Only nonstandardized assessments are feasible. C) Program outcomes are considered valid in some contexts. D) Developmental assessments are always indicated.

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?

A) Client-centered practice
B) Adaptation/compensation
C) Occupational development
D) Participatory action research

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?

A) Over-confidence
B) Self-esteem
C) Self-determination
D) Community participation

Accepted Answer

The answer of Sam is a 14-year-old with Down syndrome....

Question 12

Which term best describes instrumental activities of daily living skills performed in an occupational therapy session in the natural setting? A) Purposeful activities B) Sensory motor tasks C) Developmental skills D) Occupation-based practice

Accepted Answer

The answer of Which term best describes instrumental activities of...

Question 13

In what contexts does research indicate that adolescents with developmental disabilities learn and develop best?&#10;A) Inclusive contexts only&#10;B) Contexts that support success&#10;C) Academically rigid contexts&#10;D) Leisure and play groups

Accepted Answer

The answer of In what contexts does research indicate that...

Question 14

Which of the following occupations below is not considered an instrumental activity of daily living?&#10;A) Meal preparation&#10;B) Grocery shopping&#10;C) Eating and feeding&#10;D) Money management

Accepted Answer

The answer of Which of the following occupations below is...

Question 15

Which one of the following is not considered an occupational therapy practice model? A) Person-environment-occupation B) Ecology of human performance C) Occupational adaptation D) The medical model

Accepted Answer

The answer of Which one of the following is not...

Deck 17: Instrumental Activities of Daily Living and Community Participation