Question 1

Which of the following statements is not true about short-term objectives?&#10;A) They are all the things the client needs to be able to do to meet long-term goals.&#10;B) They are the statements that describe the terminal functional skills the clients should achieve after intervention.&#10;C) They are interim steps that are used to reach long-term goals.&#10;D) They describe skills that should be mastered in a relatively short time period.

Accepted Answer

Short-term goals are the steps the client needs to achieve in order to meet the long-term goals.They are statements that describe the skills that should be mastered in a relatively short period.

Question 2

Which frame of reference is described when the practitioner identifies the level of motor skill a child is achieving and works to help the child accomplish the next step in the sequence?&#10;A) Biomechanical&#10;B) Developmental&#10;C) Motor control&#10;D) Sensory integration

Accepted Answer

The developmental frame of reference is used to facilitate the child's ability to perform age-appropriate tasks in the areas of self-care, play/leisure, education, and social participation.The developmental frame of reference targets intervention at the level at which the child is currently functioning and requires that the practitioner provide a slightly advanced challenge.Practitioners using the developmental frame of reference need a clear understanding of the logical progression of skills.

Question 3

Which of the following statements is true about long-term goals?&#10;A) They do not need to be behavioral.&#10;B) They need to be measurable but not behavioral.&#10;C) They are the building blocks for OT intervention.&#10;D) They are the expected outcomes of OT intervention.

Accepted Answer

Long-term goals are statements that describe the occupational goals the client should achieve after intervention.These goals should be measurable, observable, clear, and written in behavioral terms.Goals need to be very specific and address the problems that have been identified.

Question 4

What type of approach begins by defining goals based upon the valued activities of the client?&#10;A) Biomechanical approach&#10;B) Occupational Therapy Intervention Process Model (OTIPM)&#10;C) Occupational Therapy Practice Framework (OTPF)&#10;D) Developmental approach

Accepted Answer

Fisher proposed a model for OT evaluation and intervention using a client-centered, occupation-based, top-down approach called the Occupational Therapy Intervention Process Model (OTIPM).

Question 5

Which frame of reference views the child in terms of volition, habits and roles, performance, and environment?&#10;A) Model of Human Occupation (MOHO)&#10;B) Intentional Relationship Model&#10;C) Person-Environment-Occupation&#10;D) Biomechanical

Accepted Answer

The OT practitioner uses MOHO to guide clinical reasoning.MOHO views clients in terms of volition, habits and roles (habituation), performance capacity and considers the environment.

Question 6

Which statement best represents a top-down approach toward intervention?&#10;A) Haley will bring both hands together during play.&#10;B) Haley will pick up a Cheerio with a neat pincer grasp.&#10;C) Haley will play with a variety of toys using two hands.&#10;D) Haley will stack four cubes using both hands.

Accepted Answer

Since OT practitioners are interested in helping children engage in their occupations, evaluations and interventions focusing on occupations are recommended.The focus of this evaluation and intervention plan is on the child's occupations.Later in the process, the OT practitioner determines the client factors or components that are interfering with performance.However, goals for intervention can be developed on the basis of overall performance.OT practitioners are encouraged to address the concerns of parents, caregivers, and teachers when designing an intervention that focuses on occupational performance.

Question 7

Which statement best describes legitimate tools of OT practice?&#10;A) Instruments or tools that a profession uses to bring about change.&#10;B) Tools that remain constant over time.&#10;C) Tools commonly found in an OT clinic.&#10;D) Instruments commonly used to evaluate clients.

Accepted Answer

Legitimate tools are the instruments or tools that a profession uses to bring about change.Legitimate tools change over time based on the growing knowledge of the profession, technological advances, and the needs and values of both the profession and society.OT practitioners use occupations, purposeful activities, activity analysis, activity synthesis, and therapeutic use of self as tools to help children in their care.

Question 8

Who is responsible for discharge planning?&#10;A) The registered occupational therapist&#10;B) The COTA&#10;C) The parent or caregiver&#10;D) The client

Accepted Answer

In pediatric OT practice, discharge planning or discontinuation of intervention may be mandated by laws that govern the type of system in which the child receives OT services.Regardless of the system, the discontinuation process is the responsibility of the occupational therapist.The OTA collaborates in the discontinuation process under the supervision of the occupational therapist by reporting on the child's progress and making suggestions regarding future needs.

Question 9

Which frame of reference targets the child's range of motion, strength, and endurance for occupations?&#10;A) Biomechanical&#10;B) Developmental&#10;C) Motor control&#10;D) Sensory integration

Accepted Answer

The goals of the biomechanical approach are to (a) assess physical limitations on the client's ranges of motion (ROM), muscle strength, and endurance; (b) improve ROM, strength, and endurance; and (c) prevent or reduce contracture and deformities.This approach focuses on the physical limitations that interfere with the client's ability to engage in the occupational performance areas of activities of daily living (ADLs), instrumental ADLs, sleep and rest, play and leisure activities, and work and productive activities.

Question 10

Which statement refers to therapeutic use of self?&#10;A) The practitioner's ability to work with a variety of clients.&#10;B) The practitioner's ability to be aware of his/her own feelings and use this awareness to skillfully communicate with both the client and the client's family.&#10;C) The practitioner's ability to interact with the client.&#10;D) The practitioner's ability to develop an appropriate intervention plan for the client.

Accepted Answer

Therapeutic use of self is the ability of the OT practitioner to communicate with the child and the child's family or caregivers while being aware of his or her own personal feelings.OT practitioners use their individual characteristics to relate to families, interact with children, and help children perform occupations.As such, OT practitioners who are aware of their own strengths and weaknesses have insight into how one's use of self influences intervention, so they may help children and their families more effectively.

Question 11

For what may the Certified Occupational Therapy Assistant (COTA) be responsible?&#10;A) Administering specific assessments to clients selected by the registered occupational therapist.&#10;B) Developing the intervention plan.&#10;C) Interpreting assessment findings.&#10;D) Selecting assessment tools that are used during the evaluation.

Accepted Answer

The answer of For what may the Certified Occupational Therapy...

Question 12

To what does the term intervention refer?&#10;A) Therapy sessions to facilitate goals.&#10;B) Progress reports, billing records, and client profile.&#10;C) The evaluation, treatment plan, intervention, and discharge plan.&#10;D) The plan of care.

Accepted Answer

The answer of To what does the term intervention refer?&#10;A)...

Question 13

Which statement best describes purposeful activity?&#10;A) A person involved in purposeful activities is more concerned with the process required to complete the activities.&#10;B) Purposeful activities are prescribed based on analysis of their inherent characteristics.&#10;C) Purposeful activity requires active participation from the client.&#10;D) Purposeful activities are deemed by the OT practitioner to be critically important to skill development.

Accepted Answer

The answer of Which statement best describes purposeful activity?&#10;A) A...

Question 14

Which statement reflects the meaning of activity analysis?&#10;A) The process of determining the characteristics of an activity for use with a client.&#10;B) The ability to grade and adapt an activity for intervention to meet a client's needs.&#10;C) The process of interacting with clients to allow them to succeed.&#10;D) The ability of the OT practitioner to communicate with the child and family.

Accepted Answer

The answer of Which statement reflects the meaning of activity...

Question 15

Carrie is 5 years old and unable to dress herself.Her mother must put on her clothes completely, although Carrie is able to select the clothing by nodding to make a choice.What type of performance is this?

A) Assisted performance
B) Dependent performance
C) Functional independence
D) Supervised performance

Accepted Answer

The answer of Carrie is 5 years old and unable...

Deck 10: The Occupational Therapy Process