Question 1

Hospitalization of children is most common because of which of the following?&#10;A) Respiratory and gastrointestinal disorders&#10;B) Neurologic and musculoskeletal disorders&#10;C) Rehabilitation needs&#10;D) Psychological and psychiatric needs

Accepted Answer

Respiratory and gastrointestinal disorders are the most common reasons for hospitalization in children. These conditions are often acute and require specialized medical care that can only be provided in a hospital setting. Neurologic and musculoskeletal disorders, rehabilitation needs, and psychological and psychiatric needs may also require hospitalization, but they are not as common as respiratory and gastrointestinal disorders in children.

Question 2

Family-centered care is often a hallmark approach in pediatric hospitals. It is characterized by all of the following, but not : A) Clear descriptions in communicating evaluation results B) Input from family on expected intervention outcomes C) Mutually agreed upon treatment plan D) Family-led team meetings

Accepted Answer

Family-centered care emphasizes collaboration and communication between healthcare providers and families, but it does not typically involve family-led team meetings. Instead, healthcare professionals usually lead these meetings, ensuring that the care plan is medically appropriate while incorporating family input and preferences.

Question 3

Evidence-based approaches in occupational therapy hospital-based care commonly address clinical issues, such as:&#10;A) Effectiveness of specific interventions&#10;B) Complications with medical disorders&#10;C) Frequency patterns of specific diagnostic conditions&#10;D) Cost-effectiveness of service units

Accepted Answer

Evidence-based approaches in occupational therapy hospital-based care typically focus on evaluating the effectiveness of specific interventions, such as therapeutic exercises, adaptive equipment, and cognitive-based interventions. The goal is to provide evidence for the best practices in patient care and maximize the quality of care for patients. Complications with medical disorders and frequency patterns of specific diagnostic conditions are important considerations in healthcare, but they are not the focus of evidence-based approaches in occupational therapy hospital-based care. Cost-effectiveness of service units is relevant, but not the main focus of evidence-based approaches in occupational therapy hospital-based care.

Question 4

Intensive care units may create fears, disorientation, and sensory deprivation among children and families. To minimize these effects, occupational therapists may help by:&#10;A) Establishing a routine for the child and providing purposeful activities to facilitate cognitive, psychosocial, and motor functions&#10;B) Ensuring safety precautions and body fluid protections&#10;C) Attending to medical monitoring devices and ensuring the reporting of changes in status in response to treatments&#10;D) Addressing range of motion, skin protection, and postural needs

Accepted Answer

Occupational therapists can help minimize the negative effects of ICU stays for children and families by establishing a routine for the child and providing purposeful activities to facilitate cognitive, psychosocial, and motor functions. This can help alleviate feelings of fear and disorientation, and improve overall quality of life during the hospital stay. While the other options may also be important for a child's care in the ICU, they do not specifically address the concerns regarding fears, disorientation, and sensory deprivation.

Question 5

Assistive devices can be used to enable or enhance functional skills, and can generally be used when:&#10;A) Ensuring safety and immediate or permanent functional recovery&#10;B) Funding is available to purchase needed devices&#10;C) Recovery of physical capacities is not possible&#10;D) Substitution for skill limitations are needed

Accepted Answer

Assistive devices are used to ensure safety and support immediate or permanent functional recovery, helping individuals perform tasks they might otherwise be unable to do safely or effectively.

Question 6

Skill and functional retraining may be organized around familiar performance routines and habits, yet new skill learning may necessitate cueing. What approaches might be best used first in providing cues?

A) Written or pictorial/diagram cues for specific routines
B) Audiotapes with sequential directions given
C) Child-specific development and memorization of steps in a routine
D) Verbal cueing for step and error correction

Accepted Answer

The answer of Skill and functional retraining may be organized...

Question 7

Care of children in hospitals can include all of these settings, but usually not: A) Trauma centers B) School buildings C) General hospitals D) Children's hospitals

Accepted Answer

While children may receive care in trauma centers, general hospitals, and children's hospitals, they typically do not receive care in school buildings.

Question 8

Intervention goal setting in pediatric hospital settings should include:&#10;A) Clearly stated, measurable, and functionally relevant&#10;B) ADL and IADL performance outcomes&#10;C) Normative-based outcomes of skills and functions&#10;D) Family- and client-centered hopes

Accepted Answer

The answer of Intervention goal setting in pediatric hospital settings...

Question 9

Children's hospitals designed, staffed, and organized to support children and families may include all but usually not the following? A) Child life specialists B) Volunteers C) Specially designed family and play settings D) Locked units with restricted access

Accepted Answer

Locked units with restricted access are not typically found in children's hospitals designed to support children and families. Instead, the focus is on creating a welcoming and safe environment for children and their families, which may include child life specialists, volunteers, and specially designed family and play settings.

Question 10

Occupational therapy services in hospital settings are often prioritized. Select the best characterization of priority levels from most to least important.&#10;A) ADL, IADL, school and community participation&#10;B) Infection control, hand washing, fall prevention&#10;C) Prevention, resuming function, restoring skills and abilities&#10;D) Client- and family-centered goals, regulatory requirements, evidence-based practices

Accepted Answer

Prioritizing prevention, resuming function, restoring skills and abilities are the core responsibilities of occupational therapists in hospital settings. ADL, IADL, school, and community participation are also important but secondary to the main responsibility. Infection control, hand washing, fall prevention, client- and family-centered goals, regulatory requirements, and evidence-based practices are all important, but not as high a priority as restoring function and skills to the patient.

Question 11

Evaluations by occupational therapists in hospital settings may include a number of approaches and techniques. Select the sequence most commonly employed in medical settings.&#10;A) Role assessment, functional capacities, skill observation, physical measures&#10;B) Physical examination, objective measures, occupational role appraisal, occupational attitudes&#10;C) Goal setting, occupational performance skills, physical capacities, context appraisal&#10;D) Clinical interview, clinical observation, physical examination, standardized assessments

Accepted Answer

The answer of Evaluations by occupational therapists in hospital settings...

Question 12

Occupational therapists in hospital settings may be characterized as addressing which of the following?&#10;A) Common disorders that necessitate specialty equipment&#10;B) Low frequency but highly complex medical conditions&#10;C) Chronic medical conditions with developmental complications&#10;D) Acute medical problems that need preventative care

Accepted Answer

The answer of Occupational therapists in hospital settings may be...

Question 13

Teamwork in hospital settings is common. Specific relationships within teams may vary based on child and family needs. What style of teamwork is most commonly employed within occupational therapy services?

A) Multidisciplinary care
B) Interdisciplinary and transdisciplinary approaches
C) Specialized care consultation
D) Family-centered consultation and care

Accepted Answer

The answer of Teamwork in hospital settings is common. Specific...

Deck 26: Hospital and Pediatric Rehabilitation Services