Ethics & Professional Standards
This type of ethical issue arises when two ethical principles are in conflict.
Ethical Dilemma
What national body certifies OTAs?
NBCOT
Which federal insurance covers adults 65+?
Medicare
Which type of profession reasoning focuses on scientific knowledge to understand a client's condition the facts such as impairments, disabilities, and performance contexts.
Scientific Reasoning
What does the biomechanical Frame of Reference use?
An OTA uses outdated materials that don’t reflect current evidence.
Which ethical principle is this a violation of?
Beneficence (providing the best, evidence-based care)
You’re renewing your license and need to submit documentation of learning. What is this requirement called
CEU (Continuing education units)
You’re billing for a session and unsure which code to use for self-care training. What coding system should you refer to?
CPT Code
When reasoning may consider available insurance, equipment or time?
Pragmatic Reasoning
What FOR focuses on age-appropriate skills?
Developmental FOR
You suspect a colleague is committing fraud. According to ethical standards, what is your first responsibility?
Report it to a supervisor or appropriate authority
How many years between license renewal?
2 years
What code documents a diagnosis?
ICD-10
International Statistical Classification of Diseases and Related Health Problems 10th Revision.
The OT follows standard protocols for range of motion, strength testing and splinting for a client with a recent wrist fracture. What professional reasoning is showing what type of reasoning?
Procedural
You help a client adapt their home to better support occupational engagement and reduce fall risk, what model is being used?
Person Environment- Occupation- Performance (PEOP) Model
You are treating a client for 39 minutes and you bill for 3 units. Are adhering or violating one of the ethical principles? If so, which one?
Adhering to Veracity
How often do you need to renew your certification?
3 years
You would use this coding system when submitting documentation to justify a raised toilet seat or walker as medically necessary durable medical equipment for Medicare reimbursement.
HCPCS (Healthcare Common Procedure Coding System)
Which ethical principle is violated if a OT practitioner accepts a gift from their client?
Justice
During OT, a child calms down when placed in a weighted blanker and swinging activity. What frame of reference is being used?
Sensory Integration
You believe a new treatment could help your client, but it’s not covered by insurance. What ethical dilemma might you face?
Justice?
This ethical principle involves ensuring fair access to services. The dilemma is whether to recommend a beneficial treatment that the client cannot afford due to insurance limitations, potentially leading to inequity in care.
What document is typically required for OTA licensure application?
Passing the NBCOT exam
This manual is used by mental health professionals to diagnose conditions like Major Depressive Disorder, which may affect a client’s ability to participate in daily occupations.
DSM-5 (Diagnostic and Statistical Manual of Mental Disorders)
What type of reasoning may ask the following questions to the client?
How has your condition changed the way you do things?
How do your family and friends support you?
What does being independent mean to you?
Narrative Reasoning
What 3 subsystems does The Model of Human Occupation (MOHO) consist of?
Volition, Habituation, and Performance capacity