OT Model
When planning services for an older adult with a hip fracture who lives in a retirement community, using the MOHO to guide the intervention, what would the OT be MOST interested in learning about the adult?
A. Client’s report of interests, and hobbies
B. How the client’s posture and seating positions impact her ability to get dressed
C. Assistance that the client received prior to her hip fracture
D. The physical layout of the client’s home and retirement community.
A. Client’s report of interests, and hobbies
The parents of an adolescent who sustained a traumatic amputation are meeting with the OT in an outpatient center to plan the evaluation. Considering MOHO, what will the OT MOST likely want to include as part of the evaluation?
A. the physical layout of the home and school
B. measure teenager’s cognitive and visual perceptual skills.
C. teenager’s interests, habits/routines, and skills.
D. roles of the members of the school teenager’s team
C. teenager’s interests, habits/routines, and skills.
When working with clients, the OT always provides the client with comprehensive, accurate and objective information, and ensures that the client fully understands such information. This OT is following which ethical principle in her practice?
A. Beneficence
B. Autonomy
C. Justice
D. Veracity
D. Veracity
An OT is planning intervention for an 83 year old woman who sustained a radius and ulnar fracture when she fell. The OT consulted the orthopedic surgeon who recommended a protocol. Which type of clinical reasoning was used?
A. Scientific reasoning
B. Pragmatic reasoning
C. Interactive reasoning
D. Procedural reasoning
D. Procedural reasoning
An OT is performing an assistive technology intervention with an individual who demonstrates severely impaired motor performance. According to CMOP-E what should the OT do FIRST?
A. Research the most appropriate commercially available forms of assistive technology.
B. Identify the individual’s needs, abilities, and goals.
C. Select the appropriate method of accessing the technology.
D. Modify the assistive technology device to meet the needs of the client.
B. Identify the individual’s needs, abilities, and goals.
An OT is using PEOP as the guiding model and she wants to gain more information regarding her client’s previous and current activity participation, so an intervention can be collaboratively developed to increase occupational performance?
A. Role Checklist
B. Occupational Self-Assessment
C. Activity Card Sort Assessment
D. Canadian Occupational Performance Measure (COPM)
C. Activity Card Sort Assessment
An OT is offered a job upon completion of fieldwork and accepts the position even though she had not yet applied for her license. The employer wants her to start working immediately. What would be the BEST action for this therapist to take under the circumstances?
A. Schedule an immediate start date and apply for a license and hope it will arrive on time.
B. Confide with the rehabilitation director that she just submitted the application for an OT state license and follow her recommendations to start as scheduled.
C. Ask whether the company can delay the start date until she receives her OT state license.
D. Start the job knowing that no one with the company will ask to for verification of her OT license
C. Ask whether the company can delay the start date until she receives her OT state license.
When an OT interviews the client, completes objective assessments and considers the client’s contexts to develop a treatment plan. Which type of clinical reasoning was used?
A. Procedural reasoning
B. Interactive reasoning
C. Pragmatic reasoning
D. Conditional reasoning
D. Conditional reasoning
The goal of a work program for homeless youths is to develop job skills that will improve housing status. The OT plans to evaluate each participant. Based on the PEOP model, which area of assessment/evaluation should the OT BEGIN with?
A. Environmental barriers
B. Social skills
C. Work skills
D. Cognitive ability and readiness.
A. Environmental barriers
An OT is planning intervention with a young teenager who sustained a second-degree burn on her hands and face. What evaluation tool would provide information about what the teenager needs to do, wants to do or is expected to do?
A. School record, including past grades and extracurricular activities.
B. Canadian Occupational Performance Measure (COPM).
C. Jacob’s Prevocational Assessment (JPVA).
D. Ranchos Los Amigos Levels of Cognitive Functioning.
B. Canadian Occupational Performance Measure (COPM).
The family of a client receiving OT services asks the OT to write a recommendation to terminate the client’s driver’s license. The OT is uncomfortable taking this action because she has not assessed the client’s driving ability and has not discussed driving with the client. Which principle of the AOTA Code of Ethics could such an action most clearly conflict with?
A. Social justice
B. Veracity
C. Fidelity
D. Autonomy
D. Autonomy
An OT is working with the client and family to determine the best tub bench for their bathroom, who lives in a “shot-gun” house? What type of clinical reasoning would the OT use?
A. Procedural reasoning
B. Pragmatic reasoning
C. Interactive reasoning
D. Scientific reasoning
C. Interactive reasoning
An individual with a panic disorder feels so overwhelmed by the number of people in the hallways and the bright lights in the group rooms that he has not attended any of the OT sessions. To address this, the OT rescheduled the OT session during a time when most of the clients are already in a group and provided colored glasses to wear during group. Which model was most likely used by the OT?
A. CMOP
B. MOHO
C. PEOP
D. EHP
C. PEOP
An OT is using PEOP as the guiding model and she wants to assess the IADLs of a 42-year-old client, who sustained a stroke. Which assessment should she use if she is interested in understanding if the client’s cognitive skills are impairing the ability to complete IADLs?
A. Occupational Performance History Interview-II.
B. Role Check-list
C. Activity Card Sort assessment
D. Executive Function Performance test.
D. Executive Function Performance test.
At the end of an outpatient treatment session, a patient states that his number of visits for therapy has been reached and he does not want to continue occupational therapy services because he cannot afford to pay for the treatment. Which of the following actions would be MOST appropriate for the OT practitioner to take?
A. Treat the individual per the physician’s order and notify the office manager about the patient’s refusal.
B. Based on his refusal, do not treat the individual and document the interaction in the chart.
C. Treat the individual, but do not charge or document the services.
D. Do not treat the individual and only charge for the time spent completing the chart review
B. Based on his refusal, do not treat the individual and document the interaction in the chart.
As part of an initial evaluation in an outpatient setting, the OT is developing an occupational profile an adult with severe mental retardation. Which approach BEST represents the OT’s use of narrative clinical reasoning skills?
A. Perform interviews with the parents regarding their daily routines, social life, and parenting practices.
B. Rely on information gathered from other healthcare professionals
C. Determine the adult’s performance level through observing the adult complete a task
D. Research social and financial resources within the family’s community
A. Perform interviews with the parents regarding their daily routines, social life, and parenting practices.
Using MOHO model to organize your evaluation of an individual, which of the following should you PRIMARILY focus on?
A. Identification of problem behaviors that need to be extinguished.
B. Clarification of thoughts, feelings, and experiences that influence behavior
C. Assessment of cognitive function, including assets and limitations.
D. Evaluation of the influence of values, routines, performance skills, and environment on role performance.
D. Evaluation of the influence of values, routines, performance skills, and environment on role performance.
Give at least one example of assessments for CMOP-E, PEOP, MOHO, and EHP.
PEOP: Activity Card Sort assessment, Executive Function Performance
MOHO: Role Checklist, Occupational Self-Assessment
EHP: No standardized assessment, so one could use narrative assessment via interview
An OT is developing a falls prevention program with nursing at an Assistive Living Facility (ALF). While they are planning the education component for the clients within the ALF, which of the following is the most important to consider?
A. HIPAA and guidelines.
B. Autonomy, justice
C. Respect, beneficence, and fidelity.
D. Confidentiality, and Privacy
C. Respect, beneficence, and fidelity.
During the process of planning an intervention program, the therapist relies on data gathered through narrative reasoning. Which of the following could only be gathered through an interview?
A. Student’s knowledge of classroom activities and routines.
B. Teacher’s report of how the student has adjusted in the new classroom.
C. Student’s fine motor skills compared with those of peers based on the assessment score.
D. History of therapy services the student has
B. Teacher’s report of how the student has adjusted in the new classroom.