Unit 5
True or False: Observation is a continuous process.
What is True.
The three types of reporting are... (to decide how soon a report should be done)
What is routine, immediate, and emergency.
The 3 types of written documentation discussed in this course are: Narrative, SOAP, and this.
What is DARP?
Why is statistical information (stats) important to track?
What is budget, staffing, planning, the appropriate use of resources.
What is Appearance, Behaviour, Communication, and Environment.
A narrative note is always in chronological order. True or False.
What is true.
Describe what quantitative data/information means.
Information collected that can be counted and expressed as a number.
One type of observation in a TR setting is Physical Attributes of the Client. Give one example of what would fall into this category.
What is dress, hygiene and grooming, posture, or movement.
An incident report is completed for this reason.
To protect both you and the client, to create a legal record of what happened. Improve quality of care, NOT as a punishment.
You can use client names in a chart note but not in an Incident Report. True or False?
What is False.
The session evaluation helps to determine the _______ of a session and if the session allowed the clients to meet the _______ as outlined.
What is effectiveness and goals.
When putting a client's behaviour in context, we need to consider ______
What is their "normal", their history, and the environment.
Re-state this sentence in a strengths-based way. Client is aggressive and non-compliant when you wake him up in the morning.
Answers may vary.
Re-word this statement in a more descriptive way. Betty appeared to be very angry.
Answers will vary.
The RTA is responsible for completing which of the following: Session Evaluation, Specific Program Evaluation, or Comprehensive Program Evaluation?
What is Session Evaluation.
Give an example of an objective observation.
Examples may vary.
One way to prepare a verbal report is by using SBAR. This is the other way.
What is the 5 W’s (and H)?
After an incident, a verbal report usually happens first and then documentation. True or False?
Resources would be an example of what to examine/review when evaluating Session Quality. What could be reviewed when evaluating Client Response?
Observation of changes, subjective observations, participation, motivation.