OCTA 222 Lecture Final Exam

Question 1

True or False: Therapeutic use of self will be developed before you begin your OT practice.

Answer 1

False

Question 2

What is the OTA mostly responsible for in the intervention process?

Answer 2

Treatment

Question 3

How would the OT/OTA use a consultative process?

Answer 3

treat pt. with group not straight OT

Question 4

What is the OTA’s role in evaluations?

Answer 4

help OTR collect information, carry out structured interviews

Question 5

What needs to be considered when selecting treatment options?

Answer 5

what pt. needs or wants
Is the pt. motivated?
Decide goals

Question 6

What is the purpose of supervision?

Answer 6

to make sure you are doing everything right, get help from OTR, safety of the pt., for your own benefit of learning

Question 7

What areas are considered IADLs in the Framework?

Answer 7

cleaning, laundry, meal prep, grocery shopping, financial management, gardening

Question 8

The Practice Framework uses terms to describe group roles. T or F

Answer 8

False

Question 9

What are some of the principles of the Code of Ethics?

Answer 9

beneficence (concern for others), non-maleficence (no harm), autonomy(respect others privacy), justice (fairness), velocity (accurate info), fidelity (respect for others)

Question 10

What are the Standards of Practice?

Answer 10

explains what OTR, OTA, and aides should or should not be doing

Question 11

What does the ADA do?

Answer 11

American Disabilities Act decide on the adaptations needed for pt to be independent

Question 12

What are the requirements for adaptations?

Answer 12

have to identify an issue

Question 13

T or F: When teaching skills in the clinic, they will always transfer to the community?

Answer 13

False

Question 14

What is the major life role that many people with mental illness do not have?

Answer 14

Work

Question 15

What are the three subsystems of MOHO?

Answer 15

volition- values and motivation
habituation- habits and routines
performance- skills to do

Question 16

What are some adaptive skills according to Mosey?

Answer 16

Dyadic Skills (Interaction between 2 people), perception skills, and group interaction skills.

Question 17

What is meant by a structured assessment?

Answer 17

specific lists of questions

Question 18

What is meant by a standardized assessment?

Answer 18

to answer the same items/questions in the same way and that is scored in a standard or consistent way

Question 19

What are some non-OT assessments you may use in practice?

Answer 19

mini mental status exam, MOCA, CLOX

Question 20

What assessments would you use to assess cognitive status?

Answer 20

ACL, routine task inventory

Question 21

What assessments can you do by observing patients in any activity?

Answer 21

COTE scale

Question 22

What assessment would you not use with patients with severe cognitive deficits?

Answer 22

OCARE, COPM, interview assessments

Question 23

What assessments have both a task and interview component?

Answer 23

KELLS, BAFPE, scorable self-care, mini mental, SSCE

Question 24

Assessments related to MOHO are…?

Answer 24

role checklist, occupational performance history 2.0, NPI interest checklist, MOHOST, Adolescent Role Assessment, ALIP, OCAIRS, Assessment of Occupational Functioning

Question 25

Assessments related to cognitive disability are...?

Answer 25

ACL, routine task inventory

Question 26

What assessment is related to the PEO model?

Answer 26

COPM

Question 27

What assessment are interview only?

Answer 27

COPM, Occupational Performance History 2.0, OCAIRS, Assessment of Occupational Functioning

Question 28

What is inference?

Answer 28

interpretation of observation

Question 29

What is the difference between observation and inference?

Answer 29

``` Observation= what you see Inference= interpretation of observation ```

Question 30

What do you need to check when you write a note?

Answer 30

time, signature, pt. name and number, date, black/blue ink

Question 31

What kinds of OT documentation will you find in the chart?

Answer 31

evaluation, progress note, re-evaluations, discharge note

Question 32

What are some measurable terms when writing notes and goals?

Answer 32

identify, demonstrate, initiate, complete, participate, attend to, display, follow, state, demonstrate use of, respond to...by..., select, imitate

Question 33

What are components needed in a progress note?

Answer 33

name/number, date, goals, attendance, behaviors, progress, what happened in group, plan, OT/OTA signatures

Question 34

What is missing from this goal: "Patient will identify 2 coping mechanisms"?

Answer 34

Time frame

Question 35

What does RUMBA stand for?

Answer 35

relevant, understandable, measurable, behavioral, achievable

Question 36

What does SMART stand for?

Answer 36

specific, measurable, achievable, relevant, time frame

Question 37

What does SMART and RUMBA help you to write?

Answer 37

goals

Question 38

What components are needed in a goal?

Answer 38

activity, cues/prompts, measurements/quantifier, reasoning, time frame

Question 39

What are you observing when you observe affect?

Answer 39

facial expressions

Question 40

What should not be in a progress note?

Answer 40

space, unneeded details, jargon

Question 41

Why do we write protocols?

Answer 41

to inform others about group; see who meets the criteria of being in group; goals to "graduate from group"

Question 42

Why do we do an activity analysis?

Answer 42

see what pt. will be able to do; learn what parts of the activity to grade/adapt for patient's needs

Question 43

What is included in an activity analysis?

Answer 43

sensory, motor, mental functions; materials, safety, name of activity, sequencing/timing, physical functions/structures, new learning

Question 44

How would delusions interfere with a patient's ability to do a task?

Answer 44

refocus to the group

Question 45

How do hallucinations interfere with patient's ability to do a task?

Answer 45

distracted, distressed (auditory-may not listen)

Question 46

How do impulsivity interfere with patient's ability to do a task?

Answer 46

safety, disruptive of others, take materials

Question 47

How would delusions interfere with a patient's ability to participate in discussion group?

Answer 47

depends on delusion may not be related

Question 48

How would agitation interfere with a patient's ability to participate in discussion group?

Answer 48

cause fight, uncomfortable

Question 49

How would impulsivity interfere with a patient's ability to participate in discussion group?

Answer 49

take others turn, answer all questions

Question 50

What adaptations would you make if a person could only follow one-step directions and the project was multi-step?

Answer 50

give pt. one step at a time, break it down

Question 51

What type of OT activity would be appropriate for someone experiencing mania?

Answer 51

active activity

Question 52

What adaptions could be done in a task group for hyperactivity?

Answer 52

have pt. stand, give them extra roles like passing out materials, doing something active

Question 53

Which group level would need the most direction form the leader/staff?

Answer 53

parallel

Question 54

Would hyperactivity be more problematic with a discussion or a task-oriented group?

Answer 54

discussion group

Question 55

If you have someone who is only 7 or 8 years old, what level of group would you not expect them to be in?

Answer 55

mature and cooperative

Question 56

What are some appropriate activities for a task group?

Answer 56

crafts, card making, bracelets, sun catchers, tile trivet

Question 57

What are some appropriate activities for a social skills group?

Answer 57

introduction, go to a restaurant, role playing, conversation starters, boundaries

Question 58

What are some appropriate activities for a cognitive group?

Answer 58

word puzzles, word search, crossword, card games, trivia, pencil and paper

Question 59

What are some appropriate activities for a directive group?

Answer 59

uno, hangman, trivia, bowling, Velcro darts, horseshoes, exercise

Question 60

What are some of the basic skills addressed in a directive group?

Answer 60

concentration, attention span, simple and short activities, orientation

Question 61

What are some of the basic skills addressed in a task group?

Answer 61

concentration, follow directions, improve attention | Project-taking turns

Question 62

What are some of the skills addressed in an IADL or independent living skills group?

Answer 62

meal prep, laundry, transportation, money management, stress management

Question 63

What skills are addressed in a stress management/coping skills group?

Answer 63

relax, coping strategies, identify stressful situations

Question 64

What would be addressed in pre-vocational training( skills that help prepare them for community employment)?

Answer 64

job application, resume, proper dress, role play

Question 65

What would you do in a task group when someone was too frustrated to do a specific task?

Answer 65

take break, find another task to do

Question 66

If a patient is being discharged form the hospital but has never taken medicine before, what groups might be appropriate for her?

Answer 66

medication management, independent living skills

Question 67

What is done in a self-care group?

Answer 67

brush teeth, shower, brush hair, dress for appropriate weather

Question 68

What is the OT/OTA's role in a parallel group?

Answer 68

directions, what to do

Question 69

What are some of the things you observe in a group?

Answer 69

appearance, behavior, concentration, interaction

Question 70

What is the most effective means of disease prevention?

Answer 70

washing hands

Question 71

What are universal precautions?

Answer 71

treating everyone like they a disease; keeps from spreading germs

Question 72

What would you do if a patient reported to you that they felt like hurting themselves?

Answer 72

report it and stay with the patient

Question 73

What are some safety concerns related to seeing patients in a clinic area?

Answer 73

keys, mirrors, sharps, plastic bags, jewelry, toxic materials, choking, flammable materials

Question 74

What might happen if you leave your keys on the table?

Answer 74

pt may take and hurt themselves or swallow or try to escape

Question 75

What are symptoms of an illness (in general terms)?

Answer 75

behaviors

Question 76

What is the difference between hyperactivity and impulsivity?

Answer 76

hyperactivity- perpetual motion, moving around a lot | impulsivity- can not control thoughts or impulses