The Role Of OT

1. Which of the activities listed below is not an ADL (activity of daily living)?

Bathing

Dressing

Eating

Cleaning the house

Bathing, dressing, and eating are all considered "ADLs" (activities of daily living) whereas the activity of cleaning the house is considered an "IADL" (instrumental activity of daily living).

Explanation

Bathing, dressing, and eating are all considered "ADLs" (activities of daily living) whereas the activity of cleaning the house is considered an "IADL" (instrumental activity of daily living).

2. True/False: OT's main role is to practice in the hospital setting.

True

False

OTs can practice in a wide variety of settings. For example, in community health/settings, preschools, schools, early-intervention programs, home health, skilled nursing facilities, hospitals, long-term acute care, the VA, or outpatient clinics.....just to name a few! :)

Explanation

OTs can practice in a wide variety of settings. For example, in community health/settings, preschools, schools, early-intervention programs, home health, skilled nursing facilities, hospitals, long-term acute care, the VA, or outpatient clinics.....just to name a few! :)

3. Referral of occupational therapy services may come from ______.

The individual/their family/caregivers

Physicians and nurse practitioners

Teachers and social workers

All of the above

Referral of occupational therapy services may come from various sources, including the individual themselves, their family or caregivers, physicians, nurse practitioners, teachers, and social workers. All of these parties can recognize the need for occupational therapy services and refer individuals to receive the appropriate care.

Explanation

Referral of occupational therapy services may come from various sources, including the individual themselves, their family or caregivers, physicians, nurse practitioners, teachers, and social workers. All of these parties can recognize the need for occupational therapy services and refer individuals to receive the appropriate care.

4. Treatment to the client by the occupational therapist often begins with what important step? Developing an individualized plan to achieve prioritized goals by working with the client to achieve their self-identified goals Strategizing with other OT professionals to come up with the best intervention for the client Having the doctor tell the therapist what to do Making an educated guess with what to do based on the skills and processes learned in school and through clinical experience

Strategizing with other OT professionals to come up with the best intervention for the client

Developing an individualized plan to achieve prioritized goals by working with the client to achieve their self-identified goals

Having the doctor tell the therapist what to do after asking the doctor for advice

Making an educated guess with what to do based on the skills and processes learned in school and through clinical experience

It is always important to make sure that we work with our client to ensure that we are practicing client-centered care. We wouldn't be doing our job if we didn't listen to our clients.

Explanation

It is always important to make sure that we work with our client to ensure that we are practicing client-centered care. We wouldn't be doing our job if we didn't listen to our clients.

5. When monitoring a patient's outcomes, the OT is responsible for which of the following?

Sending a patient home without documenting the need for the patient to transition to a more intensive setting, when they require this increase of care

Not recommending follow-up services or safety techniques for a patient who experienced a stroke

Selecting, measuring, documenting, & interpreting the expected or achieved outcomes

Answer option 4

The selection, measurement, documentation, & interpretation of the expected or achieved outcomes are the OT’s responsibilities and the correct answer. It would be unethical and poor judgment to send a patient to an environment where they will not be safe and will perform their activities of daily living poorly on their own.

Explanation

The selection, measurement, documentation, & interpretation of the expected or achieved outcomes are the OT’s responsibilities and the correct answer. It would be unethical and poor judgment to send a patient to an environment where they will not be safe and will perform their activities of daily living poorly on their own.

6. What are the three main aspects of the OT process of service delivery?

Evaluation, intervention, and outcomes

Diagnosis, intervention, and re-evaluation

Diagnosis, prescription of exercises, and outcomes

Evaluation, intervention, and re-evaluation

OT's may assist in diagnosis process, however dx is finalized through a physician or nurse practitioner
OT's focus on a wide variety of interventions that focus on functional occupations rather than solely exercise

Explanation

OT's may assist in diagnosis process, however dx is finalized through a physician or nurse practitioner
OT's focus on a wide variety of interventions that focus on functional occupations rather than solely exercise

7. Occupational therapy focuses on the upper extremities and physical therapy focuses on the lower extremities.

True

False

OTs and PTs have many similar roles and will often collaborate when providing care for the same client. The main difference between these two profession's focus. OT focuses on enabling the client to engage in the activities (things that 'occupy' their time) of their daily life's. PT focuses on the potential or actual impairment of the musculoskeletal, neuromusculoskeletal, cardiopulmonary, and/or integumentary (skin) systems. There are roles within these professions that overlap.

Explanation

OTs and PTs have many similar roles and will often collaborate when providing care for the same client. The main difference between these two profession's focus. OT focuses on enabling the client to engage in the activities (things that 'occupy' their time) of their daily life's. PT focuses on the potential or actual impairment of the musculoskeletal, neuromusculoskeletal, cardiopulmonary, and/or integumentary (skin) systems. There are roles within these professions that overlap.

8. An OT performs what of the following tasks?

Evaluation

Recommending additional consultants

Client collaboration

A & C

A, B, & C

An OT performs all of these tasks (“a.”, “b.”, & “c.”) and so the answer is e

Explanation

An OT performs all of these tasks (“a.”, “b.”, & “c.”) and so the answer is e

9. Which activity is not an IADL (instrumental activity of daily living)?

Taking medications

Taking care of family/pets

Managing money

Using the telephone

All answers listed above are correct

IADLs are defined as a series of life functions necessary for maintaining a person's immediate environment.

Explanation

IADLs are defined as a series of life functions necessary for maintaining a person's immediate environment.

10. What is not the responsibility of the OT for proper delivery of services.

To pass the patient to the OTA after the evaluation for the remainder of their stay

To be accountable for the safety & effectiveness of their service delivery

To demonstrate competency of specific techniques, assessments, screens, documentation, & intervention plans

All of the above are not the responsibilities of an OT

The OT is accountable for the safety & effectiveness of their role to ensure positive outcomes for the patient or client and must demonstrate the acquired competencies listed in “c.”. The OT may delegate some responsibilities to the OTA, however, the OT must be the one who documents, perform most parts of the assessments, and oversees their set intervention plan with the OTA. Therefore, “a.” is the correct answer.

Explanation

The OT is accountable for the safety & effectiveness of their role to ensure positive outcomes for the patient or client and must demonstrate the acquired competencies listed in “c.”. The OT may delegate some responsibilities to the OTA, however, the OT must be the one who documents, perform most parts of the assessments, and oversees their set intervention plan with the OTA. Therefore, “a.” is the correct answer.

11. What is often the first responsibility of an OT when meeting with a prospective patient?

Creating a goal

Talking about the physical environment of their home

Performing a screen

Interviewing their family members using the Canadian Occupational Performance Measure (COPM)

The OT has to determine whether or not the patient requires professional OT services and the easiest way to acquire this information is by performing screens. This would need to be accomplished prior to creating a goal, talking about specific details of their home, and involving their family on rehabilitation that has not begun.

Explanation

The OT has to determine whether or not the patient requires professional OT services and the easiest way to acquire this information is by performing screens. This would need to be accomplished prior to creating a goal, talking about specific details of their home, and involving their family on rehabilitation that has not begun.

12. An OT uses professional and clinical reasoning to select appropriate intervention methods, including those without scientific evidence, but great testimonial response.

True

False

False. The OT uses evidence-based practice to influence intervention methods and practice. Relying on testimonials would not demonstrate the use of scientific data.

Explanation

False. The OT uses evidence-based practice to influence intervention methods and practice. Relying on testimonials would not demonstrate the use of scientific data.

13. The OT practice framework lists types of OT interventions including all of the following except ______.

Establish: focusing on establishing a skill that the person had never developed

Modify: focused on altering the context or demands of an activity in order to support a person’s ability to engage in areas of occupation

Maintenance: focused on preserving the individual’s current functional level.

Biomechanical restoration: focused on the individual’s ability to improve a specific body movement

The profession of occupational therapy is focused on areas of occupations within the client's life. Therefore, interventions focused on a specific body movement would focus on it's use within their
occupations (ADLs, IADLs, Work, Social, Leisure, etc),

Explanation

The profession of occupational therapy is focused on areas of occupations within the client's life. Therefore, interventions focused on a specific body movement would focus on it's use within their
occupations (ADLs, IADLs, Work, Social, Leisure, etc),

14. Initial Screening tools utilized by OTs include all of the following except _______.

Medical history/chart review

Structured observation

Assessing range of motion

Brief interview

ROM assessments are standardized in their protocol and review of information, therefore would be a part of the OTs thorough evaluations. All other options are initial screens utilized by the OT to gather brief information.

Explanation

ROM assessments are standardized in their protocol and review of information, therefore would be a part of the OTs thorough evaluations. All other options are initial screens utilized by the OT to gather brief information.

15. What is the minimum completed amount of training an occupational therapist needs to have in order to be certified?

Completed a bachelor’s degree in occupational studies with a focus in specific classes such as anatomy and physiology, psychology, sociology, health and wellness, and human development.

Completed training at an accredited educational program, which is at minimum a master’s degree level (as of 2007).

Completed an Associate’s degree from an accredited college, supervised clinical experience, and passed the national certification examination

Completed training at an accredited educational program, which is at minimum a doctoral degree level (as of 2007).

A practicing OT must have completed training at an accredited educational program, which is at minimum a master’s degree level (as of 2007). All programs require a period of supervised clinical experience. After graduation, individuals must pass a national certification examination to become a registered Occupational Therapist. OTRs may also pursue advanced certifications in specialties such as hand therapy and environmental modifications, or pursue additional graduate education to assume roles in leadership and research.

Explanation

A practicing OT must have completed training at an accredited educational program, which is at minimum a master’s degree level (as of 2007). All programs require a period of supervised clinical experience. After graduation, individuals must pass a national certification examination to become a registered Occupational Therapist. OTRs may also pursue advanced certifications in specialties such as hand therapy and environmental modifications, or pursue additional graduate education to assume roles in leadership and research.

The Role Of Ot