Therapeutic Media
The purpose of documentation is communication of client care, reimbursement, clinical documentation and record keeping. True False
True
The use of creative media in OT is most healing when it is a bridge to, or a component of, the day-to-day living experience. True False
True
Therapists interviewed as part of a qualitative study stated they had the sense that they could learn much more about clients by observing them engage in a craft for a short period of time than they could learn in weeks using other methods. True False
True
When a client has cognitive declines, it is recommended to break the activity into smaller steps that will simplify the process and allow for more immediate indicators of success. True False
True
When using activity analysis in practice, the OT practitioner should consider expected delays and wait times. True False
True
When should an OT practitioner NOT use crafts? give 2 reasons
When the client shows a disinterest in it, is not motivated to participate, demonstrates inappropriate and/or dangerous behaviors.
Complete this statement scene at the end of the assessment section: Client would ___________from continued OT services for further instructions in total hip precautions in order to manage ADLs and I ADLs safely.
benefit
B with a circle around it is an abbreviation for:
bilateral
What is the abbreviation for complains of:
c/o
The symbol of a triangle is an abbreviation for:
change
Provide one psychosocial benefit a client may receive from participation in crafts/creative media.
life enrichment, relaxation, altruism, bonding, personal development, self improvement, confidence, creativity, emotional expression, motivation
For documentation purposes and as a component of client/family education, it is important to be able to relate the use of craft projects in the client's intervention process to ______________ assessment discharge diagnosis long-term goals
long-term goals
OT should be a profession full of action words: list 3 action words
making, doing, participating, engaging
The most meaningful activities are those in which the person has previously participated, but the person may also find purpose in a _________ activity when its usefulness is for achieving a goal. familiar repeatable leisure novel
novel
POC is an abbreviation for:
plan of care
Provide one type of cognitive benefit a client may receive from participation in crafts/creative media
problem-solving, concentration, decision making, judgement
Provide one type of physical benefit a client may receive from participation in crafts/creative media.
strength, ROM, coordination, flexibility, pain distraction, normalized sensation, increased endurance
What does the abbreviation SOAP stand for?
subjective, objective, assessment, plan
The breakdown of a task or occupation into disparate parts to determine the skills and other factors needed for, and the barriers to its performance is known as _________ Activity Performance Activity Analysis Activity Engagement Activity Application
Activity Analysis
The textbook defines __________as compensation: crafts as an end. Adaptation Grading Scaffolding Capacity
Adaptation
Medicare Part C: Original Medicare plan contracted with private insurance company such as an HMO or PPO. Advantage IDEA Tricare CHIP
Advantage
A review of studies on the impact of creative activities with elders concluded that they are beneficial in: Anxiety reduction Coping with loss Internal locus of control All answers are correct.
All answers are correct
When planning a craft intervention project, be sure to allow time for: clean up preparations before treatment session completion of project All answers are correct.
All answers are correct
Your professional documentation provides: Important information and feedback to the OTR and other healthcare professionals. An accurate recordkeeping. Communication to insurance companies and accrediting agencies. Information about skilled services for reimbursement. None of the answers are correct. All of the answers are correct.
All of the answers are correct
This section of the SOAP note consist of the OT practitioner skilled appraisal for the clients progress, functional limitations, pertinent issues, and expected gains from rehabilitation.
Assessment
When using activity analysis in practice, the OT practitioner should consider if the project chosen for therapy has resale value. True False
False
The brain is constructed to respond to stimuli as either rewarding or aversive, and the primary neurotransmitter associated with reward is dopamine. ____________ is the state in which a person is highly absorbed and gratified during a favored activity. People in a state of _____________ are immersed in the moment, lose track of time, let go of anxiety, and feel deeply satisfied with the activity. Fun Flood Flow Free
Flow
______________ generally refers to structuring an activity such that the challenge or demand will gradually increase and thereby facilitate improvement in a client's function Structuring Engaging Grading Adapting
Grading
Active-Assist Range of Motion is abbreviated: AAROM. Another way to state this is HOH: write out this abbreviation
Hand over hand
Crafts embody the _____________ approach of OT, being both utilitarian and beautiful, of both manual and spiritual origins.
Holistic
A joint federal and state government program for eligible low-income people is: Medicare Medigap MediCHIP Medicaid
Medicaid
Clinical Reasoning: the reasoning behind the activity choices that make up treatment plans: the ______________ component is improvisational and intuitive, based on client's interests, values, beliefs, and subjective experience. Personal Treatment Scientific Narrative
Narrative
What are the three "P's" needed in the assessment section of the soap note?
Problems, progress, potential
A broad spectrum of benefits come from crafting: provide one benefit below:
Promotion of manual, cognitive, and perceptual skills • Establishment of valuable social roles and a sense of belonging • Development of prevocational skills • Cultivation of feelings of control and confidence • Gratification through giving back to others or to community.
This person wrote an early textbook about crafts for patient care: Studies in Invalid Occupations. Phillipe Pinel William Rush Dunton, Jr. S.E. Tracy Dr. Benjamin Rush, M.D.
S.E. Tracy
An OT evaluation can only be billed as one fixed rate, regardless if it is of low, moderate, or high complexity. True False
True
Craft is an occupation or trade requiring manual dexterity or artistic skill to make or produce w/ care, skill, or ingenuity True False
True
Crafts makes perceptual and cognitive associations to activate multiple pathways. True False
True
It is important to discuss with the client how the short-term goals of a craft project can be related to achieving his/her long-term OT goals. True False
True
The right brain is analytical and detail-oriented. True False
False
The client should never be expected to set up or clean up an intervention session, because they do not get paid for it. True False
False
Timed procedures are billed in ________ minute intervals
15
The sensorimotor approach states human function is seen as a result of biological processes dependent on appropriate: Integrity of connections within the CNS Integration of sensory input Integration of sensory input A and B above
A and B above
Current research is demonstrating that meaningful activities in their natural form are more ___________________ for learning than rote exercises or contrived tasks.
Beneficial
_________________ practice demands that our intervention choices be the result of collaboration between the client and therapist so that they are motivating and hold meaning for the participant. Psychoanalytical Developmental Cognitive-Behavioral Client-Centered
Client-Centered
Humans are assumed to progress in an orderly way through various growth stages and learn specific skills along the way. This describes which application to theory approach? Occupation-based and Ecological Developmental / Aquisition Biomechanical Cognitive
Developmental / Aquisition
ICD-10: International Classification of Diseases: 10th Version is also known as _______________ procedural codes assessment codes diagnostic codes treatment codes
Diagnostic codes
This person is known as the father of American psychiatry, used work therapy and crafts with his clients at Pennsylvania Hospital 1751. Phillipe Pinel William Rush Dunton, Jr. S.E. Tracy Dr. Benjamin Rush, M.D.
Dr. Benjamin Rush, M.D.
COAST is a strategy used to document therapy intervention. True False
False
Discharge (D/C) or Discontinuation Report: directed and documented by OTA, but OTR may contribute to the process. True False
False
More experienced OT practitioners always complete a full activity analysis in written form. True False
False
Skilled services are those that are routine or maintenance type of therapy. True False
False
OT practitioners should make an effort to utilize client-centered, cognitively challenging activities routinely, regardless of client age. Cognitive components can and should be built in to frequently used therapy tasks. The goal is to encourage _______________ thinking patterns and exercise the brain as well as the muscles. Established Novel Abstract Familiar
Novel
Client performed horizontal abduction (R) hand to (L) shoulder x30 reps. This is an example of ____________statement.
Objective
FMS were WFL to manage buttons, but mod(A) was needed to line up and fasten buttons properly due to an attention to detail. This is an example of a ______statement.
Objective
In this section of the SOAP note you record all measurable quantifiable and observable data obtained during your clients OT session
Objective
The Model of Human Occupation (MOHO) is one of the models that grew out of and share several views on human activity and adaptation including humans are occupational in nature and the environment has effect on performance and vice versa. Which category of approaches listed below does the MOHO belong to? Developmental/Acquisition Sensorimotor Occupation-Based and Ecological Cognitive
Occupation-Based and Ecological
It is important to show the need for your skill as an OTA in the very first sentence of the objective section. Complete the basic sentence that is used in objective section: The client [_____________] in 60 minute OT session in (what is the [____________] for the session) for (what is the[__________] of the intervention).
Participated, setting, purpose
What the person actually does, which may be accomplished through an adapted procedure and /or environment is known as _______. Participation Practicum Production Performance
Performance
This person persuaded tradesmen in Paris to give craftwork to his asylum patients. S.E. Tracy William Rush Dunton, Jr. Phillipe Pinel Dr. Benjamin Rush, M.D.
Phillipe Pinel
In this section of the SOAP note you determine and set for the specific interventions that will be used to achieve the OT goals.
Plan
This model proposes that graded sensory input leads to more normal integration of this input and thus facilitation of adaptive responses which forms new and more appropriate neural connections. Biomechanical Sensory Processing Proprioceptive Neuromuscular Facilitation Sensory Integration
Sensory Integration
___________ model conceptualizes that, for a given individual, sensory input of various types is perceived at particular thresholds, and that input is then managed according to the ability to self-regulate. Sensory integration Neurodevelopmental treatment Sensory processing Motor control and learning
Sensory Processing
What are the 3 qualification criteria that intervention must meet:
Skilled Reasonable Medically Necessary
Client reports "pins and needles" in (R) hand when driving less than 15 minutes. This is an example of _____________statement.
Subjective
In this section of the SOAP note, the OT practitioner records the clients report of limitations, concerns and problems, as well as what the client communicated that was relevant to treatment.
Subjective
SOAP format stand for: [S],[O], [A], [P]
Subjective, Objective, Assessment, Plan
___________ refers to the OTR not the OTA.
Therapist
c with a line over it means:
with