Therapeutic Media Final

T/F : 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

T/F : 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

T/F : When using activity analysis in practice, the OT practitioner should consider expected delays and wait times.

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.

The textbook defines __________as compensation: crafts as an end

adaptation

(B) is an abbreviation for:

bilateral

What is the abbreviation for complains of:

c/o

The symbol of a triangle is an abbreviation for:

change

To give clients a greater sense of control in the therapy session and allow them to express personal interest and individuality, offer a _________ of craft projects if possible.

choice

When choosing craft intervention activities, an OTA can consider recycled or scrap material alternatives to minimize ______

costs

ICD-10: International Classification of Diseases: 10th Version is also known as _________________.

diagnostic codes

Clients in OT should be involved in "__________" activities that comprise or lead to desired occupational engagement.

doing

Active-Assist Range of Motion is abbreviated: AAROM. Another way to state this is HOH (A): write out this abbreviation

hand over hand assist

When a client is engaged in the therapy process, use professional judgment about when to ____________ and how much or how little assistance to give.

intervene

OT should be a profession full of action words: list 3 action words

making, doing, participating, engaging

If a craft project requires the client to design or create, be prepared

offer suggestions and ideas

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

What are the 3 P's needed in the assessment section of the SOAP note?

progress, problems, potential

When providing a craft project for the client to engage in, have a _____________ of the project for the client to refer to as she/he works on it.

sample

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 Analysis

Medicare Part C: Original Medicare plan contracted with private insurance company such as an HMO or PPO.

Advantage

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.

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.

Grading

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 _______________.

Long term goals

A joint federal and state government program for eligible low-income people is:

Medicaid

Intact neurons and neurological wiring, chemical transport, and storage of information in the neurological systems is needed for:

Motor output

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.

Narrative

The textbook describes this approach as discrete skills, such as attention or sequencing, that can be improved through repetitious tasks or specific training strategies, then ideally transferred to more functional activities.

Remedial

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.

Sensory Integration

T/F : An OT evaluation can only be billed as one fixed rate, regardless if it is of low, moderate, or high complexity.

True

T/F : Crafts makes perceptual and cognitive associations to activate multiple pathways.

True

T/F : 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

T/F : 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

T/F : Participation in creative activities reduces serotonin levels and increases cortisol levels.

False

T/F : Skilled services are those that are routine or maintenance type of therapy.

False

T/F : The OT practitioner can only be the leader of a group activity. Do not expect a client to lead groups.

False

T/F : The client should never be expected to set up or clean up an intervention session, because they do not get paid for it.

False

T/F : The right brain is analytical and detail-oriented.

False

T/F : When using activity analysis in practice, the OT practitioner should consider if the project chosen for therapy has resale value.

False

T/F : More experienced OT practitioners always complete a full activity analysis in written form.

False

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 of the above)

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. (All of the above)

Human function is seen as a result of biological processes dependent on appropriate:

- Integrity of connections within the CNS - Integration of sensory input - Reception and perception (all of above)

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 (A and B above)

Choose 3 approaches in the list below which belong in the sensorimotor category:

- Proprioceptive Neuromuscular Facilitation (PNF) - Sensory Integration (SI) and Sensory Processing - Neurodevelopmental Treatment (NDT)

When planning a craft intervention project, be sure to allow time for

- clean up - preparations before treatment session - completion of project (all of above)

Documentation must:

- reflect intervention appropriate to the person's condition and rehabilitation potential. - have proper wording to justify continuation of skilled OT services. - demonstrates the level of complexity or sophistication of the OT services.

Timed procedures are billed in ________ minute intervals

15

Your OTA course objectives must meet __________ standards

ACOTE

_________________ 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.

Client-Centered

____________ approaches rely on modification of the task or environment or use of external aids to improve function.

Compensatory

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?

Developmental / Aquisition

T/F : Current Procedural Terminology codes have 3 levels for billing of medical services and products.

False

T/F : Discharge (D/C) or Discontinuation Report: directed and documented by OTA, but OTR may contribute to the process.

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.

Novel

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.

Novel

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?

OCCUPATION-BASED AND ECOLOGICAL

What the person actually does, which may be accomplished through an adapted procedure and /or environment is known as _______.

Performance

_____________ 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 processing

What are the 3 qualification criteria that intervention must meet:

Skilled, Reasonable, and Medically Necessary

_____________ refers to the OTR not the OTA.

Therapist

a c with a line over it means:

with