Better Ass/Eval Guide Flashcards
What is the primary purpose of using screening tools on children?
A) To provide a comprehensive evaluation
B) To determine medical diagnoses only
C) To assess performance and identify conditions
D) To administer standardized assessments
Answer: C) To assess performance and identify conditions
What is the difference between norm-referenced and criteria-referenced assessments?
A) Norm-referenced assessments are based on individual criteria, while criteria-referenced assessments compare against norms.
B) Norm-referenced assessments assess one or more areas of behavior, while criteria-referenced assessments use familiar materials.
C) Norm-referenced assessments derive norms from standardized data, while criteria-referenced assessments are based on specific criteria.
D) Norm-referenced assessments focus on previous performance, while criteria-referenced assessments evaluate against standard scores.
Answer: C) Norm-referenced assessments derive norms from standardized data, while criteria-referenced assessments are based on specific criteria.
Which scoring method is most reliable and valid for use with children?
A) Age equivalents
B) Ipsative scoring
C) T scores
D) Z scores
Answer: D) Z scores
What is the main purpose of standardized testing protocols?
A) To ensure consistent administration and scoring
B) To allow for subjective interpretation
C) To speed up the assessment process
D) To replace non-standardized assessments
Answer: A) To ensure consistent administration and scoring
In the AMPAC assessment tool, what does a score of “3” indicate?
A) Total assistance
B) A lot of assistance, more than 50%
C) A little assistance, less than 50%
D) None, no additional assistance needed
Answer: C) A little assistance, less than 50%
What is the purpose of a screening in occupational therapy?
A) To perform a comprehensive evaluation
B) To determine reimbursement eligibility
C) To identify the need for a formal evaluation
D) To set intervention goals
Answer: C) To identify the need for a formal evaluation
Which of the following is NOT a section included in the IRF assessment?
A) Self-care
B) Indoor mobility
C) Stairs
D) Meal preparation
Answer: D) Meal preparation
What is the primary difference between standardized and nonstandardized assessment tools?
A) Standardized tools have stricter protocols
B) Nonstandardized tools are more reliable
C) Standardized tools are quicker to administer
D) Nonstandardized tools are always more valid
Answer: A) Standardized tools have stricter protocols
What is the correct order for administering assessments?
A) Screening, reassessment, assessment
B) Assessment, reassessment, screening
C) Assessment, screening, reassessment
D) Reassessment, screening, assessment
Answer: C) Assessment, screening, reassessment
Which code of ethics element emphasizes the importance of ensuring client understanding and consent?
A) Beneficence
B) Nonmaleficence
C) Autonomy
D) Fidelity
Answer: C) Autonomy
What kind of scores are the most reliable/valid/sound psychometrically to use with children?
○ Ones that have high validity and test/retest reliability
■ Ones that have standard scores that allow interdisciplinary teams to speak a common language on the client
○ What is not so sound?
■ Measures that do not have high validity and test/retest reliability
● These test scores may have a lack of competency amongst administrators
How do we report standardized assessment scores?
○ Reporting assessment scores→ review scoring sheet to apply standard scores to percentile ranks + t scores (if applicable to measure)
■ Age equivalents we review less, not completely representative of clients score/progress
● How do non standardized assessments look? How do we collect data? What is the method?
Typically created by patients needs
○ These for OT include Clinical Observations, Functional and Developmental checklists as deemed appropriate by the Occupational Therapist, as well as observations in a variety of settings (clinic, school, nursery and home)
○ Example- An example of a non-standardised assessment could be a therapist showing a child a book of pictures, and counting how many pictures they can name before therapy. They could then show the child the same book three months later, and see if there was an improvement in the number of pictures the child could name
How does being an evidence based practitioner apply to code of ethics? Which piece of the code of ethics is being followed by being an EBP?
○ Considering beneficence (good moral obligation to others) to assessment
■ Considering if the assessment is current, evidence based, and if the eval is within the scope of the profession/appropriate
○ Considering nonmaleficence (do no harm to patients) to assessment
■ Considering if you as the clinician have personal limitations that may lead to harm, using professional judgment through eval, intentional harm?
○ Considering autonomy to assessment
■ Fully explaining the eval/assessment to the patient? Does the patient understand and expressed their opinions?
○ Considering justice to assessment and patient (abiding by laws + regulations throughout eval & providing equitable care)
■ Providing services in a timely manner to client
○ Considering veracity to assessment
■ Considering if you as the clinician is representing professional competence to client
○ Considering fidelity to assessment
■ Acting with respect toward client
What are AMPAC= Activity Measure for Post Acute Care rating scale ?
■ Assessing how much help from another person does the patient need
● 1- Total Assistance, 100%
● 2- A lot of assistance, more than 50%
● 3- A little assistance, less than 50%
● 4- None, no additional assistance needed
What are the scoring guidelines for IRF?
■ Scoring Guidelines:
● 6- independent with or without adaptive equipment→ no assistance
● 5- set up or clean up assistance needed→ ie patient performed 1 not the other or unable to do both
● 4- supervision or touch assistance→ ie hand on back while performing a standing task, can be for confidence or contact guard
● 3- Partial/moderate assistance → OT assists less than 50%
● 2- Substantial/maximal assistance → OT assists more than 50% (50-90)
● 1 Dependent→ patient requires nearly 100% assistance
What are the scoring exceptation for IRF?
● 7= patient refused
● 9= not applicable ( ie patient did do prior to illness)
● 10= not attempted due to environmental limitations
● 88= not attempted due to medical/safety concerns ( ie feeding tasks while patient has a g-tube)
What are the primary reasons for using screening tools on children?
Dr. Guzman’s Lecture
To assess performance and conditions, determine medical/conditional diagnosis, and help with comprehensive evaluation.
