Clinical Reasoning

Question 1

you have reviewed the most current research re: children with the same diagnosis as your new case. You have selected A FOR to guide your evaluation based on the available evidence.

Answer 1

Scientific

Question 2

you have selected an assessment tool based on the resources and space available in the school setting as well as the constraints of a school day schedule.

Answer 2

Pragmatic

Question 3

When a family takes a financial hit and can’t afford devices, so you discover ways to still help

Answer 3

Pragmatic

Question 4

you are careful to select an assessment tool that will provide the most meaningful information for your new student as they will be transitioning to a supported vocational setting in the six months.

Answer 4

Conditional

Question 5

Where is the client going, what’s the next step, the future

Answer 5

Conditional

Question 6

thinking about evidence-based practice

Answer 6

Scientific

Question 7

you have made the decision to adjust your schedule to evaluate a child who has just been referred based on the severity of the diagnosis and the family’s significant need for support.

Answer 7

Ethical

Question 8

thinking about the family and/or child’s history; what are all the factors affecting the child

Answer 8

Narrative

Question 9

you are planning your evaluation for a 5-year-old with consideration of the child’s history, the family’s cultural beliefs, and the child’s transition to kindergarten in the next few months

Answer 9

Narrative

Question 10

child just came out of NICU, and the family is just bringing home

Answer 10

Narrative

Question 11

more of a direct connection with the client, what’s important to them, what bothers them

Answer 11

Interactive

Question 12

you are planning your evaluation based on your knowledge of the interests and favorite activities of the child you are evaluating

Answer 12

Interactive

Question 13

when you are drawing on your experience with similar cases/clients in the past. Based on what you know from other children you have worked with

Answer 13

Procedural

Question 14

you have selected an assessment tool based on your expert opinion using this tool previously with several other children with the same diagnosis as the child you will be evaluating

Answer 14

Procedural

Question 15

You are working as part of a team of professionals providing services for an infant with significant neurological involvement. This child’s parents are overwhelmed and anxious following a high-risk pregnancy and their infant’s recent premature birth – much different than the experience they expected. Utilizing a family centered approach and trying to best support this family, which types of clinical reasoning do you think you will rely on most especially during initial interactions with the family? Why?

Answer 15

interactive, pragmatic, narrative