Domain 3 Module: O&M Assessment (16 test questions)

Question 1

Background information
-	medical/visual history
-	personal/social information
Assessment of mobility skills
Assessment of orientation skills
Assessment of present conceptual development
Functional Vision Assessment
Auditory functioning assessment
Communication skills
Independent living skills
Social skills and behaviors

Answer 1

the components of an O&M assessment.

Question 2

o rapport building
 short interview
o information gathered from others
 direct or support more structure
o observe day to day functioning
 complete specific routes to demonstrate a skill
o length of lesson
 an hour or more
o method of requesting skill related information
 verbal answer or demonstration of behavior
o content
 typical O&M sequence from indoor to downtown travel
o tools/checklists
 mobility instructor made

Answer 2

Adults and older children

Question 3

o	rapport building
o	must be patient
o	takes several sessions in various contexts before lessons begin
o	child must become familiar with COMS
o	information gathered from others
o	parents/teachers
o	planned inclusion of parent
o	involve teacher
o	observe day to day functioning
o	body image/ motor skills, concepts
o	use of skills should be observed
o	length of lesson
o	many assessment/observations over a period of time, no more than 10 minutes each time
o	method of requesting skill related information
o	child can verbally answer but may need to be more playful in approach
o	content
o	range of behaviors may be observed
o	more typical o&m behaviors as the child gets older
o	tools/checklists
o	assessment tools

Answer 3

Preschoolers

Question 4

o Rapport building
o With family members
o Child likely to respond to parents
o Information gathered from others
o Primary source of information
o Observation of day to day functioning
o Done while observing as the child plays and using skills seen as they relate to mobility
o length of lesson
o dictated by family routines
o method of requesting skill related information
o requests for behavior through playful activities
o content
o centers around needs of the family
o may include behaviors such as
 object permanence, cause and effect, bringing hands to midline, strength of attachment to caregivers, clarity of nonverbal communication
o tools/checklists
o routine based
 ask parent about routines to gather info on needs and skills
 environmental assessment

Answer 4

Infants and toddlers

Question 5

History

Natural Environment

Eye Structure/Reflexes

Functional visual acuity

functional visual fields

Ocular Motility/use of visual skills

Color perception

use of visual aids for mobility

Recommendations

Answer 5

functional vision assessment.

Question 6

Give examples of ways to assess near and distance vision as it relates to O&M.

Answer 6

Preferred reading distance

Using real objects

Measure size of object and the distance at which its identified

Awareness/identification acuity

Question 7

• prior training
• movement
• mobility techniques
• Environments in which mobility techniques are used

Answer 7

mobility skill assessment

Question 8

• Description of which areas student is oriented
• Cognitive mapping skills
• Ability to follow route directions
• Spatial understanding and time/distance estimation
• Use of problem-solving strategies when disoriented
• Comparison of orientation skills in familiar and unfamiliar environments
• Use of orientation aids

Answer 8

Orientation skill assessment

Question 9

• Body image awareness
• Spatial concepts
• Environmental concepts
• other travel related concepts

Answer 9

conceptual development assessment

Question 10

• Hearing aids/amplification devices used
• communication modes
• ability to localize sounds
• ability to identify and discriminate environmental sounds
• ability to track sounds
• ability to adjust body position in relationship to sounds
• use of echolocation

Answer 10

auditory functioning assessment.

Question 11

1. Glare sensitivity,
2. inability to discriminate,
3. field loss,
4. lack of depth perception,
5. light adaptation,
6. changes in terrain,
7. unwanted contact,
8. crossing streets

Answer 11

the components of an ongoing assessment

Question 12

Describe the types of mobility devices and systems that are available.

Answer 12

1. Canes,
2. assisted mobility devices,
3. dog guides,
4. human guides,
5. navigation apps,
6. electronic travel aids,
7. optical and nonoptical devices

Question 13

Fine motor Skills

Answer 13

OT

Question 14

Gross Motor Skills

Answer 14

PT

Question 15

Clinical Vision

Answer 15

low vision specialist

Question 16

independent living skills

Answer 16

vision rehabilitation therapist

Question 17

eye report

Answer 17

optometrist

Question 18

educational concerns

Answer 18

classroom teacher

Question 19

information/prognosis of eye condition

Answer 19

ophthalmologists

Question 20

audiological information/hearing assessment

Answer 20

audiologists

Question 21

Describe what is meant by “role-release” and practicing within your profession scope of practice.

Answer 21

Role-release in a COMS ability to teach the skills that meet the students’ goals with other professionals and teaching them how to facilitate items to be learned later in O&M instruction.

Question 22

1. See how well student travels in unfamiliar environments;
2. continually gather information on how the individual is using functional vision;
3. utilize variety of settings and lighting conditions;
4. note change in vision or change in performance;
5. the overall effectiveness of various instructional approaches

Answer 22

the components of an ongoing assessment

Question 23

Provide an example of when an objective should be changed or when termination of the O&M instructional program is appropriate.

Answer 23

The learner has achieved the original intent or needs a more in-depth focus on component skills. It is no longer appropriate to the learner OR the learner is reluctant to independently use the skills taught.