Midterm PollEv Flashcards
How are models of practice and frames of reference (FOR) used with activity observation and analysis?
A. Occupational therapists only use the FOR when they are not sure how to proceed with the evaluation
B. The activity analysis and observation are never guided by models of practice and FOR
C. They are not used in the observational analysis but may inform intervention
D. They provide theoretical perspective and structure to focus on the observation and analysis
D. They provide theoretical perspective and structure to focus on the observation and analysis
A. Sensory integration
B. Biomechanical
C. Motor control / motor learning
D. Cognitive
D. Cognitive
A. Providing the “just right challenge”
B. Enabling access to toys
C. Facilitating problem solving
D. Providing environmental modifications
A. Providing the “just right challenge
In order for an occupational therapist to assist children and families in achieving the primary goal of participation in daily life, the occupational therapist must focus on which of the following essential concepts for pediatric practice? Select all.
Family-centered care
Strength-based focus
Cultural competence
Therapeutic use of self
All of the above
Whom should therapists include when providing information and programming?
Both parents and other caregivers
The Intentional Relationship Model (IRM) (Taylor, 2008) was developed to understand therapists’ therapeutic use of self. An occupational therapist who prefers utilizing an instructing mode exhibit which of the following styles or strategies?
A. May be willing to become involved in civil rights or legal activities on behalf of their clients
B. Make decisions jointly with clients
C. Selects activities to make them more appealing, pleasurable, or attractive to the client
D. Share information and structure therapy process and activities
D. Share information and structure therapy process and activities
A. Concur with the family that the child does not need to receive occupational therapy services
B. Refer the family to counseling to assist them in accepting the child’s functional limitations
C. Work with the family to determine focus for occupational therapy interventions
D. Reinforce the importance of independence in dressing for the child to the family
C. Work with the family to determine focus for occupational therapy interventions
A. Advise the parents that the child is showing typical, age-appropriate skills
B. Complete an occupational therapy evaluation of the child’s cognitive skills
C. Refer the child to the early intervention program due to developmental delay
D. Provide the parents with activity recommendations to develop handwriting skills
A. Advise the parents that the child is showing typical, age-appropriate skills
A toddler has been referred to occupational therapy due to fine motor delays. Which of the following is the best activity to observe fine motor manipulation skills in a 2-year-old?
A. Ball
B. Four piece puzzle
C. iPad
D. Rattle
B. Four piece puzzle
An occupational therapist is evaluating gross motor development in a toddler. They observe a variety of behaviors including rolling, crawling and walking with hand-held assistance. These behaviors indicate gross motor development at _____ months of age.
3
6
12
24
12
A high-guard position of the upper extremities, and wide-base of support while walking, is not typically observed in children at 12-months of age.
False
Which sequence most closely reflects the development of gross motor skills?
Sitting, crawling, prone, reflexive movements, rolling, standing
Sitting, reflexive movements, crawling, prone, rolling, standing
Reflexive movements, rolling, prone, crawling, sitting, standing
Reflexive movements, prone, rolling, sitting, crawling, standing
Reflexive movements, prone, rolling, sitting, crawling, standing
Cultural practices and priorities influence infant and childhood development.
True
Postnatal development is characterized by which of the following automatic survival responses necessary for the health and safety of the infant?
Primitive reflexes
Motor skills
Self-regulation
Developmental milestones
Primitive reflexes
Children with disabilities may experience occupational deprivation and isolation due to the physical, social, and cultural contexts in which they live.
True
What is the first step in the occupational therapy evaluation process with children?
Generate and test a hypothesis regarding occupational performance.
Identify the child’s occupational challenges.
Develop an occupational profile.
Identify contextual factors influencing occupational performance.
Develop an occupational profile.
Select all that apply to the development of childhood occupations.
Observing other children perform activities
Participating in the community
Engagement in novel and purposeful activities
Reciprocal interaction with others and the environment
All of the above
Which of the following frames of reference considers the amount of practice and examines how the child directs and regulates movement patterns?
Motor control/motor learning
Biomechanical
Sensory integration
Cognitive
Motor control/motor learning
What is the role of the occupational therapist when collaborating with family members and designing interventions for children?
Challenge caregivers with
interventions
Fit interventions into daily routines
Provide written instructions regarding interventions
Provide intervention schedules to increase performance
Fit interventions into daily routines
An occupational therapist prioritizes observing posture and joint alignment during a handwriting activity. The client-focused activity analysis is guided by which of the following frames of reference?
Cognitive
c
Neurodevelopmental
Behavioral
Biomechanical
Adapt
Grade
Change
Simplify
Grade
An occupational therapist modifies a child’s spoon to promote feeding independence. The child’s father refuses to use the modified spoon because he wants the child to eat with a “regular” spoon instead. How should the occupational therapist respond?
Encourage the child’s mother to use the modified spoon
Tell the father that spoon modifications are required for all children who can’t hold a spoon
Modify the spoon differently
Further evaluate the child’s feeding abilities with a variety of “regular” spoons provided by the father
Further evaluate the child’s feeding abilities with a variety of “regular” spoons provided by the father
Child and family-centered occupational therapy practice includes which of the following? Select all that apply.
The family’s right to make autonomous decisions about the child is honored
Intervention is based on the occupational therapist’s vision and values
Service providers recognize their own values and do not impose them on the family
The relationship between the family and professionals is a partnership
The family’s right to make autonomous decisions about the child is honored
Service providers recognize their own values and do not impose them on the family
The relationship between the family and professionals is a partnership
A premature infant is being evaluated for early intervention services on October 10, 2023. The date of birth was March 3, 2023. The infant’s due date, if born at full term at 40 weeks gestation, was April 28, 2023. What is the infant’s corrected age?
7 months, 1 week
5 months, 2 weeks
19 months, 2 weeks
17 months, 1 week
5 months, 2 weeks
Which approach focuses on manually guiding and handling a child while the child performs an activity?
Sensory integration
Neurodevelopmental treatment
Cognitive-behavioral approach
Motor learning
Neurodevelopmental treatment
A mother touches the cheek of her newborn baby. This tactile stimulation causes the baby to turn his head and suck on the mother’s finger. This reflex is called the:
Grasp reflex
Rooting reflex
Symmetrical Tonic Neck Reflex
Asymmetrical Tonic Neck Reflex
Rooting reflex
General activity analysis
Client-focused activity analysis
Standardized assessment of cooking
Teacher interview
Client-focused activity analysis
To document a child’s developmental, functional, and participation status
To diagnose the child with a medical or developmental condition
To aid in planning an intervention program
To measure outcomes of programs or interventions
To aid in planning an intervention program
To document a child’s developmental, functional, and participation status
To diagnose the child with a medical or developmental condition
To aid in planning an intervention program
To measure outcomes of programs or interventions
To document a child’s developmental, functional, and participation status
To document a child’s developmental, functional, and participation status
To diagnose the child with a medical or developmental condition
To aid in planning an intervention program
To measure outcomes of programs or interventions
To measure outcomes of programs or interventions
Modify the classroom by labeling containers for materials with braille
Provide a variety of materials
Educate the teacher regarding grading activities
Provide assistive technology
Modify the classroom by labeling containers for materials with braille
Family resources
Financial resources
Human resources
Emotional energy
all of the above