Midterm Review

Question 1

An occupational therapist collaborates with a yoga instructor to incorporate mindfulness practices and gentle yoga exercises as part of a chronic pain management program, along with traditional OT interventions such as activity modification and ergonomic training. This is an example of what type of medicine

A) Integrative medicine
B) Allopathic medicine
C) Alternative medicine
D) Complementary Medicine

Answer 1

A) Integrative

Question 2

An occupational therapist collaborates with a physician to develop a post-stroke rehabilitation plan. The client receives prescription medications to manage blood pressure and undergoes occupational therapy sessions focused on improving ADLs, such as grooming and dressing, as part of their recovery. The OT is practicing what type of medicine?

A. Integrative medicine
B. Allopathic medicine
C. Naturopathic medicine
D. Alternative medicine

Answer 2

B. Allopathic medicine

Question 3

An occupational therapist working with a client recovering from surgery incorporates aromatherapy during therapy sessions to reduce anxiety. While the client continues with prescribed post-operative care, the use of aromatherapy complements the OT interventions focused on promoting relaxation and engagement in daily activities. The OT is doing what type of medicine?

A. Allopathic medicine
B. Complementary medicine
C. Integrative medicine
D. Alternative medicine

Answer 3

B. Complementary medicine

Question 4

___ focuses on treating the whole person, promoting relaxation by reducing sympathetic nervous system activity. These practices emphasize attention to breath, principles of movement and posture, controlled breathing, and focused attention or meditation.

A. Holistic practices
B. Integrative medicine
C. Mind-body interventions
D. Complementary therapies

Answer 4

C. Mind-body interventions

Question 5

___ is the active process by which the body responds to daily events and maintains homeostasis, achieving stability through change.

A. Allostasis
B. Homeostasis
C. Neuroplasticity
D. Adaptation

Answer 5

Correct Answer: A. Allostasis

Question 6

Your client treatment goal for your client is to manage their anxiety. What ways can the occupational therapists include mindfulness into there treatment.

A) Focus only on physical exercises without addressing the client’s mental state.

B) Encourage the client to avoid thinking about their emotions while performing activities.

C) Instruct the client to complete tasks as quickly as possible to improve productivity.

D) Guide the client to focus on their breath during activities, fostering present-moment awareness and reducing emotional overwhelm during daily tasks.

Answer 6

D) Guide the client to focus on their breath during activities, fostering present-moment awareness and reducing emotional overwhelm during daily tasks.

Question 7

True or False: As with any treatment modality, occupational therapists must complete an evaluation and treatment plan to determine if the patient’s deficits and needs warrant the use of CHA.
To maintain ethical and client-centered care in accordance with the values of the profession, an OT must assess the patient’s cultural traditions to determine if use of CHA is appropriate.

Answer 7

True

Question 8

During a _____ , the occupational therapist documents the client’s reported feelings of increased independence in daily activities, indicating positive progress towards established therapy goals. The therapist assesses the need for continued care based on these subjective reports, along with objective measurements of improvement.

A) Evaluation
B) D/C summary
C) Progress Note

Answer 8

C) Progress Note

Question 9

Which of the following components are necessary to include in a discharge summary note for occupational therapy?

A. Only the patient’s medical history and current medications

B. The course of treatment, discharge notification, an objective summary of patient status, equipment needs/status, patient/caregiver education and training, and recommendations for follow-up

C. The therapist’s personal reflections on the patient’s progress and overall treatment experience

D. A detailed account of all interactions with other healthcare professionals during treatment

Answer 9

Correct Answer: B. The course of treatment, discharge notification, an objective summary of patient status, equipment needs/status, patient/caregiver education and training, and recommendations for follow-up

Question 10

What is considered “NOT Reasonable and Necessary” for billing?

A) Unskilled services
B) Skilled Services
C) Functional Services

Answer 10

A) Unskilled services

General exercises to promote fitness/ flexibility Activities to provide diversion or general motivation services not included in plan of care or provided by staff that are not properly supervised or qualified.

Question 11

Client will prepare a simple meal with contact guard assist in standing using walker within 2 weeks.

This is an example of which goal writing?

Answer 11

C - Client will perform
O - prepare a simple meal (Occupation)
A - Contact guard assist (Assist level)
S - In standing using walker ( specific condition)
T - within 2 weeks (Timeline)

Question 11

In occupational therapy practice, documenting value over volume emphasizes outcomes rather than the number of treatment minutes. Which of the following statements is true regarding the importance of this approach in documentation?

A. The focus should be solely on the volume of services provided to ensure reimbursement.

B. Documentation should highlight the value and scope of occupational therapy by demonstrating documented outcomes in key areas such as ADLs, IADLs, behavioral and psychosocial skills, falls prevention, vision, and functional cognition.

C. Improved outcomes are less significant than the total time spent on therapy when seeking reimbursement.

D. Occupational therapy services can be reimbursed regardless of demonstrated outcomes.

Answer 11

B. Documentation should highlight the value and scope of occupational therapy by demonstrating documented outcomes in key areas such as ADLs, IADLs, behavioral and psychosocial skills, falls prevention, vision, and functional cognition.

Question 12

True or False: The Plan of Care (POC) includes… rehabiliation/ treatment diagnosis, specific intervention, anticipated goals, short-term & long term goals , intensity level and anticipated d/c.

Answer 12

True

Question 13

Your client services was denied by insurance due to poor documentation. The insurances noted that there were duplicate of services with PT and OT , what in the OT’s documentation had gone wrong?

A) OT’s stated clients functional outcomes
B) Goals are not client centered
D) OT did not demonstrate coordination of care

Answer 13

D) OT did not demonstrate coordination of care

Lack of Distinction Between OT and PT Services: The documentation may not clearly differentiate between the goals, interventions, and outcomes of OT and PT. Each therapy has unique focuses (e.g., OT on daily living skills and PT on mobility and physical function). If the documentation does not specify how the OT interventions were distinct from PT services, it may appear to the insurer as if the same services were being billed twice.

Question 14

A 70-year-old client is referred to occupational therapy for an initial evaluation. During the assessment, the occupational therapist identifies the following performance deficits:

Difficulty using utensils while eating (physical)
Trouble remembering the steps to complete a simple recipe (cognitive)
Reduced social interactions due to feelings of isolation (psychosocial)
Based on the criteria for low complexity, which of the following statements is accurate regarding this client’s situation?

A) The client has multiple co-morbidities that complicate treatment.

B) The client exhibits 1-3 performance deficits leading to activity limitations and/or participation restrictions.

C) The occupational therapy session is expected to last over 60 minutes due to the complexity of the issues presented.

Answer 14

Correct Answer: B) The client exhibits 1-3 performance deficits leading to activity limitations and/or participation restrictions.

Question 15

A 75-year-old client with a history of hypertension and osteoarthritis is referred to occupational therapy for an evaluation. During the assessment, the occupational therapist identifies the following performance deficits:

Reduced hand strength affecting the ability to grip and manipulate objects (physical)
Difficulty concentrating while reading and following instructions (cognitive)
Low motivation and feelings of sadness that hinder participation in social activities (psychosocial)
Challenges with time management, affecting medication adherence (cognitive)
Pain during daily activities that leads to decreased physical activity (physical)
Given that the session lasts approximately 45 minutes and involves an expanded chart review due to the client’s co-morbidities, which of the following statements is accurate regarding this client’s situation?

A) The client has fewer than 3 performance deficits, which does not qualify for moderate complexity.

B) The occupational therapy session is expected to be brief, lasting around 30 minutes, because the issues are not complex.

C) The identified 3-5 performance deficits result in activity limitations and/or participation restrictions, indicating a moderate complexity case.

Answer 15

C) The identified 3-5 performance deficits result in activity limitations and/or participation restrictions, indicating a moderate complexity case.

Question 16

A 68-year-old client with a history of stroke, depression, and diabetes is referred to occupational therapy for a comprehensive evaluation. During the assessment, the occupational therapist identifies the following performance deficits:

1) Weakness in the right arm and leg affecting mobility and self-care tasks (physical)
2) Difficulty with short-term memory and decision-making (cognitive)
3) Frequent feelings of anxiety that limit social interactions (psychosocial)
4) Problems with spatial awareness, leading to difficulty navigating the home environment (cognitive)
5) Limited endurance during activities, resulting in frequent fatigue (physical)
6) Low motivation to engage in hobbies and social activities due to depressive symptoms (psychosocial)
7) Challenges with managing medications due to cognitive impairment (cognitive)

Given that the session lasts approximately 60 minutes and involves an extensive review of the client’s history of physical, cognitive, or psychosocial issues, which of the following statements is accurate regarding this client’s situation?

A) The identified deficits are fewer than 5, indicating low complexity.

B) The occupational therapy session will only require 30 minutes due to the client’s straightforward case.

C) The presence of 5 or more performance deficits resulting in activity limitations and/or participation restrictions indicates a high complexity case.

D) The extensive review of history is unnecessary since the client has no significant co-morbidities.

Answer 16

C) The presence of 5 or more performance deficits resulting in activity limitations and/or participation restrictions indicates a high complexity case.

Question 17

Person completes the activity by themselves with no assistance from helper. Which GG coding score does the statement describe?

A) 6 - Independent
B) 5-Setup or Cleanup Assistance
C) 4-Supervision or Touching Assistance
D) 3-Partial/Moderate Assistance
E) 2-Substantial/Maximal Assistance
F) 1-Dependent

Answer 17

A) 6 - Independent

Question 18

Helper SETS UP or CLEANS UP; person completes activity. Helper assists only prior to or following the activity. (The helper can walker away and leave the person to complete the task.)

A) 6 - Independent
B) 5-Setup or Cleanup Assistance
C) 4-Supervision or Touching Assistance
D) 3-Partial/Moderate Assistance
E) 2-Substantial/Maximal Assistance
F) 1-Dependent

Answer 18

B) 5-Setup or Cleanup Assistance

Question 19

Helper provides VERBAL CUES or TOUCHING/STEADYING and/or CONTACT GUARD ASSISTANCE as person completes activity. Assistance may be provided throughout the activity or intermittently.

A) 6 - Independent
B) 5-Setup or Cleanup Assistance
C) 4-Supervision or Touching Assistance
D) 3-Partial/Moderate Assistance
E) 2-Substantial/Maximal Assistance
F) 1-Dependent

Answer 19

C) 4-Supervision or Touching Assistance

Question 20

Helper does LESS THAN HALF the effort. Helper lifts, holds, or supports trunk or limbs but provides less than half of the effort.

A) 6 - Independent
B) 5-Setup or Cleanup Assistance
C) 4-Supervision or Touching Assistance
D) 3-Partial/Moderate Assistance
E) 2-Substantial/Maximal Assistance
F) 1-Dependent

Answer 20

D) 3-Partial/Moderate Assistance

Question 21

Helper does MORE THAN HALF the effort. Helper lifts or holds trunk or limbs and provides more than half the effort.

A) 6 - Independent
B) 5-Setup or Cleanup Assistance
C) 4-Supervision or Touching Assistance
D) 3-Partial/Moderate Assistance
E) 2-Substantial/Maximal Assistance
F) 1-Dependent

Answer 21

E) 2-Substantial/Maximal Assistance

Question 22

Helper does ALL of the effort. Person does none of the effort to complete the activity. Or, the assistance of 2 or more helpers is required for the person to complete the activity.

A) 6 - Independent
B) 5-Setup or Cleanup Assistance
C) 4-Supervision or Touching Assistance
D) 3-Partial/Moderate Assistance
E) 2-Substantial/Maximal Assistance
F) 1-Dependent

Answer 22

F) 1-Dependent

Question 23

Which of the following statements accurately reflects the challenges faced by caregivers of older adults?

A) Caregivers often experience increased financial, physical, and emotional burdens while caring for older adults.

B) Caring for older adults typically enhances caregivers’ social lives and strengthens family relationships.

C) Caregivers usually have ample time for themselves, allowing for personal health maintenance.

D) Feelings of guilt are rarely experienced by caregivers, as they find the experience fulfilling and rewarding.

Answer 23

Correct Answer: A) Caregivers often experience increased financial, physical, and emotional burdens while caring for older adults.

Question 24

Which of the following statements best describes the complex, multitask role of caregiving for older adults?

A) Caregiving is a simple task that requires little planning and does not change over time.

B) Caregiving is typically a “9 to 5” job, allowing caregivers ample time for personal activities and self-care.

C) The role of a caregiver can be planned or unexpected, may constantly change, and is often described as a “24/7” responsibility. Can be rewarding experience. However, research indicates that caregiving often results in negative health effects for the caregivers

D) Research shows that caregiving is only a rewarding experience with no negative health effects for the caregiver.

Answer 24

Correct Answer: C) The role of a caregiver can be planned or unexpected, may constantly change, and is often described as a “24/7” responsibility. Can be rewarding experience
However, research indicates that caregiving often results in negative health effects for the caregivers

Question 25

Here’s a quiz question based on the stressors and factors that contribute to caregiver burden:

Quiz Question:

Which of the following factors is commonly associated with caregiver burden and stress?

A) Increased socialization and connection with family and friends.

B) Sufficient time for personal activities and self-care outside of caregiving.

C) Improved mental health and overall well-being as a result of caregiving responsibilities.

D) Sleep disturbances, loneliness, and feelings of burnout due to the demands of caregiving.

Answer 25

D ) Sleep disturbances, loneliness, and feelings of burnout due to the demands of caregiving.

Question 26

Which of the following statements accurately reflects the cultural aspects and influences on caregiving?

A) Cultural norms have no impact on caregiving practices and family structures.

B) Women are generally expected to handle most caregiving tasks themselves, while men are more likely to arrange care services.

C) Filial obligation does not play a role in caregiving; there is no sense of duty or indebtedness involved.

D) Caregiving roles are solely determined by individual preferences and are unaffected by societal norms or gender influences.

Answer 26

Correct Answer: B) Women are generally expected to handle most caregiving tasks themselves, while men are more likely to arrange care services.

Question 27

Who typically provides the majority of care for older adults?

Answer 27

Often identified as the “second victim”Majority are older adults themselves Women are usually the primary caregivers in US but now 4/10 caregivers are men Spouses, children, siblings, friends

Question 28

Which of the following best describes the role of occupational therapy (OT) for caregivers?

A) OT focuses solely on the needs of the care recipient, disregarding the caregiver’s health and well-being.

B) OT utilizes a client and family-centered approach, considering how caregiving interferes with occupational participation and promoting the health and well-being of the caregiver.

C) OT encourages caregivers to abandon their previous occupations in favor of full-time caregiving responsibilities.

D) OT aims to create a rigid schedule for caregivers to follow, limiting flexibility in their daily routines.

Answer 28

Correct Answer: B) OT utilizes a client and family-centered approach, considering how caregiving interferes with occupational participation and promoting the health and well-being of the caregiver.

Question 29

Which of the following statements accurately reflects the requirements for proper documentation of caregiver intervention and training in occupational therapy?

A) Caregiver training can occur independently of the client, without any need for their presence during sessions.

B) Documentation should only focus on the caregiver’s education, regardless of the client’s progress or safety improvements.

C) Services must be delivered directly to the client, with caregiver education or training provided in the presence of the client, demonstrating functional progress and improved safety from skilled interventions.

D) Treatment should prioritize caregiver satisfaction over the functional needs and safety of the client.

Answer 29

Correct Answer: C) Services must be delivered directly to the client, with caregiver education or training provided in the presence of the client, demonstrating functional progress and improved safety from skilled interventions.

Question 30

n the context of occupational therapy, what does neglect refer to concerning vulnerable elders?

A) The consistent provision of food, shelter, and healthcare to ensure the elder’s well-being.

B) The refusal or failure by those responsible to provide essential needs such as food, shelter, health care, or protection, impacting the elder’s ability to engage in meaningful activities.

C) A temporary lapse in caregiving that does not affect the elder’s overall health and safety.

D) The active involvement of caregivers in promoting the elder’s independence and participation in daily activities.

Answer 30

Correct Answer: B) The refusal or failure by those responsible to provide essential needs such as food, shelter, health care, or protection, impacting the elder’s ability to engage in meaningful activities.

Question 31

What does emotional or psychological abuse refer to in the context of elder care?

A) Providing physical support and assistance to help elders with daily activities.

B) Inflicting mental or emotional distress through verbal or non-verbal acts such as threats, intimidation, verbal attacks, humiliation, or infantilization.

C) Encouraging elders to engage in social activities to promote mental well-being.

D) Regularly communicating with elders to ensure their emotional needs are met.

Answer 31

Correct Answer: B) Inflicting mental or emotional distress through verbal or non-verbal acts such as threats, intimidation, verbal attacks, humiliation, or infantilization.

Question 32

What constitutes physical abuse in the context of elder care?

A) Inflicting physical pain or injury or depriving elders of basic needs through actions such as slapping, pushing, force feeding, improper use of physical restraints, or withholding pain relief.

B) Providing appropriate physical support and assistance to help elders with daily activities.

C) Encouraging elders to participate in exercise programs to maintain their physical health.

D) Regularly checking on elders to ensure their safety and well-being.

Answer 32

A) Inflicting physical pain or injury or depriving elders of basic needs through actions such as slapping, pushing, force feeding, improper use of physical restraints, or withholding pain relief.

Question 33

Which of the following scenarios best exemplifies passive neglect in the context of occupational therapy for an elder?

A) A caregiver intentionally ignores the elder’s needs for food and medication, leading to serious health issues.

B) An occupational therapist notices that an elder has not been taking their medications regularly, but the caregiver is unaware of the elder’s medication schedule and lacks knowledge about its importance.

C) An elder independently manages their daily routines without any assistance or support.

D) A family member actively engages the elder in social and physical activities to promote well-being.

Answer 33

Correct Answer: B) An occupational therapist notices that an elder has not been taking their medications regularly, but the caregiver is unaware of the elder’s medication schedule and lacks knowledge about its importance.

Question 34

Which of the following scenarios best illustrates active neglect in the context of occupational therapy for an elder?

A) A caregiver consistently ensures the elder receives proper nutrition and emotional support, fostering a positive environment.

B) An elder independently manages their daily routines with the support of community resources.

C) A family member encourages the elder to participate in daily exercise to maintain their physical health.

D) An occupational therapist observes that a caregiver is intentionally withholding necessary medication from the elder to punish them for perceived misbehavior.

Answer 34

Correct Answer: D) An occupational therapist observes that a caregiver is intentionally withholding necessary medication from the elder to punish them for perceived misbehavior.