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OCCUPATIONAL THERAPY > OCTA 222 Lecture Final Exam > Flashcards

OCTA 222 Lecture Final Exam Flashcards

1
Q

True or False: Therapeutic use of self will be developed before you begin your OT practice.

A

False

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2
Q

What is the OTA mostly responsible for in the intervention process?

A

Treatment

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3
Q

How would the OT/OTA use a consultative process?

A

treat pt. with group not straight OT

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4
Q

What is the OTA’s role in evaluations?

A

help OTR collect information, carry out structured interviews

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5
Q

What needs to be considered when selecting treatment options?

A

what pt. needs or wants
Is the pt. motivated?
Decide goals

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6
Q

What is the purpose of supervision?

A

to make sure you are doing everything right, get help from OTR, safety of the pt., for your own benefit of learning

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7
Q

What areas are considered IADLs in the Framework?

A

cleaning, laundry, meal prep, grocery shopping, financial management, gardening

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8
Q

The Practice Framework uses terms to describe group roles. T or F

A

False

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9
Q

What are some of the principles of the Code of Ethics?

A

beneficence (concern for others), non-maleficence (no harm), autonomy(respect others privacy), justice (fairness), velocity (accurate info), fidelity (respect for others)

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10
Q

What are the Standards of Practice?

A

explains what OTR, OTA, and aides should or should not be doing

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11
Q

What does the ADA do?

A

American Disabilities Act decide on the adaptations needed for pt to be independent

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12
Q

What are the requirements for adaptations?

A

have to identify an issue

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13
Q

T or F: When teaching skills in the clinic, they will always transfer to the community?

A

False

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14
Q

What is the major life role that many people with mental illness do not have?

A

Work

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15
Q

What are the three subsystems of MOHO?

A

volition- values and motivation
habituation- habits and routines
performance- skills to do

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16
Q

What are some adaptive skills according to Mosey?

A

Dyadic Skills (Interaction between 2 people), perception skills, and group interaction skills.

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17
Q

What is meant by a structured assessment?

A

specific lists of questions

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18
Q

What is meant by a standardized assessment?

A

to answer the same items/questions in the same way and that is scored in a standard or consistent way

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19
Q

What are some non-OT assessments you may use in practice?

A

mini mental status exam, MOCA, CLOX

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20
Q

What assessments would you use to assess cognitive status?

A

ACL, routine task inventory

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21
Q

What assessments can you do by observing patients in any activity?

A

COTE scale

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22
Q

What assessment would you not use with patients with severe cognitive deficits?

A

OCARE, COPM, interview assessments

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23
Q

What assessments have both a task and interview component?

A

KELLS, BAFPE, scorable self-care, mini mental, SSCE

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24
Q

Assessments related to MOHO are…?

A

role checklist, occupational performance history 2.0, NPI interest checklist, MOHOST, Adolescent Role Assessment, ALIP, OCAIRS, Assessment of Occupational Functioning

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25
Q

Assessments related to cognitive disability are…?

A

ACL, routine task inventory

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26
Q

What assessment is related to the PEO model?

A

COPM

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27
Q

What assessment are interview only?

A

COPM, Occupational Performance History 2.0, OCAIRS, Assessment of Occupational Functioning

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28
Q

What is inference?

A

interpretation of observation

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29
Q

What is the difference between observation and inference?

A 
Observation= what you see
Inference= interpretation of observation
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30
Q

What do you need to check when you write a note?

A

time, signature, pt. name and number, date, black/blue ink

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31
Q

What kinds of OT documentation will you find in the chart?

A

evaluation, progress note, re-evaluations, discharge note

32
Q

What are some measurable terms when writing notes and goals?

A

identify, demonstrate, initiate, complete, participate, attend to, display, follow, state, demonstrate use of, respond to…by…, select, imitate

33
Q

What are components needed in a progress note?

A

name/number, date, goals, attendance, behaviors, progress, what happened in group, plan, OT/OTA signatures

34
Q

What is missing from this goal: “Patient will identify 2 coping mechanisms”?

A

Time frame

35
Q

What does RUMBA stand for?

A

relevant, understandable, measurable, behavioral, achievable

36
Q

What does SMART stand for?

A

specific, measurable, achievable, relevant, time frame

37
Q

What does SMART and RUMBA help you to write?

A

goals

38
Q

What components are needed in a goal?

A

activity, cues/prompts, measurements/quantifier, reasoning, time frame

39
Q

What are you observing when you observe affect?

A

facial expressions

40
Q

What should not be in a progress note?

A

space, unneeded details, jargon

41
Q

Why do we write protocols?

A

to inform others about group; see who meets the criteria of being in group; goals to “graduate from group”

42
Q

Why do we do an activity analysis?

A

see what pt. will be able to do; learn what parts of the activity to grade/adapt for patient’s needs

43
Q

What is included in an activity analysis?

A

sensory, motor, mental functions; materials, safety, name of activity, sequencing/timing, physical functions/structures, new learning

44
Q

How would delusions interfere with a patient’s ability to do a task?

A

refocus to the group

45
Q

How do hallucinations interfere with patient’s ability to do a task?

A

distracted, distressed (auditory-may not listen)

46
Q

How do impulsivity interfere with patient’s ability to do a task?

A

safety, disruptive of others, take materials

47
Q

How would delusions interfere with a patient’s ability to participate in discussion group?

A

depends on delusion may not be related

48
Q

How would agitation interfere with a patient’s ability to participate in discussion group?

A

cause fight, uncomfortable

49
Q

How would impulsivity interfere with a patient’s ability to participate in discussion group?

A

take others turn, answer all questions

50
Q

What adaptations would you make if a person could only follow one-step directions and the project was multi-step?

A

give pt. one step at a time, break it down

51
Q

What type of OT activity would be appropriate for someone experiencing mania?

A

active activity

52
Q

What adaptions could be done in a task group for hyperactivity?

A

have pt. stand, give them extra roles like passing out materials, doing something active

53
Q

Which group level would need the most direction form the leader/staff?

A

parallel

54
Q

Would hyperactivity be more problematic with a discussion or a task-oriented group?

A

discussion group

55
Q

If you have someone who is only 7 or 8 years old, what level of group would you not expect them to be in?

A

mature and cooperative

56
Q

What are some appropriate activities for a task group?

A

crafts, card making, bracelets, sun catchers, tile trivet

57
Q

What are some appropriate activities for a social skills group?

A

introduction, go to a restaurant, role playing, conversation starters, boundaries

58
Q

What are some appropriate activities for a cognitive group?

A

word puzzles, word search, crossword, card games, trivia, pencil and paper

59
Q

What are some appropriate activities for a directive group?

A

uno, hangman, trivia, bowling, Velcro darts, horseshoes, exercise

60
Q

What are some of the basic skills addressed in a directive group?

A

concentration, attention span, simple and short activities, orientation

61
Q

What are some of the basic skills addressed in a task group?

A

concentration, follow directions, improve attention

Project-taking turns

62
Q

What are some of the skills addressed in an IADL or independent living skills group?

A

meal prep, laundry, transportation, money management, stress management

63
Q

What skills are addressed in a stress management/coping skills group?

A

relax, coping strategies, identify stressful situations

64
Q

What would be addressed in pre-vocational training( skills that help prepare them for community employment)?

A

job application, resume, proper dress, role play

65
Q

What would you do in a task group when someone was too frustrated to do a specific task?

A

take break, find another task to do

66
Q

If a patient is being discharged form the hospital but has never taken medicine before, what groups might be appropriate for her?

A

medication management, independent living skills

67
Q

What is done in a self-care group?

A

brush teeth, shower, brush hair, dress for appropriate weather

68
Q

What is the OT/OTA’s role in a parallel group?

A

directions, what to do

69
Q

What are some of the things you observe in a group?

A

appearance, behavior, concentration, interaction

70
Q

What is the most effective means of disease prevention?

A

washing hands

71
Q

What are universal precautions?

A

treating everyone like they a disease; keeps from spreading germs

72
Q

What would you do if a patient reported to you that they felt like hurting themselves?

A

report it and stay with the patient

73
Q

What are some safety concerns related to seeing patients in a clinic area?

A

keys, mirrors, sharps, plastic bags, jewelry, toxic materials, choking, flammable materials

74
Q

What might happen if you leave your keys on the table?

A

pt may take and hurt themselves or swallow or try to escape

75
Q

What are symptoms of an illness (in general terms)?

A

behaviors

76
Q

What is the difference between hyperactivity and impulsivity?

A

hyperactivity- perpetual motion, moving around a lot

impulsivity- can not control thoughts or impulses

OCCUPATIONAL THERAPY (36 decks)

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