OT Process

Question 1

Purposeful Activities

Answer 1

processes that are directed toward a desired outcome

Question 2

Types of Clinical Reasoning

Answer 2

Procedural 
Interactive
Narrative
Pragmatic
Conditional

Question 3

Procedural Reasoning

Answer 3

The “doing” of the practice

Involves identifying problems related OTs domain of concern, goal setting, and tx planning

Implements strategies by gathering and interpreting client data

Question 4

Interactive Reasoning

Answer 4

Deals with how the disability/disease affects the person

Question 5

Narrative Reasoning

Answer 5

Deals with the individuals occupational story and focuses on the process of change needed to reach an imagined future

Identifies roles and activities that were/are important to client before/after illness

Question 6

Pragmatic Reasoning

Answer 6

The context in which the OT practitioners thinking occurs

Considers the tx environment and OT practitioner’s values, knowledge, abilities, and experiences

Question 7

Conditional Reasoning

Answer 7

Involves an ongoing revision of tx

Represents an integration of interactive, procedural, and pragmatic reasoning

Question 8

Group Origin Phase

Answer 8

leader composes protocols and planning

Question 9

Group Orientation Phase

Answer 9

involves members learning what the group is about, making a commitment to the group, and developing initial connections with other members

Question 10

Group Intermediate Phase

Answer 10

members develop interpersonal bonds, group norms, and specialized member roles thru involvement in goal-directed activities and clarification of group’s purpose

Question 11

Group Conflict Phase

Answer 11

Challenges the group’s structure, purpose, or process with dissension and disagreement among the group.
Unsuccessful resolution results in dissolution of group.
Successful resolution results in modifications enabling the group to move to the next phase

Question 12

Group Cohesion Phase

Answer 12

involves members regrouping after conflict leading to group stability

Question 13

Group Maturation Phase

Answer 13

members use their skills and energies to be productive and to achieve group’s goals

Question 14

Group Termination Phase

Answer 14

Involves dissolution of the group due to lack of engagement of the members, inability to resolve conflict, administrative complaints, goal attainment, or task accomplishment.

Question 15

Directive Group Leadership

Answer 15

OT is responsible for the planning and structure of group
Members have limited cognitive, verbal, and social skills (parallel/project)
Leader’s goal is task accomplishment

Question 16

Facilitative Group Leadership

Answer 16

OT shares responsibility for the group and for group process with members
Members skill levels and engagement are moderate (egocentric-cooperative/cooperative)
Leader’s goal is to have members acquire skills thru experience

Question 17

Advisory Group Leadership

Answer 17

OT functions as a resource to the members who set the agenda and structure the group’s functioning
Members skills and engagement are high (mature)
Leader’s role is to have members understand and self-direct the process

Question 18

Continuum of Groups

Answer 18

Parallel
Project
Egocentric-Cooperative
Cooperative
Mature

Question 19

Parallel Group

Answer 19

Members perform individual tasks in the presence of others

Develops a basic level of awareness, trust, and comfort with others in the group

Question 20

Project Group

Answer 20

Perform a shared, short-term activity with another member of the group in a comfortable cooperative manner

Question 21

Egocentric-Cooperative Group

Answer 21

Members select and implement a long-range activity that reqs group interaction to complete
Enable members to identify and meet the needs of themselves and others

Question 22

Cooperative Group

Answer 22

Members engage in a group activity that facilitates free expression of ideas and feelings
Enables members to identify and meet socioemotional needs

Question 23

Mature Group

Answer 23

Members to assume all functional socioemotional and task roles within the group

Question 24

Universality

Answer 24

curative factor gained from other members’ sharing of similar feelings, thoughts, and problems.

Question 25

Using Fidler’s task-oriented group as a context for treatment to help participants explore healthy ways to deal with conflict. Which of the following activities would be BEST for this group?

Answer 25

An activity that is challenging and likely to cause tension among members

A group environment in which conflicts are likely to occur can help participants practice resolving conflict in appropriate ways.