QUIZ 5

Question 1

nicu reimbursement trends

Answer 1

penalties for providers whose patients require immediate rehospitalization after NICU discharge

limits on what insurers will pay for a single stay based on diagnostic group

“value-based” programs, where value is defined as the quality achieved in relation to the cost of care

Question 2

retinopathy of prematurity (ROP)

Answer 2

condition related to the early preterm infant’s prolonged need for supplemental oxygen

Question 3

level I nursery

Answer 3

provides support for healthy newborns who may require additional assessment and intervention while predominantly rooming-in with their mother

Question 4

OT approach in the NICU

Answer 4

transdisciplinary, family-integrative, consultative, collaboartive

Question 5

rationale for consulting with family in the NICU

Answer 5

acknowledges the primary role of parents/family in the infant’s life

OT supports family role performance

family has the greatest influence over an infant’s health and well-being

Question 6

best auditory stimulation for neonate

Answer 6

soft, rthymic
muted sounds
expose to parent voice

Question 7

when to do infant massage

Answer 7

if an infant has limitations in joint mobility
to regulate an infant’s state of arousal
educating parents

Question 8

sensory interventions in the NICU

Answer 8

modifying caregiving practices and infant’s environment to optimize energy conservation

skin to skin contact, scent free environment, low visual stimulation

Question 9

last sensory system to develop

Answer 9

vision

Question 10

consultative OT services in schools

Answer 10

a way for OTs to provide guidance to teachers, staff, and families to help students succeed

Question 11

integrative OT services

Answer 11

provision of occupational therapy in the child’s natural environment
nonintrusive methods and common goals

Question 12

pull-out OT services

Answer 12

when an occupational therapist (OT) takes a student out of their regular classroom to a separate area for individual or small group therapy sessions, focusing on specific occupational therapy needs that might not be addressed within the classroom environment

Question 13

least restrive environment

Answer 13

Children with disabilities are most appropriately educated with their nondisabled peers. Special classes, separate schooling, or other removal of children with disabilities from the regular educational environment is to occur only when the nature or severity of the disability of a child is such that education in regular classes with the use of supplementary aids and services cannot be achieved satisfactorily.

Question 14

Individuals With Disabilities Education Act (IDEA)

Answer 14

requires that states and public educational agencies provide a free appropriate public education (FAPE) to children with disabilities in the LRE

Question 15

part B IDEA

Answer 15

specifies that an IEP must be designed to include special education and related services for all students from 3 to 21 years of age if it is determined by the educational team that the student requires such services to benefit from his or her public education

Question 16

IEP

Answer 16

represents the formal planning process and resulting legal document that establishes the services and programs that will enable the student to participate in school activities and receive an “appropriate education.”

a written statement for each child with a disability that outlines the student’s educational and functional needs and the supports and services required to meet those needs. It is developed, reviewed, and revised in a meeting in accordance with the guidelines of the IDEA.

Question 17

role of OT according to IDEA

Answer 17

(A) improving, developing or restoring functions impaired or lost through illness, injury or deprivation, (B) improving ability to perform tasks for independent functioning when functions are impaired or lost, and (C) preventing, through early intervention, initial or further impairment or loss of function

assist student in occupation of education
contribute to the development or improvement of the child’s academic and functional school performance

Question 18

response to intervention

Answer 18

process of using progress monitoring data to make decisions regarding the level of support or services a student needs to be successful with certain academic tasks

Question 19

public health model of school mental health prevention and intervention

Answer 19

supports a system-wide shift from an individual, deficit-driven model of intervention to a schoolwide, strength-based model focusing on promotion, prevention, early intervention, and integration of services for all children

Question 20

tiers of public health model of school mental health prevention and intervention

Answer 20

1. promotion
2. prevention
3. intensive individualized interventions

Question 21

social emotional learning

Answer 21

process that helps people develop skills to manage their emotions, set goals, and build relationships

Question 22

most common reasons for hospitalization of children

Answer 22

respiratory and gastrointestinal problems

Question 23

hospital-based OT interventions for pediatrics

Answer 23

preventing secondary disability
restoring performance
adaptations for ADLs

Question 24

when do the majority of congenital defects of the upper extremity occur?

Answer 24

4-8 weeks gestation

Question 25

ehlers-danlos syndrome

Answer 25

a genetic condition characterized by a collagen deficiency causing increased soft tissue elasticity and global joint hypermobility

OT uses activity modifications and joint protection strategies to decrease joint strain and pain

Question 26

most common UE fracture in children

Answer 26

distal radius

Question 27

reason for using e-stim with children

Answer 27

improve the recruitment of specific muscle groups
gain in AROM
strengthen muscles
retraining muscles/tendons

Question 28

reason for using splints with children

Answer 28

protection of the hand or arm during acute phases of healing
resting or supporting a joint for pain relief
positioning a joint for improved function
increasing ROM
prevention of deformity in the UE

Question 29

scar management

Answer 29

ROM exercises
massage
compression

Question 30

ROM assessment

Answer 30

goniometric assessment of the unaffected UE can be performed to use as a guide for the child’s potential ROM and to establish plan-of-care goals

therapist notes the location and intensity of any pain the child reports

Question 31

sensation assessment

Answer 31

detect abnormal sensory patterns that require therapeutic intervention

important when peripheral nerve damage is reported or suspected or in cases in which extreme vascular changes have occurred

interviews, observation, wrinkle test, two-point discrimination

Question 32

handwriting FOR assumptions

Answer 32

1. children have foundational knowledge, visual perceptual skills, and postural control needed to engage in writing activities
2. child has been exposed to basic graphomotor skills of handwriting by his or her teacher
3. child has established hand dominance and uses the dominant upper extremity consistently during task performance

Question 33

gardner’s types of intelligence - most common used in school

Answer 33

linguistic and logical-mathematics

Question 34

other types of intelligence

Answer 34

Bodily-kinesthetic
Spatial
Interpersonal
Intrapersonal

Question 35

Using FOR in practice, what aspects of FOR of should therapist focus on initially?

Answer 35

theoretical basis/perspective

Question 36

What aspect guides therapist in identifying areas which require intervention?

Answer 36

the function–dysfunction continua