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OT reg Exam > Referral, Screening, and Evaluation > Flashcards

Referral, Screening, and Evaluation Flashcards

0
Q

What must be considered when selecting an evaluation?

A

Outcomes of the screening process like functional baseline, personal goals, and the contexts of the evaluation such as setting characteristics, current and expected client environment

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1
Q

What is the purpose of screening?

A

To determine the need for further evaluation in a given area.

Never choose an answer with goal setting or intervention when it is a screening question

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2
Q

When must an interpreter be obtained?

A

When the client does not share the language of the OT. Failure to obtain is considered violation of autonomy and nonmalficence.

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3
Q

What are standard precautions?

A

Table 3.3

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4
Q

What are transmission precautions?

A

Table 3.4

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5
Q

What does RUMBA stand for?

A

Realistic, understandable, measurable, behavioral, achievable

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6
Q

What does SMART stand for?

A

Specific, measurable, attainable, relevant, time-limited

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7
Q

What are examples of documentation standards and guidelines?

A

Answers should be SMART enough to RUMBA.

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8
Q

What are the types of validity?

A

Find

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9
Q

What are the types of reliability?

A

Find

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10
Q

What are the different types of assessment tools and their indications for use?

A

Interview-obtain person’a perspective

Norm-referenced or criterion referenced-to determine developmental delay

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11
Q

What are the guidelines for interviewing?

A

Find

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12
Q

All interventions can be provided at what levels?

A

Individual, group, or population level. See table 3.5.

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13
Q

What are the 3 types of prevention?

A

Primary-promote wellness and health
Secondary
Tertiary

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14
Q

What does Medicare consider reimbursable?

A

See chapter 4

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15
Q

What are reasons for discharge?

A

Find

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16
Q

What are the principles of effective discharge planning and documentation of discharge?

A

Find

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17
Q

What are some examples of referrals for further direct care services or supportive services?

A

Home care, meals on wheels, AA

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18
Q

What are the basic concepts of occupation?

A

Find

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19
Q

What are the basic concepts of purposeful activities?

A

Find

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20
Q

All correct answers must be…

A

Goal-directed, meaningful, task-oriented, and role-related

21
Q

What are the Medicare indicators for group membership?

A

Individual is able to: Engage willingly in group, attend to guidelines and procedures, actively participate in group process, benefit from group leadership input, benefit from membership and peer input, respond appropriately throughout the group process, incorporate feedback, complete activities toward goal attainment, attain greater benefit from the group intervention than from 1:1 intervention.

22
Q

What are Medicare guidelines for group leadership?

A

Leader: provides active leadership, instructs members as a group, monitors and documents individual’s participation and response to intervention, provides individualized guidance and feedback, documents person’s progress toward goals defined in the individual intervention plan in objective, measurable, functional terms.

23
Q

Name the advantages and disadvantages of co-leadership.

A

Advantages: each leader can assume different leadership roles, tasks, and styles; both leaders can provide and obtain mutual support; observations and objectivity increase; share knowledge and skills; model effective behavior
Disadvantages: splitting by group of one leader against the other; excessive competition among co-leaders; unequal responsibilities leading to unbalanced work load among co-leaders.

24
Q

what are the curative factors of groups?

A

Defined by Yalom: altruism, catharsis, universality, existential factors address accepting that responsibility for change comes from within, insight-discovering and accepting the unknown parts of oneself, family re-enactment (learning what it was like growing up in ones family through group), guidance comes from accepting advice from other members, identification is benefiting from imitation of the positive behaviors of other group members, instillation of hope is experiencing optimism through observing other members of group improve, interpersonal learning from input from group, conscious understanding of all the above enhances therapeutic value of group.

25
Q

what is Mosey’s Taxonomy of groups?

A

Evaluation group-assess client’s skills, assets, and limitation regarding group interaction
Thematic group-assist group members in acquiring what is needed to perform a specific activity
Topical group-discuss specific activities that members are engaged in outside of group to enable engagement in activities in a more effective, need-satisfying manner.
Task-oriented group-increase awareness of needs, values, ideas, feelings, and behaviors as engage in group task
Developmental group-A CONTINUUM OF GROUPS CONSISTING OF PARALLEL, PROJECT, EGOCENTRIC-COOPERATIVE, COOPERATIVE, MATURE, teach and develop members’ group interaction skills
Instrumental group-help members function at their highest possible level for as long as possible.

26
Q

What is a “top-down” client centered approach?

A

Considering a person’s areas of occupation first rather than a “bottom up” approach which focuses initially and/or solely on performance skills and client factors.

27
Q

What are the Functional Performance Measures?

A

Total assist-100% assistance from others
Maximum assist-75% assistance from others
Moderate assist-50% assistance from others
Minimum assist-25% assistance from others
Standby assist-supervision by someone else when errors and safety precautions are not always anticipated by client
Independent-no physical or cognitive assistance needed to perform functional activities. Client can consider errors, safety hazards, and implement selected actions.

28
Q

Criteria to determine if a self-care activity should be modified or eliminated.

A

Interventions for deficits that cannot be remediated should include adaptive strategies to compensate for deficit. Activities that are valued, meaningful, and enjoyable to the person and related to desired role performance should be modified with appropriate supports. Activities that are difficult to perform and not enjoyable should be eliminated or done with assistance from others.

29
Q

What are the spinal cord injury levels and self-care abilities?

A

C1-C3: totally dependent in all self-care but can instruct others on preferences, can chew and swallow
C4: same as above, can drink form a glass with a long straw
C5: total assist to set-up for feeding, then independent w/ equipment such as suspension sling or mobile arm support, dorsal wrist splint w/ universal cuff, Dycem, scoop dish/plate guard, angled utensils; dressing requires min to mod assist with UE, dependent with LE; bathing requires mod to min assist; grooming requires set-up, with universal cuff can be independent w/ teeth, hair, shaver
C6: feeding independent with universal cuff or tenodesis splint, rocker knife, scoop dish/plate guard, cup w/ large handles; dressing independent LE while in bed, max assist with socks and shoes, independent with UE using button hook, zipper pull, velcro fasteners; bathing min assistance with hand-held shower, tub bench, sliding board transfer; grooming independent with tenodesis grasp or splint
C7: independent feeding, independent dressing-may need button hook, bathing independent with hand held shower, tube bench, depression transfers
C*-T1: I in all self-care w/ tub bench, hand held shower
T6-L4: I in all self-care

30
Q

What are the key points of energy conservation, joint protection, work simplification, and body mechanics?

A

See pg 304-305

31
Q

What are the environmental modifications to maximize self-care performance and ensure safety?

A

Chapter 16

32
Q

What is the PLISSIT model of intervention for sexual expression/activity?

A

P=permission, requires the therapist to create an atmosphere which gives the individual permission to raise concerns about sexuality and sexual activity.
LI-limited information, provided by therapist to ensure that the individual has accurate knowledge about his/her sexual abilities and potentials.
SS-specific suggestions, provided by the therapist to facilitate the individual’s pursuit of satisfying sexual expression, either alone or with a partner
IT-intensive therapy which is indicated when the individual requires problems or enduring sexual problems.

33
Q

what are interventions to ensure safety and protect individuals from sexual abuse?

A

assertiveness training, training and practice in physical self-protection, role play to simulate potentially challenging scenarios, sex education, caregiver and family education: socially inappropriate sexual activity

34
Q

What is a group home?

A

Find

35
Q

What is a half-way house?

A

Find

36
Q

Study all the play/leisure assessments tools

A

Read

37
Q

SCI levels and play/leisure activities

A

pg 385

38
Q

What are the steps in the prevocational assessment process?

A

table 15.5

39
Q

What are the steps in work assessment?

A

Find

40
Q

What is the purpose of a functional capacity evaluation, work capacity evaluation, and job site analysis?

A

FInd

41
Q

Ergonomic risk analysis assessment

A

table 15.7

42
Q

Computer ergonomic risk analysis assessment

A

table 15.8

43
Q

what are the work assessments tools?

A

Focus and population of measure

44
Q

What commonalities can be found between the work measures?

A

Major principles and common approaches used to evaluate work:

45
Q

What is the role of the ADA in a disabled person’s return to work?

A

Chapter 4

46
Q

List the dimensions for work stations and chair characteristics to ensure ergonomically correct work.

A

15.1 and 15.2

47
Q

What adaptive strategies and equipment can be used to facilitate engagement in work? Include virtual contexts.

A

find

48
Q

What are reasonable accommodations for work?

A

15.9

49
Q

What are typical interventions for most common work related injuries?

A

refer to ps 53 study book

50
Q

What are the characteristics, referral standards, and discharge criteria of specific work programs including work hardening/conditioning programs, sheltered workshops, supported employment, and transitional employment programs?

A

chap 4

OT reg Exam (3 decks)

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