Terminology

Question 0

Foundation upon which all components of the client program are identified.

Answer 0

Evaluation

Question 1

Process used by OT practitioners to plan, direct, perform & reflect on client care.

Answer 1

Clinical reasoning

Question 2

Necessary part of the OT process & promotes professionalism & proof of value of intervention.

Answer 2

Documentation

Question 3

Involve the use of therapeutic self, occupation based activities & client caregiver education.

Answer 3

Skilled interventions

Question 4

Standardized & non-standardized ways of measuring & establishing baselines.

Answer 4

Assessments

Question 5

Collaborative effort designed to establish goals & functional outcomes.

Answer 5

Intervention plan

Question 6

Protection of information that can appear in all forms of communication.

Answer 6

Confidentiality

Question 7

Contains personal data & info relevant to the treatment of a patient, client, or person receiving medical treatment.

Answer 7

Medical record

Question 8

Require the services of professionals trained in the field of OT.

Answer 8

Skilled services

Question 9

Contains info gathered during an interview process

Answer 9

Occupational Profile

Question 10

Occupational Therapy Practice Framework-2

Answer 10

OTPF2

Question 11

Documentation that follows guidelines that will allow it to stand up in a legal investigation.

Answer 11

Legal document

Question 12

Federal law enacted to protect the consumer from breaches of confidentiality.

Answer 12

HIPAA

Question 13

Regulations & requirements set up by a major payer source for the geriatric population

Answer 13

Medicare guidelines

Question 14

Payment for OT services according to specific regulations & requirements.

Answer 14

Reimbursement

Question 15

Written at the conclusion of the therapy program.

Answer 15

Discharge report

Question 16

Subjective, objective, assessment, plan

Answer 16

SOAP note

Question 17

Includes 7 principles defined by AOTA to direct the OT practitioner in expected behaviors & expectations

Answer 17

Ethical Practice

Question 18

Document that expresses progress toward goal achievement

Answer 18

Progress report

Question 19

Written for a specific time frame & are specific to the accomplishment of the long term goal

Answer 19

Short term goal

Question 20

the overall functional outcome of the OT process

Answer 20

Long term goal