Week 1: Clinical Reasoning Flashcards
What are the 6 types of clinical reasoning (CR)?
- Procedural
- Interactive
- Narrative
- Conditional
- Pragmatic
- Ethical
According to Schell and Schell procedural reasoning is made of what 2 types of reasoning?
- scientific
- diagnositc
Type of CR that is a higher/complex reasoning that considers the client’s future with the diagnosis.
Conditional reasoning
T/F
Interactive reasoning is a deeper understanding of client than narrative reasoning.
False
What CR does a novice OT usually start with?
Procedural reasoning
Type of CR where the OT thinks about how a client was in the past and envisions how they may function in the future.
Conditional reasoning
Type of CR when the OT thinks beyond the therapist-client interaction and considers personal and practice constraints that will impact the client.
Pragmatic reasoning
What is reality testing and which CR does it fall under?
- Client says “I can’t do anything” and OT brings them back to “reality” and explains how far they have come
- found in interactive reasoning
Type of CR that combines the procedural and interactive reasoning
Narrative reasoning
This question refers to which type of CR:
Do you have a sense of what “makes your client tick”, what is important to him/her?
Interactive reasoning
This question refers to which type of CR:
Based on what you know about your client’s medical and social history, what do you expect him to be like?
Narrative reasoning
Highest and most complex type of CR?
Conditional reasoning
CR that matches the intervention goals to the particular person
Interactive reasoning
This question refers to which type of CR:
How many therapy sessions does my client’s insurance allow them to have?
Pragmatic reasoning
What type of CR refers back to the OT code of ethics and the dilemma of determining the moral thing to do?
Ethical reasoning
