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Peds Quizzes part 2

Terms in this set (50)

Etta is a 10 month old baby girl who was referred to EI by her pediatrician. She was seen for an initial evaluation by the EI TEAM, including a developmental specialist, OT, social worker and PT. The Battelle Inventory was used as per the MA guidelines recommends; however she did not qualify for services under this assessment tool. The TEAM was concerned about the baby's quality of movement, as she did not use her left hand to stabilize or reach for toys. What can the OT suggest to the TEAM
Suggest another assessment tool be used and/or use clinical judgement stating the deficits seen and how it affects her play skills and development and put the child on a service plan.
Destiny is now 30 months old and is being referred to the school system for evaluation for OT/PT and speech and language services. She has autism and has made significant gains since beginning EI. Destiny turns 3 on August 1st and will not start school based services until September. Her parents want her to continue services with EI until she starts school. What is the best response to give the parents in regards to their request?
Explain to the family that EI services end on her 3rd birthday and recommend she be seen in an outpatient clinic.
You arrive at your next home visit and find that the baby is sleeping but the family still wants you to come in for your visit. What can you as the OT do during that time according to the types of services that can be provided?
Provide family support and education to help facilitate the baby's development.
Angie is a fussy, thin 8 month old baby girl in the custody of DCF (formerly known as DSS). She shows no attachment and is not afraid of new adults in the room. She is sullen and can be fussy when she does not get the toys she wants. She is in a foster home that also houses her 15 year old mother, who also shows no attachment to the baby. Angie is also underweight for her age. The mom is on her IPOD during the entire evaluation. Upon evaluation, Angie shows age appropriate skills. She passed both the standard Battelle Inventory assessment and the secondary assessment for motor skills using the Hawaii Early Learning Profile in which she showed good motor proficiency. The social worker involved wants to qualify the child for services, which would be the best reason to qualify or not qualify Angie for services?
Angie has established risk factors of teen mom, poor attachment, DCF custody and underweight therefore she qualifies for EI
What type of OT service can be provided to Angie?
Play and social participation including bonding activities with caregiver and mother.
Which setting is NOT considered a natural setting for Early Intervention?
Therapy office
Mandated reporting only needs to take place if physical abuse has been witnessed by reporter.
False
Laura is one of your OT students. She is a friendly, 3 year old preschooler who is social and loves to play. Lately, she has been coming into school afraid to go to the bathroom, withdrawn and often cries when corrected in class. You notice during center time she chooses to play with dolls and is fascinated with undressing them and looking at their private parts and spanks the private parts saying, "Bad baby, do you want more of this!" You are concerned and do not know what to do next. What is the next step you should do, choose one answer.
Talk to the teacher and school nurse regarding your concerns of sexual abuse
Which of the following factors that is the top priority for premature infants in the NICU?
Sleep
Kangaroo Care is a method that provides the following:
Skin to skin contact of infant and parent
Chest to chest contact of infant and parent
A third grade student with a mild learning disability was referred to OT for difficulty keeping up with peers during written tasks. The evaluation results indicated he would benefit from direct O.T. services 2x30 mins/week for keyboard training and improved visual motor control. The OTR sees him 1x/week; the COTA sees him the other session. This is:
Intradisciplinary
An eight year old boy is an inpatient in the area children's hospital following surgery to remove a brain tumor (glioblastoma). In addition to medical care, he also receives OT, PT and SLP services. All team members treat him separately but meet for daily rounds and weekly team meeting to discuss his progress and plan treatment. Which team model?
Interdisciplinary
It is the primary role of the occupational therapist to advocate on behalf of the child.
False
An OTR recommends pull out services for a student with ASD to provide sensory-based intervention in the O.T. sensory room. This is an example of consultation service delivery.
False
The most challenging yet important O.T. skill needed to best understand a child's functioning level is the ability to skillfully observe a variety of tasks in a variety of contexts.
True
Sally is a new kindergarten student who received OT in an early intervention program in the past for developmental delays. She did not attend preschool. Her teacher notices that she slouches on the floor during morning meeting, cannot put on her own coat or zip it up when it is time for recess and has difficulty with clothes management when using the bathroom. The teacher makes a referral to you for OT services. What is your next step?
Observe Sally in the classroom during morning meeting and transition times to look at how she manages materials for part of your screening
Sally is now in 1st grade, she is now on an IEP for continued developmental delays in all areas. You as the OT are working on improving core strength, fine motor skills and eye hand coordination. She receives OT 2x a week; 1 x 30 minutes inclusion, 1 x 30 min in a small group for pull out services. Which setting is NOT considered an inclusion setting?
Small group/class in OT room
Developing communication skills, getting organized, knowing the laws, learning to network and obtaining support are some of important skills an OT can promote for _______________________________.
Empowering a parent to become an advocate for their child
Which level of parent involvement is considered the best practice for family centered care?
Family as a team leader
OT includes family in intervention, goals and planning
Although all settings should provide best practice in their settings, according to the AJOT article, which setting was family centered practice model most used?
Early intervention setting
According to IDEA, what is the main purpose of occupational therapy within the school system?
Enhance the child's functional ability in his or her role as a student in academic and nonacademic task
Response to Intervention (RtI) is:
A provision in IDEA 2004 to prevent school failure and reduce the need for more intensive services later.
A multi-tiered model of education with the top of the tier designated as services for children needing intensive, individualized intervention.
According to the IDEA, the IEP must include several components. Which of the following is not a required component of the IEP?
A list of family concerns and needs
You have a friend whose second grade daughter, Grace, is in the public schools. Grace's teacher says that she is having a difficult time completing written work in class. Grace's mother notes that she struggles with printing while doing her homework. On receipt of parents' written permission to evaluate, early intervening services are initiated to see if short-term occupational therapy can address the problem before determining student eligibility for special education (and an IEP). Which of the following statements reflects best practice for the involvement of occupational therapy at this point?
The occupational therapist should interview the parents and teacher regarding their concerns about Grace's written work and other areas of school function typically addressed by occupational therapy (e.g., social skills, self-care).
The occupational therapist should observe Grace during written work activities in the classroom.
A high school student, identified as having an anxiety disorder, struggles with the stress associated with large assignments. All of the following statements are true except:
The occupational therapist should write an IEP
Both IDEA 2004 and NCLB enable schools to help students struggling with learning or behavior before being referred to special education through the provision of which of the following?
Early intervening services
Response to intervention (RTI)
Mark is a fifth grade student who has learning difficulties. The team members would like him to be placed in a regular classroom for most of his classes. However, they are not sure that he will be able to keep up with the requirements. What must the team consider to make this placement?
Least Restrictive Environment
Nina is a 10-year-old girl diagnosed with severe anxiety disorder, interfering with her ability to learn. Which law would provide her the right to accommodations in a public school?
Americans with disabilities act, section 504
A parent requests that the occupational therapist working in the school system complete range of motion exercises daily with her son. What is the key reason that the occupational therapist would comply with this request?
Educational relevance
Which activity is not considered part of occupational therapy in the school system?
Passive ROM to prevent contractures
What is Ayres's definition of sensory integration?
Organization of sensation for use?
How did Ayres view sensory input?
Nourishment for the brain
Which is the best example of an "adaptive response"?
Ability to hold on and pump a swing higher and higher
Which statement most closely reflects the ingredients to promote neural plasticity in children?
Child actively interacts with a meaningful and challenging environment.
Which statement reflects Ayres's theory of central nervous system (CNS) organization?
Increased efficiency at the levels of the brainstem and thalamus enhances higher-order functioning.
Max is a 12-month-old boy who is just learning to walk. He stands for short periods, sees his favorite toy, and takes one step and falls. The therapist places the favorite toy two steps away the next time. Which term describes this concept?
Just-right-challenge
Charlie is a 10-year-old boy who will eat only mashed foods, does not like noises (e.g., he gets upset when the phone rings), and has difficulty sitting during meals. Charlie's parents report that he does not like new clothes and cannot wear jeans. What type of sensory integrative problem does Charlie have?
Sensory modulation problems
Lisa is an 8-year-old girl who bumps into things frequently, bears down hard on her pencil at school, and stands very close to her friends. Lisa gets in trouble in school because she is always "talking herself through" her handwriting homework. Lisa likes to play rough at home and is frequently called a bully by her younger brother. What type of dysfunction does this scenario depict?
Poor proprioceptive awareness
Which system detects head position and movement as well as gravity and pertains to the inner ear receptors, the semicircular canals, and the otolith organs?
Vestibular
Mary is 9 years old and does not adjust her body position well for various school activities. She is unable to move her feet without looking at them and is frequently bumping into things. With what is she experiencing difficulty?
Poor proprioceptive awareness
IDEA requires educationally relevant evaluations to be conducted by members of the IEP team. What would the occupational therapist bring to the evaluation process for a 16-year-old student who is eligible for special education and who is a quadriplegic as a result of a spinal cord injury at the age of 9?
The student's current level of participation in available education activities
Jonathan is a 15-year-old who sustained traumatic brain injury at the age of 5. He now has significant limitations when completing written classroom assignments. What should the education team do to help him?
Identify appropriate transition goals
There are many benefits associated with interagency linkages during the transition process for students with disabilities. Which of the following is true of interagency linkages?
Interagency linkages can include shared financial responsibility for a student's transition services.
Until what age are students eligible for transition services?
22 years old
Special education and services have been made available through the public education system to children and youth who have disabilities since passage of Public Law 94-142 the Education for all Handicapped Children Act of 1975 (EHA), currently known as IDEA. How is occupational therapy described in the EHA and its subsequent amendments?
Related services
In Chapter 25, Transition to Adulthood, Loukas and Nagaishi refer to section 504 as being for organizations and postsecondary education programs (e.g., community colleges, vocational schools, universities) receiving federal funding must not discriminate against employees/students who have disabilities and must make certain accommodations.
True
The Ticket to Work and Work Incentive Improvement Act (PL 106-170) refers to which of the following descriptions?
It allows workers who have disabilities and who receive Medicare or Medicaid insurance to keep their needed health care benefits after they obtain paid employment.
What type of service delivery team works on transition planning?
Interdisciplinary team
Which legislative act mandated transition services at the age of 16 years old for students on an IEP?
IDEA 2004
Which work experience has the best results for a teenage with a disability that can have a positive, long lasting effect in attaining and maintaining a job as an adult?
Paid work experience
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