assessments final

5.0 (1 review)
The staff of an acute inpatient medical unit consists of an occupational therapist and an entry level COTA. The administration rate has increased and the OT is having difficulty completing eval in a timely manner. Which is the best action for the therapist to take in response to the practice realities
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The staff of an acute inpatient medical unit consists of an occupational therapist and an entry level COTA. The administration rate has increased and the OT is having difficulty completing eval in a timely manner. Which is the best action for the therapist to take in response to the practice realities
Adjust your schedule to make time or something like that
Screening
process of reviewing available data and observing a client to identify a client's potential strengths and limitations and the need for further OT assessment
Assessment
specific tool, instrument, or systematic interaction to determine a client's occupational performance
Reassessment
formal comprehensive review of a client at some point after the initial evaluation
Outcome
the end result clients achieve through OT interventions
Evaluation
comprehensive process of obtaining and interpreting the data necessary to understand the person for intervention planning, progress, or discharge
Which of the scores listed below are most commonly reported standard scores (you can choose more than one)
T & Z Scores
Motivational interviewing is most often used with which theory?
Stages of Change
Chart review should follow the OP and interview during the assessment process?
(false)
When using motivational interviewing, what are the most common types of resistance in therapy?
Arguing, interrupting, denying, and ignoring
Whitney, an OT practitioner, performed an assessment on a 9 year old girl named Bhavini. The data above was obtained from one of the assessments Whitney administered. Which heading of scores indicates Bhavini's original score that was obtained by adding all of the individual item scores from the assessmentRaw scoreThe two main scoring areas of the COPM areTotal performance, Total satisfactionMotivational interviewing is a way of being with clients. Which of the following is NOT one of the 5 key principles of MI?the 5 key principles are: express empathy, avoid arguing, develop discrepancy, roll with resistance, support self efficacyPlease fill in the blanks with the appropriate word to reveal the assessment course themes.Learning the test is not learning the client. Tis better to interpret than to simply administerAccording to Bhavini's score, what two areas does she demonstrate most difficulty with?Manual dexterity, Upper limb coordinationPDMSmeasures fine and gross motor skillsMFUNmotor competency affects children's ability to engage in home and school activities and participate socially in their environmentPEDI/PEDI CATfunctional capacity; functional delayAges and stagesscreeningCarol was given an evaluation of January 19th, 2021 with a DOB of 6/29/2013. What is her chronological age?7yrs 6m 20dyWhen working with a client who has recently suffered a stroke with resulting hemiparesis in the left upper extremity , the OT focuses treatment on the clients ability to perform upper body dressing as the driver of interventionTop-downAccording to Hinjosa, philosophical beliefs and assumptions areGuided by profession, acquired through education, and experiences gained in their professional career flexibility and different opinionsWhich assessment is best served to individual between the ages of 6 month and 7.5 years but can be administered to children older if their functional abilities fall below that expected of a 7.5 year oldPEDIAnna Grace, OT, received an evaluation prescription on jan 27th, 2021 for a 4 year old boy named Laramie. The referral information stated that Laramie was living in a homeless shelter with his gma. The gma has decreased cognition and recently laramie has been diagnosed with Kawasaki disease, a new phenomenon in OT. When will the evaluation process begin with Laramie?As soon as she receives the chartBc of this new phenomenon kawasaki disease,in a non traditional situation, anna grace, realizes she should not use a traditional approach to evaluation. Instead she chooses an ____ approach to selecting assessmentsidiosyncraticAnna Grace decided to give the PDMS to laramie. He scored 3 zeros in a row at 42 months indicating to anna grace that was a stopping point in the subtest. 42 months is considered laramiesCeilingJennifer was referred to OT at 7 months of age w developmental delay. Her birth was typical with no significant problems. She had some early feeding issues such as weak suck and uncoordinated swallowing but the issues resolved in a couple of weeks. Which assessments would be appropriate for jenniferAll of the aboveYou notice Jennifer is unable to roll over while lying supine. Which primitive reflexes are recruited in order to perform rolling from supine to prone?ATNR- Asymmetrical tonic neck,ASYMMETRICAL TONIC NECK,ONSET: Birth to 2 months,INTEGRATION: 4-6 months,POSITION: Place child supine with head in midline.During evaluation, Jennifer is beginning to transition into a quadruped stance in preparation for crawling. Which reflex attributed to this movement patternSTNR symmetrical tonic neckBonus: An OT working on an inpatient psychiatric unit conducts a series of groups for clients newly admitted to the unit. Which group leadership style is most effective for the therapist to assume when leading these groups?directorBeery Buktenica Developmental Test of Visual Motor Integration (VMI)looks at integration of visual and motor skills and isolates visual perception and motor coordinationDevelopmental Test of Visual Perception (DTVP)assess visual perceptual skills and visual motor integrationMotorFree Visual Perception Testquick and simple evaluation of visual perception without motor involvement by respondentTest of Visual Perception Skills (TVPS)Designed to assess a child's perceptual abilities (which may affect learning to read and development of other academic skills) without requiring motor response. It may be used to track progress over time and for research.Sabrina, an OT who works in an outpatient therapy center, received a referral to evaluate Holly, a 9month old little girl who was born at 40 weeks gestation. She was referred to you by her primary care physician for possible developmental concerns. Upon arrival, the mom was very upset and explained that Holly had not stopped crying since she left the house. The mom appears frustrated and worried and doesn't want to leave Holly by herself. In order to complete the evaluation and address this problems the therapist should:Communicate with the motherSabrina, an OT who works in an outpatient therapy center, received a referral to evaluate Holly, a 9month old little girl who was born at 40 weeks gestation. She was referred to you by her primary care physician for possible developmental concerns. Sabrina identified the PEDI, PDMS, and a vision screening as the assessments to administer. When she went to prepare for the evaluation, she realized that there were no protocols for the PEDI. She reported this to her supervisor who instructed her to make a copy of the examples in the manual. The PEDI has a copyright protection noted in the cover of the book. What is Sabrina's best course of action?Say noSabrina, an OT who works in an outpatient therapy center, received a referral to evaluate Holly, a 9 month old little girl who was born at 40 weeks gestation. She was referred to you by her primary care physician for possible developmental concerns. In order to conduct an accountable evaluation, Sabrina chose two standardized assessments. Standardized assessments are valuable due to the following EXCEPT:Natural environment: STANDARDIZED ASSESSMENTS ARE NOT DONE IN CLIENTS NATURAL ENVIRONMENTMadelyn is a 15 year old girl who recently had a TBI from a golf cart accident. She is in a rehabilitation hospital for 4 weeks and you are conducting her OT evaluation. You conduct a visual screening on Madelyn and notice that she may have difficulty with functional vision. She scored within the average range (tscore of 41) on the MFUN visualmotor subtest of the standardized assessment. What is your best course of action?Refer her to eye examinerMadelyn is a 15 year old girl who recently had a TBI from a golf cart accident. She is in a rehabilitation hospital for 4 weeks and you are conducting her OT evaluation. Which of the below assessments are NOT appropriate to utilize to further evaluate Madelyn's visual deficits?DTVP because she is too old (4-12years)Madelyn is a 15year old girl who recently had a TBI from a golf cart accident. She is in a rehabilitation hospital for 4 weeks and you are conducting her OT evaluation. The rehabilitation hospital only allows 90 minutes for the OT evaluation. Keci, the OT, decides to give the GOAL which is an assessment that takes around 60 minutes. In order to allow enough time for 15 minutes of clinical observations which vision assessment would be the BEST to administer to Madelyn.Beery VMI because it only takes 10-15 minutesWhich is NOT true of a nonstandard assessment?Prescribed environmentNonstandardized is:Not uniform in administration,Full psychometric data on reliability or validity due to not having a prescribed process.,Ipsative referenced (individual)Pros of nonstandardized:Client centered,Natural contextCons of nonstandardized:Subjective measure that cannot depict reliability. Therefore, impacts validity and hard to provide data for evidenced based practice.Which of the following are considered contextual pragmatic issues in the evaluation process?Reimbursement, facility procedures, community resources, therapist attributesWhen assessing functional vision, what are types of motor movements of the eye?oculomotorThe priority in performing an evaluation is to conduct a comprehensive evaluation without considering efficiency in time.FalseBonus: To ensure the provision of best practice, the new entrylevel occupational therapists will be provided with supervision of their caseloads. At what level should this supervision be provided?Close supervisionBOT2Provides a comprehensive index of motor proficiency and separates measures of fine motor and gross motor performanceGOALto evaluate fundamental motor abilities needed for ADLsBRIEFdesigned to assess impairment of executive function in children with developmental and acquired neurological conditions to assist with educational planningREALassesses common ADL and IADL skills performed by children at home, on the community, and school. Determines need for services, placement and IEPSAn accountable evaluation is one that considers only reimbursement when selecting the appropriate assessment tool.FalseLeah, age 6years old, was referred to OT because of suspected motor delay following the first semester of kindergarten. She has difficulty with handwriting, coloring, and playing on playground equipment. After reading the referral documentation and receiving an overview of the child as a person through discussion with her caregivers, Ashlee, the OT, decided to assess the following areas: gross and fine motor skills, muscle tone, movement patterns, and manipulation skills using a standardized assessment of clinical observations. Once Ashlee identifies the components of performance that are interfering with Leah's functional abilities, she will be able to determine the areas of occupation that are affected and develop an intervention plan for Leah. Which type of approach to evaluation did Ashlee demonstrate?Bottom upLeah, age 6years old, was referred to OT because of suspected motor delay following the first semester of kindergarten. She has difficulty with handwriting, coloring, and playing on playground equipment. After reading the referral documentation and receiving an overview of the child as a person through discussion with her caregivers, Ashlee, the OT, decided to assess the following areas: gross and fine motor skills, muscle tone, movement patterns, and manipulation skills using a standardized assessment of clinical observations. Once Ashlee identifies the components of performance that are interfering with Leah's functional abilities, she will be able to determine the areas of occupation that are affected and develop an intervention plan for Leah. Which standardized assessment would be the best to assess the areas Ashlee desires to evaluate (gross and fine motor skills, movement patterns, manipulation skills)?BOT-2Colton received a referral to conduct an OT evaluation on a 9year old child with Down Syndrome. The client receives Medicaid services in Arkansas, and Colton has 2 hours to complete the evaluation. In order to provide an accountable evaluation, Colton must:Effective communication, fair treatment, and confidentialityThe benefits to utilizing a standard assessment are:Objective Data,Documents change over time,Provides data for evidenced based research,Reliable and ValidOn February 22, 2021 you are evaluating an infant born June 30, 2020. The child was born at 28 weeks gestation and is presenting with increased tone and poor midline orientation. What is the exact chronological age you will use as your age to guide the evaluation process?4 month, 22 daysA child with a diagnosis of TBI is evaluated by an OT. The child presents with extension in both upper extremities and flexion in both lower extremities following a stimulus of neck extension. When interpreting this observation, which statements are most accurate for the therapist to document?Moro reflex???Rett was referred to OT at 18 months of age with a diagnosis of developmental delay. His birth was typical with no significant problems. His mom's primary concern is feeding/ You plan to conduct informal feeding observations. Which feeding skills should Rett have mastered at this time?All of the aboveA person retired from work for 10 yearstemporalA group participating in a video conferencevirtualA group of OT students conducting a class get togethersocialA city with frequently used transportation systemphysicalColton is a 7year old with possible sensory processing deficits. His dad reported different struggles at home, school, and extracurricular activities. Specifically, Colton has frequent outbursts at home during mealtimes, bath time, and unstructured play. The teacher reports minimal concerns during structured learning times as long as he has fidget toys in his hand. It has been noted during times of selflearning he rocks in his chair often, likes to transition from sit to stand with constant fidgeting. Colton also performs well in soccer and basketball.Based upon criteria, Hannah decides to ensure there is a focus on contextual assessments of the home and school environment. Using contextual strength based approach, the BEST example of a how to provide a recommendation to the teacher would be:Allow colton to moved from the distraction and let him be involved in the classroom?Colton is a 7year old with possible sensory processing deficits. His dad reported different struggles at home, school, and extracurricular activities. Specifically, Colton has frequent outbursts at home during mealtimes, bath time, and unstructured play. The teacher reports minimal concerns during structured learning times as long as he has fidget toys in his hand. It has been noted during times of selflearning he rocks in his chair often, likes to transition from sit to stand with constant fidgeting. Colton also performs well in soccer and basketball.In order to utilize an assessment for reimbursement and obtain a standard score for the difference in sensory processing between the home and school environments the best groups of assessments to consider are:SPM and SP-2Colton is a 7year old with possible sensory processing deficits. His dad reported different struggles at home, school, and extracurricular activities. Specifically, Colton has frequent outbursts at home during mealtimes, bath time, and unstructured play. The teacher reports minimal concerns during structured learning times as long as he has fidget toys in his hand. It has been noted during times of selflearning he rocks in his chair often, likes to transition from sit to stand with constant fidgeting. Colton also performs well in soccer and basketball.Hanna decides to give the MFUN to Colton as a capacity driven assessment. During the evaluation, Colton appears shy and requires a long time to initiate the tasks following the standardized instructions. The dad reports that this is not typical performance for Colton and he typically enjoys and performs similar tasks with ease and indicates that it could be due to Colton's shyness with a novel person and environment. What bias is important to consider based upon this information?Environmental biasThe 3 areas typically identified as a Neurological Soft Sign are:Motor Coordination,Sensory Perceptual difficulties,Involuntary movementsJulie, an 8 year old girl has been referred for an OT assessment. During the intake process, her mom indicated that she is having a difficult time playing appropriately with her siblings and peers at school because she is too rough. Mom indicates he does well with schoolwork and can do well in the classroom, but he struggles with play at recess and P.E. What assessments COULD the OT use to gain further knowledge?Sensory profile 2Sydney, a 9year old girl received an OT assessment to evaluate the child's motor coordination following a concussion. During the evaluation the therapist noted that the child required more effort to have controlled movement and demonstrated decreased impulsivity. However, she was unable to stack blocks due to having too much graded pressure as well as noted tremors when picking up a pencil. What could these symptoms represent?Neurological soft signFollowing an OT evaluation, you noted four areas that possibly indicated a neurological soft sign such as no post rotary nystagmus, involuntary movements, and difficulty discriminating between hot/cold. A crucial recommendation that you will provide the parent immediately and write as part of your recommendations within your evaluation report would be:Refer childWhich category of assessments with standardized protocol provides data that is individualized so that the person can compare herself or herself in the same domain? These assessments have standardized administration procedures but do not have normative data.ipsativeTo develop competency in administering an assessment, the therapist should do which of the following?Read manual, practice assessment, get feedback, write accurate reportWhat sensory motor observation can tell you the functioning of the visual vestibular systems?Post-rotary nystagmusBonus: A 12year old child is placed in foster care due to child abuse and neglect. The child was frequently beaten and locked in a dark closet. The child is fearful and suffering from sensory deprivation. Which sensory input is the best for the occupational therapist to recommend the foster parents provide for the child?Slow rockingKeely, a 20 year old with a developmental disability was being reevaluated for transition planning. For comparison, the OT decided to administer The Transition Planning Inventory a second time in order to determine if interests or goals had changed over the past year. The TPI has a testretest reliability coefficient alpha of .80 ~.89. One can assume:Satisfactory or adequateBonus: An occupational therapist conducts an initial home visit to a family with a premature infant who, at 4 months and 5lb, has just been discharged from the hospital. The child has multiple developmental disabilities. Which is the most important for the therapist to do during this first session with the family?Establish rapport with the familyStandardization implies uniformity of procedure in either administration or scoring of the testFalse, administering AND scoringGOALDevelopmentalBOT2DevelopmentalSchool Function AssessmentfunctionalA certified Driving Rehabilitation Specialist certificate is NOT required to administer a driving evaluation on a client.TrueAmanda, a 24year old Air Force pilot is leaving the Air Force due to vision difficulties. She is planning to obtain a civilian job. Prior to returning she is referred for an occupational therapy evaluation to assist with transition planning. The best assessment to use for Amanda is:Transition to work inventoryIn an education setting, the decision to provide OT services are made exclusively by the occupational therapists.FalseWhen considering the implementation of types of assessments for clientele, what should the occupational therapists consider as strengths for nonstandardized?Natural environmentWhich two MOHO based assessments utilize FAIR scoring on the rating form?OCAIRS and MOHOSTAfter the Cognitive Performance Test (CPT) results are totaled for Alliyah, Landon OT compares this to what overall score when deciding a patient's ability to function at home safety?ACL LevelThe purpose of the Routine Task Inventory Assessment is assessing which of the following?Evaluate occupational performance in areas of self-care, IADL's at home and community, social communication through verbal and written comprehension/expression, readiness for work relations and performanceACLS is an assessment that is used to determine cognitive and physical to evaluate safe living environments. What type of stitch is shown in the picture?WhipstitchVolition(motivation)Habituation(roles)Performance capacity(skills)Bonus: An OTR is establishing an OT group in a state correctional facility for clients with schizophrenia who are the parents of small children. What area of focus would be most important for a group in this setting?ADL's/IADL's (bc taking care of their children)Allies works in an outpatient psychiatric facility in which she assesses clients who have symptoms of depression, anxiety, and stress. Allie knows the gold standard assessment tool utilized in psychosocial screening in which mood is assessed over the past week is which of the following:GDS is gold standardThis occurs frequently and regular throughout the OT process and does not require the use of standardized assessments.The answer was reevaluation (powerpoint says something different though...)Bailey works in a short stay acute care mental health facility. She needs an assessment that is a self report inventory that was specifically developed to assess depressive symptoms listed on the DSM IV that she can gain a quick snapshot of the client's depressive symptoms. Which assessment tool would allow her to gain this insight?BeckReevaluation dates are typically determined by third party payers regarding length of stay, methods, and intensity.TrueOccupational therapy outcomefunctional consequenceOutcomes assessmentintegration of outcomes relevant to stakeholderStakeholderthird party payers, client's family, etc.International Classification of Functioning, Disability and Health (ICF)common languageWhat is the act passed to protect the electronic health record stating that opening the medical record is done on a need to know basis only?HIPAAWhich theory supports the depression, stress, anxiety and social support assessments?Cognitive BehavioralWithin the OT process, this step involves decision making by a therapist with standardized assessments and recommendations made to continue a plan of care, terminate plan of care, or modify plan of care.Reassessment?Noah works in an acute inpatient psychiatric facility. Noah works with clients in group settings and utilizes projective craft assessment tools to gain insight with his clients. When selecting assessments, what is important that Noah recognizes in the difference between the assessment tools Lerner Magazine and BH Battery?BH Battery = process and productBonus: A client recovering from substance abuse disorder is referred for OT services. Which intervention is the OTR MOST likely to promote?More effective use of his time (NOT medication management)Due to COVID, Danielle explored an emergent practice area of providing teletherapy for her clients since the state had mandated quarantine. What are the benefits of providing OT?Natural environmentWhich neurological assessment contains the following component?Facial Palsy: Ask or use the pantomime to encourage the patient to show teeth or raise eyebrows and close eyes. Score symmetry of grimace in response to noxious stimuli in the poorly responsive or noncomprehending patient. If facial trauma/bandages, or tracheal tube, tape or other physical barriers obscure the face, these should be removed to the extent possible.NIH Stroke ScaleWhich assessment contains the following question: "On a scale of 0 to 100, with 100 representing full recovery and 0 representing no recovery, how much have you recovered from your stroke?"Stroke Impact ScaleMini Mental State Examination (MMSE)A brief screening tool that provides a quantitative assessment of cognitive impairment and to record cognitive changes over time; consists of 11 simple questions or tasksGoodglass Test of Apraxiascreening tool to help determine difference between ideational and ideomotor apraxia; cough, sniff, blow out matchBrief Instrument for Mental Status (BIMS)a brief screening tool required for use in inpatient rehabilitation facilities and SNF as a patient assessment instrument. Administered quarterly to determine changes in cognitive statusHooper Visual Organization Test (VOT)cut up and arranged in a "puzzlelike fashion"Short Blessed TestAddresses cognitive concerns in the areas of orientation, memory, and concentrationModified AshworthImpairment LevelFunctional Test for the Hemiparetic Upper Extremity (FTHUE)Activity/limitation/capacity levelStroke Impact Scaleparticipation/restriction/performance level (0-100)Which neurological assessment contains the following component?"Hold a pan lid", Pass (+) or Fail (~)Functional test for hemiparetic upper extremity FTHUEBonus: Following a left CVA, an individual receives OT services at a subacute rehabilitation facility. The patient's goal is to be independent in dressing. The patient demonstrates decreased memory, poor sequencing skills, and ideational apraxia. Which of the following is most effective for the therapist to provide when teaching one handed dressing techniques to his patient?Something about physical cues?Diversity and culture do not play a role in the assessment selection and interpretation.FalseWhich neurological assessment contains the following component: "Abduct the shoulder to 90ยบ (pure abduction), elbow fully extended throughout, forearm promoted" 0=not done at all, 1=partly done, 2=faultlessFugl Meyer Upper ExtremityAshlee recently entered the local IRF (inpatient rehab facility) for AMS (altered mental status). She lives at home with her husband and two children. Prior to admission, Ashlee was independent with ADLs, IADLs, and performed all money management for the home. Which top down assessment tool would be best for selection of executive cognitive functioning and integration.Executive Function Performance Test EFPTThe Macro Micro Model of Diversity (MMMD) looks at the different layers of diversity. Match the layer of diversity with the Occupational Therapy Practice Framework (OTPF) classification:Occupations- Micro,Contexts and environments- MacroWhich neurological assessment contains the following component: "Pull a chair away from a table before sitting down." (Amount Scale and How Well Scale)Motor Activity Log MALWhich sensory systems are utilized for voluntary balance?Visual, vestibular, and proprioceptionMcKenzi is working as an OT at an outpatient clinic in which a client comes in with significant edema in the upper extremity. Volumetric water displacement measurement is preferred over circumferential measurement when she assesses edema in her client because:Reliability and validityVonna works in an outpatient hand clinic. When utilizing the Semmes Weinstein tool for sensory assessment, which area of sensation is she analyzing?Light touchTrenedy was conducting a quick ROM screen on a client in acute care. She observed a client with an apparent limitation in shoulder flexion on the dominant upper extremity. Trinity then assessed the client's PROM and noted a bony end feel with around 90ยบ of motion. Trenedy should:Use a goniometerPicture C represents which pinch test?Lateral pinchBhavini is taking vital signs on a client in cardiac rehabilitation. When measuring blood pressure with a sphygmomanometer, the initiation of the Korotkoff sound (first beat) represents the:Systolic pressureAnna Grace should communicate to her client in the acute care hospital that she is counting respirations in order to get an accurate number.FalseWhen checking heart rate on a client, two fingers are gently placed at the wrist. Which artery are you feeling the pulse in the picture above?RadialThe ability to efficiently move the eyes from the left to the right, top and bottom, and in circular motions is defined as:TrackingCirstin, OTS, sits directly in front of a patient holding a target 20 inches from the nose in midline. The client is asked to hold a gaze on the target as Cirstin moves it in toward the center of the eyebrows. The patient is asked to identify when the image goes double and then moves the target back out until it becomes one image. What visual screening test is Cirstin observing?ConvergenceJennifer is a college graduate student who recently fell while hiking and suffered a TBI. Her OT has selected to perform the Comprehensive Trail Making Test (CTMT) to assess for the following:Sequencing, executive function, mental flexibilityBonus: An individual with DJD incurred an injury to the right hand. The client is referred to OT due to complaints of severe pain, stiffness, and extreme temperature changes in the hand. The OT referral states that the person has pitting edema and blotchy, shiny skin. Based on screening, the OT determines that the client's presenting symptoms are consistent with CRPS complex regional pain syndrome. The OT completes the pain evaluation and identifies the triggers of pain. What additional evaluation methods should the therapist use to assess the client?VolumeterGG scale:6 = Independent; 5 = Setup or cleanup assistance; 4 = Supervision or touching assistance; 3 = Partial/moderate assistance; 2 = Substantial/maximal assistance; 1 = Dependent; 07 = Refused; 09 = Not applicable; 10 = Not attempted due to environment limitation; 88 = Not attempted due to medical condition/safety. Amanda was recently admitted into the inpatient rehab facility after a right hip fracture from a fall. Prior to the hip fracture, Amanda was independent in all ADLs and IADLs. Upon admission, Amanda demonstrated the ability to bathe all body parts using a long handled sponge and required steadying assistance from the therapist while seated on shower bench. Amanda's GG score upon admission for bathing would be:4GG scale: 6 = Independent; 5 = Setup or cleanup assistance; 4 = Supervision or touching assistance; 3 = Partial/moderate assistance; 2 = Substantial/maximal assistance; 1 = Dependent; 07 = Refused; 09 = Not applicable; 10 = Not attempted due to environment limitation; 88 = Not attempted due to medical condition/safety. David was recently admitted to a SNF for rehabilitation after suffering a left CVA. Prior to the stroke, David was independent with ADLs and IADLs including being the caregiver for his grandchildren. David chose SNF secondary to the inability to tolerate 3 hours of rehabilitation in inpatient rehabilitation. Upon admission, David demonstrated the ability to thread left upper extremity into the shirt but required assistance with pulling shirt over his head, threading right upper extremity, and pulling the garment down in the back. David's GG score upon admission for UE dressing would be:2Holly has been asked to evaluate a 58year old male who is employed at Virco Manufacturing Corporation for deceased dexterity. In the course of the evaluation, she determines that his job consists of building component parts of chair desks which includes placing nuts, bolts, and washers in the appropriate openings in the chair frame. In order to assess the client's dexterity, the best tool to utilize would be the:Purdue PegboardKaylee has completed grip and pinch testing with her client in the inpatient rehab facility.Her client is a 24year old female and the normative data for her age group and gender for the three jaw chuck for her left hand is 18 lbs. The SD is 2.0 lbs. Her three trial average is 16 lbs. The client's z score would be:-1.0Victoria measures unilateral finger dexterity to determine the extent of fine motor impairment in a client who was recently diagnosed with a TBI. She started the test on the unaffected extremity and client performed until completed and measured in units of time. She utilized this assessment tool:9 hole pegQuantitative measurement to perceived exertion during physical activityMETSApproximate energy cost of activities; helpful in planning exercise programs for clientsBERGCirstin is an OT working in an outpatient setting. She received a referral to evaluate a client for OT services. Upon reading the chart, she learned that the client was just recently released from prison after serving 10 years for charges relating to vehicular manslaughter from driving under the influence. She has a close personal acquaintance that has recently been hospitalized after being hit by a drunk driver. She thinks about her friend in the hospital and feels angry and frustrated after reading the client's chart... (there's a lot more to this question)NonmaleficenceA process that combines the current bestpublished evidence with practitioner expertise and client performance when determining appropriate therapeutic interventions.Evidence-based practiceAn OT can engage in evidence based practice using which of the following:All of the above (research, 2 other things)Bonus: During a home visit, a client who had a recent CVA reports difficulty finding objects during ADLs and IADLs. The client reports that the directions family members provide (e.g., look at the refrigerator's door, look in the medicine cabinet) are not helpful to her. Which cognitive perceptual ability should the OT further evaluate?Visual closureA COTA cannot...Interpret data from assessment for intervention planWhich vision assessment is best for an individual that has limited UE mobilityMVPTWhich score is used to compare the results of the CPT to help determine a client's ability to function safely at homeACL- allen's cognitive levelHow do you know if your patient needs wheeled mobility?a. Non-ambulatoryb. Inconsistent with ambulation c. Slow with ambulation d. Parents with decreased safety with ambulation all of the above5. What additional info do you document when requesting a powered wheelchair?UE weakness that impacts efficiency in manual chair6. The goal of home eval is to improve safety and independence.True7. A client who suffered a stroke with hemiplegia is the left upper extremity, and treatment target upper body dressing.Top Down (occupation)8. The ADA standard for ramps is12 in run for every 1 in in height9. According to IDEA a full reassessment must be completed within3 year10. All questionnaires are nonstandardizedfalse11. What is not a characteristic of a nonstandardized assessment?b. Environment conditions are prescribedWhat makes something standardized at the basic level?Prescribed admin procedure and environment12.To develop competency in administering an assessment for the first time the therapist shoulda. Read assessments manual, c. Practice assessment prior13.The internal classification of function, disability and health is OT specificb. false14. What are measures of validity?Content-Validity:is it measuring what it is supposed?15. What is a key principle of MI?a. Express empathy16. Which score is the original score that was obtained by adding all the individual item scores from the assessment?Raw score17. When does the evaluation process begin?c. As soon as the therapist receives the referral sent18.What should be considered when choosing assessments to administer?Time frame, Reimbursement,Format, Client centered19. The TPI has a test retest reliability coefficient alpha .80~.89. One can assume..Satisfactory or adequate20. What is the comprehensive process of obtaining and interpreting the data necessary to understand the person?Evaluation21. A patient who reports they can complete the assessment task at home but not on this test is an example of..a. Capacity and performance error22. Which content is evaluated when a client's church has narrow doorways and multistep entrance without handrailsa. Physical23. Which primitive reflex is recruited in inorder to perform rolling from supine to prone?ATNR24. Which of the scores below are the most commonly reported and used or more universal understanding?b. Z-score, c. T-score25. What should you do if you can't five a standardized assessment in the prescribed manner and can't justify performance?b. Document as a clinical observationWhich neurological assessment looks at muscle tone throughout the range and at end range? (0~9)Modified AshworthThe seems tool is used to touch discriminative touch?FalseA shift gaze from near and far stationary objectsaccommodation14 item balance test 5 point ordinal scale (low, medium, or high)Berg Balance