Ethical Dilemmas in Occupational Therapy: Case Studies and Solutions, Exams of Medicine

Download Ethical Dilemmas in Occupational Therapy: Case Studies and Solutions and more Exams Medicine in PDF only on Docsity! NBCOT Questions: Competency and practice management .Questions and Answers. The family of an individual being admitted to a rehabilitation center offers the occupational therapist a cash gift. The therapist refuses the money but the family continues to insist that the therapist take the cash gift. The best response for the therapist is to: A. donate the money to the hospital. B. refuse the gift, explaining that taking cash gifts is against hospital policy. C. take the money, thank the family, and then donate the money to charity. D. use the money to purchase one of the items on the OT department's "wish list." - \B. refuse the gift, explaining that taking cash gifts is against hospital policy. A family asks an occupational therapist to treat their five year-old who does not have insurance and bill for services in the name of their six year-old that does have insurance. The therapist's best response is to: A. report them to the insurance company. B. refer them to the department supervisor. C. deny the request. D. ask the family to get a referral from a physician. - \C. deny the request. An occupational therapist receives a referral from a physician that outline a specific course of treatment. Follow the evaluation of the person, the therapist believes that a different course of treatment would be more beneficial. The correct course of action for the therapist is to: A. provide the prescribed treatment on a three to four week trial. B. contact the physician and discuss the alternative treatment. C. combine the prescribed treatment with the treatment that the therapist believes to be more beneficial. D. proceed with the treatment that the therapist believes would be more beneficial for the person. - \B. contact the physician and discuss the alternative treatment. An occupational therapist becomes aware of the practice of a colleague who teaches an energy conservation class to persons with arthritis. This colleague has been sending the names of class participants to a vendor who sells adaptive equipment. The most appropriate action for the occupational therapist to take is to: A. speak to the therapist privately and tell him/her this action is unethical. B. ignore the situation for it does not harm anyone. C. advise the therapist to disclose this practice to his/her clients, and that if he/she refuse, it will be reported to the state regulatory board. D. report the therapist to the state regulatory board. - \A. speak to the therapist privately and tell him/her this action is unethical. A staff therapist treats three patients in a group setting in a hand therapy clinic. The therapist charges each patient for individual treatments. The supervising therapist meets with the therapist and tells him/her this action is: A. an example of impairment. B. a violation of justice. C. an established, accepted practice. D. correct as long as each patient received individualized treatment at least 50% of the session. - \B. a violation of justice. An occupational therapist supervisor orients an internationally-educated therapist to the requirement established by the Centers for Medicare and Medicaid Services (CMS). The supervisor states that Medicare standards of coverage of OT services include services prescribed by a physician or: A. a nurse practitioner. B. pre-approved by a Medicare provider. C. a physician's assistant. D. furnished according to the physician-approved plan of care. - \D. furnished according to the physician-approved plan of care. The occupational therapist completes an intake interview for a work hardening program. As the person is leaving, she gives the therapist a hug while thanking him profusely. She then tries to kiss the therapist on the lips. The therapist's most appropriate response is to: A. forcibly push the individual away while telling her the behavior is inappropriate. B. say nothing but decline that person admission to the program. C. state that the behavior oversteps professional boundaries and makes the therapist uncomfortable. D. tell the person the behavior is inappropriate and decline the person admission to the program. - \C. state that the behavior oversteps professional boundaries and makes the therapist uncomfortable. An entry-level therapist informs a senior therapist that fluidotherapy is contraindicated for a middle-aged patient with an insensate hand. The senior therapist continues to utilize fluidotherapy because the patient requests the technique. The entry-level therapist meets with the rehabilitation supervisor to express concern that the senior therapist behavior demonstrates violation of the ethical principle of: A. judgement. B. competence. C. autonomy. B. request time to complete an independent evaluation of each individual previously evaluated. C. suggest that the therapist's evaluation results be documented by the supervisor. D. report the supervisor to the facility's administration. - \C. suggest that the therapist's evaluation results be documented by the supervisor. A COTA recently attended a two-day splinting workshop. She asks the OT supervisor to revise her caseload to include more cases that require splinting intervention. The most appropriate action for the occupational therapist to take: A. decline the request because splinting is an advanced practice skill. B. establish the COTA's service competency in splinting. C. collaborate with the COTA and other members of the OT department to distribute the department's caseload to meet the COTA's request. D. ask the COTA to give an in-service about splinting to demonstrate her knowledge base. - \B. establish the COTA's service competency in splinting. An occupational therapist accepts a position at an adult day care and respite program for elders with a variety of physical and cognitive disabilities. The therapist only has clinical experience in school-based practice. The most effective way of the therapist to prepare for his new professional responsibilities is to: A. attend caregiver support group meetings. B. review are demographic information on elders with disabilities. C. confer with the program's administrative director. D. review current literature on evidence-based elder care. - \D. review current literature on evidence-based elder care. An OT supervisor observes an entry-level occupational therapist having difficulty transferring a client with athetoid movement from a mat to his wheelchair. Before the supervisor can cross the room to help with the transfer, the therapist slides with the client to the floor. The supervisor assists the therapist in safely returning the client to his wheelchair. They assess that the client appears to be unharmed and return to client to his unit for a medical evaluation. The next action the supervisor should take is: A. complete an occurrence report according to facility standards. B. counsel the therapist on the need to ask for assistance with difficult transfers. C. require the therapist to attend a transfer training inservice. D. document the therapist's unsafe action in his personnel record. - \A. complete an occurrence report according to facility standards. An occupational therapist completes a risk management report for the re-accreditation of a rehabilitation facility. In this report, the therapist includes a description of: A. reimbursement claims and resulting revenue. B. medical necessity of resources used. C. the appropriateness of services provided. D. procedures for informed consent. - \D. procedures for informed consent. An occupational therapist has been counseled twice by the department director for overcharging patients for services rendered. The behavior continues despite verbal and written reprimands. The most appropriate next action of the director to take is to: A. report the therapist to the NBCOT. B. discuss the issue with the administrator to formulate a plan of action to modify the therapist's behaviors. C. initiate proceedings for employee termination according to facility procedures. D. Follow procedures for employee probation as established by the Human Resources department. - \D. Follow procedures for employee probation as established by the Human Resources department. . A COTA employed in a work hardening program in a large community rehabilitation facility demonstrates limited skills when evaluation client's body mechanics. The COTA demonstrates excellent in other areas of evaluation and treatment. In the COTA's initial performance appraisal, the OT supervisor determines that the COTA should: A. be assigned to another area of OT rehabilitation services. B. evaluate body mechanics for person with a variety of diagnoses under routine supervision of an OTR experienced in evaluation and treatment of body mechanics. C. take a continuing education course in body mechanics to be able to increase knowledge in this area. D. develop a plan of action with an experienced OTR to develop service competencies in the evaluation of body mechanics. - \D. develop a plan of action with an experienced OTR to develop service competencies in the evaluation of body mechanics. The supervising OTRs meet to plan the workload of the recently hired COTAs. What is an appropriate tasks for them to assign to the COTAs? A. the determination of long-term goals to include in the adult clients' occupational therapy home-care intervention. B. the design of home-based sensory integration protocols for infants and toddlers with sensor processing disorders. C. the administration and interpretation of the Hawaii early Learning Profile (HELP) to infants and toddlers. D. the in-home evaluation of the adult clients' instrumental activities of daily living. - \D. the in-home evaluation of the adult clients' instrumental activities of daily living.