OTP 540 Test 1 Exam With 100% Correct Answers 2024, Exams of Advanced Education

Download OTP 540 Test 1 Exam With 100% Correct Answers 2024 and more Exams Advanced Education in PDF only on Docsity! OTP 540 Test 1 Exam With 100% Correct Answers 2024 Guiding Principles of Current OT Practice - Correct Answer- Evidence-based Occupation-based Client-centered Culturally relevent EBP - Correct Answer-1. Research 2. Clinician expertise 3. Individual client - what they bring to the table, what is working for them Includes internal & external evidence External evidence - Correct Answer-formal research, including quantitative and qualitative research studies, and research conducted at any level Internal evidence - Correct Answer-clinician expertise - what we see working as the clinical outcomes & what the client's input is into the treatment process is, what is working for them Client-centered care - Correct Answer-client has a say in goals First reference to term in 1983 in OT (although philosophically throughout history of OT) Much more emphasis on patient / client-centered treatment in Affordable Care Act (ACA) of 2010 and structure of health care system to acknowledge & incorporate for all health providers Hand in hand with client centeredness is increased emphasis on health and wellness. Client-centered practice - Correct Answer-collaborative approaches aimed at enabling occupation with clients who may be individuals, groups, agencies, governments, corporations or others' that requires 'occupational therapists demonstrate respect for clients, involve clients in decision- making advocate with and for clients in meeting their needs, and otherwise recognize clients' experience and knowledge' Habilitation Services - Correct Answer-Health care services that help a person keep, learn, or improve skills and functioning for daily living Included as an essential health benefits to be reimbursable under the Affordable Care Act. This broadens the populations that may be served by OT practitioners Clients currently served under rehabilitation services may qualify for continued OT intervention under habilitation once rehab. benefits run out Ex: young adult w/ developmental disability who lived at home their whole life with support from their parents - who helped them dress every morning. The parents have now passed away and OT comes in to teach the individual to dress independently for the FIRST time Acute Care Hospital - Correct Answer-client with need for medical stabilization; role of OT = direct service, consultation OT can help prevent PICS (post-intensive care syndrome) - a range of physical, cognitive and psychosocial impairments OT and PT during intentional times of interruption of sedation of clients in ICU and reliant upon mechanical ventilation early in course of treatment Community Hospital - Correct Answer-can take patients with general, medical, surgical issues Regional Hospital - Correct Answer-larger population & larger geographical area, provides more specialized services Teaching Hospital - Correct Answer-take medical residents Trauma Centers - Correct Answer-burns, SCI, etc. Not all hospitals have these Specialty Hospitals - Correct Answer-only treat certain conditions (ex: specialize in treating burns; Shriners hospital) OT role in acute care hospital - Correct Answer-Realities of acute, medically based OT practice: Work with team - nursing, PT, etc. Work with medical equipment - monitors, tubing, etc. Clients medically unstable; only 1 - 2 days s/p major medical event (CVA,TBI,SCI, surgery) Tx involves pre-mobilization and pre-ADL: Sit EOB, etc. Inpatient Rehab Hospitals (Acute Rehab) - Correct Answer- clients admitted from acute care w/ need for 24/7 rehab nursing care, treatment from at least two disciplines and intensive rehab (min. = 3 hrs per day, 5-7 days /wk.); OT role = direct service Sub-acute Rehabilitation/Transitional Care - Correct Answer- clients admitted from acute care w/ need for 24/7 medical care; usually located as one unit w/in a skilled nursing facility (SNF) or hospital; OT role = direct service, consultation Hospital-based outpatient - Correct Answer-stand alone service; OT role = direct treatment Public Health agencies - Correct Answer-County, State, National: OT role = consultation Telerehabilitation - Correct Answer-Services provided remotely via technology OT role = direct intervention, consultation Benefits of telehealth - Correct Answer-Access to services for clients in remote geographic locations Decrease delays in care Improved access to specialists Promotes collaboration between all stakeholders Some standardized assessment tools have been found to be reliable and valid when administered via technology Limited research evidence indicates telehealth services can lead to beneficial outcomes Caveats of telehealth - Correct Answer-Determine if necessary services require clinician to be physically present Tech issues If conducted across state lines, licensure must be abided by per requirements in both states Reimbursement - prior the pandemic of 2020, Medicare and many 3rd party payers did not pay for telehealth. Currently changing due to need for social distancing, and we are beginning to see temporary coverage perhaps becoming more permanent. MA state regulations prior to 2020 pandemic did not allow telehealth OT (see notes section below) As of July 2020: "MassHealth will permit qualified providers to deliver clinically appropriate, medically necessary Primary care - Correct Answer-offered within physician office practice The "Patient-Centered Medical Home" (PCMH): -practice model mandated by the Affordable Care Act (ACA) OT role - emerging - direct intervention & consultation -Facilitate implementation of PCP recommendations -Emphasize carry over of PCP recs. from occupational perspective -Reimbursement: reform via ACA financially rewards coordinated care (interdisciplinary team) -Challenges to implementation of practice via new reimbursement models persist Client needs addressed by OT in PCMH - Correct Answer- Community mobility (including reliable transportation to attend health care appointments) Participation in numerous IADLs (numerous clients with chronic medical conditions report decreased participation) Problem solving re: health habits and behaviors, managing chronic health conditions Medication management Environmental adaptations Private practice - Correct Answer-OT = direct service, contract consultation Corporations - Correct Answer-OT = consultation Can be rated on a continuum: None_________________________Perfect Object affordance enhanced or diminished based upon - Correct Answer-The number of objects in use more objects = more object performance The type of functional information portrayed by the object The aim of the task/activity at hand Contextual factors - Correct Answer-_______ influence our movements: temperature, shape, size, and weight of the objects, as well as physical and non-tangible aspects of the environment. Ex: Lifting a heavy mug of hot coffee vs. lifting an empty light Styrofoam cup Ex: How we use our UEs, trunk, and LEs to actually lift a heavy object we need to lift at work, vs. stimulating lifting with a weighted box. physical setting and the social/cultural undertones: What static and dynamic postures and movements would you do if you were eating around a campfire vs. at the White house? Purpose & meaningfulness - Correct Answer-The therapeutic effect of occupation is achieved via the imperative characteristics of: Principles of _____ contribute to the physiological organization of our bodily functions and movement patterns, and in turn help to shape our response to, and our interactions with, our physical environment. . . Purpose - Correct Answer-there must be some kind of reason for completing the occupation How we approach anything we do, from the simple to the complex is affected by what reason we have for doing it. Serves to organize all aspects (physical, neurological, psychological, etc.) of human behavior. Humans have an inherent drive to participate and seek success in tasks and activities. Our CNS is organized to accomplish goals. Will also define the necessary requirements (task demands) placed upon ourselves and our bodies. Meaning - Correct Answer-there must be something inherent in the occupation that signifies inner importance to the individual client. Provides motivation to participate in the task or activity. Whether or not one views a particular task as important is dependant upon numerous variables: -values -worthiness -rewards for success -negative results if not pursued Individualized Meaningfulness - Correct Answer-When the client views the occupation you are asking them to engage in Using the COPM - Correct Answer-guided treatment planning towards an increased focus on occupation (vs. components skills and client factors) -provided a valid method to reassess client self-perceptions -provided a reliable tool to report outcomes for quality assurance -demonstrated client involvement in care for 3rd party payers With consistent use of the COPM, subsequent OT intervention was found to be more individualized, and there was increased efficiency in identifying client goals. Occupation as a means - Correct Answer-achieve enhanced capabilities of the individual (use of purposeful activity as a means to accomplishing something else) Usually a restorative method Occupation is the agent of therapeutic change, used to remediate a physical impairment. Using a purposeful &/or meaningful task or activity in order to bring about restoration of client factors or performance skills in the human body, such as improving strength, flexibility, coordination. Includes providing a 'just-right-challenge' to the human body. Ex: Using the activity of scrubbing a dirty countertop (purposeful activity) from a standing position in order for the client to improve their standing endurance and shoulder P/AA/AROM, to bring client towards a LTG of RTW for an 8 hour shift in a factory. Occupation as an end - Correct Answer-improve an individuals' function (holds more meaning) Usually a compensatory method Utilizing the actual occupation the client wishes to improve (I) with as the treatment intervention. Example: the client is not able to don socks but wants to be able to: -Within OT tx, practicing 'normal' procedures for donning socks w/ (A) of the OT until the client no longer requires (A) -Within OT tx, teaching and learning a modified method of donning socks (such as utilizing an assistive device - a sock aid) so the client can don socks w/out (A) of another The end result of utilizing occupation as ends is the client being able to perform a functional task using whatever abilities they have and are able to use. Occupation as ends includes - Correct Answer-"Skills Training" (compensatory or restorative) Teaching and directing a client in a compensatory technique to accomplish a specific task or activity Practicing an actual meaningful task or activity the client wishes to be able to perform better Occupation-based outcomes - Correct Answer-OTs working with clients with UE injuries are most effective when using occupation-as-means: Clients engaged in therapeutic occupation demonstrate increased motivation as the OT acknowledges what is important to the client.