OTA I (PEDS): Midterm review – Flashcards
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Stacey has increased muscle tone affecting only the lower half of her body. What type of cerebral palsy describes this pattern?
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Diplegia
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What component is not essential for the acquisition of motor skills? a. Inborn reflexive movement patterns b. Opportunities to practice and repeat movements c. Following an exact sequence of motor skills d. Feedback regarding the effectiveness of our actions
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c. Following an exact sequence of motor skills
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What are children with cerebral palsy whose muscles appear very weak and soft and who have trouble sitting up independently exhibiting?
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Hypotonia
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Stan has a type of cerebral palsy in which balance and fine motor functions such as coordination are impaired. What type of cerebral palsy is this?
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Ataxia
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What is the term for the degree of contractility and elasticity in muscle tissue?
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Muscle tone
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Which statement is not emphasized in the motor control general systems theories? a. Movement will improve through use of controlled sensory input only. b. Movement will improve through use of sensory input and practice. c. Movement will improve if the individual is able to use feed-forward when planning movements. d. Movement will improve when an individual has to move in many different types of situations.
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a. Movement will improve through use of controlled sensory input only.
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Why do occupational therapy (OT) practitioners use positioning and handling techniques for children with cerebral palsy?
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Maintain postural alignment, facilitate improved movement patterns, and facilitate performance of activities of daily living (ADLs)
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What is one of the problems seen most frequently in children with cerebral palsy?
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Absent or impaired righting and equilibrium responses
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What is the best way to describe muscle tone that is associated with atypical postural alignment and limited joint range of motion?
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Hypertonic
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Frank is unable to extend his hand quickly enough to prevent him from falling. With what reaction is he having difficulty?
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Protective
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Charlie is a 10-month-old with cerebral palsy who has difficulty sitting. With what is he having difficulty?
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Static balance
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George is unable to sit in a regular chair because when he writes, he falls off the edge as soon as his hand moves past midline. With what is he having difficulty?
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Righting
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Ten-year-old Matt falls when he tries to get on his bicycle. With what is he having difficulty?
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Equilibrium
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What type of intervention is based on the theory of learned nonuse and requires children try to use the affected hand?
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Constraint-induced movement therapy
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What is the role of orthoses for children who have cerebral palsy?
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Improve overall function
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Jeannie, the Certified Occupational Therapy Assistant (COTA), is responsible for planning and implementing an after-school exercise program for children in the second and third grades. In which of the following systems is Jeannie working?
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Community
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Which of the following accurately defines the term community?
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One's natural environment Area with geographic boundaries Population with boundaries
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Peter, the COTA, is collaborating with the local senior citizens program to determine what services can be implemented to promote health and wellness among the seniors who come to the center. Which of the following terms accurately describes the type of practice being provided by Peter?
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Community-built practice
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Which of the following is the definition of health in accordance with the World Health Organization (WHO)?
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State of well-being
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All of the following describe components of therapeutic use of self except a. Understanding client values b. Understanding personal values c. Negotiating relationships d. A and B only e. All of the above
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E. All of the above
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Which of the following is not considered necessary for a practitioner to be culturally competent? a. Awareness b. Knowledge c. Personal values d. Skills
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C. Personal values
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Mark is providing OT services for children twice monthly along with the nursing department in a van that goes to the rural communities in his state. He provides families with information on development and shows families how to engage children in healthy movement and eating. What type of practice is this?
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Community-built practice
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The occupational therapist received a referral to evaluate a child. Which is not considered in the definition of clients by the Occupational Therapy Practice Framework?
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Physician who referred child
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When working with a child, what must the OT practitioner realize in regard to therapeutic relationships?
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The practitioner must develop relationships with all those who are involved in the child's health care.
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What are the goals of Healthy People 2010?
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Increase life quality.
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What was one of the most significant shifts from hospital to community care?
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Mental Health Center Act of 1963
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What is the largest community system in which occupational therapists and OTAs are employed?
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School systems
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What is it called when the practitioner hopes to learn more about the Hispanic culture?
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Cultural desire
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What is it called when the practitioner is able to remember certain traditions and practices and use them in intervention sessions?
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Cultural skill
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What is not considered a challenge to providing services in the community?
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Natural context
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The COTA observes a 6 year old child with CP and high muscle tone using a W-sitting position on the floor at all times. What does this observation suggest about the child.
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He is using a compensatory position to establish stability
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The COTA knows that keeping 90 degrees of flexion at the hips, knees, and ankles is an effective way to inhibit extensor muscle tone in sitting. What is the best piece of equipment to maintain chair sitting for a hypertonic child?
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Seat belt at the hips and straps across the ankles.
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The COTA positions her palm on the child's abdomen and back in an effort to help the child move from upright sitting to quadruped. What is the term used for what the practitioner is doing?
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Handling
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Arthur is a 4 year old with Down Syndrome who is beginning to work on bilateral midline hand skills. His low muscle tone causes him fatigue quickly when working against gravity. What is a good positioning choice to help Arthurs fine motor play?
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Seated in a chair with a good support to the trunk
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The COTA places a child in the prone position on a wedge to facilitate development of head righting. The child fatigues quickly and cannot hold his head up for more than 1 or 2 seconds. What adjustment can the COTA make to the wedge that will increase the child's success?
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Decrease the height of the wedge on side A
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Yuki is a 9 year old with spastic quadriplegia. Yuki's parents would like her to be able to participate in the weekly family game time. What is the most important point to consider when developing a positioning plan for Yuki?
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Yuki has her head upright
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Anitra is a 2 year old with low muscle tone, flat emotions, and frequent lethargy. The COTA who treats her has difficulty gaining Anitra's attention when trying to engage her in movement activities. What handling technique can facilitate increased tone, alertness, and activity level?
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Positioning her on the lap and bouncing her up and down
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Tyrell is an 8 year old with spastic quadriplegia cerebral palsy who has made great gains in head control and use of his arms and hands while positioned prone on a wedge. The COTA decides to have Tyrell try to use his skills at a more advanced level. Which activity is most likely to integrate his success with prone posture.
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Initiating forward movement while prone on a scooter board
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The COTA is assessing the sitting abilities of 4 year old Marcos, who has spastic diplegia. When seated in a chair, Marcos pushes back with extension, causing his hips to assume a posterior tilt position. The COTA knows Marcos will need a seating system to provide him with stability at the hips and knows she must assess Marcos' posture at the other key points. To complete the assessment, the COTA will observe the...
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Trunk, knees, feet
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What statement correctly describes positioning
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children should assume a variety of positions
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Which description is not a purpose of positioning
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Limits the child's movement
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What is the first even that must happen for a child to move?
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Weight Shift
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What does prone position facilitate in infants?
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Hand strength and neck and trunk extension.
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What are the reactions called that bring the body back to midline position and the head in vertical position (e.g when an infant is tilted to the side and brings his head back to the middle?)
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Righting
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What statement most closely describes the principle of neurodevelopmental treatment?
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Through repetition of movement, children develop improved neural pathways to help them move.
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Which of the following is not a category in the Occupational Therapy (OT) Practice Framework? a. Performance areas b. Performance arenas c. Performance components d. Performance contexts
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B. Performance arenas
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Evaluation, intervention planning, and discharge planning are all part of?
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The OT process
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Which type of supervision involves direct contact between the occupational therapy assistant and occupational therapist at the work site at least every 2 weeks?
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Routine
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Which is not a means of establishing service competency? a. Continuing education b. Direct observation c. Performing standardized assessments d. Videotaping
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Continuing education
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A therapist planned a Christmas activity but later found out that her clients were of the Jewish faith and did not celebrate Christmas. This shows the importance of examining which aspect of environment when planning activities?
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Cultural
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Allison, a Certified Occupational Therapy Assistant who works in a rehabilitation hospital, interviews a new patient, Jack. During her interview, Allison asks Jack what daily occupations he wants to perform independently. Allison is applying which of the principles of ethical behavior?
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Autonomy
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Shameka is working with a close friend's grandmother. During a recent visit, her friend asks how her grandmother is doing in OT. Shameka encourages her friend to visit her grandmother to see how she is or is not progressing. Shameka is applying which of the principles of ethical behavior?
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Confidentiality
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Edgar bills a client for individual therapy. However, Edgar worked with three patients simultaneously. Edgar is violating which principle of ethical behavior?
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Justice
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Inca forgets to lock a patient's brakes on the wheelchair, and the patient falls and fractures her hip. Inca is violating which principle of ethical behavior?
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Non maleficence
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Akita recently attended a workshop designed for fieldwork educators. She is now compiling a student notebook for Level II fieldwork experiences. What type of scholarship is this?
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Integration
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Akita prepares and presents a synopsis of the fieldwork educators' workshop during a staff meeting. What type of scholarship is this?
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Teaching
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In what year does the OT profession turn 100?
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2017
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Which statement best reflects the role of the OTA? a.The OTA may independently decide if a child will benefit from OT services. b.The OTA is responsible for conducting all aspects of an evaluation. c.The OTA is responsible for implementing the plan developed by the occupational therapist. d.The OTA and occupational therapist collaborate on the intervention plan.
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C
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Which of the following statements is true about typical development? a. It occurs naturally. b. It is a biomechanical process. c. It is unpredictable and spontaneous. d. The rate remains the same for all children.
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a. It occurs naturally.
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Which of the following statements is true about the occupational therapy (OT) practitioner's study of typical development? a. It has no clinical relevance unless the therapist is working with developmentally delayed children. b. It is best to memorize developmental sequences. c. It helps practitioners to problem solve developmental sequences while working with children who have special needs. d. It has limited application while working with special-needs children.
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c. It helps practitioners to problem solve developmental sequences while working with children who have special needs.
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In which context can the occupational therapy practitioner have the greatest impact? a. Chronologic age b. Environmental context c. Social context d. Cultural context
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b. Environmental context
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Which term is not a period of development? a. Adolescence b. Early childhood c. Infancy d. Puberty
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d. Puberty
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Which of the following is not a rule of motor development? a. Proximal to distal b. Lateral to medial c. Cephalic to caudal d. Gross to fine
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b. Lateral to medial
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Which of the following is true about normal development? a. Development is linear. b. Development is static. c. Development is dynamic. d. Development is vertical.
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c. Development is dynamic.
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Which statement is not true concerning maturation? a. It is the process of development. b. It occurs naturally. c. It is predictable. d. It is more important than experience in the developmental process.
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d. It is more important than experience in the developmental process.
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Harry is a 10-year-old boy who is expected to make dinner each evening before his parents get home. This expectation represents which context? a. Personal b. Social c. Cultural d. Temporal
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c. Cultural
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Which statement is not a basic principle of developmental theory? a. Development is sequential and predictable. b. Maturation and experience affect development. c. Development involves changes in biological, psychological, and social systems. d. Controlled sensory input can assist a child in organizing the central nervous system.
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d. Controlled sensory input can assist a child in organizing the central nervous system.
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You are treating Jim, a 12-month-old boy with developmental delays. He is sitting without support, anterior propping. According to developmental theory, which skill would you work on next? a. Skipping b. Walking up stairs "marking time" c. Pulling to stand d. Sitting without support, lateral propping
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d. Sitting without support, lateral propping
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Children learn to finger feed, use a pincer grasp, and creep simultaneously. This an example of a. Cephalocaudal development b. Horizontal development c. Spiral adaptation d. Vertical development
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b. Horizontal development
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What is the length of the typical prenatal period? a. 4 weeks b. 12 weeks c. 30 weeks d. 40 weeks
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d. 40 weeks
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Which progression most closely reflects typical development? a. Catching large ball using both hands and body before catching with one hand away from body b. Picking up small pieces of Cheerios with the tips of the fingers before grabbing with the whole hand c. Skipping before hopping on both feet together d. Sitting before rolling over
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a. Catching large ball using both hands and body before catching with one hand away from body
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A child learns to roll over, then crawl, then creep, and eventually walk. This is an example of what type of development? a. Horizontal b.Lateral c. Vertical d. Dynamic
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c. Vertical
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Which period is characterized by rapid growth, spending much time in educational settings, and shifting of the child's major influences from parents to peers? a. Infancy b. Early childhood c. Middle childhood d. Adolescence
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c. Middle childhood
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On what does the success of home-based intervention with children with disabilities most depend? a. The conceptual framework guiding the intervention b. The degree to which the intervention is supported by research c. The extent to which the family is involved in its design and implementation d. The skill of the practitioner in implementing therapy activities with children
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c. The extent to which the family is involved in its design and implementation
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Which statement best describes a family-centered approach to intervention? a. Families are told to put their children in the hands of specialists who will design and implement therapy. b. Families receive special training and instruction about disabilities. c. Practitioners develop intervention plans in collaboration with families. d. Practitioners tell families how to treat and educate their children.
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c. Practitioners develop intervention plans in collaboration with families.
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Which statement is true concerning working with families according to family systems theory? a. Families with children with disabilities have lots of problems and cannot rely on their instincts and natural abilities to parent their children. b. The practitioner is always right when there is a disagreement with the family. c. There is always one correct way or set of procedures that work with all families. d. None of the above is true.
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d. None of the above is true.
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Which life cycle event(s) is(are) considered normal for families with children? a. Child entering puberty b. Child having frequent hospitalizations c. Child's school entry d. Both A and C
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d. Both A and C
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Which factor allows you to predict how a family will adapt to a crisis? a. Cannot necessarily predict adaptation b. Income level c. Past experience with crises d. Marital status
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a. Cannot necessarily predict adaptation
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What is meant by reframing as a perceptual coping strategy? a. Giving up and asking someone else to take charge b. Ignoring a problem c. Redefining a problem so that there are parts of the problem that can be managed and dealt with d. Taking up a hobby such as picture framing
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c. Redefining a problem so that there are parts of the problem that can be managed and dealt with
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What is meant by solution-focused curiosity? a. Analyzing family records and documents to assess family needs b. Finding out as much about a family as possible, even if it means asking personal questions c. Sharing information with your colleagues about family problems you encounter in practice d. Showing nonjudgmental interest in families as a way of developing solutions to challenges
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d. Showing nonjudgmental interest in families as a way of developing solutions to challenges
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What is the best approach if a family consistently misses therapy appointments? a. Give up because the family does not care about the child and does not understand the value of therapy. b. Keep the therapy goals and continue to make appointments in hopes that the family will cooperate. c. Report the family to the proper authorities to be investigated for negligence. d. Reestablish the goals of therapy with family.
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d. Reestablish the goals of therapy with family.
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What is an important message to convey to families when first meeting them? a. Demonstrate an interest in their child and respect for what the family is doing to support and parent their children. b. Professionals have all of the answers. c. The road ahead with a child with disabilities will be hard. d. Therapy is the single most important activity in their child's life.
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a. Demonstrate an interest in their child and respect for what the family is doing to support and parent their children.
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Which general systems theory principle refers to the capacity for change? a. Equifinality b. Morphogenetic c. Morphostatic d. Volition
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b. Morphogenetic
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In what role is the OT practitioner using when they provide the family with a schedule for wearing a splint? a. Prescriptive b. Consultative c. Adaptive d. Resourceful
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a. Prescriptive
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What type of role is the OT practitioner using when developing a schedule for wearing a splint that incorporates the natural family routines? a. Prescriptive b. Consultative c. Adaptive d. Resourceful
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b. Consultative
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Recent changes in service delivery have changed OT practitioners' roles. Which of the following is not part of the OT practitioner's duties? a. Assessing family interests, priorities, and concerns b. Observing daily routines of children and their families c. Sharing information with families about intervention strategies d. Helping families develop a household budget to meet all their needs
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d. Helping families develop a household budget to meet all their needs
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What is one of the first steps in establishing trust with a family? a. Identify outcomes that family members desire. b. Prove that you are the expert and have the answers. c. Use complicated language to impress the family. d. Have a clear plan already established to show you are in charge.
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a. Identify outcomes that family members desire.
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Which essential skill for successful intervention with families is most closely shown in the following scenario? The OT practitioner asks the parents what they hope to achieve by coming to therapy. The practitioner seeks to determine how the child spends her day and what problems occur so that they can develop an intervention plan. a. Acknowledgement b. Continuity c. Collaborative goal setting d. Solution-focused interest
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c. Collaborative goal setting
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Which statement most closely represents the role of the COTA in sensory integration intervention? a. The COTA may not use SI intervention techniques b. The COTA may use an SI approach under supervision c. The COTA may only perform SI evaluations d. The COTA may not treat children with SI dysfunction
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b. The COTA may use an SI approach under supervision
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What is Sensory Integration (SI)?
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The process of receiving, detecting, and making sense from the environment.
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What is thought to be the cause of Sensory Integration Dysfunction?
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Central nervous system (CNS processing dysfunction)
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The OT who is treating Stuart begins the session by playing swinging games in the net and inner tube swings. Together they design an obstacle course and Stuart hits balls with his head and runs around the course. Stuart jumps on a miniature trampoline and tries to make baskets. Stuart ends the session by participating in a finger painting activity. What type of treatment approach does this describe?
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Sensory Integration
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A student observes the session. She describes to instruct Stuart on the techniques of playing soccer. She provides Stuart with verbal and demonstrative instructions on the skills needed for soccer. They go outside and play a game of soccer. According to OT theory, what is true of this session?
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Stuart will benefit from this carefully planned session.
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Which activity would best work on Stuart's poor shoulder co-contraction and endurance?
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Wheelbarrow walking.
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Henry, a 9 year old boy, complains of how his new school clothes feel, hates noises in the car and is easily irritated at school by all the movement of his classmates. Henry becomes carsick easily. He is a very picky eater, stating that he does not like the smell and taste of many foods. Which type of deficit did these findings represent?
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Sensory modulation disorder.
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Tracy is a five year old girl who is unable to get on a tricycle. She tries, but even after directions and demonstrations Tracy ends up backward or sideways on the seat and is unable to understand how she should be positioned. Which term most closely describes Tracy's difficulties?
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Dyspraxia
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Which statement describes the principles of sensory integration intervention? a. Provide control sensory input to elicit an adaptive response b. Practice motor movements to repeat patterns c. Desensitize the child so he or she can tolerate input d. Provide fun and exciting activities to promote playfulness
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a. Provide control sensory input to elicit an adaptive response
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Which statement best describes the focus of Sensory Processing Intervention? a. Desensitization of sensory input for tolerance b. Improved balance and equilibrium c. Organization of multiple sources of sensory input d. Organization of tactile input for fine motor skills.
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c. Organization of multiple sources of sensory input
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Why does the COTA provide a new activity on the swing during the treatment session using a sensory integration approach?
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To facilitate attention to new sensations
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During a sensory integration session Ryan, a 10 year old boy, suddenly becomes quiet, forgets the object of the swinging game he is playing and stops playing. What do these behaviors suggest?
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Ryan is showing signs of sensory shutdown behaviors.
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Charline the COTA talks with 11-year-old Bob about strategies that may help him in the classroom and at home. Why does Charline choose to do this?
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Bob can become an active participant in the therapy process.
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What is the role of the COTA in the evaluation phase?
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To give tests within their competency level
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What type of service is the COTA providing by training the teacher to work on the handwriting skills of an 8-year-old student with coordination difficulties?
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Monitoring
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What are special services such as OT, PT, speech therapy, school health and social work required for a child to benefit from a special education program called?
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Related services
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Which act encourages OT practitioners to work with children in their classroom environment and provide support to the regular education teacher?
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Individuals with Disabilities Act- revised
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Who determines if a child has an exceptional educational need and requires special services?
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The individualized education program (IEP) team
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How is a child determined to be eligible for Birth to Three services?
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Diagnosed condition or delay
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What is the role of the OTA in the IEP team?
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To report findings and recommendations under direction of the occupational therapist
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What is the parent's and child's right to bring legal action against a school called?
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Due process
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What must be true for OT services to be provided in the school system?
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Related to the child's educational needs
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Which law stresses the use of scientifically based or evidence-based programs and practices for children?
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No Child Left Behind
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Which provision of the Individuals with Disabilities Education Act gives children with disabilities the right to be educated with their nondisabled peers?
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Least restrictive environment
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Who is qualified to do intelligence quotient (IQ) testing?
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psychologist
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What must be included for a child to be diagnosed with an intellectual disability?
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Below-average intellectual functioning & Deficit in two or more skill areas
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Which factors are considered when diagnosing a child with intellectual disability?
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culture and language
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Smith is 36 months old, but his score on a performance assessment placed him at 24 months. What is his estimated IQ?
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75
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Which statement reflects the influence of alcohol and drugs during pregnancy?
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Teratogens during prenatal periods can be dangerous to brain growth.
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In which category of intellectual disability does Jonathan's IQ test result of 60 place him?
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mild
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Joey is 18 years old and intellectually disabled. He completed the seventh grade and is going to start vocational training in the fall. In which category of intellectual disability does Joey fit?
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mild
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Julie is 19 years old and able to accomplish habitual self-care skills, such as feeding. She has been able to participate in some vocational training with supervision. She lives in a group home that provides extensive supervision. In which category would Julie fit?
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severe
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Paul is 10 years old and has noticeable developmental delays. He has been in special education classes and has completed the second grade. Although he can complete most of his activities of daily living (ADLs), he does need supervision. In which category does Paul fit?
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moderate
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Danny is 14 years old. He requires extensive help for all ADLs. He is able to communicate his wants and needs by answering yes/no questions. Which category applies to Danny?
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profound
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Which of the following conditions is considered a trisomy disorder?
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down syndrome
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What term describes causes of intellectual disability present before a child is born?
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prenatal
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Which IQ scores are considered to be within normal limits?
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85 to 115
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Which statement is true regarding children with intellectual disabilities?
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There are individual differences between children with same IQs.
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. What is the first step when using a behavioral modification approach with a child?
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Identify behaviors that interfere with learning, socialization, or engagement in occupations.
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What is the first pediatric medical setting in which the occupational therapist and the occupational therapy assistant (OTA) are able to implement therapeutic intervention? a. Home care b. Neonatal intensive care unit c. Pediatric intensive care unit d. Subacute care
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c. Pediatric intensive care unit
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Which areas best represent the intervention focus for medical-based occupational therapy (OT) intervention with children? a. Gross motor skills, fine motor skills, cognition, and activities of daily living b. Endurance, fine motor skills, cognition, and activities of daily living c. Gross motor skills, hand usage, cognition, and hygiene tasks d. Gross motor skills, fine motor skills, vision, and activities of daily living
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a. Gross motor skills, fine motor skills, cognition, and activities of daily living
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The responsibilities of a medical-based OTA include all but which of the following? a. Documentation b. Evaluation c. Screening d. Treatment
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b. Evaluation
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Teams may collaborate in all but which of the following manners? a. Interdisciplinary b. Intradisciplinary c. Multidisciplinary d. Transdisciplinary
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b. Intradisciplinary
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What three challenges associated with the provision of pediatric medical care are discussed in Chapter 3? a. Knowledge of clinic usage, pediatric terminology, and continuing education b. Knowledge of community-based resources, pediatric terminology, and continuing education c. Knowledge of rehabilitation objectives, pediatric terminology, and continuing education d. Knowledge of specialty areas, pediatric terminology, and continuing education
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d. Knowledge of specialty areas, pediatric terminology, and continuing education
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Documentation is used to do all but which of the following? a. Communicate status b. Justify services c. Seek reimbursement d. Review reimbursement
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d. Review reimbursement
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What reimbursement source provides funding to the dependents of totally disabled veterans? a. CHAMPAS b. CHAMPES c. CHAMPUV d. CHAMPVA
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d. CHAMPVA
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Which approach consists of discipline-specific evaluations and intervention? a. Individual versus group b. Interdisciplinary c. Multidisciplinary d. Transdisciplinary
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c. Multidisciplinary
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Which statement is not true about WeeFim? a. It is designed to be the sole evaluation tool. b. It evaluates activities of daily living. c. It serves as a pediatric assessment tool. d. It specifies guidelines for completion.
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a. It is designed to be the sole evaluation tool.
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When was a role for the provision of occupational therapy services in a medical setting identified? a. 1945 b. 1947 c. 1955 d. 1957
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b. 1947
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Which action is the most important component of infection control? a. Cleaning of equipment and toys b. Hand washing c. Use of masks, eye shields, gowns d. Use of gloves
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b. Hand washing
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What is the purpose of a pulse oximeter? a. Assists with feeding b. Measures oxygen in the blood c. Monitors respiration d. Measures temperature
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b. Measures oxygen in the blood
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In which section should this note be placed: "Client is exhibiting signs of anxiety disorder interfering with her ability to perform in the classroom and in social settings."? a. S b. O c. A d. P
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c. A
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. Which term refers to an infant who weighed less than 1500 grams at birth? a. Low birth weight b. Very low birth weight c. Extremely low birth weight d. Average birth weight
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b. Very low birth weight
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Into which setting does an infant, who has met certain physiologic requirements as determined by the medical team, go after the NICU? a. Home b. PICU c. Subacute setting d. Long-term care facility
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b. PICU
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At which level of medical care would the OT practitioner provide general education about development, nutrition, and play activities to stimulate development? In this level, the practitioner may educate the family about the importance of making regular checkups, but the child is not ill at this level. a. First level (primary) b. Second level (secondary) c. Third level (tertiary) d. Fourth level
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a. First level (primary)
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What does the Health Information Portability and Accountability Act (HIPAA) protect? a. Client's medical information b. Doctor's orders and care plans c. Hospital billing policies d. OT practitioner's intervention records
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a. Client's medical information
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Which part of the SOAP note includes a general statement concerning the child by the caregiver (e.g., "He's feeling good today.")? a. S b. O c. A d. P
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a. S