Week 2 - Conceptual OT Models for Health Promotion Practice (Ch 2)

An OT is working with a client who has a chronic condition and wants to ensure intervention planning remains occupation-centered rather than becoming a generic list of health recommendations. What should the OT do FIRST?

Identify the client's meaningful occupations, roles, and priorities and use a conceptual model to organize clinical reasoning

A 46-year-old restaurant manager with type 2 diabetes frequently skips meals because of unpredictable work shifts. The client wants to remain dependable at work but feels overwhelmed by recommended lifestyle changes. Which information would be MOST important for an OT using an occupation-centered conceptual model?

The interaction among work demands, routines, access to healthy food, and self-management confidence

Which statement BEST reflects the purpose of using a conceptual OT model during intervention planning?

To organize clinical reasoning around the model's concepts rather than generating a generic list of interventions

An OT is comparing OA, PEO, and PEOP before selecting a model for a client. Which approach BEST reflects appropriate model selection?

Determine which model best explains the client's primary occupational concern and can guide the desired change.

A client with rheumatoid arthritis reports difficulty dressing, preparing breakfast, driving, and beginning the workday because of morning stiffness and fatigue. The client also reports using most of her energy at work and no longer participating in evening activities with her family. Which occupational concern is MOST evident?

Disrupted occupational balance associated with energy patterns and valued roles

An OT evaluating a client with COPD learns that shortness of breath has caused the client to stop attending church, shopping with a spouse, and gardening. The client is also concerned about experiencing symptoms in public. Which combination of factors should receive particular attention?

Participation, confidence, rural access, and community resource

When analyzing an occupational performance problem using OT frameworks, which question is MOST appropriate?

"Which personal, environmental, and occupational factors are supporting or limiting participation?"

A client has difficulty completing a valued occupation. The OT wants to determine whether environmental factors are contributing to the problem. Which question would BEST address this?

Which environmental factors support or limit the client's participation?

An OT is using a conceptual model to examine a client's difficulty with meal preparation. The therapist considers the client's abilities, the kitchen environment, and the demands of meal preparation. What is the PRIMARY purpose of examining these factors together?

To understand occupational performance through the relationship among person, context/environment, and occupation

A student is asked to explain the three conceptual models to classmates. Which presentation strategy is BEST?

Explain each model in plain language, identify its central idea, provide a health-promotion example, and distinguish how change occurs and the OT's role.

During a case conference, a student says, "I know what intervention I want to use, but I haven't determined which model supports it." What is the BEST correction?

Use the selected model to organize the interpretation of the occupational concern and allow the model to shape recommendations.

An OT is working with an older adult with COPD who has stopped participating in community occupations because of fear of experiencing symptoms in public. The client also has limited transportation in a rural community. Which intervention-planning approach is BEST?

Address participation and confidence while considering transportation and community-resource barriers.

Which situation BEST demonstrates consideration of contextual factors in health and participation?

Considering how routines, environmental access, work demands, and community resources affect the client's ability to participate

An OT is working with a client who has rheumatoid arthritis. The client values remaining employed but has stopped participating in evening family activities because most of her energy is spent at work. Which additional information would be MOST useful to gather?

The client's energy patterns, valued roles, routines, and occupational balance

A therapist wants to determine whether a client's intervention is truly occupation-centered. Which question BEST evaluates this?

Does the intervention address meaningful occupations, roles, routines, and priorities identified by the client?

An OT has selected a model for a chronic-condition self-management case. Which action BEST demonstrates appropriate application of that model?

Connect each recommended strategy to concepts from the selected model and explain how the model influenced the recommendations.

During a case consultation, an OT from another group applies a second conceptual model to the same client. What is the PRIMARY purpose of this activity?

To identify whether an alternative model changes the interpretation, priorities, questions, or strategies for the case

Two conceptual models appear to provide useful perspectives for the same client. Which conclusion is best?

More than one model may fit the same client, but combining models requires a clear rationale.

An OT is developing recommendations for a client with a chronic condition. Which outcome would BEST demonstrate whether the intervention is occupationally meaningful?

Improved participation in a meaningful occupation or valued role

A student is presenting a conceptual-model case analysis. Which sequence BEST reflects the case-conference structure?

Primary occupational concern → model selected → model's influence on interpretation → health-promotion priorities → occupation-centered recommendations → measurable outcome

A client with a chronic condition reports feeling overwhelmed by recommendations for lifestyle change. The OT wants to avoid overwhelming the client with generic health advice. Which strategy is MOST appropriate?

Prioritize occupations and roles that are meaningful to the client and develop occupation-centered strategies based on the selected model.

An OT is analyzing a client's difficulty managing diabetes while working long, unpredictable shifts. Which finding would MOST strongly support an occupation-centered intervention?

Work routines and limited access to healthy food during shifts interfere with the client's ability to incorporate self-management into daily occupations.

A professor asks students to identify "opportunities for change" after analyzing a chronic-condition case. Which response BEST demonstrates appropriate reasoning?

Identify modifiable person, environmental, and occupational factors that may improve participation and self-management.

An OT is developing a health-promotion intervention based on a conceptual model. Which recommendation BEST reflects an emphasis on occupation-centered practice?

Modify the client's daily routines and meaningful occupations in a way that supports self-management while accounting for the client's context and priorities.

An OT is evaluating the effectiveness of a conceptual model in guiding chronic-condition self-management. Which approach BEST demonstrates graduate-level clinical reasoning?

Evaluate whether the model helped the OT identify the client's meaningful occupations, contextual barriers and supports, priorities for change, occupation-centered strategies, and measurable participation outcomes.