Principles of Assessment Practice Exam

You decide to administer the COPM to develop a client’s occupational profile and the PASS and WMFT to analyze occupational performance. You are doing:

Evaluation

You use the Barthel Index (BI) to measure occupational performance before and after an intervention. When you administer the BI after the client has completed the intervention, you are doing:

Re-assessment

You have received a referral for a client with mild TBI, so you determine if the client’s cognitive function needs further attention by asking them to describe how to pump gas into a car. This is:

Screening

You are about to discharge a client, so you complete 3 assessments one more time to determine if there are further areas to address before discharge and to document progress. This is:

Re-evaluation

You complete the MCAS with a child who has CP to measure UE function. This is:

Assessment

Does screening or referral come first?

Either can!

Screening is a _________ service, Evaluation is a __________ service

Non-reimbursable, reimbursable

Who can request a referral for OT services be written?

Anyone! Typically physicians write referrals, but we can get them from many different professionals

Client wants to use their health insurance for OT but does not have a physician’s referral. Your state has direct access. What do you do?

Check 1) insurance and 2) your setting’s requirements for referrals

A client wants to pay cash and your state practice act has limited direct access. What do you do?

Check 1) state practice act exact limits and 2) your setting’s guidelines on referral requirements

What should you do after receiving a referral?

Screen and determine appropriateness of the referral

__________ tools should NOT be used multiple times and are NOT for making recommendations, tracking progress, or establishing goals

Screening

After a screening you determine there is NOT a need for OT. What 2 things should you do:

1. Follow up with referral source to cancel the referral

2. Refer to another profession/resource

The Montreal Cognitive Assessment (MOCA) is an example of a:

Screening tool

An improvement in performance skills always translates to an improvement in occupational performance.

FALSE

What approach is best when participation in full occupation isn’t possible for a client yet or people are super motivated by their numbers/stats?

Bottom-Up

What approach is best when a client has wide-ranging deficits?

Top-Down

For treating a young, relatively healthy client with a lacerated finger who can do all her ADLs/IADLs in a clinic with limited assessment resources, we should use a…

Bottom-Up approach (allows you to focus on pain, ROM, inflammation)

For a screening of a 7-year-old Mary that was referred by her teacher who was broadly concerned about her inability to complete assignments on time, fine motor deficits, organizational skills, and poor social skills, we should use a…

Top-Down Approach (allows us to see many potential areas of difficulty within one occupation and helps keep a young kid engaged/motivated)

In an inpatient rehab setting you see a 36-year-old man who recently had a R hip replacement and has main goals of getting around on his own and continuing his work as a carpenter. You should use a …

Top-Down approach (to better understand where his performance deficits are and to support his goal of independence)

Top-down approaches fit with ______, and bottom-up approaches fit with ______ (theories)

MOPs, FORs

________ often use standardized assessments

Frames of Reference

_______ defines the unique role of the profession and focuses on occupation

Models of Practice

______ clearly define domain or focus of concern

Frames of Reference

______ usually provide a visual to assist in understanding the various components.

Models of Practice

______ are mostly founded by OTs and are the roots of the profession

Models of Practice

______ provide a definition and list of concepts that explain causes or factors for dysfunction

Frames of Reference

______ Help explain the relationship among the person, environment, and occupation

Models of Practice

_______ provide specific plans of action for evaluation

Frames of Reference

______ can be used across the lifespan and in any practice setting

Models of Practice

Broad, unspecific guidelines not a lot of standardized assessments, and requiring greater professional reasoning and experience are disadvantages of what approach?

Top-Down

Limited application due to clearly defined domain/focus, not suited to all clients or settings, often assessing only performance skills and not occupation, and more disability or problem-focused are all disadvantages of what approach?

Bottom-Up

What professional reasoning is used when you are analyzing and applying theories?

Scientific

What theory is bottom-up, assesses body functions, specifically certain areas that limit occupational performance, usually is used in evaluations for musculoskeletal conditions and primarily assesses ROM, strength, endurance, alignment, and pain?

Biomechanical FOR

What theory is occupation-based, considers a person’s wants/needs, has 4 components that are all evaluated, and heavily emphasized context?

Ecology of Human Performance MOP

What theory uses skilled observation of responses to being moved, quality of movement, response to sensory input, posture, preferred movement patterns, and assesses using the Modified Ashworth scale for muscle tone?

Motor Control FOR

What theory uses the Sensory processing measure, the sensory profile questionnaire, and observes sensory processing during a play task?

Sensory integration FOR

What theory uses a semi-structured interview to develop an occupational profile to understand a client’s strengths and problems with performance, assesses using the assessment of motor and process skills, and would use a spiritual checklist questionnaire?

PEOP MOP

What theory focuses on understanding a client’s thought processes, behaviors, self awareness/perception, and reinforcement/learning that underly psychological barriers to occupation?

Cognitive Behavioral

What theory emphasizes the 4 components of the person, occupation, environment, and spirituality in the evaluation, specifically considering how engagement is affected by all of these and seeking to understand barriers in self-care, productivity, and leisure?

CMOPE