CEAC Client Assessment & Needs Evaluation 3 — Questions and Answers
Question 1: When assessing a pediatric client with cerebral palsy for school accessibility, which team member's input is most critical alongside the CEAC's evaluation?
- School principal
- Occupational therapist familiar with the child's functional abilities (Correct answer)
- School janitor
- Local building inspector only
Correct answer: Occupational therapist familiar with the child's functional abilities
An occupational therapist who knows the child's specific functional capabilities provides essential clinical data that guides accurate accessibility recommendations.
Question 2: Which method most accurately captures a client's real-world functional performance during a home assessment?
- Self-report questionnaire only
- Observation of the client performing actual tasks in their home (Correct answer)
- Reviewing only physician notes
- Telephone interview with a family member
Correct answer: Observation of the client performing actual tasks in their home
Direct observation of task performance in the actual environment reveals true barriers and compensatory strategies that self-report and records cannot capture.
Question 3: A client with low vision requires a kitchen assessment. Which sensory accommodation is most important to evaluate?
- Cabinet handle style
- Lighting levels, contrast, and glare control (Correct answer)
- Refrigerator brand
- Cabinet height alone
Correct answer: Lighting levels, contrast, and glare control
Lighting, contrast, and glare are the primary environmental factors that determine functional visibility for clients with low vision.
Question 4: Which of the following best describes a 'person-centered' approach in CEAC client assessment?
- Recommending standard modifications regardless of individual preferences
- Basing all decisions solely on medical diagnosis
- Tailoring recommendations to the individual's unique goals, values, and lifestyle (Correct answer)
- Following only building code minimums
Correct answer: Tailoring recommendations to the individual's unique goals, values, and lifestyle
Person-centered practice requires that all recommendations align with the individual client's unique goals, lifestyle, and personal values, not just their diagnosis.
Question 5: When documenting a client needs assessment report, which element is most critical for justifying a major structural modification recommendation?
- A photo of the client
- Functional performance data linking the barrier to the client's documented limitation (Correct answer)
- The client's insurance plan number
- The contractor's cost estimate
Correct answer: Functional performance data linking the barrier to the client's documented limitation
Linking specific functional limitations to identified environmental barriers is the evidence base that justifies and supports major modification recommendations.
Question 6: A client with ALS is expected to lose upper extremity function within 6 months. How should the CEAC approach the needs assessment?
- Assess only current needs
- Assess current needs and plan for anticipated functional decline (Correct answer)
- Wait until the client loses function before assessing
- Refer only to a physician
Correct answer: Assess current needs and plan for anticipated functional decline
Anticipatory planning for progressive conditions prevents repeated costly modifications and ensures the environment keeps pace with changing functional needs.
Question 7: In the context of client assessment, 'occupational profile' refers to:
- The client's employment history
- A summary of the client's history, roles, interests, values, and daily routine (Correct answer)
- The client's health insurance type
- A building occupancy classification
Correct answer: A summary of the client's history, roles, interests, values, and daily routine
An occupational profile captures who the client is as a person — their roles, interests, history, and what matters to them — to guide relevant recommendations.
CEAC Client Assessment & Needs Evaluation 3
When assessing a pediatric client with cerebral palsy for school accessibility, which team member's input is most critical alongside the CEAC's evaluation?