OTR Occupational Therapy Foundations 3 — Questions and Answers
Question 1: Which approach to intervention focuses on modifying the task, tools, or environment rather than remediating the underlying deficit?
- Restorative approach
- Compensatory/adaptive approach (Correct answer)
- Neurodevelopmental approach
- Acquisitional approach
Correct answer: Compensatory/adaptive approach
The compensatory/adaptive approach bypasses impairments by modifying the activity, environment, or using assistive technology to enable occupational performance.
Question 2: The concept of 'just-right challenge' in OT intervention means the therapist should:
- Always challenge the client to their maximum capacity
- Grade activities so they are slightly beyond the client's current ability to promote growth (Correct answer)
- Ensure tasks are easy enough to prevent frustration
- Select tasks that the client has already mastered
Correct answer: Grade activities so they are slightly beyond the client's current ability to promote growth
The just-right challenge principle holds that optimal therapeutic benefit occurs when activity demands slightly exceed current performance, promoting skill acquisition without overwhelming the client.
Question 3: Which ethical principle is violated when an OT shares a client's diagnosis with the client's employer without consent?
- Nonmaleficence
- Beneficence
- Confidentiality/Fidelity (Correct answer)
- Justice
Correct answer: Confidentiality/Fidelity
Sharing protected health information without client consent violates the ethical principle of confidentiality, which is subsumed under fidelity in the AOTA Code of Ethics.
Question 4: Gary Kielhofner's theoretical contributions to OT are best known through which model?
- Person-Environment-Occupation (PEO) Model
- Ecology of Human Performance (EHP)
- Model of Human Occupation (MOHO) (Correct answer)
- Kawa Model
Correct answer: Model of Human Occupation (MOHO)
Gary Kielhofner developed and refined the Model of Human Occupation (MOHO), one of OT's most widely used and researched conceptual models.
Question 5: A top-down assessment approach in OT begins by evaluating:
- Joint range of motion and muscle strength
- Neurological reflexes and reactions
- The client's occupational roles and participation (Correct answer)
- Sensory processing thresholds
Correct answer: The client's occupational roles and participation
A top-down approach starts with the client's occupational profile and role performance before examining underlying component deficits that may limit participation.
Question 6: Which document provides the primary ethical framework guiding occupational therapy practice in the United States?
- The Occupational Therapy Practice Framework (OTPF)
- The AOTA Occupational Therapy Code of Ethics (Correct answer)
- The International Classification of Functioning (ICF)
- State licensure statutes
Correct answer: The AOTA Occupational Therapy Code of Ethics
The AOTA Occupational Therapy Code of Ethics outlines the core values and ethical principles that guide OT professional conduct in the US.
Question 7: Which of the following best exemplifies the OT concept of 'therapeutic use of self'?
- Using standardized assessments to measure client outcomes
- Consciously using one's personality, insights, and relationship to benefit the client (Correct answer)
- Applying biomechanical principles to improve client strength
- Selecting evidence-based interventions from the literature
Correct answer: Consciously using one's personality, insights, and relationship to benefit the client
Therapeutic use of self refers to the therapist's deliberate, intentional use of their personality, communication style, and therapeutic relationship as a treatment tool.
OTR Occupational Therapy Foundations 3
Which approach to intervention focuses on modifying the task, tools, or environment rather than remediating the underlying deficit?