OT 530 FINAL EXAM QUESTIONS WITH VERIFIED
ANSWERS
A process that involves complex cognitive and affective skills to select the right
therapeutic action for the patient; a therapeutic thinking process - Answers - clinical
reasoning
scientific, artistic, and ethical - Answers - 3 clinical reasoning elements
WHAT are the possible things that can be done for this client; based on input from
theory, assessment, evaluation, therapeutic modalities, and treatment plan - Answers -
scientific element of clinical reasoning
WHY should treatment be chosen for this client; based on client's values and
perspectives on goals and health, values, and lifestyle priorities - Answers - ethical
element of clinical reasoning
HOW to guide the treatment process and select the "right action" at every crossroad;
integration of a therapeutic relationship, client's needs and interests, the activity, and
more - Answers - artistic element of clinical reasoning
the strategy of clinical reasoning that is based on client's impairment or disability and
includes problem identification, goal setting, and treatment planning; choosing
appropriate modalities - GUIDES TREATMENT - Answers - Procedural reasoning
the strategy for clinical reasoning that is based on the understanding of the client as a
whole person; understanding the disability from the client's perspective and engaging
the client in treatment; individualizes the therapy setting to the client's life experience;
GUIDES THERAPY - Answers - Interactive reasoning
the strategy for clinical reasoning that considers the client's condition as a whole - the
person, the disability, and meaning to the person, family, and social surroundings;
thinking of success or failure of therapy dependent on the client's participation in the
intervention; thinking about how may the condition change and what will be the effect of
the new condition - Answers - Conditional Reasoning
strategy of clinical reasoning based on telling the story of the client; allows to better
understand the full picture; envision the future of the client, may guide the treatment
process - Answers - Narrative Reasoning
strategy of clinical reasoning that takes into consideration the factors in the context of
the practice setting and the personal context of the OT - this may facilitate or inhibit
, treatment (ex. reimbursement, equipment, time and space, availability of resources) -
Answers - Pragmatic Reasoning
Strategies of clinical reasoning in order: - Answers - procedural, interactive, conditional,
narrative, pragmatic
Development of clinical reasoning in sequence: - Answers - novice, advanced,
competent, proficient, expert
clinician that is focused on acquiring procedural skills - Answers - novice practitioner
clinician that is beginning to recognize cues of the client's individuality - Answers -
advanced learner
clinician that has the ability to see more facts and determine what is most important to
consider, able to individualize the treatment - Answers - competent practitioner
clinician that views situations as a whole; able to develop a vision of where the client is
heading - can easily modify the plan - Answers - proficient practitioner
clinician that uses intuition to know what to do next; correctly identifies a variety of
medical, physical, psychological factors - can coordinate a lot of different information -
Answers - expert practitioner
a dynamic system in which data gives feedback about the impact of a specific
intervention in regards to the product and the process - based on the belief that data is
important to guide clinical practice, and that the therapist has the skills to gather, record,
and report this data - Answers - outcome oriented approach
data that should be used to report baseline performance and change, report outcomes,
and for program evaluation - Answers - evaluation data
Occupational Performance, Prevention, Health & Wellness, Quality of Life, Participation,
Role Competence, Well-Being, Occupational Justice (p. S34 in OTPF) - Answers -
desirable OT outcomes using an outcome oriented approach
tools include standardized tests and qualitative data - Answers - outcomes
measurement tools
constituent groups include clients, providers, and payers and regulators--see pg. 346 for
specific uses - Answers - principle users of evaluation data
develop research skills, search and draw the best available practice evidence, use high
quality standardized assessment tools, use a consistent method of reporting results -
Answers - ways to engage in an outcome based approach
ANSWERS
A process that involves complex cognitive and affective skills to select the right
therapeutic action for the patient; a therapeutic thinking process - Answers - clinical
reasoning
scientific, artistic, and ethical - Answers - 3 clinical reasoning elements
WHAT are the possible things that can be done for this client; based on input from
theory, assessment, evaluation, therapeutic modalities, and treatment plan - Answers -
scientific element of clinical reasoning
WHY should treatment be chosen for this client; based on client's values and
perspectives on goals and health, values, and lifestyle priorities - Answers - ethical
element of clinical reasoning
HOW to guide the treatment process and select the "right action" at every crossroad;
integration of a therapeutic relationship, client's needs and interests, the activity, and
more - Answers - artistic element of clinical reasoning
the strategy of clinical reasoning that is based on client's impairment or disability and
includes problem identification, goal setting, and treatment planning; choosing
appropriate modalities - GUIDES TREATMENT - Answers - Procedural reasoning
the strategy for clinical reasoning that is based on the understanding of the client as a
whole person; understanding the disability from the client's perspective and engaging
the client in treatment; individualizes the therapy setting to the client's life experience;
GUIDES THERAPY - Answers - Interactive reasoning
the strategy for clinical reasoning that considers the client's condition as a whole - the
person, the disability, and meaning to the person, family, and social surroundings;
thinking of success or failure of therapy dependent on the client's participation in the
intervention; thinking about how may the condition change and what will be the effect of
the new condition - Answers - Conditional Reasoning
strategy of clinical reasoning based on telling the story of the client; allows to better
understand the full picture; envision the future of the client, may guide the treatment
process - Answers - Narrative Reasoning
strategy of clinical reasoning that takes into consideration the factors in the context of
the practice setting and the personal context of the OT - this may facilitate or inhibit
, treatment (ex. reimbursement, equipment, time and space, availability of resources) -
Answers - Pragmatic Reasoning
Strategies of clinical reasoning in order: - Answers - procedural, interactive, conditional,
narrative, pragmatic
Development of clinical reasoning in sequence: - Answers - novice, advanced,
competent, proficient, expert
clinician that is focused on acquiring procedural skills - Answers - novice practitioner
clinician that is beginning to recognize cues of the client's individuality - Answers -
advanced learner
clinician that has the ability to see more facts and determine what is most important to
consider, able to individualize the treatment - Answers - competent practitioner
clinician that views situations as a whole; able to develop a vision of where the client is
heading - can easily modify the plan - Answers - proficient practitioner
clinician that uses intuition to know what to do next; correctly identifies a variety of
medical, physical, psychological factors - can coordinate a lot of different information -
Answers - expert practitioner
a dynamic system in which data gives feedback about the impact of a specific
intervention in regards to the product and the process - based on the belief that data is
important to guide clinical practice, and that the therapist has the skills to gather, record,
and report this data - Answers - outcome oriented approach
data that should be used to report baseline performance and change, report outcomes,
and for program evaluation - Answers - evaluation data
Occupational Performance, Prevention, Health & Wellness, Quality of Life, Participation,
Role Competence, Well-Being, Occupational Justice (p. S34 in OTPF) - Answers -
desirable OT outcomes using an outcome oriented approach
tools include standardized tests and qualitative data - Answers - outcomes
measurement tools
constituent groups include clients, providers, and payers and regulators--see pg. 346 for
specific uses - Answers - principle users of evaluation data
develop research skills, search and draw the best available practice evidence, use high
quality standardized assessment tools, use a consistent method of reporting results -
Answers - ways to engage in an outcome based approach
