CAOT NOTCE Exam - Practice Standards Exam Questions And Answers Verified 100% Correct

CAOT NOTCE Exam - Practice Standards Exam Questions And Answers Verified 100% Correct How many stages are in the Occupational performance process model (OPPM)? What are they? -ANSWER- 1) Name - validate - prioritize occupational performance issues 2) select theoretical approaches 3) identify occupational performance components and environmental conditions 4) identify strengths and resources 5) negotiate targeted outcomes and develop action plans 6) implement plans through occupation 7) evaluate occupational performance outcomes. 2 routes: a) resolved resolution, exit process; b) unresolved go back to stage 2 and re-enter the process cycle Stage 1: Name, validate & prioritize occupational performance issues -ANSWER- - identify OPIs, validate OPIs - prioritization of OPIs - "If the issue does not relate to risk or safety, the best course is to discuss it with the client, and then accept the priorities of the client as the other issues may be raised later." occupational performance issue -ANSWER- a problem in the "ability to choose, organize, and satisfactorily perform meaningful occupations" OPPM - stage 2: select theoretical approaches -ANSWER- use theoretical approach to understand OPIs and how to change occupational performance OPPM - stage 3: identify OP components, environmental conditions -ANSWER- assess for occupational performance components & environmental conditions contributing to the actual or potential OPIs OPPM - Stage 4: identify strength and resources -ANSWER- consider whose strengths (person) and resources (environment) - client's? - therapists? OPPM - Stage 5: negotiate targeted outcomes & develop action plans -ANSWER- - set targeted outcomes for each OPI - negotiate a time frame - develop action plans for interventions for person, env, and/or occupation OPPM - stage 6: implement plans through occupation -ANSWER- - implement interventions collaboratively - modify plan as needed - monitor and document process and progress OPPM - stage 7: evaluate occupational performance outcomes -ANSWER- - has the desired outcome been achieved? - evaluation of outcomes that: 1) focus on process?, 2) focus on end goal achieved?, 3) focus on client satisfaction? - measure to use & psychometric properties of the measure? CPPF - Stage 1: Enter/initiate -ANSWER- - referral (client/other) for a potential or actual occupational performance or engagement issue - first point of contact between client and therapist: a) consult to decide about continuation with practice process, b) identify potential stakeholders, c) establish consent (who, how) CPPF - Stage 2: Set the stage -ANSWER- - engage client in discussion to clarify values, beliefs, etc. about therapeutic relationship and expectations of service - agree to continue/not continue with the relationship - establish how client and therapist will work together a) adapt ground rules to fit situation, b) initiate rapport building, c) foster client readiness to proceed, d) explicate mutual expectations of process - i.e. negotiate roles and responsibilities of client and therapist, e) identify potential (pre-AX) priority occupational issues (OIs) and occupational goals (OG) [performance/engagement] - ensure transparency, informed consent CPPF - Stage 3: Assess/evaluate -ANSWER- - perform in-depth assessment and analysis: a) identify occupational status: personal, occupational and env factors that underlie client's OI, b) explore dreams, potential for change, c) choose formal assessments relevant to potential OIs, d) consult with others as required - analayze and interpret findings to determine a plausible explanation for each of the client's confirmed priority OIs - formulate possible solutions/ recommendations based on best explanation - sharing findings and recommendations with client - decide on next action: develop objectives/plan or conclude CPPF - Stage 4: Agree on objectives and plan -ANSWER- - reflect on client's OPIs/OEIs, situation (personal, occupational and env factors) and societal and practice context - through collaboration - discuss, develop, negotiate, agree on plan: a) establish agreement of objectives with client/stakeholders, b) identify best possible solution based on initial recommendations for confirmed occupational performance/engagement goals, c) determine time, location, types of service, d) determine resources required, e) determine how/if stakeholders will participate CPPF - Stage 5: Implement plan -ANSWER- - implement plan through a) adaptation of the personal, occupational and env factors, b) restructuring of occupational routines and patterns, c) reconstructing and reframing occupational life course or trajectories - using CMCE: 10 enabling spectrum skills to facilitate change - consider societal context, practice context, frame(s) of reference guiding implementation CPPF - Stage 6: monitor/modify -ANSWER- - collect and analyze data and information to monitor client's progress through formative evaluation (i.e. constant monitoring through various means) - modify plan as needed to increase likelihood that the client will attain his or her occupational goal(s). consider: a) new issues, b) personal, occupational, env changes, c) response to intervention, d) enablement skills and strategies, e) theories, models, f) solution/approach being used - determine if small modification or re-ax required CPPF - Stage 7: evaluate outcome -ANSWER- - collect and analyze data/information to determine whether or not the occupational goals have been met (summative evaluation): a) OGs met, b) OGs met but further OIs need addressing, c) OGs not met - decide in collaboration with the client on next steps based on evaluation outcomes CPPF - Stage 8: conclude/exit -ANSWER- - carefully conclude the therapeutic relationship between client and therapist - provide a discharge or exit summary to client and information for possible re-entry - determine need for referral to another service - provide information on community resources - exit the practice relationship Canadian Model of Client-centered enablement (CMCE) -ANSWER- - adapting - advocating - coaching - collaborating - consulting - coordinating - designing/building - educating - engaging - specializing If a client is discharged from hospital before OT service delivery is complete, what should an OT do? -ANSWER- There is an ethical obligation to ensure that if an episode of care is not complete, issues related to safety are addressed and the client has been provided with an option to receive necessary services. For instance, you would obtain consent form the client to refer him/her to another therapist for follow-up in the community True or false: if a client is discharged from the hospital before an OT writes a discharge note, they are not discharged from OT services -ANSWER- true. how long are records to be retained for? -ANSWER- records are retained for 10 years or age of 18+ 10 years for client's under the age of 18 financial records requirements -ANSWER- - client name - date and method of payment - date of service - service or product provided and associated fees An OT must provide copies from a client clinical record for which the OT is the health information custodian, to any f the following persons on request: -ANSWER- 1) the client 2) a person who has signed consent form the client to obtain copies from the record 3) If the client is deceased, the client's legal representative 4) if the client lacks capacity to give an uthorization a) an official guardian appointed by the court, b) a person holding an appropriate POA, c) a representative of the consent and capacity board, d) a spouse, partner or relative In what order/hierarchy is a spouse, partner or relative allowed to request a copy of a client's record? -ANSWER- 1) spouse or partner 2) child, if 16 or over; custodial parent 3) Parent who has only a right of access 4) Brother or sister 5) any other relative How long are records related to equipment maintenance to be retained for? -ANSWER- 5 years, even if the equipment is discarded True or false: if the college inspects your documentation, you must obtain consent from the client first -ANSWER- false true or false: OTs have complete authorization to perform the controlled act of psychotherapy -ANSWER- true