,TESTBANK for Occupational Therapy in Community
and Population Health Practice 3rd Edition
Marjorie E. Scaffa
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
,Chapter 01
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. What is the most positive impact the community and population health practice paradigm has on
occupational therapy?
a. Clarifies OT’s role in skilled nursing facilities
b. Facilitates policy development
c. Promotes the visibility and recognition of the profession
d. Increases revenue
____ 2. The earliest example of community-based occupational therapy practice within the United States
was:
a. In the military c. The Arts and Crafts Movement
b. Consolation House d. Hull House
____ 3. One of the first infectious diseases community-based occupational therapy worked to prevent was:
a. Sexually transmitted infection c. Measles
b. Pregnancy d. Tuberculosis
____ 4. Occupational therapy in the military emerged as part of World Wars I and II to treat:
a. Shell shock c. Traumatic brain injury
b. Amputees d. Tuberculosis
____ 5. One example of a community-based setting is:
a. A skilled nursing facility c. Industrial rehabilitation/work pro-
grams
b. Outpatient rehabilitation d. A school system
____ 6. A common role for occupational therapy in community settings is:
a. Consultant c. Grant writer
b. Manager d. Researcher
____ 7. Occupational therapy practitioners wanting to practice in community and population health settings
should focus on developing the following characteristic:
a. Billing and reimbursement knowledge c. Time management skills
b. Creativity d. Decisiveness
____ 8. Which of the following is identified by AOTA as a Standard for Continuing Competence?
a. Grant writing
b. Organizational skills
c. Expertise in community program development
d. Interpersonal abilities to establish effective relationships
,____ 9. According to Kielhofner (1997), a paradigm is the “cultural core of the discipline” and “provides
professional identity” (p. 17). Which of the following is an essential characteristic of a paradigm?
a. Identifies what puzzles, problems, or questions practitioners will seek out in their
work
b. Provides solutions to the problems that emerge within a profession
c. Adequately open-ended enough to allow for the exploration of solutions to a vari-
ety of problems
d. Interpersonal abilities to establish effective relationships with others
____ 10. Which of the following is a recognized paradigm in the profession’s history?
a. Health care paradigm
b. Reductionistic paradigm
c. Interpersonal relationship paradigm
d. Evidence-based paradigm
____ 11. Community practice should be designed with what theory in mind?
a. Sensory integration c. Model of human occupation
b. Medical model d. Dynamic systems theory
____ 12. In order to develop meaningful and impactful occupation-based programs in community settings, an
occupational therapist should focus on which of the following?
a. Needs assessment c. Community strengths
b. Grant funding d. Community health issues
,Chapter 01
Answer Section
MULTIPLE CHOICE
1. ANS: C
Rationale: Developing OT in a community and population health paradigm promotes the visibility of
occupational therapy as a profession
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 2
OBJ: 1.1
2. ANS: B
Rationale: “Barton’s establishment of Consolation House in 1914 is the earliest example of commu-
nity-based occupational therapy practice within the United States” (Scaffa, 2001; Scaffa & Brown-
son, 2005).
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 2
OBJ: 1.1
3. ANS: D
Rationale: In 1932, Diaz authored an article describing the role of OT in the prevention of tubercu-
losis. The article, “Organizing a Preventorium for Children,” was published in Occupational Ther-
apy and Rehabilitation.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 4
OBJ: 1.1
4. ANS: A
Rationale: Occupational therapy has been supported in military environments for a long time but
emerged in World Wars I and II to treat shell shock. The occupation-based perspective helped mil-
itary personnel recover from war-related experiences ranging from exposure to poor living condi-
tions.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 6
OBJ: 1.2
5. ANS: C
Rationale: Occupational therapy practitioners work in a variety of community-based settings. The
most common reported are driving programs, industrial rehabilitation/work programs, and sheltered
workshops (AOTA, 2015).
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 8
OBJ: 1.2
6. ANS: A
Rationale: Many roles for occupational therapy in community-based settings exist. A common role is
that of consultant. In this case, the occupational therapy practitioner uses their expertise to devise
program development from an occupation-based perspective that helps a community organization.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 9
OBJ: 1.2
7. ANS: B
, Rationale: Because community and population health is constantly evolving, occupational therapy
practitioners successful in this area have been identified to possess the following characteristics: pos-
itive hopefulness, understanding for the perspectives of community members, creativity, and the
ability to address one’s own biases.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 10
OBJ: 1.3
8. ANS: D
Rationale: The AOTA Standards of Competency include the following competencies: knowledge
required for multiple roles, critical reasoning necessary for decision-making in those roles, interper-
sonal abilities to establish effective relationships with others, performance skills and proficiencies
necessary for practice, and ethical reasoning required for responsible decision-making.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 11
OBJ: 1.3
9. ANS: C
Rationale: “Paradigms have two essential characteristics. They are (a) sufficiently unprecedented
scientific achievements that draw many constituents from competing areas of inquiry and (b) ade-
quately open-ended enough to allow for the exploration of solutions to a variety of problems.”
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 11
OBJ: 1.4
10. ANS: B
Rationale: “The reductionist, or mechanistic, paradigm of the 1960s asserted that by focusing on the
inner mechanisms of disease and disability (i.e., neurophysiology, anatomy, kinesiology, and psy-
choanalysis), occupational therapy could actually alter function and thereby gain professional respect
as a scientific discipline. The early paradigm of occupation had a holistic appreciation of the occu-
pational nature of human life. The new paradigm provided a more in-depth view and shifted profes-
sional thinking from the gestalt to a reductionist focus on parts.”
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 13
OBJ: 1.4
11. ANS: D
Rationale: Communities and their population health are impacted by many factors. Community and
population health practice must consider the implications of health and the factors that influence it in
order to design meaningful occupation-based programs.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Pages 16-17
OBJ: 1.5
12. ANS: C
Rationale: Occupational therapists in community and population health settings should focus on the
strengths and talents of the community to develop meaningful and impactful occupation-based pro-
grams.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 17
OBJ: 1.5
,Chapter 02
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. In the AOTA Practice Framework, health management and maintenance are identified within the
domain of occupational therapy as:
a. Occupation-based c. Activities of daily living
b. Instrumental activities of daily living d. Population health
____ 2. An occupation-based outcome that can result from the application of occupational therapy to
community and population health needs, per the AOTA Practice Framework, is:
a. Occupational justice
b. Enhanced instrumental activities of daily living
c. Health disparities
d. Decreased morbidity
____ 3. Social determinants of health are typically defined as:
a. Access to and participation in the full range of meaningful and enriching occupa-
tions afforded to others, including opportunities for social inclusion and the re-
sources to participate in occupations to satisfy personal, health, and societal needs
b. Enriched contextual and activity experiences that enhance performance for all peo-
ple in the natural contexts of life
c. Families, workers, students, community members, or populations sharing the same
or like concerns
d. Conditions into which a person is born (e.g., social, economic, and physical) that
have an impact on health, functioning, and quality of life
____ 4. An example of a social determinant of health is:
a. Ethnicity c. Occupations
b. Diabetes d. Neighborhood and built environment
____ 5. Healthy People 2020 provides the following framework for implementation of its population health
goals:
a. Attain healthy, thriving lives and well-being, free of preventable disease, disabil-
ity, injury, and premature death
b. Mobilize, assess, plan, implement, and track
c. Eliminate health disparities, achieve health equity, and attain health literacy to im-
prove the health and well-being of all
d. Promote healthy development, healthy behaviors, and well-being across all life
stages
____ 6. Public health is described as the critical functions of state and local health departments, such as
preventing epidemics, containing environmental hazards, and encouraging healthy behaviors. An
example of public health is:
, a. Provision of vaccinations
b. Providing blankets to persons who are homeless
c. Mobilize, assess, plan, implement, and track
d. Intensive care units
____ 7. A risk factor that contributes to cardiovascular disease is:
a. Vaccinations c. Intensive exercise
b. Diabetes d. Occupational deprivation
____ 8. Occupational therapy provided in a post-acute setting after a fall is typically what level of
prevention?
a. Primary prevention c. Tertiary prevention
b. Secondary prevention d. Post-prevention
____ 9. The term preventive occupation refers to the application of occupational science and therapy in the
prevention of disease and disability and the promotion of health and well-being of individuals and
communities through meaningful engagement in occupations. A commonly known example of this
in occupational therapy is:
a. The Well Elderly Study
b. Community-centered practice framework
c. Primary prevention
d. Population health
____ 10. Which of the following is an example of a population-level health promotion intervention?
a. Promotion of barrier-free, universal design environments to enable full community
participation for persons of all ages and abilities
b. Modification of community recreational facilities to increase accessibility for per-
sons with disabilities
c. Implementation of a depression-screening program for new mothers for the pur-
pose of developing prevention and early intervention programs
d. Disability awareness training for service industry personnel, such as those who
work for airlines, hotels, restaurants, etc.
____ 11. An occupational therapy practitioner is working with a child diagnosed with Neonatal Abstinence
Syndrome (i.e., an infant born addicted to opioids). The mother who is struggling with addiction
confides in you that she is trying to get pregnant. You are concerned about her substance use and
refer her to a behavioral health specialist and contact her primary care provider about your concerns.
This is an example of:
a. Primary prevention c. Tertiary prevention
b. Secondary prevention d. Not preventative care
____ 12. Funding for occupation-based population health programs typically comes from:
a. Governmental agencies c. Insurance companies
b. Foundations d. Multiple sources
,____ 13. The community-centered practice framework (CCPF) consists of four components or phases
comprising:
a. Individuals, groups, organizations, and social networks
b. Geographic location, climate, the natural and built environment, population char-
acteristics
c. Community identity, community occupations, community resources and barriers,
and participation enablement
d. Climate, the natural and built environment, population characteristics, and socio-
cultural elements
____ 14. Community occupations are defined as:
a. Individuals, groups, organizations, and social networks
b. Occupations that are important and meaningful to the community as a whole
c. Community identity, community occupations, community resources and barriers,
and participation enablement
d. Occupations available in public places
, Chapter 02
Answer Section
MULTIPLE CHOICE
1. ANS: B
Rationale: Health management and maintenance are identified within the domain of occupational
therapy as instrumental activities of daily living in the Occupational Therapy Framework: Domain
and Process.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 2 Page 23
OBJ: 2.1
2. ANS: A
Rationale: Health and wellness, participation, prevention, quality of life, and occupational justice are
just a few of the outcomes that can result from the application of occupational therapy to community
and population health needs (AOTA, 2014). Occupational justice refers to “access to and participa-
tion in the full range of meaningful and enriching occupations afforded to others, including oppor-
tunities for social inclusion and the resources to participate in occupations to satisfy personal, health,
and societal needs” (AOTA, 2014, p. S43).
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 2 Page 23
OBJ: 2.1
3. ANS: D
Rationale: The World Health Organization (WHO) established the Commission on Social Determi-
nants of Health (CSDH) in 2005 to develop strategies on reducing health inequities. Health in-
equities exist both within and between countries, with a 40-year life expectancy difference between
the richest and poorest countries. These differences are often due to inequities in the social determi-
nants of health. Social determinants of health are the conditions into which a person is born (e.g.,
social, economic, and physical) that have an impact on health, functioning, and quality of life.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 2 Page 23
OBJ: 2.2
4. ANS: D
Rationale: Social factors, or social determinants of health, are organized into five key areas: eco-
nomic stability, education, social and community context, health and health care, and neighborhood
and built environment.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 2 Page 26
OBJ: 2.2
5. ANS: B
Rationale: The goal of HP 2020 is to provide data and tools to enable practitioners and communities
across the nation to easily integrate services and intervention efforts. In order to meet population
health goals, a framework for implementation is included in HP 2020: MAP-IT (mobilize, assess,
plan, implement, and track; USDHHS, 2010b). The MAP-IT guide, available online, includes infor-
mation on conducting a community needs assessment, a brief overview of Healthy People 2020, and
tools for assessing and tracking progress.
and Population Health Practice 3rd Edition
Marjorie E. Scaffa
Notes
1- The file is chapter after chapter.
2- We have shown you few pages sample.
3- The file contains all Appendix and Excel sheet
if it exists.
4- We have all what you need, we make update
at every time. There are many new editions
waiting you.
5- If you think you purchased the wrong file You
can contact us at every time, we can replace it
with true one.
Our email:
,Chapter 01
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. What is the most positive impact the community and population health practice paradigm has on
occupational therapy?
a. Clarifies OT’s role in skilled nursing facilities
b. Facilitates policy development
c. Promotes the visibility and recognition of the profession
d. Increases revenue
____ 2. The earliest example of community-based occupational therapy practice within the United States
was:
a. In the military c. The Arts and Crafts Movement
b. Consolation House d. Hull House
____ 3. One of the first infectious diseases community-based occupational therapy worked to prevent was:
a. Sexually transmitted infection c. Measles
b. Pregnancy d. Tuberculosis
____ 4. Occupational therapy in the military emerged as part of World Wars I and II to treat:
a. Shell shock c. Traumatic brain injury
b. Amputees d. Tuberculosis
____ 5. One example of a community-based setting is:
a. A skilled nursing facility c. Industrial rehabilitation/work pro-
grams
b. Outpatient rehabilitation d. A school system
____ 6. A common role for occupational therapy in community settings is:
a. Consultant c. Grant writer
b. Manager d. Researcher
____ 7. Occupational therapy practitioners wanting to practice in community and population health settings
should focus on developing the following characteristic:
a. Billing and reimbursement knowledge c. Time management skills
b. Creativity d. Decisiveness
____ 8. Which of the following is identified by AOTA as a Standard for Continuing Competence?
a. Grant writing
b. Organizational skills
c. Expertise in community program development
d. Interpersonal abilities to establish effective relationships
,____ 9. According to Kielhofner (1997), a paradigm is the “cultural core of the discipline” and “provides
professional identity” (p. 17). Which of the following is an essential characteristic of a paradigm?
a. Identifies what puzzles, problems, or questions practitioners will seek out in their
work
b. Provides solutions to the problems that emerge within a profession
c. Adequately open-ended enough to allow for the exploration of solutions to a vari-
ety of problems
d. Interpersonal abilities to establish effective relationships with others
____ 10. Which of the following is a recognized paradigm in the profession’s history?
a. Health care paradigm
b. Reductionistic paradigm
c. Interpersonal relationship paradigm
d. Evidence-based paradigm
____ 11. Community practice should be designed with what theory in mind?
a. Sensory integration c. Model of human occupation
b. Medical model d. Dynamic systems theory
____ 12. In order to develop meaningful and impactful occupation-based programs in community settings, an
occupational therapist should focus on which of the following?
a. Needs assessment c. Community strengths
b. Grant funding d. Community health issues
,Chapter 01
Answer Section
MULTIPLE CHOICE
1. ANS: C
Rationale: Developing OT in a community and population health paradigm promotes the visibility of
occupational therapy as a profession
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 2
OBJ: 1.1
2. ANS: B
Rationale: “Barton’s establishment of Consolation House in 1914 is the earliest example of commu-
nity-based occupational therapy practice within the United States” (Scaffa, 2001; Scaffa & Brown-
son, 2005).
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 2
OBJ: 1.1
3. ANS: D
Rationale: In 1932, Diaz authored an article describing the role of OT in the prevention of tubercu-
losis. The article, “Organizing a Preventorium for Children,” was published in Occupational Ther-
apy and Rehabilitation.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 4
OBJ: 1.1
4. ANS: A
Rationale: Occupational therapy has been supported in military environments for a long time but
emerged in World Wars I and II to treat shell shock. The occupation-based perspective helped mil-
itary personnel recover from war-related experiences ranging from exposure to poor living condi-
tions.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 6
OBJ: 1.2
5. ANS: C
Rationale: Occupational therapy practitioners work in a variety of community-based settings. The
most common reported are driving programs, industrial rehabilitation/work programs, and sheltered
workshops (AOTA, 2015).
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 8
OBJ: 1.2
6. ANS: A
Rationale: Many roles for occupational therapy in community-based settings exist. A common role is
that of consultant. In this case, the occupational therapy practitioner uses their expertise to devise
program development from an occupation-based perspective that helps a community organization.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 9
OBJ: 1.2
7. ANS: B
, Rationale: Because community and population health is constantly evolving, occupational therapy
practitioners successful in this area have been identified to possess the following characteristics: pos-
itive hopefulness, understanding for the perspectives of community members, creativity, and the
ability to address one’s own biases.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 10
OBJ: 1.3
8. ANS: D
Rationale: The AOTA Standards of Competency include the following competencies: knowledge
required for multiple roles, critical reasoning necessary for decision-making in those roles, interper-
sonal abilities to establish effective relationships with others, performance skills and proficiencies
necessary for practice, and ethical reasoning required for responsible decision-making.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 11
OBJ: 1.3
9. ANS: C
Rationale: “Paradigms have two essential characteristics. They are (a) sufficiently unprecedented
scientific achievements that draw many constituents from competing areas of inquiry and (b) ade-
quately open-ended enough to allow for the exploration of solutions to a variety of problems.”
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 11
OBJ: 1.4
10. ANS: B
Rationale: “The reductionist, or mechanistic, paradigm of the 1960s asserted that by focusing on the
inner mechanisms of disease and disability (i.e., neurophysiology, anatomy, kinesiology, and psy-
choanalysis), occupational therapy could actually alter function and thereby gain professional respect
as a scientific discipline. The early paradigm of occupation had a holistic appreciation of the occu-
pational nature of human life. The new paradigm provided a more in-depth view and shifted profes-
sional thinking from the gestalt to a reductionist focus on parts.”
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 13
OBJ: 1.4
11. ANS: D
Rationale: Communities and their population health are impacted by many factors. Community and
population health practice must consider the implications of health and the factors that influence it in
order to design meaningful occupation-based programs.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Pages 16-17
OBJ: 1.5
12. ANS: C
Rationale: Occupational therapists in community and population health settings should focus on the
strengths and talents of the community to develop meaningful and impactful occupation-based pro-
grams.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 1 Page 17
OBJ: 1.5
,Chapter 02
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. In the AOTA Practice Framework, health management and maintenance are identified within the
domain of occupational therapy as:
a. Occupation-based c. Activities of daily living
b. Instrumental activities of daily living d. Population health
____ 2. An occupation-based outcome that can result from the application of occupational therapy to
community and population health needs, per the AOTA Practice Framework, is:
a. Occupational justice
b. Enhanced instrumental activities of daily living
c. Health disparities
d. Decreased morbidity
____ 3. Social determinants of health are typically defined as:
a. Access to and participation in the full range of meaningful and enriching occupa-
tions afforded to others, including opportunities for social inclusion and the re-
sources to participate in occupations to satisfy personal, health, and societal needs
b. Enriched contextual and activity experiences that enhance performance for all peo-
ple in the natural contexts of life
c. Families, workers, students, community members, or populations sharing the same
or like concerns
d. Conditions into which a person is born (e.g., social, economic, and physical) that
have an impact on health, functioning, and quality of life
____ 4. An example of a social determinant of health is:
a. Ethnicity c. Occupations
b. Diabetes d. Neighborhood and built environment
____ 5. Healthy People 2020 provides the following framework for implementation of its population health
goals:
a. Attain healthy, thriving lives and well-being, free of preventable disease, disabil-
ity, injury, and premature death
b. Mobilize, assess, plan, implement, and track
c. Eliminate health disparities, achieve health equity, and attain health literacy to im-
prove the health and well-being of all
d. Promote healthy development, healthy behaviors, and well-being across all life
stages
____ 6. Public health is described as the critical functions of state and local health departments, such as
preventing epidemics, containing environmental hazards, and encouraging healthy behaviors. An
example of public health is:
, a. Provision of vaccinations
b. Providing blankets to persons who are homeless
c. Mobilize, assess, plan, implement, and track
d. Intensive care units
____ 7. A risk factor that contributes to cardiovascular disease is:
a. Vaccinations c. Intensive exercise
b. Diabetes d. Occupational deprivation
____ 8. Occupational therapy provided in a post-acute setting after a fall is typically what level of
prevention?
a. Primary prevention c. Tertiary prevention
b. Secondary prevention d. Post-prevention
____ 9. The term preventive occupation refers to the application of occupational science and therapy in the
prevention of disease and disability and the promotion of health and well-being of individuals and
communities through meaningful engagement in occupations. A commonly known example of this
in occupational therapy is:
a. The Well Elderly Study
b. Community-centered practice framework
c. Primary prevention
d. Population health
____ 10. Which of the following is an example of a population-level health promotion intervention?
a. Promotion of barrier-free, universal design environments to enable full community
participation for persons of all ages and abilities
b. Modification of community recreational facilities to increase accessibility for per-
sons with disabilities
c. Implementation of a depression-screening program for new mothers for the pur-
pose of developing prevention and early intervention programs
d. Disability awareness training for service industry personnel, such as those who
work for airlines, hotels, restaurants, etc.
____ 11. An occupational therapy practitioner is working with a child diagnosed with Neonatal Abstinence
Syndrome (i.e., an infant born addicted to opioids). The mother who is struggling with addiction
confides in you that she is trying to get pregnant. You are concerned about her substance use and
refer her to a behavioral health specialist and contact her primary care provider about your concerns.
This is an example of:
a. Primary prevention c. Tertiary prevention
b. Secondary prevention d. Not preventative care
____ 12. Funding for occupation-based population health programs typically comes from:
a. Governmental agencies c. Insurance companies
b. Foundations d. Multiple sources
,____ 13. The community-centered practice framework (CCPF) consists of four components or phases
comprising:
a. Individuals, groups, organizations, and social networks
b. Geographic location, climate, the natural and built environment, population char-
acteristics
c. Community identity, community occupations, community resources and barriers,
and participation enablement
d. Climate, the natural and built environment, population characteristics, and socio-
cultural elements
____ 14. Community occupations are defined as:
a. Individuals, groups, organizations, and social networks
b. Occupations that are important and meaningful to the community as a whole
c. Community identity, community occupations, community resources and barriers,
and participation enablement
d. Occupations available in public places
, Chapter 02
Answer Section
MULTIPLE CHOICE
1. ANS: B
Rationale: Health management and maintenance are identified within the domain of occupational
therapy as instrumental activities of daily living in the Occupational Therapy Framework: Domain
and Process.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 2 Page 23
OBJ: 2.1
2. ANS: A
Rationale: Health and wellness, participation, prevention, quality of life, and occupational justice are
just a few of the outcomes that can result from the application of occupational therapy to community
and population health needs (AOTA, 2014). Occupational justice refers to “access to and participa-
tion in the full range of meaningful and enriching occupations afforded to others, including oppor-
tunities for social inclusion and the resources to participate in occupations to satisfy personal, health,
and societal needs” (AOTA, 2014, p. S43).
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 2 Page 23
OBJ: 2.1
3. ANS: D
Rationale: The World Health Organization (WHO) established the Commission on Social Determi-
nants of Health (CSDH) in 2005 to develop strategies on reducing health inequities. Health in-
equities exist both within and between countries, with a 40-year life expectancy difference between
the richest and poorest countries. These differences are often due to inequities in the social determi-
nants of health. Social determinants of health are the conditions into which a person is born (e.g.,
social, economic, and physical) that have an impact on health, functioning, and quality of life.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 2 Page 23
OBJ: 2.2
4. ANS: D
Rationale: Social factors, or social determinants of health, are organized into five key areas: eco-
nomic stability, education, social and community context, health and health care, and neighborhood
and built environment.
REF: Scaffa OT in Comm & Pop Health Prac, 3e 7562 Ch 2 Page 26
OBJ: 2.2
5. ANS: B
Rationale: The goal of HP 2020 is to provide data and tools to enable practitioners and communities
across the nation to easily integrate services and intervention efforts. In order to meet population
health goals, a framework for implementation is included in HP 2020: MAP-IT (mobilize, assess,
plan, implement, and track; USDHHS, 2010b). The MAP-IT guide, available online, includes infor-
mation on conducting a community needs assessment, a brief overview of Healthy People 2020, and
tools for assessing and tracking progress.
