Assessment, and Pharmacology Advanced
Integrative Clinical Concepts
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,Chapter 1: The Complexity of Occupation
1. Which of the following concepts was the main focus of early communications amongst the
founders of the occupational therapy profession?
A. Leisure occupation
B. Occupation work
C. Primary modality
D. Exploratory learning
ANS: B
2. The authors state, “Occupation is the defining concept of occupational therapy.” From the
choices below, which best defines occupation as viewed by the founders and early scholars of
the profession?
A. Activities related to paid work
B. Leisure activities of the upper class
C. Daily life tasks and recreation
D. Activities for the purpose of diversion
ANS: C
3. What are the three reasons for the use of occupation in treatment identified by Dr. William
Rush Dunton, Jr.?
A. Divert the patient’s attention from disturbing thoughts, provide a potential hobby that may
prevent further mental anguish, and provide a potential means for future livelihood
B. Divert the patient’s attention from lost function, provide a safe and nurturing environment for
purposeful activity, and provide a potential means for future livelihood
C. Encourage a patient’s analysis of the basis for disturbing thoughts, provide a potential hobby
that may prevent further mental anguish, and provide patient education
D. Encourage a patient’s analysis of the basis for disturbing thoughts, provide a nurturing
environment for purposeful and functional activity, and provide patient education
ANS: A
4. Adolf Meyer and Eleanor Clarke Slagle supported a mental health treatment approach
believed to improve functioning that has been limited by the development of faulty habits over
time. What is the specific name of this treatment approach?
A. Occupational therapy
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,B. Work therapy
C. Habit training
D. Productivity training
ANS: C
5. The onset of which of the following events caused occupational therapy to experience a shift
from a focus on occupation to more physical and medically based intervention approaches to
practice?
A. World War I
B. World War II
C. The Great Depression
D. The Balanced Budget Act
ANS: B
6. During this period what were the preferred terms that were used in the professional literature
instead of occupation?
A. Work and functional performance
B. Activity and daily living tasks
C. Work and daily living tasks
D. Activity and functional performance
ANS: D
7. The profession’s use of “occupation” following the above period began again during the early
1960s. During her 1962 Eleanor Clarke Slagle lecture, Mary Reilly predicted this shift as she
spoke of the impact of occupational behavior. Which model was developed from this concept of
occupational behavior?
A. Model of Human Occupation
B. Person-Environment-Occupation
C. Biomechanical Model
D. Model of Creative Activity
ANS: A
8. The thought that restoring function through the use of participation in specific tasks that are
from the patient’s everyday life is the basis for which of the following?
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,A. Physical rehabilitation
B. Moral treatment
C. Activity approach
D. Authentic occupational therapy
ANS: B
9. What term did Yerxa use in the mid-1960s to describe a scenario of an occupational therapist
using light housework as an intervention with someone who typically cleaned his or her own
home as a means for improving muscle strength, overall stamina, and range of motion?
A. Physical rehabilitation
B. Moral treatment
C. Activity approach
D. Authentic occupational therapy
ANS: D
10. The profession’s re-embrace of the term occupation as its primary focus has produced what
the authors describe as a duality of the concept that furthers its ambiguity and confusion. What
are the two ways in which this term is used that causes this “paradox” according to the authors?
A. Occupation is used to describe the primary means of occupational therapy intervention as well
as its desired therapeutic outcomes.
B. Occupation is used to describe the history and roots of occupational therapy as a profession as
well as its desired therapeutic outcomes.
C. Occupation is used to describe the primary means of occupational therapy intervention as well
as its desired public perception.
D. Occupation is used to describe the history and roots of occupational therapy as a profession as
well as its desired public perception.
ANS: A
11. According to the Framework, 3rd edition, which of the following terms is defined as “actions
designed and selected to support the development of performance skills and performance
patterns to enhance occupational engagement”?
A. Activity
B. Occupation
C. Patterns
D. Habits
ANS: A
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,12. According to the Framework, 3rd edition, which of the following terms is defined as “daily
life activities in which people engage in multiple activities in context”?
A. Activity
B. Occupation
C. Patterns
D. Habits
ANS: B
13. One of the objectives of the Framework, 3rd edition, was to better align the profession’s
internal language with that of the globally accepted International Classification of Functioning,
Disability, and Heath (ICFDH) from the World Health Organization. What, however, has been
the international criticism of the ICFDH?
A. The term occupation is used to both represent a means as well as an end.
B. It fails to address adequately the person’s subjective experience during activity.
C. The terms functioning, disability, and health are ambiguous and not generalizable.
D. It fails to include occupational therapy as an accepted rehabilitation profession.
ANS: B
14. However, the authors contend that the terminology should be further clarified locally,
globally, and for the benefit of consumers and third-party payers. What is the suggestion that the
authors put forth to accomplish this?
A. Occupation and its related activities should represent the tools of intervention and
occupational performance, the outcome of this process.
B. Activities, including purposeful activities, should represent the tools of intervention and
occupation, the outcome of this process.
C. Occupational performance should represent the tools of intervention, and occupation and its
related activities, the outcome of this process.
D. Client-centeredness and its related activities should represent the tools of intervention and
purposeful activities, the outcome of this process.
ANS: A
15. The chapter suggests distinguishing the use of the terms occupation and activity. Which of
the following would NOT be considered part of the definition of occupation that is proposed by
the authors?
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,A. An activity plus meaning
B. An activity without meaning
C. Transformational
D. Doing without purpose
ANS: B
16. Occupational therapists in the United States and other countries often use the terms activity
and occupation differently. Moreover, international scholars have struggled in defining
occupation as the core concept of occupational therapy practice. From the choices below, what is
the main reason for this struggle according to the authors?
A. The inherent complexity of the term occupation
B. Variations in entry-level educational standards
C. Inconsistent language translation across countries
D. Varying continental advocacy and political priorities
ANS: A
17. Which of the following is an Australian practice model that focuses on the complex factors
that influence occupational performance rather than occupation?
A. Person-Environment-Occupation-Performance Model
B. Vona Du Toit Model of Creative Activity
C. Ayurvedic Model of Human Occupation
D. Occupational Performance Model
ANS: D
18. Which of the following is a South African theoretical model that focuses on occupational
performance and the client’s abilities to bring about change?
A. Person-Environment-Occupation-Performance Model
B. Vona Du Toit Model of Creative Activity
C. Ayurvedic Model of Human Occupation
D. Occupational Performance Model
ANS: B
19. Which of the following is an Asian module for intervention that primarily employs yoga as
its primary intervention modality?
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,A. Person-Environment-Occupation-Performance Model
B. Vona Du Toit Model of Creative Activity
C. Ayurvedic Model of Human Occupation
D. Occupational Performance Model
ANS: C
20. What did the Bologna Declaration of June 1999 call for across the European Higher
Education Area?
A. The development of clear, comparable, and competitive educational standards
B. The creation of a universally accepted definition of occupational performance
C. The development of educational standards on par with the United States
D. The creation of a global distinction between occupation and activity
ANS: A
21. How is the term occupational performance defined in the chapter?
A. Observable outcome of engaging in occupation
B. Observable outcome of engaging in participation
C. Nonobservable outcome of engaging in occupation
D. Nonobservable outcome of engaging in participation
ANS: A
Copyright © 2017 by F. A. Davis Company
,Chapter 2: The Core Concept of Occupation
1. Which of the following is described as an emerging occupational concept that focuses on
allowing a person to fully develop their capacities and abilities as well as balance occupational
patterns to promote rest, leisure, work, and play?
A. Occupational performance
B. Occupational engagement
C. Occupation to habilitate
D. Occupation for survival
ANS: D
2. What term is used to describe the influences that culture, spiritual affiliations, and
socioeconomic background have on the development of an individual’s occupational pattern
development?
A. Context
B. Homeostasis
C. Taxonomy
D. Wellness
ANS: A
3. Which best represents the authors’ perspectives on the use of the term human occupation?
A. The authors are in complete alignment as to how the term should be used in the profession.
B. The authors do not believe the term should continue to be considered a core of the profession.
C. The authors offer varied perspectives on the use of the term and its application as the core
concept of the profession.
D. The authors offer identical perspectives on the use of the term but not on its application as the
core concept.
ANS: C
4. The chapter authors cite Dr. Gary Kielhofner who synthesized salient features of various
scholarly definitions of occupation. Which of the following concepts was not part of this
synthesis from Kielhofner?
A. Arises as a response to a specific motive or need
B. Interrelates with the sociocultural context
C. Interweaves with the developmental process
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, D. Completed regardless of specific capacities
ANS: D
5. Which mathematical theory did Dr. Royeen rely upon during her 2002 Slagle lecture when she
stated that “occupation and development follow non-liner paths”?
A. Linear Theory
B. Chaos Theory
C. Hypotenuse Theory
D. Time-activity Theory
ANS: B
6. The authors present a consensus view on the process and outcome of the use of occupation in
practice toward the end of the chapter. Which of the following correctly depicts this consensus
opinion?
A. Viewing practice only within the context of occupation would be a mistake, but all practice
should include engagement in meaningful occupation as the goal.
B. Viewing practice only within the context of occupation will clarify what we do to other
stakeholders and all practice should include meaningful goals.
C. Viewing practice within the context of activity would be a mistake, but all practice should
include engagement in meaningful activity as the goal.
D. Viewing practice only within the context of occupation will not clarify what we do to other
stakeholders; therefore, our practice needs to change.
ANS: A
7. The authors posit that occupational therapists need to provide interventions that focus on
function, occupational performance, and participation to assure occupation is at the core of
practice. Which of the following statements regarding assessments would NOT support this
approach to intervention?
A. Assessments need to evaluate directly a client’s occupational performance and occupational
needs.
B. The profession must develop its own assessments that assess occupational performance and
participation.
C. The need exists for assessments that look at individuals, populations, or groups of individuals
in context.
D. Assessments need to contain an interprofessional element in looking at occupational
performance.
Copyright © 2017 by F. A. Davis Company