ATI HESI Pediatrics with answers
2026 Midterm Exam
What is the relationship of an activity analysis to pediatric occupational therapy? - An activity
analysis considers: -steps of an activity and demands
-context & meaning
-matching activities to client's strengths
-addresses deficits
How does a theoretical mode or FOR guide activity and observational analysis? Emphasis on specific
components of the child/environment/etc.
For example: using Sensory Integration leads the OT to focus on sensory aspects of the child and the
environment
How are activity analysis and observational assessment findings synthesized to guide pediatric
interventions? - customizing the activity to enable occupational performance
Prioritizing
activities
Creating goals and grading
Described through the categories of activities in which children engage, the specific types of play
that are accepted and named
Includes: characteristics, products, requirements, observation of the activity, task demands,
developmental natural of play, preference changes - play form
The way in which play serves a person, and influences health and well-being - play function
Quality of the experience, a persons state of mind and the values that the play
Experience has for the individual, rationale for that choice of form of play - play meaning
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Essential criteria of play behavior - Incompletely functional within the context it is performed
Spontaneous, voluntary, rewarding, pleasurable (fun and intrinsically motivated_
Repeated, but not rigid
Initiated when relaxed and in the absence of stress
Measure individuals degree of playfulness, scored from direct observation or videotapes, four
elements of playfulness intrinsic motivation, internal control, ability to suspend reality, and
framing - test of playfulness
Consultation with caregivers to determine a player's motivation for play, and is usually administered
with TOP - test of environmental supportiveness
Criterion referenced tool for use with children 6 months to six years of age, completed at 15 minutes
of play, - parent/caregiver support of young children's playfulness (PSYCP)
Assesses what activities the child or youth is doing, feelings about the self perception of skill, and
preferred partners - Pediatric Interest Profile
Helps practitioners find out from the child what he or she finds interesting and meaningful - child
occupational self assessment
Observational assessment based on developmental theory designed to describe play competency in
children through six years of age - revised knox preschool play scale
Describe the three ways in which play is used in intervention - tool: used following activity analysis,
what skill can the tool be used to build on
Reward: incentive for completing some work
Occupation: focus is on play itself and the development of play performance or play skill
Purpose of standardized tests - assist in the determination of dx through normative scores,
document status/progress, program planning
Describes the consistency or stability of scores obtained by one individual when tested on two
different occasions with different set of items or under other examining conditions
- reliability
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, Types of reliability - test-retest interrater
(cohen or ICC)
Internal consistency
SEM
What is the accepted SEM score for reliability - .80
The extent to which a test measures what it claims to measure - validity
Test measures a theoretical concept (ie: progression of motor skills) - construct related validity
The extent to which the items on a test accurately sample a behavior domain - content related
validity
The ability of the test to predict how an individual performs on other measurements or
activities, broken down into concurrent (.7 is good) and predictive - criterion related validity
What questions should an OT consider before interpreting results - How representative or
typical was the child's response to the testing situation
Influences on performance
Are the scores congruent with observations?
How closely do the test scores obtained by OT's concur with standardized or nonstandardized
test results of other professionals test results of other professional or from previous testing
Minimal Clinical Important Difference versus Minimal Detectable Change - MCID: smallest
different in the score in the domain of interest which patients perceive as beneficial: used to
establish goals
MCD: smallest change between test scores that fall outside of the measurement error, used to
determine if the test scores truly reflect the effect of intervention
A 7-year-old child is given a standardized test and receives a raw score of 83. Therapy services
are provided for 6 months. On reevaluation the child receives a score of 98 on the same
standardized test. The SEM of the test is 4.0. Using the 95% confidence interval, what is the
potential range of scores for this child for each testing session? What can be concluded about
the effect of the therapy? - You add 4.0 to the child's required to show that they actually scored
differently.
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2026 Midterm Exam
What is the relationship of an activity analysis to pediatric occupational therapy? - An activity
analysis considers: -steps of an activity and demands
-context & meaning
-matching activities to client's strengths
-addresses deficits
How does a theoretical mode or FOR guide activity and observational analysis? Emphasis on specific
components of the child/environment/etc.
For example: using Sensory Integration leads the OT to focus on sensory aspects of the child and the
environment
How are activity analysis and observational assessment findings synthesized to guide pediatric
interventions? - customizing the activity to enable occupational performance
Prioritizing
activities
Creating goals and grading
Described through the categories of activities in which children engage, the specific types of play
that are accepted and named
Includes: characteristics, products, requirements, observation of the activity, task demands,
developmental natural of play, preference changes - play form
The way in which play serves a person, and influences health and well-being - play function
Quality of the experience, a persons state of mind and the values that the play
Experience has for the individual, rationale for that choice of form of play - play meaning
Lomoarcpsd|26582732
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Essential criteria of play behavior - Incompletely functional within the context it is performed
Spontaneous, voluntary, rewarding, pleasurable (fun and intrinsically motivated_
Repeated, but not rigid
Initiated when relaxed and in the absence of stress
Measure individuals degree of playfulness, scored from direct observation or videotapes, four
elements of playfulness intrinsic motivation, internal control, ability to suspend reality, and
framing - test of playfulness
Consultation with caregivers to determine a player's motivation for play, and is usually administered
with TOP - test of environmental supportiveness
Criterion referenced tool for use with children 6 months to six years of age, completed at 15 minutes
of play, - parent/caregiver support of young children's playfulness (PSYCP)
Assesses what activities the child or youth is doing, feelings about the self perception of skill, and
preferred partners - Pediatric Interest Profile
Helps practitioners find out from the child what he or she finds interesting and meaningful - child
occupational self assessment
Observational assessment based on developmental theory designed to describe play competency in
children through six years of age - revised knox preschool play scale
Describe the three ways in which play is used in intervention - tool: used following activity analysis,
what skill can the tool be used to build on
Reward: incentive for completing some work
Occupation: focus is on play itself and the development of play performance or play skill
Purpose of standardized tests - assist in the determination of dx through normative scores,
document status/progress, program planning
Describes the consistency or stability of scores obtained by one individual when tested on two
different occasions with different set of items or under other examining conditions
- reliability
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per year?
, Types of reliability - test-retest interrater
(cohen or ICC)
Internal consistency
SEM
What is the accepted SEM score for reliability - .80
The extent to which a test measures what it claims to measure - validity
Test measures a theoretical concept (ie: progression of motor skills) - construct related validity
The extent to which the items on a test accurately sample a behavior domain - content related
validity
The ability of the test to predict how an individual performs on other measurements or
activities, broken down into concurrent (.7 is good) and predictive - criterion related validity
What questions should an OT consider before interpreting results - How representative or
typical was the child's response to the testing situation
Influences on performance
Are the scores congruent with observations?
How closely do the test scores obtained by OT's concur with standardized or nonstandardized
test results of other professionals test results of other professional or from previous testing
Minimal Clinical Important Difference versus Minimal Detectable Change - MCID: smallest
different in the score in the domain of interest which patients perceive as beneficial: used to
establish goals
MCD: smallest change between test scores that fall outside of the measurement error, used to
determine if the test scores truly reflect the effect of intervention
A 7-year-old child is given a standardized test and receives a raw score of 83. Therapy services
are provided for 6 months. On reevaluation the child receives a score of 98 on the same
standardized test. The SEM of the test is 4.0. Using the 95% confidence interval, what is the
potential range of scores for this child for each testing session? What can be concluded about
the effect of the therapy? - You add 4.0 to the child's required to show that they actually scored
differently.
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