Standards of practice Questions and Answers

Standards of practice Questions and Answers A COTA® is working toward service competency for adaptive feeding equipment instruction. How would an OTR® BEST establish service competency for the COTA®? A. Review the COTA®'s documentation of multiple clients whose feeding impairments warranted adaptive equipment, then discuss the outcomes with the COTA®. B. Observe the COTA® educating clients on how to use adaptive feeding equipment to ensure that the COTA® is consistent with the OTR®. C. Compare outcomes by rating the same client's performance with the adaptive feeding equipment. D. Collect information from various sources, such as other therapists, the COTA®'s documentation, observations, and feedback from clients, to determine competency. C Service competency is defined as "the process of teaching, training, and evaluating in which the OTR® determines that the COTA® performs tasks in the same way that the OTR® would and achieves the same outcomes" (Youngstrom, 2009, p. 943). In this example, both the COTA® and OTR® observe the same client performing a task and rate that performance in a similar manner. Comparing outcomes helps to ensure clients receive care of equal quality. ----- A, D: These are indirect approaches to determining the COTA®'s skill, which are insufficient to establish service competency. B: The tasks do not need to be performed in exactly the same way, but the outcomes must be similar. A supervising OTR® hires two newly graduated COTAs who have different learning styles. One prefers visual learning, and the other prefers a more hands-on approach. Which approach is the BEST way for the OTR® to supervise both COTAs? A. Demonstrate the tasks and have both COTAs return the demonstration. B. Provide written instructions, protocols and discuss them with the COTAs. C. Have both COTAs role play clinical scenarios followed by discussions. D. Have one COTA® perform new tasks and the other observe. D This approach best addresses the different learning styles of each COTA; the COTA® who prefers kinesthetic learning can perform the new task and the visual learner can observe. ----- A, B: These approaches involve more visual learning techniques, which would only be tailored to the COTA® who prefers this style of learning. C: This style is more interactive and kinesthetic and may not be as meaningful for the visual learner. Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More Which is the BEST example of an occupational therapy client population according to the Occupational Therapy Practice Framework? A. People who have arthritis B. A group of people within a larger society C. A statewide school system D. A health club within a community A People with arthritis are considered a group of people who have similar problems (arthritis) and can be considered an occupational therapy client population. ---- B: This does not meet the definition of population, because it does not describe a specific group of people within the society. C, D: These are considered organizational clients rather than a population, because they are businesses. A COTA® has been assigned to treat a new patient. The OTR® has evaluated this patient but has not yet written the necessary documentation for the COTA® to review. How should the COTA® proceed? A. Cancel the treatment session and document that intervention is on hold pending completion of the evaluation. B. Review the chart and ask the patient the priority of goals to be addressed in treatment. C. Co-treat with the physical therapist to learn the reasons for admission and special issues, and document accordingly. D. Discuss with the OTR® reason for admission, precautions, and goals, and proceed, documenting the supervisory visit. D The COTA® may not proceed with intervention implementation until the COTA® has a conversation with the OTR® to learn more about the patient. To choose appropriate therapeutic activities and interventions and modify them as needed, the COTA® must be knowledgeable about the patient's goals. In the documentation, the COTA® should describe the discussion with the evaluating OTR® that occurred before treatment. ---- A: Skipping the treatment session could affect billing or reimbursement for the site and is unfair to the patient, who is expecting treatment. B, C: The COTA® must have specific supervision from the evaluating OTR® before proceeding with treatment. An OTR®; is conducting a cooking group for people with schizophrenia who are nearing discharge from the hospital. The COTA® is assisting the OTR in writing the following goal for one group member using the COAST method: "The client will cook a meal before being discharged." Which of the following phrases is the MOST measurable formulation of the occupation (or O) element of this goal? A. "Cook an entrée and a side dish." B. "Cook an entrée using a recipe that has four steps." C. "Cook chicken soup." D. "Cook independently." B The occupation part of the goal should contain specific and measurable information that relates to the problem statement written for the client. ---- A, C: The difficulty of cooking an entrée and side dish or chicken soup depends on the recipe that is being followed; therefore, these sentences do not provide enough information to make the occupation measurable. D: This sentence provides no additional information about the occupation that is to be undertaken.