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OT 634 – Comprehensive Final Exam Review |2025/2026| Occupational Therapy Evaluation, Assessment Theory, Documentation, Clinical Reasoning, Ethics & Outcome Measurement | Complete QUestions & Answers and Detailed Study Guide

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This document is a thorough and highly detailed comprehensive final exam review for OT 634, covering the full scope of occupational therapy evaluation, assessment, documentation, and clinical reasoning concepts required for final examinations. It includes clearly defined terms and explanations related to screening, evaluation, reassessment, outcomes, occupational profiles, top-down and bottom-up approaches, standardized and nonstandardized assessments, reliability and validity, score interpretation, and data-driven clinical decision making. The material also provides extensive coverage of documentation standards, SOAP notes, goal writing (SMART and COAST formats), billing and reimbursement compliance, CMS functional measures, ethics and professional standards, cultural responsiveness, outcome measures, assistive technology, home and community-based evaluations, and OT scope of practice. This resource is ideal for OT students preparing for comprehensive finals, competency exams, and fieldwork readiness.

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OT 634
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Institution
OT 634
Course
OT 634

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Uploaded on
December 18, 2025
Number of pages
45
Written in
2025/2026
Type
Exam (elaborations)
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Questions & answers

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634 *COMPREHENSIVE* FINAL
EXAM REVIEW
1. Screening


Answer The brief process used to determine if full OT evaluation is needed; identifies red flags but does not

establish goals.


2. Evaluation


Answer Comprehensive process of obtaining and interpreting data about occupational performance to

determine needs for intervention.


3. Reevaluation


Answer Formal review of client progress using repeated or new assessments to update goals and plan of care.


4. Reassessment


Answer Ongoing performance checks during intervention sessions; less formal than reevaluation.


5. Outcomes


Answer Results of OT services, including performance gains, satisfaction, quality of life, and participation.


,6. Formative process


Answer Ongoing data-gathering during evaluation to build understanding and guide reason- ing.


7. Summative process


Answer Final synthesis of all evaluation data to reach conclusions and create goals.


8. Occupational Profile


Answer Narrative describing client's values, roles, routines, priorities, and history; first step of OT


evaluation.


9. Analysis of Occupational Performance


Answer Evaluation of how client factors, skills, contexts, and environments support or hinder tasks.


10. Top-down approach


Answer Starts with occupations and participation, then identifies underlying factors.


11. Bottom-up approach

Answer Starts with client factors/body functions and infers impact on occupations.


12. Contextual approach


Answer Focuses on environment and context before examining skills.


,13. Idiosyncratic approach


Answer Individualized evaluation unique to client needs and circumstances.


14. Team approach


Answer Interprofessional collaboration in evaluation.


15. Occupations


Answer Meaningful daily activities in categories like ADLs, IADLs, work, play, and social participation.


16. Needs assessment


Answer Process of identifying gaps between actual and required performance.


17. Client-centered evaluation


Answer Evaluation grounded in client priorities, values, and preferences.


18. Culturally responsive evaluation


Answer Incorporates cultural, linguistic, and contextual factors into as- sessment.


19. Accountable evaluation


Answer Uses best evidence and standardized reasoning to support conclusions.




, 20. Data-driven decision-making


Answer Clinical decisions based on measurable data, not assumptions.


21. Assessment


Answer Tool or method used to gather information about performance or capacity.


22. Construct (assessment construct)


Answer The theoretical concept measured by an assessment (e.g., balance, motor skills).


23. Protocol


Answer Standardized instructions and procedures that must be followed for valid scoring.
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