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Exam (elaborations)

CAOT NOTCE Exam - Practice Standards EXAM QUESTIONS AND CORRECT DETAILED ANSWERS

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CAOT NOTCE Exam - Practice Standards EXAM QUESTIONS AND CORRECT DETAILED ANSWERS Hierarchy of substitute decision-makers -ANSWER- 1. Guardian of the person appointed by the courts, if the person has the authority to give or refuse consent to treatment 2) attorney for personal care conferred by a written form when the client was capable 3) representative appointed by the consent and capacity board 4) spouse or partner 5) child or parent (custodial parent if the child is a minor) 6) parent of the incapable person who has only a right of access 7) brother or sister 8) any other relative 9) public guardian or trustee When completing a standardized test to a non-english speaking client, what is the course of action? -ANSWER- Use a formal/trained interpreter to ensure validity of content communicated and to minimize any personal bias or misinterpretation During treatment sessions what is the most appropriate course of action to facilitate communication with non-english speaking clients? -ANSWER- using exisiting resources e.g. family members, is often the most practical during treatment sessions. With the client's consent. It also allows for imparting education and training to both the client and caregiver at the same time. OPPM -ANSWER- Occupational Performance Process Model CPPF -ANSWER- Canadian Practice Process Framework Which organization regulates the profession of OT -ANSWER- COTO Which organizations advance the profession's interest? -ANSWER- CAOT, OSOT In which organization must you be registered to call yourself an OT? -ANSWER- COTO which organization protects the public interest? -ANSWER- COTO which organization is voluntary? -ANSWER- CAOT, OSOT Occupational Therapy Act, 1991 -ANSWER- - establishes college of occupational therapists of ontario - protects professional titles - defines scope of practice - enforces minimum standards of practice Regulated health professionals act 1991 -ANSWER- - establishes health professions' "regulatoary colleges" which exist to protect the public interest - protects "controlled acts" - OTs only receive delegation of a controlled act from a practitioner who has the legal authority under the regulated health professions act to perform the controlled act - establishes generic regulations and colleges' strucutre MOHO process -ANSWER- 1) generate questions * based on major MOHO concepts 2) gather information on and with client 3) create a theory-based understanding of client- explaining client's situation, addressing problems/challenges, and identifying strengths of client 4) generate therapy goals and strategies - what kinds of OE will enable the client to change and how will goals be achieved 5) implement and monitor therpay 6) collect information to assess outcomes KAWA model process -ANSWER- 1) begin to draw the river if appropriate for the client 2) clarify the meaning of the clients rocks, driftwood, river walls and bottom 3) prioritize issues and identifying areas for potential intervention 4) assess specific areas for OT intervention with client 5) intervention 6) evaluate by measuring changes according to the client's own criterion How many stages are in the Occupational performance process model (OPPM)? What are they? -ANSWER- 1) Name - validate - prioritize occupational performance issues 2) select theoretical approaches 3) identify occupational performance components and environmental conditions 4) identify strengths and resources 5) negotiate targeted outcomes and develop action plans 6) implement plans through occupation 7) evaluate occupational performance outcomes. 2 routes: a) resolved > resolution, exit process; b) unresolved > go back to stage 2 and re-enter the process cycle Stage 1: Name, validate & prioritize occupational performance issues -ANSWER- - identify OPIs, validate OPIs - prioritization of OPIs - "If the issue does not relate to risk or safety, the best course is to discuss it with the client, and then accept the priorities of the client as the other issues may be raised later." occupational performance issue -ANSWER- a problem in the "ability to choose, organize, and satisfactorily perform meaningful occupations" OPPM - stage 2: select theoretical approaches -ANSWER- use theoretical approach to understand OPIs and how to change occupational performance OPPM - stage 3: identify OP components, environmental conditions -ANSWER- assess for occupational performance components & environmental conditions contributing to the actual or potential OPIs OPPM - Stage 4: identify strength and resources -ANSWER- consider whose strengths (person) and resources (environment) - client's? - therapists? OPPM - Stage 5: negotiate targeted outcomes & develop action plans -ANSWER- - set targeted outcomes for each OPI - negotiate a time frame - develop action plans for interventions for person, env, and/or occupation OPPM - stage 6: implement plans through occupation -ANSWER- - implement interventions collaboratively - modify plan as needed - monitor and document process and progress

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