,CHAPTER LIST Chapter 15: Community Ergonomics and
Prevention of Work-Related Injuries
Chapter 1: Historical and Philosophical
Perspectives of Community and Population Chapter 16: Work and Career Transitions
Health Practice
Chapter 17: Health Professional Well-
Chapter 2: Community and Population Being
Health Concepts
Chapter 18: Community Mental Health
Chapter 3: Theoretical Frameworks for Programs
Community-Based Practice
Chapter 19: Community-Based
Chapter 4: Population Health: An Approaches to Substance Use Epidemics
Occupational Perspective
Chapter 20: Addressing the Needs of the
Chapter 5: Program Planning and Needs Homeless
Assessment
Chapter 21: Community Reintegration
Chapter 6: Program Design and Services for Military Veterans
Implementation
Chapter 22: Promoting Occupational
Chapter 7: Program Evaluation Participation in Marginalized Populations
Chapter 8: Program Support: Innovation, Chapter 23: Telehealth
Entrepreneurship, and Business Acumen
Chapter 24: Lifestyle Redesign Programs
Chapter 9: Early Intervention Programs
Chapter 25: Occupational Therapy in
Chapter 10: From School to Community Primary Health-Care Settings
Transition Services
Chapter 26: Disaster Preparedness,
Chapter 11: Promoting Community Response, and Recovery
Inclusion and Integration for Youth
Chapter 27: Violence Prevention and
Chapter 12: Aging in Place and Home Mitigation
Modifications
Chapter 28: Future Directions in
Chapter 13: Driving and Community Community-Based and Population Health
Mobility Practice
Chapter 14: Low Vision Services in the
Community
,Chapter 1: Historical and Philosophical Perspectives of
Community and Population Health Practice
Book: Occupational Therapy in Community and Population Health Practice (3rd ed.)
Focus: Population health · Community context · Participation & occupation
Question styles: Scenario-based (dominant), concept clarification, “Best OT response”
MCQ 1
A city establishes a post-war rehabilitation program that places occupational therapists in
neighborhoods rather than hospitals to support veterans’ reintegration into work, family, and
civic life. This shift most directly reflects which historical driver of community-based OT
practice?
A. Advances in biomedical technology
B. Public health emphasis on population surveillance
C. Societal response to large-scale disruption of occupational roles
D. Privatization of healthcare delivery
Answer: C
Rationale:
Wars historically disrupted occupational roles at a population level (work, family, citizenship).
OT’s movement into communities emerged as a response to restoring participation and social
roles, not merely treating impairments. This aligns with population-level occupational
reengagement rather than biomedical or economic drivers.
Key words: War, reintegration, occupational roles, population disruption
MCQ 2
An OT working with a rural community prioritizes rebuilding daily routines, social participation,
and access to meaningful work after a factory closure. This approach most strongly reflects
which philosophical foundation of occupational therapy?
A. Reductionist biomedical philosophy
B. Occupational justice
C. Behaviorist conditioning
D. Acute care rehabilitation theory
,Answer: B
Rationale:
Occupational justice emphasizes equitable access to meaningful occupations and participation.
Addressing disrupted routines and work opportunities at a community level reflects OT’s
philosophical commitment to justice, inclusion, and participation beyond individual treatment.
Key words: Occupational justice, participation, community routines
MCQ 3
Which historical movement most strongly influenced OT’s early alignment with community and
population health practice?
A. Managed care reform
B. Social reform and settlement house movements
C. Evidence-based medicine initiatives
D. Technological specialization in hospitals
Answer: B
Rationale:
OT emerged alongside social reform movements that emphasized improving living conditions,
work, and social participation. Settlement houses and public health initiatives directly shaped
OT’s community orientation and population-level focus.
Key words: Social reform, settlement houses, public health roots
MCQ 4
A public health department partners with OTs to design neighborhood play spaces that
promote inclusion for children with disabilities. This collaboration best illustrates OT’s historical
commitment to:
A. Individual skill remediation
B. Environmental adaptation for occupational participation
C. Diagnostic classification
D. Clinical efficiency metrics
Answer: B
,Rationale:
OT philosophy emphasizes the interaction between person, environment, and occupation.
Designing inclusive environments supports participation at a population level, reflecting OT’s
longstanding community-based orientation.
Key words: Environment, inclusion, participation, community design
MCQ 5
Which statement best distinguishes early community-based OT practice from hospital-based
OT?
A. Community OT focused solely on prevention
B. Hospital OT emphasized social participation more than community OT
C. Community OT addressed collective occupational needs shaped by social context
D. Hospital OT ignored occupation altogether
Answer: C
Rationale:
Community-based OT historically addressed occupational needs shaped by social, political, and
environmental factors affecting groups and populations, whereas hospital-based OT focused
more narrowly on individual rehabilitation.
Key words: Community context, collective needs, population focus
MCQ 6
An OT advocates for accessible public transportation after recognizing that lack of mobility
limits employment for people with disabilities citywide. This action aligns most closely with
which philosophical principle?
A. Medical necessity
B. Occupational adaptation
C. Participation as a human right
D. Cost containment
Answer: C
,Rationale:
OT philosophy frames participation in meaningful occupation as a right. Addressing systemic
barriers like transportation reflects a population-health and rights-based approach rather than
individual adaptation alone.
Key words: Participation, human rights, systemic barriers
MCQ 7
Which societal change most strongly pushed OT to highlights issues of equity and justice in
community practice?
A. Expansion of private insurance
B. Disability rights movements
C. Growth of inpatient rehabilitation units
D. Increased specialization within OT
Answer: B
Rationale:
Disability rights movements reframed disability as a social and political issue, emphasizing
access, inclusion, and participation—core principles that strengthened OT’s population and
community focus.
Key words: Disability rights, equity, inclusion
MCQ 8
A community OT program targets housing design, employment access, and social inclusion
simultaneously. This integrated approach best reflects which historical understanding of
health?
A. Health as absence of disease
B. Health as individual responsibility only
C. Health as shaped by occupational, social, and environmental factors
D. Health as primarily genetic
Answer: C
, Rationale:
OT’s historical philosophy aligns with public health perspectives that view health as shaped by
social determinants and occupational participation, not merely disease status.
Key words: Social determinants, occupation, holistic health
MCQ 9
Which “Best OT response” most reflects Chapter 1’s philosophical stance?
A. “I will focus only on clients referred to me individually.”
B. “Community issues are beyond the OT scope.”
C. “I will address barriers to participation affecting groups, not just individuals.”
D. “Hospital-based practice is the highest form of OT.”
Answer: C
Rationale:
The chapter emphasizes OT’s population-level responsibility to address participation barriers
affecting communities and groups, rooted in its historical and philosophical foundations.
Key words: Best OT response, population practice, participation barriers
MCQ 10
OT’s early engagement with public health most strongly emphasized:
A. Acute symptom management
B. Disease surveillance only
C. Prevention, participation, and daily life engagement
D. Pharmaceutical compliance
Answer: C
Rationale:
OT historically aligned with public health through prevention, promotion of healthy routines,
and enabling meaningful participation in daily life, rather than disease tracking alone.
Key words: Prevention, public health, daily occupations
Prevention of Work-Related Injuries
Chapter 1: Historical and Philosophical
Perspectives of Community and Population Chapter 16: Work and Career Transitions
Health Practice
Chapter 17: Health Professional Well-
Chapter 2: Community and Population Being
Health Concepts
Chapter 18: Community Mental Health
Chapter 3: Theoretical Frameworks for Programs
Community-Based Practice
Chapter 19: Community-Based
Chapter 4: Population Health: An Approaches to Substance Use Epidemics
Occupational Perspective
Chapter 20: Addressing the Needs of the
Chapter 5: Program Planning and Needs Homeless
Assessment
Chapter 21: Community Reintegration
Chapter 6: Program Design and Services for Military Veterans
Implementation
Chapter 22: Promoting Occupational
Chapter 7: Program Evaluation Participation in Marginalized Populations
Chapter 8: Program Support: Innovation, Chapter 23: Telehealth
Entrepreneurship, and Business Acumen
Chapter 24: Lifestyle Redesign Programs
Chapter 9: Early Intervention Programs
Chapter 25: Occupational Therapy in
Chapter 10: From School to Community Primary Health-Care Settings
Transition Services
Chapter 26: Disaster Preparedness,
Chapter 11: Promoting Community Response, and Recovery
Inclusion and Integration for Youth
Chapter 27: Violence Prevention and
Chapter 12: Aging in Place and Home Mitigation
Modifications
Chapter 28: Future Directions in
Chapter 13: Driving and Community Community-Based and Population Health
Mobility Practice
Chapter 14: Low Vision Services in the
Community
,Chapter 1: Historical and Philosophical Perspectives of
Community and Population Health Practice
Book: Occupational Therapy in Community and Population Health Practice (3rd ed.)
Focus: Population health · Community context · Participation & occupation
Question styles: Scenario-based (dominant), concept clarification, “Best OT response”
MCQ 1
A city establishes a post-war rehabilitation program that places occupational therapists in
neighborhoods rather than hospitals to support veterans’ reintegration into work, family, and
civic life. This shift most directly reflects which historical driver of community-based OT
practice?
A. Advances in biomedical technology
B. Public health emphasis on population surveillance
C. Societal response to large-scale disruption of occupational roles
D. Privatization of healthcare delivery
Answer: C
Rationale:
Wars historically disrupted occupational roles at a population level (work, family, citizenship).
OT’s movement into communities emerged as a response to restoring participation and social
roles, not merely treating impairments. This aligns with population-level occupational
reengagement rather than biomedical or economic drivers.
Key words: War, reintegration, occupational roles, population disruption
MCQ 2
An OT working with a rural community prioritizes rebuilding daily routines, social participation,
and access to meaningful work after a factory closure. This approach most strongly reflects
which philosophical foundation of occupational therapy?
A. Reductionist biomedical philosophy
B. Occupational justice
C. Behaviorist conditioning
D. Acute care rehabilitation theory
,Answer: B
Rationale:
Occupational justice emphasizes equitable access to meaningful occupations and participation.
Addressing disrupted routines and work opportunities at a community level reflects OT’s
philosophical commitment to justice, inclusion, and participation beyond individual treatment.
Key words: Occupational justice, participation, community routines
MCQ 3
Which historical movement most strongly influenced OT’s early alignment with community and
population health practice?
A. Managed care reform
B. Social reform and settlement house movements
C. Evidence-based medicine initiatives
D. Technological specialization in hospitals
Answer: B
Rationale:
OT emerged alongside social reform movements that emphasized improving living conditions,
work, and social participation. Settlement houses and public health initiatives directly shaped
OT’s community orientation and population-level focus.
Key words: Social reform, settlement houses, public health roots
MCQ 4
A public health department partners with OTs to design neighborhood play spaces that
promote inclusion for children with disabilities. This collaboration best illustrates OT’s historical
commitment to:
A. Individual skill remediation
B. Environmental adaptation for occupational participation
C. Diagnostic classification
D. Clinical efficiency metrics
Answer: B
,Rationale:
OT philosophy emphasizes the interaction between person, environment, and occupation.
Designing inclusive environments supports participation at a population level, reflecting OT’s
longstanding community-based orientation.
Key words: Environment, inclusion, participation, community design
MCQ 5
Which statement best distinguishes early community-based OT practice from hospital-based
OT?
A. Community OT focused solely on prevention
B. Hospital OT emphasized social participation more than community OT
C. Community OT addressed collective occupational needs shaped by social context
D. Hospital OT ignored occupation altogether
Answer: C
Rationale:
Community-based OT historically addressed occupational needs shaped by social, political, and
environmental factors affecting groups and populations, whereas hospital-based OT focused
more narrowly on individual rehabilitation.
Key words: Community context, collective needs, population focus
MCQ 6
An OT advocates for accessible public transportation after recognizing that lack of mobility
limits employment for people with disabilities citywide. This action aligns most closely with
which philosophical principle?
A. Medical necessity
B. Occupational adaptation
C. Participation as a human right
D. Cost containment
Answer: C
,Rationale:
OT philosophy frames participation in meaningful occupation as a right. Addressing systemic
barriers like transportation reflects a population-health and rights-based approach rather than
individual adaptation alone.
Key words: Participation, human rights, systemic barriers
MCQ 7
Which societal change most strongly pushed OT to highlights issues of equity and justice in
community practice?
A. Expansion of private insurance
B. Disability rights movements
C. Growth of inpatient rehabilitation units
D. Increased specialization within OT
Answer: B
Rationale:
Disability rights movements reframed disability as a social and political issue, emphasizing
access, inclusion, and participation—core principles that strengthened OT’s population and
community focus.
Key words: Disability rights, equity, inclusion
MCQ 8
A community OT program targets housing design, employment access, and social inclusion
simultaneously. This integrated approach best reflects which historical understanding of
health?
A. Health as absence of disease
B. Health as individual responsibility only
C. Health as shaped by occupational, social, and environmental factors
D. Health as primarily genetic
Answer: C
, Rationale:
OT’s historical philosophy aligns with public health perspectives that view health as shaped by
social determinants and occupational participation, not merely disease status.
Key words: Social determinants, occupation, holistic health
MCQ 9
Which “Best OT response” most reflects Chapter 1’s philosophical stance?
A. “I will focus only on clients referred to me individually.”
B. “Community issues are beyond the OT scope.”
C. “I will address barriers to participation affecting groups, not just individuals.”
D. “Hospital-based practice is the highest form of OT.”
Answer: C
Rationale:
The chapter emphasizes OT’s population-level responsibility to address participation barriers
affecting communities and groups, rooted in its historical and philosophical foundations.
Key words: Best OT response, population practice, participation barriers
MCQ 10
OT’s early engagement with public health most strongly emphasized:
A. Acute symptom management
B. Disease surveillance only
C. Prevention, participation, and daily life engagement
D. Pharmaceutical compliance
Answer: C
Rationale:
OT historically aligned with public health through prevention, promotion of healthy routines,
and enabling meaningful participation in daily life, rather than disease tracking alone.
Key words: Prevention, public health, daily occupations
