lOMoARcPSD|26582732
ATI HESI Pediatrics
with answers 2025
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 inter-
rater (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
Downloaded by NELSON KIIRU ()
ATI HESI Pediatrics
with answers 2025
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
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
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
Downloaded by NELSON KIIRU ()
, lOMoARcPSD|26582732
Types of reliability - test-retest inter-
rater (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
Downloaded by NELSON KIIRU ()
