Question 1

Individually identifiable health information _____________.

Accepted Answer

A)  Refers to only recent medical information about the client 
B)  Is also known as protected health information (PHI) 
C)  Can be disposed of with the regular trash 
D)  Can be shared casually among the client's family members 
A)  Refers to only recent medical information about the client 
B)  Is also known as protected health information (PHI) 
C)  Can be disposed of with the regular trash 
D)  Can be shared casually among the client's family members B

Question 2

Safety measures to prevent unauthorized persons from accessing client records include which of the following?

Accepted Answer

A)  Requiring personal identification and user verification codes for access to records 
B)  Sharing login pass codes among staff 
C)  Working on notes from home 
D)  Leaving computer up and accessible in front of clients 
A)  Requiring personal identification and user verification codes for access to records 
B)  Sharing login pass codes among staff 
C)  Working on notes from home 
D)  Leaving computer up and accessible in front of clients A

Question 3

Which of the following statements is not correct?

Accepted Answer

A)  Computerized documentation is becoming more common. 
B)  Computerized documentation can be used to record all aspects of the OT process from the evaluation report to the discharge report. 
C)  All documentation must be computerized. 
D)  Computerized documentation guarantees legibility and helps ensure that no areas are left uncompleted. 
A)  Computerized documentation is becoming more common. 
B)  Computerized documentation can be used to record all aspects of the OT process from the evaluation report to the discharge report. 
C)  All documentation must be computerized. 
D)  Computerized documentation guarantees legibility and helps ensure that no areas are left uncompleted. C

Question 4

An occupational profile does not include information about the client's ___________.

Accepted Answer

A)  Patterns of daily living 
B)  Occupational history and experiences 
C)  Values and interests 
D)  Needs 
E)  Past medical history 
A)  Patterns of daily living 
B)  Occupational history and experiences 
C)  Values and interests 
D)  Needs 
E)  Past medical history

Question 5

Which statement below is not true?

Accepted Answer

A)  HIPAA stands for the Health Insurance Portability and Accountability Act. 
B)  HIPAA clearly outlines the expectations of health care professionals in issues of confidentiality. 
C)  HIPAA provides federal protection of PHI. 
D)  There are no federal laws to protect the consumer against breaches of confidentiality. 
A)  HIPAA stands for the Health Insurance Portability and Accountability Act. 
B)  HIPAA clearly outlines the expectations of health care professionals in issues of confidentiality. 
C)  HIPAA provides federal protection of PHI. 
D)  There are no federal laws to protect the consumer against breaches of confidentiality.

Question 6

Which term below is not an example of skilled terminology?

Accepted Answer

A)  Analyze 
B)  Maintain 
C)  Facilitate 
D)  Design 
E)  Adapt 
A)  Analyze 
B)  Maintain 
C)  Facilitate 
D)  Design 
E)  Adapt

Question 7

Which term is not a section of a SOAP note?

Accepted Answer

A)  Subjective 
B)  Objective 
C)  Analysis 
D)  Plan 
A)  Subjective 
B)  Objective 
C)  Analysis 
D)  Plan

Question 8

The establishment of goals should be ______________.

Accepted Answer

A)  Determined by the therapist only 
B)  Determined by the doctor 
C)  Determined by the client and therapist collaboratively 
D)  Determined by the client's caregiver or guardian 
A)  Determined by the therapist only 
B)  Determined by the doctor 
C)  Determined by the client and therapist collaboratively 
D)  Determined by the client's caregiver or guardian

Question 9

The Medicare 700 form ________________.

Accepted Answer

A)  Does not require that all sections be completed 
B)  Is used for outpatient evaluations of Medicare clients 
C)  Has unlimited space for documentation 
D)  Can never be replaced with modified versions 
A)  Does not require that all sections be completed 
B)  Is used for outpatient evaluations of Medicare clients 
C)  Has unlimited space for documentation 
D)  Can never be replaced with modified versions

Question 10

Which of the choices below is not true of skilled services?

Accepted Answer

A)  They require analysis and modification of functional tasks. 
B)  They include provision of instructions to the client, family, or caregivers. 
C)  Evaluation is a skilled service. 
D)  No revising or readjusting of the program is necessary. 
A)  They require analysis and modification of functional tasks. 
B)  They include provision of instructions to the client, family, or caregivers. 
C)  Evaluation is a skilled service. 
D)  No revising or readjusting of the program is necessary.

Question 11

Which statement below is incorrect?

Accepted Answer

A)  Goals are written to reflect what the therapist will do. 
B)  Client-centered goals are written with input from the client. 
C)  Goals reflect what the client will do. 
D)  Goals should be measurable and objective and should include a time frame. 
A)  Goals are written to reflect what the therapist will do. 
B)  Client-centered goals are written with input from the client. 
C)  Goals reflect what the client will do. 
D)  Goals should be measurable and objective and should include a time frame.

Question 12

Narrative reasoning is used __________________.

Accepted Answer

A)  To help the therapist understand the client's disabilities, impairments, and performance contexts 
B)  To evaluate the meaning that occupational performance limitations might have on the client 
C)  When addressing practical realities associated with delivery of OT services 
D)  To determine the most appropriate therapy intervention to address the client's occupational performance needs 
A)  To help the therapist understand the client's disabilities, impairments, and performance contexts 
B)  To evaluate the meaning that occupational performance limitations might have on the client 
C)  When addressing practical realities associated with delivery of OT services 
D)  To determine the most appropriate therapy intervention to address the client's occupational performance needs

Question 13

Data recorded in the objective section of the note could include which of the following?

Accepted Answer

A)  Orders in the referral 
B)  Specific degrees of measurement of range of motion (ROM) 
C)  List of activities performed by the client 
D)  Interpretation of the client's measurements 
A)  Orders in the referral 
B)  Specific degrees of measurement of range of motion (ROM) 
C)  List of activities performed by the client 
D)  Interpretation of the client's measurements

Question 14

Which of the following is not included as subjective part of a SOAP note?

Accepted Answer

A)  Information reported by the doctor 
B)  Information reported by the client 
C)  Information reported by the caregiver 
D)  Information reported by the family 
A)  Information reported by the doctor 
B)  Information reported by the client 
C)  Information reported by the caregiver 
D)  Information reported by the family

Question 15

How often is documentation required?

Accepted Answer

A)  Daily 
B)  Weekly 
C)  Monthly 
D)  Whenever occupational therapy (OT) services are provided 
A)  Daily 
B)  Weekly 
C)  Monthly 
D)  Whenever occupational therapy (OT) services are provided

Exam 7: Documentation of Occupational Therapy Services

Individually identifiable health information _____________.

Safety measures to prevent unauthorized persons from accessing client records include which of the following?

Which of the following statements is not correct?

An occupational profile does not include information about the client's ___________.

Which statement below is not true?

Which term below is not an example of skilled terminology?

Which term is not a section of a SOAP note?

The establishment of goals should be ______________.

The Medicare 700 form ________________.

Which of the choices below is not true of skilled services?

Which statement below is incorrect?

Narrative reasoning is used __________________.

Data recorded in the objective section of the note could include which of the following?

Which of the following is not included as subjective part of a SOAP note?

How often is documentation required?

The Occupational Therapy Practice Framework and the Practice of Occupational Therapy for People With Physical Disabilities

The Occupational Therapy Practice Framework and the Practice of Occupational Therapy for People With Physical Disabilities

History and Practice Trends in Physical Dysfunction Intervention

Application of the Occupational Therapy Practice Framework to Physical Dysfunction

Evidence-Based Practice for Occupational Therapy

Health Promotion and Wellness for People With Physical Disabilities

Documentation of Occupational Therapy Services

Infection Control and Safety Issues in the Clinic

Infection Control and Safety Issues in the Clinic

Activities of Daily Living

Activities of Daily Living

Mobility

Mobility

Work Evaluation and Work Programs

Work Evaluation and Work Programs

Americans With Disabilities Act and Related Laws That Promote Participation in Work, leisure, and Activities of Daily Living

Leisure Occupations

Americans With Disabilities Act and Related Laws That Promote Participation in Work, leisure, and Activities of Daily Living

Leisure Occupations

Occupation-Based Functional Motion Assessment

Joint Range of Motion

Joint Range of Motion

Evaluation of Muscle Strength

Evaluation of Muscle Strength

Evaluation of Sensation and Intervention for Sensory Dysfunction

Evaluation of Sensation and Intervention for Sensory Dysfunction

Eating and Swallowing

Evaluation and Treatment of Visual Deficits Following Brain Injury

Evaluation and Pain Management

Evaluation and Pain Management

Orthotics

Orthotics

Traditional Sensorimotor Approaches to Intervention

Degenerative Diseases of the Central Nervous System

Cerebrovascular Accident Stroke

Spinal Cord Injury

Spinal Cord Injury

Disorders of the Motor Unit

Disorders of the Motor Unit

Arthritis

Arthritis

Hand and Upper Extremity Injuries

Low Back Pain

Hand and Upper Extremity Injuries

Burns and Burn Rehabilitation

Burns and Burn Rehabilitation

Amputations and Prosthetics

Amputations and Prosthetics

Oncology

HIV Infection and Aids

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