Question 1

Family-centered care is often a hallmark approach in pediatric hospitals. It is characterized by all of the following, but not :

Accepted Answer

A)   Clear descriptions in communicating evaluation results
B)   Input from family on expected intervention outcomes
C)   Mutually agreed upon treatment plan
D)   Family-led team meetings D

Question 2

Teamwork in hospital settings is common. Specific relationships within teams may vary based on child and family needs. What style of teamwork is most commonly employed within occupational therapy services?

Accepted Answer

A)   Multidisciplinary care
B)   Interdisciplinary and transdisciplinary approaches
C)   Specialized care consultation
D)   Family-centered consultation and care B

Question 3

Care of children in hospitals can include all of these settings, but usually not:

Accepted Answer

A)   Trauma centers
B)   School buildings
C)   General hospitals
D)   Children's hospitals B

Question 4

Evidence-based approaches in occupational therapy hospital-based care commonly address clinical issues, such as:

Accepted Answer

A)   Effectiveness of specific interventions
B)   Complications with medical disorders
C)   Frequency patterns of specific diagnostic conditions
D)   Cost-effectiveness of service units

Question 5

Skill and functional retraining may be organized around familiar performance routines and habits, yet new skill learning may necessitate cueing. What approaches might be best used first in providing cues?

Accepted Answer

A)   Written or pictorial/diagram cues for specific routines
B)   Audiotapes with sequential directions given
C)   Child-specific development and memorization of steps in a routine
D)   Verbal cueing for step and error correction

Question 6

Children's hospitals designed, staffed, and organized to support children and families may include all but usually not the following?

Accepted Answer

A)   Child life specialists
B)   Volunteers
C)   Specially designed family and play settings
D)   Locked units with restricted access

Question 7

Assistive devices can be used to enable or enhance functional skills, and can generally be used when:

Accepted Answer

A)   Ensuring safety and immediate or permanent functional recovery
B)   Funding is available to purchase needed devices
C)   Recovery of physical capacities is not possible
D)   Substitution for skill limitations are needed

Question 8

Intensive care units may create fears, disorientation, and sensory deprivation among children and families. To minimize these effects, occupational therapists may help by:

Accepted Answer

A)   Establishing a routine for the child and providing purposeful activities to facilitate cognitive, psychosocial, and motor functions
B)   Ensuring safety precautions and body fluid protections
C)   Attending to medical monitoring devices and ensuring the reporting of changes in status in response to treatments
D)   Addressing range of motion, skin protection, and postural needs

Question 9

Intervention goal setting in pediatric hospital settings should include:

Accepted Answer

A)   Clearly stated, measurable, and functionally relevant
B)   ADL and IADL performance outcomes
C)   Normative-based outcomes of skills and functions
D)   Family- and client-centered hopes

Question 10

Hospitalization of children is most common because of which of the following?

Accepted Answer

A)   Respiratory and gastrointestinal disorders
B)   Neurologic and musculoskeletal disorders
C)   Rehabilitation needs
D)   Psychological and psychiatric needs

Question 11

Evaluations by occupational therapists in hospital settings may include a number of approaches and techniques. Select the sequence most commonly employed in medical settings.

Accepted Answer

A)   Role assessment, functional capacities, skill observation, physical measures
B)   Physical examination, objective measures, occupational role appraisal, occupational attitudes
C)   Goal setting, occupational performance skills, physical capacities, context appraisal
D)   Clinical interview, clinical observation, physical examination, standardized assessments

Question 12

Occupational therapists in hospital settings may be characterized as addressing which of the following?

Accepted Answer

A)   Common disorders that necessitate specialty equipment
B)   Low frequency but highly complex medical conditions
C)   Chronic medical conditions with developmental complications
D)   Acute medical problems that need preventative care

Question 13

Occupational therapy services in hospital settings are often prioritized. Select the best characterization of priority levels from most to least important.

Accepted Answer

A)   ADL, IADL, school and community participation
B)   Infection control, hand washing, fall prevention
C)   Prevention, resuming function, restoring skills and abilities
D)   Client- and family-centered goals, regulatory requirements, evidence-based practices

Exam 26: Hospital and Pediatric Rehabilitation Services