OT Analysis & Practice Management 2 — Questions and Answers
Question 1: Which occupational analysis framework focuses on the transaction between the person, environment, and occupation to understand performance?
- Person-Environment-Occupation (PEO) Model (Correct answer)
- Biomechanical Frame of Reference
- Sensory Integration Theory
- Cognitive Disabilities Model
Correct answer: Person-Environment-Occupation (PEO) Model
The PEO Model examines the dynamic transaction among person, environment, and occupation to identify where performance issues arise.
Question 2: A private OT practice is considering hiring a certified occupational therapy assistant (COTA). Which supervision requirement must the OTR fulfill under AOTA guidelines?
- Daily on-site supervision for all tasks
- Routine and general supervision appropriate to setting and COTA competency (Correct answer)
- Supervision only during the initial 90-day probationary period
- Supervision is not required once competency is established
Correct answer: Routine and general supervision appropriate to setting and COTA competency
AOTA guidelines require OTRs to provide routine and general supervision of COTAs, with intensity varying by setting, task complexity, and COTA experience.
Question 3: During activity analysis, an OT determines that a client's ability to sequence steps in meal preparation is impaired. Which domain area of the Occupational Therapy Practice Framework (OTPF) is most directly affected?
- Motor skills
- Process skills (Correct answer)
- Social interaction skills
- Sensory-perceptual skills
Correct answer: Process skills
Process skills, including sequencing and adapting, are performance skills within the OTPF that directly affect multi-step task completion.
Question 4: An OT clinic wants to implement a new group therapy program but lacks evidence for its effectiveness. What is the BEST first step in evidence-based practice?
- Begin the program and evaluate outcomes after 6 months
- Formulate a PICO question and conduct a systematic literature search (Correct answer)
- Survey therapists in similar clinics about their practices
- Use the program from the most respected OT textbook available
Correct answer: Formulate a PICO question and conduct a systematic literature search
Formulating a PICO question and conducting a literature search is the foundational step in evidence-based practice before implementing any new intervention.
Question 5: A hospital-based OT department wants to track patient outcomes to justify staffing levels to administration. Which type of outcome measure is MOST appropriate?
- Standardized norm-referenced assessments
- Functional Independence Measure (FIM) or similar functional status tools (Correct answer)
- Patient satisfaction surveys only
- Therapist productivity logs
Correct answer: Functional Independence Measure (FIM) or similar functional status tools
Functional status tools like the FIM demonstrate change in patients' ability to perform daily activities and directly support staffing justification arguments.
Question 6: When conducting a task analysis for a client with limited grip strength, which activity demand should the OT assess FIRST?
- Social demands of the activity
- Required actions and performance skills (Correct answer)
- Timing and sequencing of steps
- Cultural meaning of the activity
Correct answer: Required actions and performance skills
Required actions and performance skills directly capture the physical demands — including grip — that must be matched to the client's current abilities.
Question 7: An OT working in a school setting observes that a student's fine motor deficits impact handwriting. To comply with IDEA, the OT's intervention must be documented as:
- A medical necessity in the student's health record
- A related service supporting the student's educational goals in the IEP (Correct answer)
- An optional enrichment activity approved by parents
- A physician-prescribed intervention plan
Correct answer: A related service supporting the student's educational goals in the IEP
Under IDEA, OT in schools is a related service and must be documented within the Individualized Education Program (IEP) tied to educational goals.
OT Analysis & Practice Management 2
Which occupational analysis framework focuses on the transaction between the person, environment, and occupation to understand performance?