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NATIONAL OCCUPATIONAL THERAPY
CERTIFICATION EVALUATION SCRIPT 2026
FULL SOLUTION
โ Activities of Daily Living (ADL). Answer: Activities involved in taking care of ones own body. Bathing, grooming, eating, feeding, toileting, sleep/rest. โ Acute Care. Answer: The first level of care. Sudden & short-term need for services, typically seen in a hospital. โ Adaptation. Answer: A change in function that promotes survival and self-actualization. โ Adolf Meyer. Answer: Swiss physician, holistic approach use as occupation for mental illness, 1921 keynote address "The Philosophy of Occupational Therapy" โ 7 Principles in Code of Ethics. Answer: 1. Beneficence-contribute to the good health & welfare of client.
- Nonmaleficence-should not inflict harm on a client
- Autonomy & Confidentiality- client's freedom to decide and freedom to act
- Social Justice- provide services in a fair and equitable manner to all
- Procedural Justice- comply with the laws & regulations that guide the profession
- Veracity- duty of health care professional to tell the truth
- Fidelity- maintain confidentiality โ Federal Statues. Answer: laws enacted by the legislative branch HIPAA, IDEA, ADA, SS amendment of 1965 โ Regulations. Answer: describe how the intent of the law will be carried out โ State Statues. Answer: passed by state legislatures โ Licensure. Answer: ensures that the person delivering services has obtained a degree of compentency
โ Occupation. Answer: ordinary & familiar things people do everyday โ Americans with Disabilities Act of 1990. Answer: legislation that provides civil rights to all individuals with disabilities โ American Occupational Therapy Association (AOTA). Answer: formerly called the National Society for the Promotion for Occupational Therapy โ areas of occupation. Answer: life activities including (ADL) & instrumental activities of daily living (IADL) โ Autonomy. Answer: freedom to decide & freedom to act โ Axiology component. Answer: part of philosophy concerned with the study of values. client-centered care, quality of life, and ethics fall under axiology โ Balanced Budget Act. Answer: intended to reduce medicare spending โ Beneficence. Answer: principle that requires the OT to contribute to the good health & welfare of client
โ Benjamin Rush. Answer: Quaker, first physician to institute Moral Treatment โ Civilian Vocational Rehab Act. Answer: provided federal funds to states to provide vocational rehab services to civilians with disabilities โ client-centered approach. Answer: client, family, and significant others are active participants through the therapeutic process. only the clients can determine their quality of life, they must help the OT understand their experience โ client factors. Answer: activities consisting of body functions & body structures used to assess functioning, disability & health โ consultation. Answer: a type of intervention which OTs collaborate with the client, caregivers, significant others or providers โ Context. Answer: setting which the occupation occurs; includes cultural, physical, social, personal, spiritual, temporal & virtual conditions within & surrounding the client
โ Evaluation. Answer: process of obtaining and interpreting data to understand the individual and design appropriate treatment โ evidence based practice. Answer: basing practice on the best available research evidence โ Fidelity. Answer: faithfulness โ FOR Frame of Reference. Answer: system that applies theory & put principles into practice, providing OTs with specifics on how to treat specific clients โ George Edward Barton. Answer: architect, opened Consolation House for convalescent pts., where occupation was used as a method of treatment, tuberculosis, foot amputee studied under Morris with A&C โ Goal. Answer: end toward which effort is directed โ Handicapped Infants & Toddlers Act of 1996. Answer: amendment to Education for All Handicapped Children Act includes children 3- 5 and birth- 3
โ Herbert Hall. Answer: physician, adapted A&C movement, Harvard, neurasthenia treatment, "work-cure" โ Holistic. Answer: approach deems each individual should be viewed as a complete unified whole rather than a series of parts or problems โ Humanism. Answer: client should be treated as a person, not an object โ Individuals with Disabilities Education Act (IDEA) 1991. Answer: requires schools to educate students with disabilities in the (LRE) โ (IADL). Answer: activities such as; meal prep, money management, care of others โ Interrater reliability. Answer: measure of likelihood that test scores will be the same, no matter who the examiner is โ Intervention. Answer: approach that involves working with the client through therapy to reach client goals โ justice. Answer: all OTs abide by the laws that govern the practice & the rights of the client
โ National Board for Certification in Occupational Therapy (NBCOT). Answer: organization responsible for administering the national certification examination โ National Society for the Promotion of Occupational Therapy. Answer: formed March 15, 1917; marked birth of the profession of OT โ Nonmaleficence. Answer: principle that instructs the practitioner to not inflict harm to the client โ Non-standardized tests. Answer: tests that do not provide specific guidelines based on normative sample; do not require standardized procedures โ observation. Answer: gathering info about a person or environment by watching & noticing โ occupation. Answer: activity one engages in that is meaningful & central to ones identity โ Occupation as a means. Answer: use of a specific occupation to bring about a change in the client's performance
โ Occupation as an end. Answer: the desired outcome or product of intervention "goal" โ occupational therapy. Answer: goal directed activity that promotes independence in function; practice of using occupations & purposeful activities to promote function and participation in life activities โ Occupational Therapist. Answer: allied health professional who uses occupation, purposeful activity, simulated activities, & preparatory methods to maximize the health & independence of a client who is limited by physical injury or illness, mental illness, learning disability, etc โ occupational therapy process. Answer: interaction between two agents involved in the process-the practitioner & client โ perceived self. Answer: what we think others see; โ Philippe Pinel. Answer: physician, advocated humane treatment of mentally ill patients in 1700's โ preparatory methods. Answer: activities that address the remediation & restoration of problems associated with client factors needed to resume their roles & daily occupations
โ standards of practice. Answer: guidelines for the delivery of occupational therapy services โ Susan Cox Johnson. Answer: occupation could be "morally uplifting" pushed for standardization of training โ Susan Tracy. Answer: nurse, involved in A&C, trained nursed in use of occupations, author of 1st known book on OT โ Test-retest reliability. Answer: measure of the consistency of the results of a given test from โ A&C Movement. Answer: Ruskin & Morris โ Thomas Kidner. Answer: architect/teacher, vocational rehab & tuberculosis treatment, constructed institutions โ 1945. Answer: completion of examination became a requirement for registering as OT โ Hill-Burton Act. Answer: federal funding for hospitals and health care facilities
โ 1921. Answer: changed name fro National Society for the Promotion for Occupational Therapy to AOTA โ NBCOT seperates from AOTA. Answer: 1986 โ Occupational Therapy Framework: Domain & Process. Answer: 2008 โ who came up with National Society of the Promotion of Occupational Therapy. Answer: George Barton, William Dunton, Eleanor Clark Slagle, Susan Cox Johnson, Thomas Kidner, Isabel Newton โ Occupational Therapy Scope of Practice. Answer: model for state licensure laws โ (WFOT) World Federation of Occupational Therapists. Answer: governs OT schools outside of U.S. โ licensure. Answer: makes sure we are who we say we are โ Conceptual Foundations of OT. Answer: 1. Theory
- Model of Practice
- Frame of Reference
" of becoming dependent on another person for survival overdeveloped sense of responsibility feelings of guilt & grief inability to relax & have fun spontaneously harsh self-criticism tendency to lie, even when it's not necessary โ introjected values. Answer: values passed down from family or learned through society. ex. sexual desires are mostly bad โ communication. Answer: is key & critical โ Domains. Answer: 1. occupations-everyday things people do & are essential to one's identity
- client factors- values, beliefs, spirituality, body functions & body structures
- performance skills- small units of performance: motor, process, sensory, perceptual, cognitive skills
- performance patterns- clients habits, routines, roles & rituals
- context & environment-setting in which the occupation occurs โ 3 headings within the "Process". Answer: 1. Evaluation Process
- Intervention Process
- Targeting of Outcomes โ establishing a therapeutic relationship is:. Answer: key to a successful outcome โ validity. Answer: measures what it measures โ reliability. Answer: consistently measures what it measures โ theory. Answer: set of ideas that help explain things & how they work โ therapeutic relationship. Answer: interaction between an OT or OTA and client in which the OT is responsible for facilitating the healing & rehabilitation process โ truthfulness. Answer: demonstrating through behavior that is accountable, honest, & accurate
โ professional philosophy. Answer: set of values, beliefs, truths, & principles that guide the OTs actions โ belief in the holistic approach is:. Answer: core concept of the OT profession โ occupational performance. Answer: ability to carry out activities of daily life โ phenomenological. Answer: what is meaningful & that which provides satisfaction to an individual โ philosophy of the profession addresses:. Answer: nature of humankind, ethical practice, & rules of conduct โ philosophical principles of the profession. Answer: holistic & humanistic approach, occupation, purposeful activity, adaptation, and quality of life โ The goal of OT. Answer: to increase the individual's independence in any area of occupational performance
โ Using ethical decision making guidelines:. Answer: helps OTs make professionally sound decisions โ The OTPF. Answer: was developed to help practitioner's use the language & constructs of occupation to serve clients and educate consumers โ The OTPF. Answer: clearly & concisely describes the occupational therapy profession, including the process and terminology, for students, clinicians & consumers โ occupations are:. Answer: the everyday things people do & are essential to one's identity โ "Occupational Therapy Process". Answer: Evaluation- occupational profile & analysis of occupational performance profile provides: background info on client's goals, habits, occupations & history Intervention-plan that is developed once evaluation is complete & OT determines client's strengths & weaknesses & analyzes areas of performance and contexts in which occupations are performed plan includes: description of goals & objectives of intervention
