Chapter 22

Question 1

By what age should a child create complex play with multiple steps?

Answer 1

30-36 months

Question 2

Therapists should engage in constant positive feedback to help develop skill mastery.

Answer 2

False

Question 3

Within the coaching model, which phase occurs when the coach and learner agree that identified outcomes have been achieved?

Answer 3

Resolution

Question 4

What service delivery model best addresses the needs of children from birth through two who have an established risk, have a developmental delay, or are considered to be environmentally or biologically at risk?

Answer 4

Early Intervention

Question 5

What is the least “natural environment” for therapy to take place in early intervention?

Answer 5

A clinic

Question 6

What service delivery model best addresses the needs of children from birth through two who have an established risk, have a developmental delay, or are considered to be environmentally or biologically at risk?

Answer 6

Early Intervention

Question 7

T/F: In 1986, the Individuals with Disabilities Act (IDEA) was established to incentivize states to develop a program focused on family-centered care for infants.

Answer 7

False

Question 8

T/F: Neural plasticity is greatest between the ages of 2-3.

Answer 8

False

Question 9

What is an IFSP?

Answer 9

Individualized Family Services Plans

Question 10

What three areas must a state report the percentage of improvement in infants and toddlers?

Answer 10

1. Positive social-emotional skills (Social Relationships)
2. Acquisition and use of knowledge and skills (Early language and communication).
3. use of appropriate behaviors to meet the needs .

Question 11

What three areas must a state report the percentage of improvement in families?

Answer 11

1. Family knowledge of their rights
2. Family ability to communicate their child’s need effectively
3. Family’s ability to help their child develop and learn.

Question 12

T/F: Occupational therapy is a secondary, or support, service as outlined in Part C of IDEA.

Answer 12

False. It’s primary.

Question 13

What type of perspective encourages an occupational therapist to recognize the influence and inter-relationships of the family within various systems?

Answer 13

Family System Perspective

Question 14

What are four important aspects of family-centered practices during the evaluation process?

Answer 14

1. family is treated with respect
2. The evaluation should be individualized, flexible, responsive to the family’s culture and preferences
3. The child and family strengths should be emphasized rather than focusing on deficits areas
4. The family’s expertise should be valued, and they should be included as a partner in all decision making.

Question 15

What determines eligibility of early intervention services?

Answer 15

The interdisciplinary team from the medical records, developmental history, family
interviews, child and family observations, and information from other professionals in addition to standardized assessments.

Question 16

When does planning begin to support the transition from IFSP (Part C) to IEP (Part B)?

Answer 16

When the child turns 2 years.

Question 17

T/F: Some families may be required to pay a co-pay for their early intervention services.

Answer 17

True

Question 18

What is the least “natural environment” for therapy to take place in early intervention?

Answer 18

Clinic

Question 19

T/F: When skills are learned in a natural setting, they are more likely to be generalized in more activities and environments.

Answer 19

True

Question 20

What approach is defined as the interaction between someone who has specialized knowledge and skills to share and someone who has intimate knowledge of a child’s abilities, challenges, and typical performance?

Answer 20

Coaching Families

Question 21

Within the coaching model, which phase is best described as the identification of a need, followed by joint planning?

Answer 21

Initiation

Question 22

Within the coaching model, which phase is best described as activities taking place when the coach and learner are not in contact?

Answer 22

Action

Question 23

Within the coaching model, which phase includes the coach using questioning and reflective learning?

Answer 23

Reflection

Question 24

Within the coaching model, which phase occurs when the coach and learner agree that identified outcomes have been achieved?

Answer 24

Resolution

Question 25

T/F: Telehealth is an inappropriate delivery model for early intervention

Answer 25

False

Question 26

What are the three primary outcomes for occupational therapy interventions in early intervention?

Answer 26

Play, Social Participation and Self-care

Question 27

What is the most important childhood occupation?

Answer 27

Play

Question 28

What four parameters create successful engagement of an infant or toddler during intervention? By what age should a child explore objects?

Answer 28

2 to 4 Months

Question 29

By what age should a child relate one object to another?

Answer 29

6 to 10 Months

Question 30

By what age should a child relate objects in a social, conventional manner?

Answer 30

10 to 12 Months

Question 31

By what age should a child relate objects to self in pretend?

Answer 31

12 to 18 Months

Question 32

By what age should a child extend familiar actions to dolls and figures?

Answer 32

18 to 24 Months

Question 33

By what age should a child include dolls or figures in a short action scenario?

Answer 33

24 to 30 Months

Question 34

By what age should a child create complex play with multiple steps?

Answer 34

30 to 36 Months

Question 35

T/F: Therapists should engage in constant positive feedback to help develop skill mastery.

Answer 35

False

Question 36

Describe at least three assistive technology supports for children during play:

Answer 36

Adapted seating Adapted Stander Adapted Toys

Question 37

What type(s) of technique(s) best support(s) sleep?

Answer 37

Sensory strategies; rocking, music, total darkness, fan, white noise

Question 38

What is not a part of routine-based interviews (RBI)?

Answer 38

Therapist-led intervention during family routines