Recurring Themes in the NOTCE (adapted from online resources, author-references unknown) Questions and Answers Graded A+
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Course
NOCTE
Institution
NOCTE
Recurring Themes in the NOTCE (adapted from online resources, author-references unknown) Questions and Answers Graded A+
You have a client who doesn't speak English and need to communicate with them in some way about an assessment
Get a professional interpreter
You work in acute care; what i...
Recurring Themes in the NOTCE (adapted from online resources, author-
references unknown) Questions and Answers Graded A+
You have a client who doesn't speak English and need to communicate with them in some way about an assessment - answer Get a professional interpreter
You work in acute care; what is the main focus/goal to work on with client before discharge? – answer ADLs (bathing, toileting, dressing) or mobility-related
You work in mental health; first meeting with client; client expresses feelings of anxiety/distress/depression/anything else that is negative; what is the FIRST thing you should do? - answer Validate their feelings
You suspect any form of child abuse (reasonable grounds, doesn’t have to be explicitly said) - answer Report to child protection agency (e.g. Children's Aid Society)
When a new intervention is proposed or you need to explain an intervention to a colleague - answer review the literature or provide a colleague with the literature
When conducting a needs assessment - answer Interview/ talk to the people that the assessment involves
If client wants to meet outside of practice setting (possible boundary issue) - answerDon't just decline right away. Offer to discuss the issue at the clinic/office before going over boundaries with the client
When client has a known infectious disease (you read this in the chart) - answerReview the standards of infection control from the Public Health Agency of Canada
When client requests you do something outside of your scope - answerDiscuss your limitations and provide alternative options/referrals. Explain what you can competently do for them; you can also look to address knowledge gap by reviewing relevant resources
If you observe inappropriate behaviour between a client and vendor - answerIntervene right away in a polite manner (let's keep this professional) and discuss it with the vendor
after the session. DOCUMENT these actions in your personal OT notes (not client chart, unless interaction impacted client's behaviour/performance and/or your ability to carry out OT services)
When thinking of involving family members... - answerConsider burnout among family members. Don't put extra pressure on family to support the client, but rather seek out community supports, adaptive aids, and strategies for independence
In a school setting - answerBe realistic. Use the current resources available (i.e. assistants) and don't put more pressure on teachers to do more than they are capable of.
OT becomes aware of someone abusing funds/resources from a 3rd party company/insurance agency they are working for (e.g. client is sharing his meds with friends - this is costing the insurance company more money) - answerOTs have a duty to report this! in some way
When working for 3rd party companies and they do not understand/comply with your recommendations - answerEducate them on the benefits/risks of your intervention to express importance of it
discharging a patient home, what are the most important things to consider - answer1. Can they do safe transfers, ADLs (these come before strengthening, conditioning, dexterity, outpatient type things) 2. Can they get in the house (i.e can they do stairs, does there need to be a ramp or handrail installed) 3. Does the person have access to a FULL bathroom and bedroom. i. if on second level or basement install handrail if the person can do stairs (ideally both sides) ii. If the person is unable to do stairs, install stair lift?? - i think stairlift would be like if they have NO other way to enter the apt or get to a bathroom etc? Home mods as a last
resort yess agree!! - can always use a rolling commode on main floor and have caregiver empty it Reminder** access to bathroom and bedroom more important than access to basement
for laundry. And more realistic than modifying the home.
If family members or friends inquire about a client - answerDo not release any information without client's consent
If client asks you to act as a middle person.. - answerDon't act as a middle person/messenger between clients/families - collaborate and encourage conversations with family (e.g. if a client's wife is concerned about something or wants you to convince
the client to do something)
If a client does not agree with your recommendation - answerEnsure they understand and appreciate the risks of their decision
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