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Ethics in Rehabilitation: A Clinical Perspective for Occupational Therapists

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1.  Which of these is not a consideration in cases of negligence? A relationship between the parties must exist that creates a duty to act in a particular way The plaintiff must prove the therapy professional's conduct fell below the professionally reasonable standard of care The plaintiff must prove the health and rehabilitation profession's breach of the standard of care actually caused the damages suffered The plaintiff need not prove he or she suffered actual harm or damages.

2.  Medicare fraud most often occurs in the context of: Physician prescriptions Therapy billing and documentation Referrals from nursing staff for services Screens conducted in a nursing home

3.  Which of the following are most commonly seen by occupational therapists as ethical dilemmas in health care? Documentation lapses Employer demands Student supervision All of the above

4.  Which of these is considered to be the first step in analyzing any ethical dilemma? Determining the facts of the situation Identifying the interested parties Identifying the problem Performing right versus wrong tests

5.  Which of the following actions will help occupational therapists and assistants avoid ethical dilemmas? Take the time to read the Occupational Therapy Code of Ethics and your state practice act/licensure law Report ethical and legal violations Complete timely and thorough documentation All of the above

6.  Which of these is not considered to be a primary or basic principle of ethics with regard to therapy practice? Autonomy Beneficence Licensure Nonmaleficence

7.  Which of these could result in disciplinary action from one’s state licensing board? Failing to maintain adequate records Failing to provide adequate supervision Practicing outside the scope of one’s practice or using interventions for which one is not certified or trained All of the above

8.  All of these are prohibited by Medicare except: Billing for services where the patient was not present Billing for therapy services provided by students Billing for therapy codes that reimburse at a higher rate than the code provided Providing services not medically necessary

9.  Which of these is considered fraud? Billing for services never provided Billing by CPT code for services provided Getting behind or late on your documentation Creating a late entry document

10.  Which of these is true of the Occupational Therapy code of ethics? They are intended to express only the values of occupational therapists, not assistants One only needs to follow them if they are a member of the professional association (AOTA) They are intended to act as a guide for behavior in professional situations They provide an absolute guide to behavior or decision making in any given circumstance