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Acute Care Occupational Therapy: Clinical Reasoning, Patient Safety, And Professional Confidence

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1.  Which of the following is a key component in improving self-efficacy and building confidence for an occupational therapy practitioner in acute care?
  1. Focusing primarily on productivity expectations
  2. Avoiding interdisciplinary communication to reduce stress
  3. Increasing clinical knowledge regarding decision-making, patient safety, and the OT process
  4. Limiting rapport-building with colleagues to save time
2.  Which of the following pulmonary findings would be considered a "red flag" or contraindication that requires an OT to stop and analyze the situation before proceeding?
  1. Stable oxygen requirement at 2 L/min
  2. A nonproductive cough
  3. An untreated pneumothorax or a chest tube placed without X-ray confirmation
  4. History of COPD and hypertension
3.  In the context of orthopedic safety, which scenario represents a red flag that should delay or modify occupational therapy intervention?
  1. A patient with a weight-bearing status of "as tolerated" (WBAT)
  2. A fracture that does not yet have clear mobility orders or a patient scheduled for surgery
  3. A patient who is independent with most ADLs
  4. Use of a front-wheeled walker for ambulation
4.  What is a common barrier or fear often experienced by new therapists or those transitioning to an acute care setting for the first time?
  1. Navigating hierarchy dynamics and the fear of displaying a lack of experience in stressful situations
  2. Using the SBAR mnemonic for communication
  3. Collaborating with case management on equipment
  4. Understanding the importance of safety and function in discharge planning
5.  How can early career occupational therapists best mitigate the feelings of anxiety and isolation associated with "imposter syndrome" in the acute care setting?
  1. By ignoring the feelings until they go away naturally
  2. By avoiding complex medical-surgical settings
  3. By strictly following intuition without performing a clinical analysis
  4. By normalizing the phenomenon and promoting confidence through exposure to acute care knowledge