OTIE for Adult Psych Worksheet

Which section of the Initial Evaluation form contains information such as age, gender, and referral source?

• Occupational Performance Areas

• Client Factors

• Identifying Information

• Summary and Recommendations

"The client reports difficulty sleeping and concentrating" would most likely fall under:

• Presenting Problem

• Assessment Tools Used

• Intervention Plan

• Occupational History

Which section best describes the client's mental status and behavior upon initial contact?

• Summary of Findings

• Mental Status Examination

• Occupational History

• Referral Information

What section includes the client's past roles, routines, and interests?

• Goals and Objectives

• Occupational History

• Presenting Problem

• Intervention Plan

"The client presents with flat affect and poor eye contact." This would be documented under:

• Mental Status Examination

• Client Factors

• Occupational Performance

• Interview Notes

Which of the following would be found under the Assessment Tools Used section?

• COPM, ACLS, MOCA

• Sleep patterns, appetite, and energy levels

• Work history and leisure interests

• Clinical impressions and diagnosis

The phrase "Client is unable to initiate tasks without prompting" reflects:

• Intervention Plan

• Summary of Findings

• Occupational Performance Areas

• Mental Status Examination

Which section includes the client's short and long-term goals?

• Summary and Recommendations

• Plan of Care

• Goals and Objectives

• Occupational History

Information about the client's reason for seeking OT would fall under:

• Presenting Problem

• Background Information

• Occupational Profile

• Summary of Findings

Which section synthesizes all data gathered and suggests clinical impressions?

• Goals and Objectives

• Summary of Findings

• Client Factors

• Assessment Tools Used