Domain 04: Competency and Practice ManagementDifficulty 3/5
Which documentation entry best demonstrates skilled occupational therapy service?
- AOTR graded the task by reducing cues and adapting the fastener, improving performance
- BClient ambulated to the therapy gym and participated in the scheduled activities
- CClient was pleasant and cooperative throughout the forty-five-minute session
- DClient completed dressing with minimal assistance and tolerated the session well
Show answer and rationale
Correct: A. Skilled documentation shows what required the therapist's expertise — analysis, grading, adaptation — and the client's response. Statements of participation, tolerance or demeanour do not demonstrate skilled need.
- D — Assistance level alone does not show what the therapist contributed.
- B — Attendance and participation are not skilled service.
- C — Demeanour is irrelevant to medical necessity.