I85PREP
⌘ K
Michigan OT Jurisprudence study materials
Michigan OT Jurisprudence study resources

Michigan OT Jurisprudence practice questions

One question at a time. Build your Michigan OT Jurisprudence understanding.

First 50 of 200 questions. Each one lists the choices, the correct answer, and an explanation. The checker at the top of this page saves progress in this browser when it is available.

Continue in the practice tool above to load more questions, 50 at a time.

Question 1Michigan Public Health Code requirements for occupational therapists

Under the Michigan Public Health Code, which entity is responsible for issuing a license to practice occupational therapy in Michigan?

  1. The National Board for Certification in Occupational Therapy
  2. The Michigan Occupational Therapy Association
  3. The Michigan Department of Licensing and Regulatory Affairs through the Board of Occupational Therapy Correct answer.
  4. The local county health department

Explanation

The Public Health Code assigns occupational therapy licensure to the state licensing department, which acts through the Board of Occupational Therapy. NBCOT certifies but does not license, and a professional association has no licensing authority.

Question 2Michigan Public Health Code requirements for occupational therapists

Which credential must an individual hold before the Michigan Board of Occupational Therapy will grant a license to practice as an occupational therapist?

  1. A master's degree in any health field and two years of supervised practice
  2. Membership in the state occupational therapy association
  3. A current CPR certification and a background check only
  4. A passing score on a jurisprudence exam and graduation from an accredited OT program Correct answer.

Explanation

Michigan requires graduation from an accredited occupational therapy program plus passing the required examinations, including the jurisprudence exam, before licensure. A degree in an unrelated health field or association membership does not substitute.

Question 3Michigan Public Health Code requirements for occupational therapists

An occupational therapist moves to Michigan from another state where she holds an active OT license. What does the Public Health Code require before she may treat patients in Michigan?

  1. Registering with the state association instead of applying for a license
  2. Obtaining a Michigan license, which may be granted based on licensure in another state under board rules Correct answer.
  3. Practicing immediately because licensure is reciprocal nationwide
  4. Working only under a physician's supervision without a license

Explanation

Michigan licenses occupational therapists at the state level; an out-of-state license does not automatically authorize practice. The board may license applicants based on licensure in another jurisdiction under its rules, but a Michigan license must be obtained.

Question 4Michigan Public Health Code requirements for occupational therapists

Which activity falls within the scope of occupational therapy practice as defined under the Michigan Public Health Code?

  1. Evaluating and treating a client's ability to perform daily living and work tasks Correct answer.
  2. Ordering radiographs to confirm a fracture
  3. Diagnosing and prescribing medication for a psychiatric condition
  4. Performing spinal manipulation to correct a musculoskeletal disorder

Explanation

Occupational therapy focuses on enabling participation in daily activities through evaluation and intervention. Prescribing medication, spinal manipulation, and ordering radiographs are outside the statutory scope of OT practice.

Question 5Michigan Public Health Code requirements for occupational therapists

A licensed occupational therapist wishes to use a new physical agent modality in treatment. Under Michigan law, which statement best describes the requirement?

  1. Any modality may be used without additional training because the license is unlimited
  2. The therapist may use it if it is within the scope of OT and the therapist is competent through training Correct answer.
  3. The therapist must first obtain a separate medical license
  4. The therapist may use it only if a physical therapist is present

Explanation

A Michigan OT license authorizes practice within the defined scope, and the therapist is responsible for competence in any technique used. Modalities outside OT scope or beyond the therapist's training are not permitted by the general license.

Question 6Michigan Public Health Code requirements for occupational therapists

How does the Public Health Code describe the relationship between an occupational therapist and an occupational therapy assistant in Michigan?

  1. The assistant must hold a physician's order for each treatment session
  2. The assistant may supervise the occupational therapist
  3. The assistant practices under the supervision of the occupational therapist as defined in rules Correct answer.
  4. The assistant practices independently with no oversight

Explanation

Michigan recognizes occupational therapy assistants who provide services under the supervision of a licensed occupational therapist, with supervision defined in board rules. Assistants do not practice autonomously or supervise therapists.

Question 7Michigan Public Health Code requirements for occupational therapists

Which of the following is a recognized ground for disciplinary action against a Michigan occupational therapy license under the Public Health Code?

  1. Declining to join a professional association
  2. Practicing while impaired by alcohol or drugs Correct answer.
  3. Changing employment without notifying the board
  4. Completing required continuing education late

Explanation

Impairment while practicing is an enumerated ground for discipline because it endangers patients. Late continuing education, job changes, and declining association membership are not themselves statutory grounds for discipline.

Question 8Michigan Public Health Code requirements for occupational therapists

An OT learns that a colleague is practicing with an expired Michigan license. What does the Public Health Code require of the OT?

  1. Confront the colleague and impose a private sanction
  2. Report the unlicensed practice to the department as required by law Correct answer.
  3. Ignore it because licensure is the colleague's personal matter
  4. Report it only if a patient is harmed

Explanation

Michigan law requires licensees to report unlicensed practice to the licensing department. Failing to report can itself expose the licensee to discipline, and private confrontation does not satisfy the duty.

Question 9Michigan Public Health Code requirements for occupational therapists

What is the continuing education requirement for maintaining an active Michigan occupational therapy license?

  1. Completion of continuing education hours as specified by the board during each renewal cycle Correct answer.
  2. Continuing education required only for assistants
  3. No continuing education is required once licensed
  4. Only a one-time continuing education course at initial licensure

Explanation

Michigan requires licensees to complete continuing education each renewal cycle in the amount and format established by the board. It is an ongoing obligation, not a one-time event, and applies to licensees generally.

Question 10Michigan Public Health Code requirements for occupational therapists

How often must a Michigan occupational therapy license be renewed?

  1. Every five years
  2. Every two years on the schedule established by the department Correct answer.
  3. Only when the licensee changes employers
  4. Every year on January 1

Explanation

Michigan OT licenses are renewed on a biennial cycle set by the licensing department. Renewal is tied to the license cycle, not to employment changes or an annual date.

Question 11Michigan Public Health Code requirements for occupational therapists

An OT's license lapses because she forgot to renew. She continues seeing patients for two weeks. Which statement is correct under Michigan law?

  1. She may practice if she displays her expired certificate
  2. She is practicing without a license and may face discipline and legal penalties Correct answer.
  3. She may continue because renewal is a clerical formality
  4. She is protected because her employer scheduled the patients

Explanation

Practicing after a license lapses constitutes unlicensed practice, which carries potential discipline and legal consequences. An expired certificate does not authorize treatment, and employer scheduling does not cure the lapse.

Question 12Michigan Public Health Code requirements for occupational therapists

Which statement accurately describes the role of the Michigan Board of Occupational Therapy?

  1. It accredits entry-level OT educational programs
  2. It advises the department on licensure standards and disciplinary matters within the code Correct answer.
  3. It directly employs and assigns therapists to hospitals
  4. It sets reimbursement rates for OT services

Explanation

The board functions in an advisory capacity to the licensing department on standards, rules, and disciplinary proceedings. It does not employ therapists, set insurance rates, or accredit educational programs.

Question 13Michigan Public Health Code requirements for occupational therapists

An OT is asked to disclose a patient's treatment records. Under the Public Health Code, which principle governs the disclosure?

  1. Records belong to the employer and may be disclosed at will
  2. Confidentiality must be maintained except as authorized by law or valid patient consent Correct answer.
  3. Records may be shared freely with any interested party
  4. Records may be released only with a court order in all cases

Explanation

Patient health information is confidential and may be disclosed only as permitted by law or with proper authorization. Neither employer ownership nor a blanket court-order rule reflects the statutory framework.

Question 14Michigan Public Health Code requirements for occupational therapists

A patient files a complaint against an OT with the licensing department. What is the typical first step in the disciplinary process?

  1. The board immediately revokes the license without review
  2. The department investigates the complaint and may offer an administrative hearing Correct answer.
  3. The complaint is dismissed unless a criminal charge is filed
  4. The OT must surrender the license within 24 hours

Explanation

Complaints are investigated, and the licensee is entitled to due process, including an administrative hearing before sanctions. Immediate revocation without review or a criminal-charge prerequisite does not reflect the process.

Question 15Michigan Public Health Code requirements for occupational therapists

Which of the following best describes the statutory prohibition on unlicensed practice in Michigan?

  1. A person may not practice or hold out as an occupational therapist without a license Correct answer.
  2. Unlicensed practice is allowed if the person passed the national exam
  3. Anyone may practice if supervised by a licensed therapist
  4. Unlicensed practice is permitted in rural areas

Explanation

The code prohibits both practicing and representing oneself as an OT without a Michigan license. Supervision, geography, or passing a national exam does not create an exception to the licensure requirement.

Question 16Michigan Public Health Code requirements for occupational therapists

An OT is treating a patient when the patient discloses plans to harm a specific identifiable person. How does Michigan law generally address this situation?

  1. The therapist may have a duty to warn or protect the identified person consistent with state law Correct answer.
  2. The therapist should report only to the professional association
  3. The therapist must never breach confidentiality under any circumstance
  4. The therapist must obtain a court order before acting

Explanation

Michigan law recognizes a duty to protect identifiable third parties in limited dangerous situations, permitting disclosure as necessary. Absolute confidentiality or a court-order prerequisite misstates the legal balance.

Question 17Michigan Public Health Code requirements for occupational therapists

Which of these tasks may a Michigan occupational therapy assistant perform?

  1. Implementing treatment interventions delegated by the supervising OT within the plan of care Correct answer.
  2. Diagnosing the patient's condition
  3. Independently performing the initial evaluation
  4. Prescribing adaptive equipment without therapist involvement

Explanation

Assistants carry out delegated interventions under therapist supervision and within the established plan of care. Initial evaluation, diagnosis, and independent prescription of equipment remain therapist responsibilities.

Question 18Michigan Public Health Code requirements for occupational therapists

An OT wants to provide telehealth services to a patient located in another state. What is the key licensure consideration under Michigan law and general practice?

  1. Only the employer's accreditation matters
  2. The therapist must be licensed in the state where the patient is located Correct answer.
  3. The Michigan license alone authorizes practice anywhere
  4. Telehealth requires no license at all

Explanation

Licensure generally follows the location of the patient, so the therapist needs authority to practice where the patient receives services. A Michigan license does not automatically extend to patients in other states.

Question 19Michigan Public Health Code requirements for occupational therapists

Which of the following is an example of conduct that could constitute practicing outside the scope of occupational therapy?

  1. Fabricating a splint within OT training
  2. Teaching a patient adaptive dressing techniques
  3. Training a patient in energy conservation
  4. Performing surgery on a patient's hand Correct answer.

Explanation

Surgery is a medical act outside occupational therapy scope. Adaptive techniques, splinting within training, and energy conservation are recognized OT interventions.

Question 20Michigan Public Health Code requirements for occupational therapists

An OT is convicted of a felony unrelated to practice. What is the likely licensure consequence under the Public Health Code?

  1. The license is unaffected because the crime was unrelated to work
  2. The license is automatically restored after one year
  3. The conviction may be a ground for disciplinary action or denial of licensure Correct answer.
  4. The board cannot consider criminal convictions

Explanation

The code permits the department to consider certain criminal convictions as grounds for discipline or licensure denial. The board is not barred from considering them, and consequences depend on the circumstances.

Question 21Michigan Public Health Code requirements for occupational therapists

A new graduate has passed the national certification exam but has not yet received a Michigan license. May the graduate begin treating patients independently?

  1. No, the graduate must hold a Michigan license before independent practice Correct answer.
  2. Yes, for up to six months without any license
  3. Yes, passing the national exam is sufficient
  4. Yes, if the employer provides a temporary badge

Explanation

National certification is not a substitute for state licensure; independent practice requires the Michigan license. Employers cannot create authority through badges or temporary arrangements.

Question 22Michigan Public Health Code requirements for occupational therapists

Which of the following best describes how the Public Health Code addresses impaired practice by an occupational therapist?

  1. The department may take action and direct evaluation or treatment for impairment Correct answer.
  2. Impairment is addressed only by the employer's human resources department
  3. Impairment is not a licensure concern
  4. The therapist may continue practicing until a patient complains

Explanation

The code authorizes the department to act on impairment, including directing evaluation and treatment, to protect the public. Impairment is a licensure concern, not solely an employment matter.

Question 23Michigan Public Health Code requirements for occupational therapists

What is the purpose of the jurisprudence examination for Michigan occupational therapy licensure?

  1. To measure clinical treatment skills
  2. To verify knowledge of state laws and rules governing OT practice Correct answer.
  3. To replace the national certification exam
  4. To certify specialty practice areas

Explanation

The jurisprudence exam tests the applicant's understanding of the statutes and rules that regulate practice in Michigan. It does not assess clinical technique or substitute for national certification.

Question 24Michigan Public Health Code requirements for occupational therapists

An OT receives a subpoena for a patient's records in a lawsuit. What is the appropriate action?

  1. Release the entire chart to any party who asks
  2. Destroy the records to protect privacy
  3. Verify the legal validity of the request and release only what is lawfully required Correct answer.
  4. Ignore the subpoena entirely

Explanation

A subpoena must be evaluated for legal sufficiency, and disclosure should be limited to what the law requires. Ignoring it, over-disclosing, or destroying records each creates legal and ethical problems.

Question 25Michigan Public Health Code requirements for occupational therapists

Which statement about supervision requirements for occupational therapy assistants in Michigan is accurate?

  1. Supervision must always be in person for every session
  2. Assistants require no supervision once licensed
  3. Supervision is required only during the first month of employment
  4. The frequency and type of supervision are set by board rules and the plan of care Correct answer.

Explanation

Supervision is governed by board rules and the individual plan of care, balancing oversight with practice realities. It is not eliminated after licensure nor universally required in person for every session.

Question 26Michigan Public Health Code requirements for occupational therapists

Which Michigan statute contains the licensure and regulatory provisions that apply to occupational therapists and occupational therapy assistants?

  1. The Occupational Therapy Practice Act, Article 7
  2. The Mental Health Code, Chapter 4A
  3. The Health Facilities Code, Part 217
  4. The Public Health Code, Article 15, Part 183 Correct answer.

Explanation

Occupational therapy licensure in Michigan is codified within the Public Health Code, specifically Article 15 (Occupations and Businesses), Part 183 (Occupational Therapy). The Board of Occupational Therapy and the licensing department administer those provisions. Other codes govern different subject areas and do not contain OT licensure rules.

Question 27Michigan Public Health Code requirements for occupational therapists

Under the Public Health Code, which body establishes the standards for licensure and reviews disciplinary matters involving occupational therapists?

  1. The Michigan Board of Occupational Therapy Correct answer.
  2. The Michigan Department of Labor and Economic Opportunity
  3. The Michigan Occupational Safety and Health Administration
  4. The State Board of Education

Explanation

The Public Health Code creates a Board of Occupational Therapy within the licensing department to advise on standards and participate in disciplinary proceedings. The board operates under the Public Health Code framework, not labor or education agencies. MIOSHA regulates workplace safety, which is unrelated to professional credentialing.

Question 28Michigan Public Health Code requirements for occupational therapists

Which of the following is required before a person may use the title "occupational therapist" in Michigan?

  1. A bachelor's degree in any health science field
  2. Holding a current Michigan occupational therapist license Correct answer.
  3. Membership in the American Occupational Therapy Association
  4. Registration with a national certification body alone

Explanation

The Public Health Code restricts the use of protected titles to individuals who hold a valid Michigan license. National certification or association membership does not itself authorize the title. A degree alone does not confer licensure.

Question 29Michigan Public Health Code requirements for occupational therapists

An OT is preparing to document a treatment session. Under the Public Health Code, which recordkeeping obligation applies to licensed occupational therapists?

  1. Retain records only until the patient's next scheduled appointment
  2. Maintain patient records consistent with standards adopted by the licensing department Correct answer.
  3. Destroy records whenever the patient requests a new therapist
  4. Store records exclusively in paper form in the clinic

Explanation

The Public Health Code and department rules require licensees to keep patient records that meet established professional standards. Records must be maintained for a defined period and made available as required. Short retention or arbitrary destruction would conflict with those obligations.

Question 30Michigan Public Health Code requirements for occupational therapists

Which of the following best describes the scope of practice for occupational therapy under Michigan law?

  1. Providing legal advice about disability benefits
  2. Evaluation and treatment to develop or restore functional performance in daily activities Correct answer.
  3. Diagnosing and prescribing medication for musculoskeletal disorders
  4. Performing surgery on the upper extremity

Explanation

Michigan defines occupational therapy around evaluation and intervention to help people participate in daily activities and occupations. Prescribing medication and performing surgery fall outside that scope. Legal advice is not a health service and is unrelated to OT practice.

Question 31Michigan Public Health Code requirements for occupational therapists

Which of the following is a qualification the Public Health Code requires for occupational therapist licensure in Michigan?

  1. Fluency in a second language for patient communication
  2. Successful completion of an approved educational program and examination Correct answer.
  3. Residency in the county where the OT intends to practice
  4. A minimum of five years of clinical experience before licensure

Explanation

Licensure requires graduation from an approved OT program, passage of the required examination, and other department requirements. County residency and prior clinical experience are not licensure prerequisites. Language fluency is not a statutory condition of licensure.

Question 32Michigan Public Health Code requirements for occupational therapists

An OT assistant in Michigan wants to know which credential the Public Health Code requires to practice. Which statement is accurate?

  1. The assistant must hold a license issued under Part 183 Correct answer.
  2. The assistant may practice under the OT's license without separate credentialing
  3. The assistant must be certified by the state police
  4. The assistant needs only a high school diploma

Explanation

Michigan licenses occupational therapy assistants separately under Part 183 of the Public Health Code. An assistant cannot practice merely by borrowing the supervising therapist's license. Educational and examination requirements apply to assistants as well.

Question 33Michigan Public Health Code requirements for occupational therapists

Which of the following describes the Public Health Code's general approach to advertising by a licensed occupational therapist?

  1. Advertising may include guarantees of specific treatment outcomes
  2. Advertising must be truthful and not misleading to the public Correct answer.
  3. Advertising is prohibited for all health professionals
  4. Advertising must be pre-approved by the Board of Occupational Therapy

Explanation

The Public Health Code prohibits false, deceptive, or misleading advertising by licensees. Truthful advertising is permitted, and prior board approval is not required. Guaranteeing treatment outcomes would be misleading and is not allowed.

Question 34Michigan Public Health Code requirements for occupational therapists

An OT is asked to sign a certification for a patient's disability claim that contains statements the therapist has not verified. What should the OT do under the Public Health Code?

  1. Ask the patient to sign the therapist's name on the form
  2. Sign the form because a physician will review it later
  3. Sign the form and note the uncertainty only in a private journal
  4. Decline to certify unverified statements and document only what is supported by the record Correct answer.

Explanation

Licensees may not make or endorse false statements in professional documents, and certifying unverified information could constitute fraud or unprofessional conduct. The therapist should certify only what the clinical record supports. Delegating a signature to the patient would also be improper.

Question 35Michigan Public Health Code requirements for occupational therapists

An OT moves to Michigan and holds an active license in another state. Which statement best reflects how Michigan licensure works for this therapist?

  1. The therapist must obtain a Michigan license before practicing here Correct answer.
  2. The therapist may practice if supervised by a Michigan licensee
  3. The out-of-state license automatically authorizes Michigan practice
  4. The therapist may practice for one year while applying

Explanation

Michigan requires its own license to practice occupational therapy in the state; an out-of-state license does not confer automatic authority. There is no general grace period that allows unsupervised practice while an application is pending. Supervision by a Michigan licensee does not substitute for the therapist's own credential.

Question 36Michigan Public Health Code requirements for occupational therapists

An OT's employer directs the therapist to perform a task that the therapist believes exceeds OT scope. What is the most appropriate response under the Public Health Code?

  1. Perform the task because the employer assumes liability
  2. Perform the task but omit it from the patient record
  3. Decline the out-of-scope task and clarify the scope limits with the employer Correct answer.
  4. Ask an unlicensed aide to perform the task instead

Explanation

A licensee is personally responsible for practicing within the authorized scope, regardless of an employer's direction. Performing an out-of-scope task could constitute a violation even if the employer accepts liability. Delegating the task to an unlicensed aide would compound the problem.

Question 37Michigan Public Health Code requirements for occupational therapists

Which of the following actions by an OT most clearly constitutes unprofessional conduct under the Public Health Code?

  1. Completing required continuing education early
  2. Referring a patient to a colleague for a second opinion
  3. Declining a patient assignment due to a scheduling conflict
  4. Engaging in a sexual relationship with a current patient Correct answer.

Explanation

Sexual contact with a current patient is expressly recognized as unprofessional conduct and grounds for discipline. Completing education early, declining an assignment for scheduling reasons, and making an appropriate referral are all permissible. Boundary violations of this kind are treated seriously by licensing boards.

Question 38Michigan Public Health Code requirements for occupational therapists

An OT discovers that a colleague has been documenting treatment sessions that never occurred. What does the Public Health Code require of the OT?

  1. Quietly correct the records without notifying anyone
  2. Confront the colleague and take no further action
  3. Report the suspected falsification to the licensing department Correct answer.
  4. Ignore the issue because it is the employer's responsibility

Explanation

Licensees have an obligation to report conduct that appears to violate the Public Health Code, including falsified documentation. Simply confronting the colleague or altering records privately does not satisfy that duty. The licensing department is the appropriate reporting authority.

Question 39Michigan Public Health Code requirements for occupational therapists

An OT is asked to treat a patient whose plan of care was established by a physician, but the OT believes a different approach is clinically better. How should the OT proceed under Michigan law?

  1. Implement the change immediately without informing the physician
  2. Refuse to treat the patient until the plan is rewritten
  3. Communicate with the physician about the recommended change and document the rationale Correct answer.
  4. Follow the original plan even if it is unsafe

Explanation

Occupational therapy is delivered in coordination with the referring practitioner, and changes to the plan should be communicated and documented. Unilaterally altering the plan without communication undermines that coordination. Following a plan the therapist believes is unsafe is also inappropriate.

Question 40Michigan Public Health Code requirements for occupational therapists

A patient asks an OT to release records directly to a family member who is not involved in the patient's care. Which action is most consistent with the Public Health Code?

  1. Release only the treatment notes and withhold the evaluation
  2. Refuse all record requests from family members permanently
  3. Obtain the patient's written authorization before releasing the records Correct answer.
  4. Release the records because the requester is a relative

Explanation

Confidential patient information may be disclosed only with proper authorization or as otherwise permitted by law. A family relationship alone does not authorize release. Partial release without authorization is equally improper, and a blanket refusal ignores lawful requests.

Question 41Michigan Public Health Code requirements for occupational therapists

An OT is contacted by an investigator from the licensing department regarding a complaint. What is the most appropriate response?

  1. Refuse to respond until a lawsuit is filed
  2. Cooperate with the investigation and provide accurate information Correct answer.
  3. Ask the patient to withdraw the complaint before responding
  4. Alter the patient record to resolve the concerns

Explanation

Licensees are expected to cooperate with lawful investigations conducted by the licensing department. Refusing to respond or pressuring a patient to withdraw a complaint can itself be a disciplinary matter. Altering records during an investigation is a serious violation.

Question 42Michigan Public Health Code requirements for occupational therapists

An OT wants to delegate a treatment task to an occupational therapy assistant. Which consideration governs whether delegation is appropriate?

  1. Whether the patient prefers to be seen by the assistant
  2. Whether the assistant has worked at the clinic the longest
  3. Whether the task falls within the assistant's training and lawful scope Correct answer.
  4. Whether delegation reduces the therapist's documentation burden

Explanation

Delegation is proper only when the task is within the assistant's education, training, and authorized scope, with appropriate supervision. Seniority, patient preference, and convenience are not the governing criteria. The supervising therapist remains responsible for the plan of care.

Question 43Michigan Public Health Code requirements for occupational therapists

Which of the following best describes the Public Health Code's treatment of a licensee who practices while impaired by alcohol or drugs?

  1. Impaired practice is excused if no patient is harmed
  2. Impaired practice is a matter for the employer only
  3. Impaired practice is a ground for discipline and may be addressed through a monitoring program Correct answer.
  4. Impaired practice is permitted if the therapist self-reports afterward

Explanation

Practicing while impaired is recognized as a basis for disciplinary action, and Michigan law provides avenues for treatment and monitoring. The absence of patient harm does not excuse impaired practice. Employer action does not replace the licensing department's authority.

Question 44Michigan Public Health Code requirements for occupational therapists

An OT is offered a bonus for each patient referred to a particular medical equipment supplier. Which statement best reflects the Public Health Code's concern?

  1. The bonus is permissible because equipment suppliers are not health professionals
  2. Accepting remuneration for referrals may constitute improper fee splitting or a conflict of interest Correct answer.
  3. The bonus is permissible if disclosed to the patient after treatment
  4. The bonus is permissible if it is paid in cash rather than by check

Explanation

The Public Health Code restricts fee splitting and arrangements in which licensees receive payment for referrals. Such arrangements can compromise clinical judgment and are subject to discipline. Disclosure after the fact or the form of payment does not cure the underlying conflict.

Question 45Michigan Public Health Code requirements for occupational therapists

An OT is considering whether to accept a gift from a patient who is still receiving treatment. Which principle best guides the decision under the Public Health Code?

  1. The therapist should accept the gift to avoid embarrassing the patient
  2. The therapist may accept any gift because gifts are not addressed by law
  3. The therapist may accept the gift if it is under a set dollar amount
  4. The therapist should avoid arrangements that exploit the therapeutic relationship Correct answer.

Explanation

The Public Health Code prohibits exploiting the professional relationship for personal gain, and gift acceptance during active treatment can raise boundary concerns. There is no safe-harbor dollar figure that resolves the issue. Avoiding exploitation of the relationship is the guiding principle.

Question 46Michigan Public Health Code requirements for occupational therapists

Which of the following best explains why the Public Health Code requires licensees to complete continuing education?

  1. To maintain and update competence in a changing field Correct answer.
  2. To satisfy employer performance reviews
  3. To generate revenue for the licensing department
  4. To replace the need for initial licensure examinations

Explanation

Continuing education is intended to keep licensees current with advances in practice and to protect the public. Its purpose is not revenue generation or employer evaluation. It supplements, rather than replaces, initial licensure requirements.

Question 47Michigan Public Health Code requirements for occupational therapists

An OT is employed by a clinic that wants to restrict the therapist from discussing treatment options with patients. How does the Public Health Code view this arrangement?

  1. It conflicts with the licensee's independent duty to obtain informed consent Correct answer.
  2. It is permissible because employers control clinical communication
  3. It is permissible if the clinic documents the restriction
  4. It is permissible only for patients covered by Medicaid

Explanation

Informed consent is the responsibility of the treating licensee, and an employer cannot override that duty through policy. Restrictions that prevent patients from receiving necessary information about treatment conflict with professional obligations. Documentation of the restriction or payer type does not cure the conflict.

Question 48Michigan Public Health Code requirements for occupational therapists

An OT is asked to supervise an unlicensed aide who will perform patient treatments independently. Which statement best reflects the Public Health Code's requirements?

  1. Aides may treat patients if the patient signs a consent form
  2. Unlicensed aides may not perform services that require licensure, regardless of supervision Correct answer.
  3. Aides may treat patients if the OT reviews the notes weekly
  4. Supervision makes independent treatment by an aide permissible

Explanation

The Public Health Code prohibits unlicensed persons from performing services that require licensure, and supervision does not convert an unlicensed act into a lawful one. Aides may perform limited supportive tasks under applicable rules, but not independent treatment. Consent forms cannot authorize unlicensed practice.

Question 49Michigan Public Health Code requirements for occupational therapists

An OT is moving from clinical practice into a purely administrative role and will no longer treat patients. Which statement about the license is most accurate under the Public Health Code?

  1. The therapist must still comply with renewal and continuing education requirements while holding an active license Correct answer.
  2. The license converts automatically to an inactive status with no obligations
  3. The therapist may let the license lapse without any consequence
  4. The therapist may continue to use the title without holding a license

Explanation

Holding an active Michigan license carries ongoing renewal and continuing education obligations regardless of the licensee's current job duties. Automatic conversion to inactive status does not occur without an application. Allowing the license to lapse ends the authority to practice and to use the protected title.

Question 50Michigan Public Health Code requirements for occupational therapists

An OT is asked to participate in a research study that will use patient records without identifiers. Which consideration best reflects the Public Health Code's confidentiality framework?

  1. Identifiers may be retained if the researcher is a licensee
  2. De-identification may permit use, but the therapist must confirm the applicable authorization requirements Correct answer.
  3. Any research use is prohibited without exception
  4. Patient consent is never required for research involving records

Explanation

Confidentiality rules permit certain uses of de-identified data, but the therapist must verify that the specific authorization and review requirements are satisfied. A blanket prohibition on research use is inaccurate. Retaining identifiers or assuming consent is unnecessary can lead to improper disclosure.