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Oregon OT Jurisprudence study materials
Oregon OT Jurisprudence study resources

Oregon OT Jurisprudence practice questions

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Question 1Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Under ORS Chapter 675, which individual is authorized to use the title "occupational therapist" in Oregon?

  1. A person who has completed an accredited OT doctoral capstone
  2. A person certified nationally by a private credentialing body
  3. A person who holds a current Oregon occupational therapist license Correct answer.
  4. A person employed by a hospital under an OT job classification

Explanation

Oregon's Occupational Therapy Practice Act protects the title, so only a person licensed by the state board may present themselves as an occupational therapist. National certification or completion of an academic program does not by itself confer the protected title. Employment classification also does not substitute for licensure.

Question 2Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which phrase best describes the practice of occupational therapy as defined in Oregon's Occupational Therapy Practice Act?

  1. Using purposeful activity to help people participate in daily life roles Correct answer.
  2. Diagnosing medical disease and prescribing pharmacological treatment
  3. Providing only physical rehabilitation after surgery or injury
  4. Offering general wellness coaching without assessment or intervention planning

Explanation

The statutory definition centers on the therapeutic use of purposeful activity and occupation to enable people to function in their daily life roles. It is not limited to post-surgical rehabilitation, and it does not include medical diagnosis or prescribing medication. General wellness coaching without assessment is also outside the defined scope.

Question 3Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

A person who has not obtained an Oregon license may perform which activity without violating the practice act?

  1. Rendering occupational therapy services independently for a fee
  2. Using the abbreviation "OTR" after their name in advertising
  3. Performing occupational therapy interventions under a licensed OT's supervision as allowed by board rule Correct answer.
  4. Representing themselves as an occupational therapist to employers

Explanation

The practice act and board rules allow unlicensed personnel, such as aides or students, to assist with limited tasks under appropriate supervision as defined by rule. Independent practice for compensation and use of protected titles are reserved for licensees. Advertising a protected credential without a license is a violation.

Question 4Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which term in Oregon's practice act refers to the licensed practitioner who evaluates and treats clients using occupational therapy?

  1. Occupational therapist Correct answer.
  2. Occupational therapy aide
  3. Occupational therapy student
  4. Occupational therapy assistant

Explanation

The act distinguishes the occupational therapist, who performs evaluation and treatment and directs the therapy process, from the assistant and from unlicensed aides and students. The assistant works under supervision and aides perform delegated non-treatment tasks. Students are learners, not licensees.

Question 5Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which statement about the occupational therapy assistant license in Oregon is accurate?

  1. The assistant may use the title occupational therapist in specialty areas
  2. The assistant may practice independently once licensed
  3. The assistant is exempt from continuing education requirements
  4. The assistant practices under the supervision of a licensed occupational therapist Correct answer.

Explanation

Oregon licenses occupational therapy assistants to deliver services under the supervision of a licensed occupational therapist, consistent with the supervisory structure in the practice act. Assistants do not practice independently and may not adopt the occupational therapist title. Continuing education obligations apply to licensees.

Question 6Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which entity is responsible for licensing occupational therapists and occupational therapy assistants in Oregon?

  1. The Oregon Occupational Therapy Licensing Board Correct answer.
  2. The Oregon Department of Education
  3. A national professional association
  4. The Oregon Health Authority

Explanation

Chapter 675 establishes a state occupational therapy licensing board that issues licenses, adopts rules, and handles discipline. The Health Authority and Department of Education regulate other programs, not OT licensure. A national association is private and does not grant Oregon licenses.

Question 7Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which activity falls within the occupational therapy scope rather than outside it?

  1. Teaching a client adaptive techniques for dressing after a stroke Correct answer.
  2. Ordering laboratory tests to rule out infection
  3. Prescribing antibiotics for a wound
  4. Performing surgery on a tendon

Explanation

Teaching adaptive techniques to restore or support daily living performance is core occupational therapy practice. Ordering diagnostic laboratory tests, prescribing medication, and performing surgery are medical acts outside the OT scope. The distinction rests on functional participation rather than disease treatment.

Question 8Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

A licensed OT moves from another state and wishes to work in Oregon. What does the practice act require before providing occupational therapy services?

  1. Only employer verification of prior experience
  2. Only a national certification card
  3. Nothing, because licensure in any state transfers automatically
  4. An Oregon license issued by the state board Correct answer.

Explanation

Oregon requires a license issued by its own licensing board before a person may practice occupational therapy in the state. Licensure in another jurisdiction does not transfer automatically, and neither national certification nor employer verification substitutes for a state license.

Question 9Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which statement about supervision of an occupational therapy aide in Oregon is most consistent with the practice act?

  1. The aide may independently design treatment plans for stable clients
  2. The aide may supervise OT students in fieldwork
  3. The aide may evaluate new clients to save therapist time
  4. The aide may perform delegated tasks while the supervising OT retains responsibility Correct answer.

Explanation

Aides may carry out delegated supportive tasks, but the licensed occupational therapist remains responsible for evaluation, planning, and the overall therapy process. Aides cannot design treatment plans, evaluate clients, or supervise students as the therapist of record. Supervision requirements are set by board rule.

Question 10Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

An OT is asked to provide a workshop on stress management for a community group with no individualized assessment or treatment plan. How does Oregon's practice act treat this activity?

  1. It is prohibited because all OT services require a physician referral
  2. It is prohibited unless every attendee is a licensed OT
  3. It is permitted only if the OT obtains a special educator license
  4. It may fall within health promotion and prevention activities allowed in the scope Correct answer.

Explanation

The practice act's scope includes health promotion and prevention services that support participation, not only individualized treatment following referral. A general workshop without individualized assessment can still be consistent with the OT role when framed as education and promotion. Physician referral and educator licensure are not prerequisites for such activities.

Question 11Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

A licensed OT wants to advertise services using the designation "OT/L." What is the key legal consideration under Chapter 675?

  1. The designation requires separate board approval each year
  2. The designation may be used only if it accurately reflects current licensure Correct answer.
  3. Only physicians may use post-nominal credentials
  4. Any credential may be used because advertising is unregulated

Explanation

Title protection means a practitioner may use occupational therapy designations only when they accurately reflect a valid Oregon license. Advertising is regulated to the extent that it must not misrepresent licensure status. Separate annual board approval and physician-only credential rules do not apply.

Question 12Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

During an evaluation, an OT suspects a client has an undiagnosed medical condition causing the functional decline. What is the appropriate action within the OT scope?

  1. Discharge the client permanently without documentation
  2. Diagnose the condition and begin medication management
  3. Ignore the concern because OT addresses only function
  4. Refer the client for medical evaluation while continuing OT services as appropriate Correct answer.

Explanation

Occupational therapists identify functional problems and refer clients for medical diagnosis when a condition is suspected, because diagnosing disease and prescribing are outside the OT scope. Continuing appropriate OT services while coordinating care is consistent with the act. Ignoring the concern or abruptly discharging without documentation would not meet professional obligations.

Question 13Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

A student in an accredited OT program is completing fieldwork in Oregon. Which statement reflects the practice act's treatment of student practice?

  1. The student practices under supervision as part of the educational program Correct answer.
  2. The student may bill insurers directly for services
  3. The student may practice independently after the first month
  4. The student must hold a full OT license before any client contact

Explanation

Students gain clinical experience under supervision as part of an accredited educational program, and the supervising therapist retains responsibility for client care. Students do not practice independently, do not need a full license before supervised client contact, and do not bill directly for their training activities.

Question 14Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which situation most clearly constitutes a violation of Oregon's title protection provisions?

  1. An unlicensed rehabilitation technician calls himself an occupational therapist Correct answer.
  2. A licensed OT lists her license number on a business card
  3. A licensed OT assistant states that she works under OT supervision
  4. A licensed OT assistant describes herself as an occupational therapy assistant

Explanation

Title protection prohibits unlicensed persons from using occupational therapy titles, so an unlicensed technician calling himself an occupational therapist violates the act. Accurate use of assistant or therapist titles by licensees, and disclosure of supervision, are consistent with the law. Listing a valid license number is also appropriate.

Question 15Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

An OT is employed by a school district and provides services to students with disabilities. Which principle governs how the practice act applies in this setting?

  1. The OT must surrender the state license while working in schools
  2. The OT practices within the same statutory scope while following education law requirements Correct answer.
  3. The OT scope changes entirely because schools are exempt from the act
  4. The OT may delegate evaluation duties to classroom teachers

Explanation

The practice act applies across settings, so a school-based OT practices within the same statutory scope while also complying with education law and individualized education program requirements. Schools are not exempt from licensure, the license remains in force, and evaluation duties cannot be delegated to teachers.

Question 16Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which element is part of the statutory definition of occupational therapy practice in Oregon?

  1. Conducting forensic psychiatric examinations
  2. Certifying fitness for commercial driving
  3. Rendering legal opinions about disability benefits
  4. Evaluating and treating clients to develop or restore functional performance Correct answer.

Explanation

The definition of practice includes evaluation and treatment aimed at developing, restoring, or maintaining functional performance in daily occupations. Legal opinions, driving certification, and forensic psychiatric examinations are functions assigned to other professions. The statutory language focuses on functional participation.

Question 17Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

An OT assistant is asked by a client's family to change the treatment plan without contacting the supervising therapist. What is the appropriate response under Oregon's supervisory structure?

  1. Ask the family to sign a waiver so the change can proceed
  2. Make the change independently and inform the therapist later
  3. Decline and route the request to the supervising occupational therapist Correct answer.
  4. Refer the family to the licensing board for approval

Explanation

Treatment planning and modification are responsibilities of the supervising occupational therapist, so the assistant should route the request to that therapist rather than act independently. A family waiver cannot expand the assistant's authority, and the licensing board does not approve individual treatment changes.

Question 18Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which statement best captures the relationship between Oregon licensure and national certification for occupational therapy practitioners?

  1. National certification automatically confers Oregon licensure
  2. National certification replaces continuing education for Oregon license renewal
  3. Oregon licensure is unnecessary if the practitioner holds national certification
  4. Oregon licensure is a separate state requirement regardless of national certification Correct answer.

Explanation

Oregon licensure is granted by the state board and is distinct from private national certification, which does not confer practice authority in Oregon. Holding certification does not eliminate the need for a state license or for meeting state renewal requirements. The two credentials serve different purposes.

Question 19Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

An unlicensed person performs a standardized dressing assessment and writes goals for a client, claiming the tasks are "just documentation." How should this be characterized under the practice act?

  1. Impermissible because assessment and goal setting constitute occupational therapy practice Correct answer.
  2. Permissible because documentation is clerical in nature
  3. Permissible if the client consents in writing
  4. Permissible if the person has completed an OT assistant program

Explanation

Assessment and goal setting are core occupational therapy services that require licensure; labeling them documentation does not change their character. Client consent cannot authorize unlicensed practice, and completing an assistant program without licensure does not permit the activity. Delegable tasks are limited to supportive functions.

Question 20Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

A licensed OT wants to open a private practice offering occupational therapy services directly to the public. Which requirement applies under Chapter 675?

  1. The OT must hold a valid Oregon license and practice within the statutory scope Correct answer.
  2. The OT must obtain a separate business license from the OT board in addition to the practice license
  3. The OT must limit services to clients referred by hospitals
  4. The OT must employ a physician to co-sign every treatment plan

Explanation

A private practitioner needs a valid Oregon license and must stay within the statutory scope, including any applicable referral or supervision rules adopted by the board. The OT board does not issue a separate business license, physician co-signature is not required for all plans, and hospital referral is not a universal condition of practice.

Question 21Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which scenario most likely exceeds the lawful scope of an occupational therapy aide in Oregon?

  1. Preparing treatment materials before a session
  2. Cleaning equipment after a session
  3. Interpreting evaluation results to determine a client's discharge readiness Correct answer.
  4. Transporting a client to the therapy gym

Explanation

Interpreting evaluation results and deciding discharge readiness require the clinical judgment of a licensed occupational therapist, so assigning that to an aide exceeds the aide role. Preparing materials, transporting clients, and cleaning equipment are supportive tasks that may be delegated under supervision.

Question 22Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

A practitioner licensed in another country applies to work in Oregon and argues that foreign training should exempt them from Oregon licensure. How does the practice act resolve this?

  1. The applicant must meet Oregon's licensure requirements as determined by the board Correct answer.
  2. The applicant may practice if a local OT signs a sponsorship letter
  3. Foreign licensure is accepted automatically without review
  4. The applicant may practice for one year while the board decides

Explanation

Oregon requires its own license, and the board determines whether an applicant's education and credentials satisfy state requirements, which may involve review of foreign training. There is no automatic acceptance of foreign licensure, no provisional practice period at the applicant's discretion, and no sponsorship shortcut.

Question 23Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

An OT in Oregon is asked to sign a certificate stating that a client is permanently unable to work, a determination reserved to another program. What is the best analysis under the practice act?

  1. The OT may sign if the employer requests it in writing
  2. The OT may sign because disability determinations are unregulated
  3. The OT should decline unless the determination falls within authorized OT practice or law permits it Correct answer.
  4. The OT may sign because functional capacity is within the OT scope

Explanation

Occupational therapists may document functional capacity, but certifying a legally reserved determination such as permanent work disability belongs to another program unless law specifically authorizes the OT role. Employer requests and the general relevance of function do not expand statutory authority. The therapist should decline or clarify the authorized role.

Question 24Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

A licensed OT assistant with five years of experience begins performing initial evaluations at a clinic because the OT is overbooked. How should this be evaluated?

  1. Acceptable if the assistant documents the evaluation under the OT's name
  2. Not acceptable because initial evaluation is a responsibility reserved to the occupational therapist Correct answer.
  3. Acceptable if the clinic posts a notice that evaluations may be performed by assistants
  4. Acceptable because experience substitutes for supervision in evaluation

Explanation

Initial evaluation and interpretation of findings are professional responsibilities of the occupational therapist under Oregon's supervisory model; experience and clinic convenience do not transfer that authority. Having the assistant document under the therapist's name would also misrepresent who performed the service. A posted notice cannot expand the assistant's scope.

Question 25Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which interpretation of Oregon's title protection best explains why an unlicensed wellness coach may not describe her program as "occupational therapy services"?

  1. Because only physicians may use the word therapy
  2. Because the phrase implies a licensed practitioner and regulated service, creating a risk of public confusion Correct answer.
  3. Because wellness coaches are barred from all health education
  4. Because the phrase is trademarked by the state board

Explanation

Title protection prevents unlicensed persons from holding themselves out as providing occupational therapy, because the designation signals state-regulated competence and protects the public from confusion. Wellness coaches are not barred from all health education, the phrase is not a board trademark, and other professions use the word therapy.

Question 26Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Under the Oregon Occupational Therapy Practice Act (ORS Chapter 675), which term is defined to include the use of occupation-based interventions to improve functional performance?

  1. Speech-language pathology
  2. Occupational therapy Correct answer.
  3. Physical therapy
  4. Recreational therapy

Explanation

ORS 675.210 defines occupational therapy as the therapeutic use of occupations and activities to improve functional performance. The other listed professions are governed by separate practice acts and have distinct scopes.

Question 27Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which statement best describes the role of the Oregon Occupational Therapy Licensing Board as established in ORS Chapter 675?

  1. It licenses and regulates occupational therapists and occupational therapy assistants. Correct answer.
  2. It sets reimbursement rates for occupational therapy services under Medicaid.
  3. It accredits entry-level occupational therapy educational programs.
  4. It negotiates collective bargaining agreements for therapy staff in hospitals.

Explanation

The Oregon Occupational Therapy Licensing Board is created by ORS 675.220 and is responsible for licensing and regulating OTs and OTAs in the state. It does not set reimbursement rates, accredit educational programs, or engage in labor negotiations.

Question 28Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

An individual uses the title "occupational therapy assistant" while providing services in Oregon but holds no Oregon license and no valid temporary permit. Under ORS Chapter 675, this conduct is best characterized as:

  1. A minor infraction that carries no statutory consequence.
  2. Lawful if the person holds national certification as an OTA.
  3. A violation of the title protection provisions of the practice act. Correct answer.
  4. Lawful because the title is not restricted by Oregon law.

Explanation

ORS 675.230 restricts the use of occupational therapy titles to persons licensed by the board. Using a protected title without a license violates the title protection provisions, regardless of national certification.

Question 29Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which entity or individual holds the authority to adopt administrative rules that implement the Oregon Occupational Therapy Practice Act?

  1. The Oregon Health Authority
  2. The Occupational Therapy Licensing Board Correct answer.
  3. The Oregon Department of Education
  4. The Oregon Medical Board

Explanation

The Occupational Therapy Licensing Board is authorized under ORS Chapter 675 to adopt rules necessary to carry out the practice act. Other agencies listed have different statutory mandates and do not regulate OT practice.

Question 30Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

A licensed OT in Oregon is asked to perform a task that is not explicitly listed in the statutory definition of occupational therapy but is within the profession's generally accepted scope. How should the OT proceed under ORS Chapter 675?

  1. Perform the task if it is consistent with the broad definition of occupational therapy and the OT's competence. Correct answer.
  2. Refer the task to a physical therapist because the statute does not mention it.
  3. Perform the task only after obtaining written approval from the Oregon Medical Board.
  4. Decline the task because only tasks expressly enumerated in the statute may be performed.

Explanation

The statutory definition of occupational therapy is broad and includes the therapeutic use of occupations to improve functional performance. An OT may perform tasks within that scope when competent, even if not specifically enumerated.

Question 31Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which statement accurately reflects the statutory definition of an occupational therapy assistant in Oregon?

  1. A person licensed to assist in the practice of occupational therapy under the supervision of an occupational therapist. Correct answer.
  2. A person who is exempt from licensure because the role is assistive in nature.
  3. A person who independently evaluates and diagnoses clients without OT supervision.
  4. A person who may practice only in hospital settings under direct physician supervision.

Explanation

ORS 675.210 defines an occupational therapy assistant as a person licensed to assist in the practice of occupational therapy under the supervision of an OT. The role is licensed and supervisory, not independent or exempt.

Question 32Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

An OT in Oregon wishes to use the title "Doctor of Occupational Therapy" in marketing materials. Under ORS Chapter 675, which principle governs this use?

  1. The title may be used only if the OT also holds a medical license.
  2. The title may be used only in academic settings, not in clinical marketing.
  3. The title is prohibited for all OTs regardless of degree.
  4. The title may be used if the OT holds a doctorate and the use is not false or misleading. Correct answer.

Explanation

Oregon law does not prohibit OTs from using earned academic titles, but the use must not be false or misleading. An OT who has earned a doctorate may generally use the title in accordance with truth-in-advertising principles.

Question 33Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which activity is most clearly outside the scope of occupational therapy practice as defined in ORS Chapter 675?

  1. Teaching a client adaptive techniques for dressing.
  2. Conducting a home safety evaluation to reduce fall risk.
  3. Providing sensory integration intervention for a child.
  4. Performing surgery to repair a tendon injury. Correct answer.

Explanation

Surgery is a medical act reserved for licensed physicians and is not part of the occupational therapy scope. The other activities are core OT interventions aimed at improving functional performance.

Question 34Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

A person who has completed all requirements for Oregon OT licensure but has not yet received the license offers services to the public as an "occupational therapist." Under ORS Chapter 675, this conduct is:

  1. Unlawful because the person is not yet licensed and the title is protected. Correct answer.
  2. Lawful if the person discloses that licensure is pending.
  3. Lawful because the person has completed all licensure requirements.
  4. Lawful because the title is not protected until the license is issued.

Explanation

ORS 675.230 protects the title "occupational therapist" for persons actually licensed by the board. Completing requirements or disclosing pending status does not authorize use of the protected title.

Question 35Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which statement best describes the statutory relationship between the Oregon Occupational Therapy Licensing Board and the practice of occupational therapy?

  1. The board regulates only occupational therapy assistants, not occupational therapists.
  2. The board may only issue initial licenses and has no disciplinary authority.
  3. The board has authority to deny, suspend, or revoke licenses for violations of the practice act. Correct answer.
  4. The board's decisions are advisory and cannot affect a licensee's ability to practice.

Explanation

ORS Chapter 675 grants the board authority to take disciplinary action, including denial, suspension, or revocation of licenses, for violations. The board regulates both OTs and OTAs and its decisions are binding.

Question 36Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

An OT is developing a program that uses gardening to improve upper-extremity function and daily living skills for adults with arthritis. Under ORS Chapter 675, this program is best described as:

  1. Within the OT scope because it uses purposeful activity to improve functional performance. Correct answer.
  2. Outside the OT scope because gardening is a leisure activity, not therapy.
  3. Within the OT scope only if supervised by a physical therapist.
  4. Outside the OT scope because it does not involve standardized assessment.

Explanation

The statutory definition of occupational therapy includes the use of purposeful activities to improve functional performance. Gardening as a therapeutic medium for functional goals falls within that broad scope.

Question 37Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which phrase from the Oregon practice act most directly supports the conclusion that occupational therapy addresses participation in daily life activities?

  1. Performance of surgical procedures.
  2. Therapeutic use of occupations to improve functional performance. Correct answer.
  3. Diagnosis and treatment of mental disorders.
  4. Prescription of controlled substances.

Explanation

The definition of occupational therapy centers on the therapeutic use of occupations to improve functional performance, which encompasses daily life activities. The other phrases describe activities outside the OT scope.

Question 38Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

A licensed OT assistant in Oregon is asked to perform an initial evaluation without OT supervision. Under ORS Chapter 675, the OTA should:

  1. Proceed because the OTA is licensed and may evaluate independently.
  2. Decline because initial evaluations require OT supervision and are not within the OTA's independent scope. Correct answer.
  3. Proceed only if the client signs a waiver of OT supervision.
  4. Proceed because evaluation is a routine task that does not require supervision.

Explanation

The OTA role is defined as assisting under the supervision of an OT. Initial evaluation is a professional function that requires OT supervision and is not within the OTA's independent scope.

Question 39Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

Which interpretation best explains why Oregon's title protection provisions apply to both "occupational therapist" and "occupational therapy assistant" titles?

  1. Both titles are protected to prevent competition among licensed professionals.
  2. Both titles are protected only when used in advertising, not in clinical settings.
  3. Both titles imply state-sanctioned qualification, so restricting them protects the public from unqualified practitioners. Correct answer.
  4. Both titles are protected only because they appear in federal law.

Explanation

Title protection serves the public interest by ensuring that individuals using professional titles have met state licensure requirements. The protection applies broadly, not only in advertising or by federal mandate.

Question 40Oregon Revised Statutes Chapter 675 - Occupational Therapy Practice Act: definitions, scope of practice, and title protection

An OT in Oregon is asked to consult on a case involving a client with a complex medical condition. The OT determines that the client's needs exceed the OT's competence. Under ORS Chapter 675, the most appropriate action is to:

  1. Continue treatment only if the client signs an informed consent form.
  2. Refer the client to an appropriate qualified provider and document the referral. Correct answer.
  3. Ask an OT assistant to take over the case without supervision.
  4. Proceed with treatment because the OT license authorizes all areas of practice.

Explanation

The practice act implies that licensees practice within their competence and make appropriate referrals when client needs exceed that competence. Proceeding without competence or delegating improperly would violate professional standards.

Question 41Oregon Administrative Rules Chapter 339 - Oregon Board of Occupational Therapy rules: licensure, supervision, and practice standards

Under the Oregon Board of Occupational Therapy's administrative rules, which document defines the scope of practice and the standards the Board enforces against licensees?

  1. The Oregon Health Plan prioritized list of covered services
  2. The Medicare Conditions of Participation for rehabilitation agencies
  3. The accreditation standards of the American Occupational Therapy Association
  4. The Oregon Administrative Rules chapter governing occupational therapy Correct answer.

Explanation

The Board's authority and practice standards are codified in the Oregon Administrative Rules chapter dedicated to occupational therapy, which the Board enforces through licensure and discipline. The other documents govern federal payment, voluntary professional accreditation, or Medicaid coverage priorities rather than Oregon licensure standards.

Question 42Oregon Administrative Rules Chapter 339 - Oregon Board of Occupational Therapy rules: licensure, supervision, and practice standards

A person practicing occupational therapy in Oregon without holding a current license commits a violation that the Board may pursue under its rules. Which description best characterizes the Board's enforcement posture toward unlicensed practice?

  1. It is allowed for up to six months while an application is pending
  2. It is regulated only by the employer's human resources department
  3. It is a violation subject to the Board's investigative and disciplinary authority Correct answer.
  4. It is permitted if the person works under a licensed occupational therapist's informal guidance

Explanation

Oregon law and Board rules require a current license to practice occupational therapy, and unlicensed practice falls within the Board's investigative and enforcement authority. Informal supervision, a pending application, or employer oversight does not create a lawful pathway to practice without a license.

Question 43Oregon Administrative Rules Chapter 339 - Oregon Board of Occupational Therapy rules: licensure, supervision, and practice standards

In Oregon, the occupational therapy license issued to a person who has met all requirements and may practice independently is best described as which type of credential?

  1. A certification issued by a private professional association
  2. A registration maintained by the state health licensing office
  3. A temporary permit limited to supervised settings
  4. A license issued by the Oregon Board of Occupational Therapy Correct answer.

Explanation

Occupational therapy practitioners in Oregon are licensed by the Oregon Board of Occupational Therapy, which is the state regulatory body for the profession. Association certification and temporary permits are distinct credentials with narrower meaning.

Question 44Oregon Administrative Rules Chapter 339 - Oregon Board of Occupational Therapy rules: licensure, supervision, and practice standards

Which statement accurately reflects the continuing competence requirement for maintaining an active Oregon occupational therapy license?

  1. Licensees must retake the national certification examination at every renewal
  2. Licensees are exempt from continuing education once they have practiced ten years
  3. Licensees must document ongoing professional development during each renewal cycle as required by Board rule Correct answer.
  4. Licensees satisfy the requirement solely by paying the renewal fee

Explanation

Oregon requires licensees to demonstrate continuing competence through documented professional development activities during each renewal period, as specified in Board rules. Payment of a fee or tenure in the profession does not substitute for that documentation, and re-examination is not a routine renewal requirement.

Question 45Oregon Administrative Rules Chapter 339 - Oregon Board of Occupational Therapy rules: licensure, supervision, and practice standards

An occupational therapy assistant practicing in Oregon provides services under the supervision of an occupational therapist. Which principle governs that supervisory relationship under Board rules?

  1. The assistant may practice without any identified supervising therapist once licensed
  2. The supervising therapist retains responsibility for the services delivered by the assistant Correct answer.
  3. Supervision is required only for assistants working in hospital settings
  4. Supervision may be delegated entirely to an unlicensed aide

Explanation

Oregon's supervisory framework places ultimate professional responsibility for delegated occupational therapy services on the supervising occupational therapist. Assistants must have an identified supervising therapist, and aides cannot assume that supervisory role.

Question 46Oregon Administrative Rules Chapter 339 - Oregon Board of Occupational Therapy rules: licensure, supervision, and practice standards

Which of the following tasks would be appropriate to delegate to an occupational therapy aide in an Oregon practice?

  1. Preparing treatment equipment and maintaining the therapy area Correct answer.
  2. Modifying a client's occupational therapy plan of care
  3. Determining when a client is ready for discharge
  4. Interpreting standardized assessments and setting goals

Explanation

Aides perform supportive, non-clinical tasks such as equipment preparation and maintaining the treatment environment. Clinical judgment tasks like assessment interpretation, plan modification, and discharge readiness remain with the occupational therapist.

Question 47Oregon Administrative Rules Chapter 339 - Oregon Board of Occupational Therapy rules: licensure, supervision, and practice standards

A licensee changes their legal name and mailing address mid-year. Under Board rules, what is the licensee's obligation?

  1. Wait until the next scheduled renewal to report any changes
  2. Report changes only if the licensee moves to another state
  3. Notify the Board of the changes within the timeframe the rules require Correct answer.
  4. Ask the employer to notify the Board on the licensee's behalf

Explanation

Board rules require licensees to keep their licensure records current by notifying the Board of changes such as name and address within the specified timeframe. Waiting for renewal or relying on an employer to report does not satisfy the licensee's own duty.

Question 48Oregon Administrative Rules Chapter 339 - Oregon Board of Occupational Therapy rules: licensure, supervision, and practice standards

Which action by an Oregon occupational therapy licensee would most clearly fall within the Board's disciplinary authority?

  1. Disagreeing with a physician about a treatment approach
  2. Practicing while impaired by alcohol or drugs Correct answer.
  3. Declining a referral because of a scheduling conflict
  4. Charging a fee that the client considers too high

Explanation

Practice while impaired is a recognized ground for Board discipline because it endangers clients and violates professional standards. Scheduling choices, fee disagreements, and interprofessional differences of opinion are not, by themselves, disciplinary violations.

Question 49Oregon Administrative Rules Chapter 339 - Oregon Board of Occupational Therapy rules: licensure, supervision, and practice standards

An occupational therapist in Oregon is evaluating a new client and wants to confirm the client's identity and consent before proceeding. Which action best aligns with the Board's practice standards?

  1. Verify identity and obtain informed consent before providing services Correct answer.
  2. Delegate consent discussion to an unlicensed aide
  3. Begin treatment and obtain consent at the end of the session
  4. Rely on the referral source's assurance that consent is unnecessary

Explanation

Practice standards require verifying the client's identity and obtaining informed consent before occupational therapy services are delivered. Consent discussion is a professional responsibility and cannot be shifted to an unlicensed aide or assumed from a referral.

Question 50Oregon Administrative Rules Chapter 339 - Oregon Board of Occupational Therapy rules: licensure, supervision, and practice standards

A supervising occupational therapist in Oregon is assigning caseload duties to an occupational therapy assistant. Which assignment is consistent with the assistant's role under Board rules?

  1. Performing the discharge evaluation without therapist involvement
  2. Independently completing the initial evaluation and writing the plan of care
  3. Diagnosing a new condition that emerged during treatment
  4. Implementing intervention activities within the established plan of care Correct answer.

Explanation

Occupational therapy assistants carry out intervention within the plan of care developed by the supervising occupational therapist. Initial evaluations, discharge evaluations, and diagnosis are professional responsibilities reserved for the occupational therapist.