Podcast
Questions and Answers
Which of the following is NOT one of the 5 steps in the process of clinical reasoning?
Which of the following is NOT one of the 5 steps in the process of clinical reasoning?
Which type of clinical reasoning focuses on understanding the client's personal story and narrative?
Which type of clinical reasoning focuses on understanding the client's personal story and narrative?
Which type of clinical reasoning is focused on routines and interventions that are typically used for specific diagnoses?
Which type of clinical reasoning is focused on routines and interventions that are typically used for specific diagnoses?
What is the primary focus of pragmatic reasoning?
What is the primary focus of pragmatic reasoning?
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Which type of clinical reasoning is used to analyze an ethical dilemma and determine the right course of action?
Which type of clinical reasoning is used to analyze an ethical dilemma and determine the right course of action?
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What is the primary focus of interactive reasoning?
What is the primary focus of interactive reasoning?
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Which type of clinical reasoning uses applied logical and scientific methods, hypotheses, pattern recognition, and focuses on diagnosis/condition?
Which type of clinical reasoning uses applied logical and scientific methods, hypotheses, pattern recognition, and focuses on diagnosis/condition?
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What is the primary characteristic of conditional reasoning?
What is the primary characteristic of conditional reasoning?
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Which statement about diagnostic reasoning is TRUE?
Which statement about diagnostic reasoning is TRUE?
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In the process of clinical reasoning, when does the therapist appraise the evidence?
In the process of clinical reasoning, when does the therapist appraise the evidence?
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Study Notes
Clinical Reasoning
- Clinical reasoning is a cyclical process that goes beyond basic protocols of diagnostic care and reasoning.
- It is an interactive and interprofessional process that develops with clinical practice.
Process of Clinical Reasoning
- The 5 steps of clinical reasoning are:
- Client and referral information
- Clinical hypotheses
- Data collection, problem solving, and hypotheses evaluation
- Test and refine hypotheses
- Appraise the evidence
Types of Clinical Reasoning
- OTs use various types of clinical reasoning with clients, including:
- Scientific Reasoning
- Diagnostic Reasoning
- Narrative Reasoning
- Pragmatic Reasoning
- Procedural Reasoning
- Ethical Reasoning
- Interactive Reasoning
- Conditional Reasoning
Scientific Reasoning
- Uses applied logical and scientific methods.
- Focuses on hypotheses, pattern recognition, theories, and statistical evidence.
- Impersonal and focused on diagnosis and condition.
Diagnostic Reasoning
- Involves investigative reasoning and analysis.
- Combines scientific reasoning and client-centered information.
- Focuses on personal and impersonal information.
Narrative Reasoning
- Attempts to understand the client's circumstance through narrative/story.
- Focuses on the effect of illness, disability, and impact on performance skills, activities, and occupations.
- Client-centered and considers culture and personal circumstances.
Pragmatic Reasoning
- Focuses on therapeutic interventions and realities of service delivery.
- Considers scheduling options, payment, equipment availability, therapist skills, and social support.
- Not typically client-centered.
Procedural Reasoning
- Involves interventions that are routine for identified conditions.
- Science-based and reflects habits and culture of the setting.
- Focuses on routines and typical treatment options.
Ethical Reasoning
- Used to analyze an ethical dilemma.
- Focuses on identifying alternative solutions and actions to achieve the solution.
- Systematic approach to determine the ethical course of action.
Interactive Reasoning
- Collaborative identification of problems and problem-solving.
- Focuses on interpersonal relationships and client-centered approach.
- Encourages client participation in the therapeutic process.
Conditional Reasoning
- Blend of different types of reasoning to best fit the client's needs.
- Focuses on applying multiple clinical reasoning approaches.
- Typically used by therapists with clinical experience.
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Description
Test your knowledge on the history and process of clinical reasoning, a cycle that goes beyond basic diagnostic protocols and is interactive in interprofessional contexts. Learn about the 5 steps of clinical reasoning: collecting, processing, understanding, planning & implementing, and reassessing. Quiz created by Debra Cullinane, OTD, OTR/L in February 2022.
