Correct Answer: having the child perform a motor assessment task, such as running
the question pertains to an occupational therapist's (otr) use of the procedural aspect of clinical reasoning during the initial evaluation of a 3-year-old child with cerebral palsy. the procedural aspect of clinical reasoning involves practical, step-by-step methods to address specific patient issues, particularly focusing on diagnosis-related tasks and assessments. in this context, the correct answer is having the child perform a motor assessment task, such as running.
this decision is justified because cerebral palsy primarily impacts motor functions, encompassing muscle control, coordination, and movement. motor assessment tasks, therefore, are crucial as they directly evaluate the primary area affected by the disorder. this is in line with procedural reasoning, which focuses on objective, structured, and technique-based approaches to patient evaluation and treatment. the task of running will provide the otr with direct insights into the child’s motor abilities, muscle tone, balance, and coordination, which are all critical in determining the appropriate interventions and support needed.
while other options such as relying on previous evaluation reports, conducting a reading assessment, or focusing on locating community resources might provide valuable information and are important in a comprehensive care strategy, they do not represent the procedural aspect of clinical reasoning. these approaches are more reflective of narrative reasoning (using past patient narratives and reports), interactive reasoning (engaging with the child in different contexts), or conditional reasoning (considering the broader context of the child’s life), respectively.
thus, engaging the child in a motor assessment task like running is the most appropriate choice to directly engage with and understand the specific challenges posed by cerebral palsy in terms of motor function. this hands-on, practical approach aligns with the procedural aspect of clinical reasoning by focusing on specific, tangible assessments that inform the diagnosis and management of the child’s condition.
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