As the result of an industrial accident, an individual incurred a right transradial amputation.
The client is right-hand dominant. They underwent surgical revisions to their residual limb
two weeks ago and now wear a limb shrinker. The occupational therapist and the OTA
collaborate to discuss the focus of the client's initial occupational therapy evaluation. Which
is best for the OTA to do during the evaluation session? - ANSWER Measure the
client's right upper extremity residual limb length, circumference, and sensitivity.
During an initial ADL evaluation, the OTA notes that a patient consistently spills food due to
an inability to adjust movements while cutting food and moving the food from the plate to
the mouth. When describing this behavior, which deficit should the OTA report the patient is
most likely exhibiting? - ANSWER Motor apraxia
During a wheelchair evaluation, the client expresses concern about their ability to continue
volunteer work at a local church. The church's doorways are 31 inches wide. The client
knows (from a recent home remodeling project) that 32 inches is the minimum width
recommended for wheelchair access. After the evaluation, the OTA reviews the client's
concerns with the occupational therapist. Based on this review, which action is the best for
them to take to address the client's concerns and functional mobility needs? -
ANSWER Order a wheelchair with wrap-around armrests for the client
An OTA works with an adolescent with Duchenne's muscular dystrophy. The adolescent
expresses concern that they can no longer close snaps or zip zippers on jeans. Which
recommendation is best for the OTA to make to this client in response to these expressed
concerns? - ANSWER Replace snaps and zippers with Velcro
A patient is recovering from a right total hip replacement (posterolateral incision,
cementless fixation). Which is the best type of bed-to-wheelchair transfer for the OTA to
teach the patient to use? - ANSWER Stand-pivot transfer to the non-surgical side
1
,An occupational therapist has been working with an older adult with Parkinson's disease to
attain and maintain their independence in desired occupations. During the last two
intervention sessions, the person has been very passive and difficult to engage. After
reviewing the client's intervention goals with them, which approach is most effective for the
therapist to use? - ANSWER Integrate previously learned strategies into new
intervention activities related to the client's personal goals
An OTA works with a person who is recovering from the removal of a brain tumor from the
parietal lobe. The client has established a goal to resume the role of home maintainer.
Which is the most important focus for the OTA to include during intervention sessions
focused on the development of home management skills? - ANSWER Safety
precautions to observe when cooking and ironing
A child with attention deficit with hyperactivity disorder (ADHD) and conduct disorder
attends an after-school program that utilizes behavioral management approaches to achieve
intervention goals. Snacks are provided and occasionally used as rewards. A parent insists
that a child not be given any foods containing sugar. Which is the OTA's best response to this
request? - ANSWER Comply with the parent's request and discontinue providing
sugary snacks
An OTA provides services for a client with a C4 spinal cord injury in a home health setting.
The client expresses concern about their skin integrity due to a recent pressure ulcer
resulting in hospitalization. Which should the OTA teach the client to do.to preserve their
skin integrity? - ANSWER Implement an hourly schedule for pressure relief using their
tilt-in-space wheelchair.
A middle school-aged child with right upper extremity amelia attends occupational therapy
to learn how to dress independently. Which of the following is most beneficial for the OTA to
focus on during intervention? - ANSWER Donning and doffing a variety of shirt types
of personal preference
An OTA works in a subacute rehabilitation facility. A newly admitted patient has right
hemiplegia and a right shoulder subluxation. The OTA meets with the nursing staff that will
be providing primary care to the patient. The OTA recommends that the direct care staff
position the patient in left side-lying. Which is the best bed position for the OTA to
2
, recommend for placement of the patient's right arm? - ANSWER Protracted, with arm
forward on a pillow and the elbow extended or slightly flexed
A person with a diagnosis of major depressive disorder is receiving acute psychiatric
treatment on an inpatient unit. The patient was recently placed on suicide precautions. The
OTA has scheduled 30-minute individual sessions in the patient's room to begin intervention.
Which is the most beneficial activity for the first intervention session? -
ANSWER Decorating cookies to contribute to the patients' lounge
A mental health facility provides inpatient and outpatient services for a catchment area that
encompasses five counties. The occupational therapy department meets to design a quality
improvement (QI) project. The OTA will contribute to this project. Which is the best focus for
this QI project? - ANSWER Discharge planning and the post-discharge follow-up
process
An individual is recovering from deep partial thickness burns on both upper extremities,
chest, and lower neck. The OTA provides equipment to prevent positions that can result in
contractures. Which are the most important positions for the OTA to prevent? -
ANSWER Positions of comfort
An individual recovering from a traumatic brain injury is assessed to be at Level VI of the
Rancho Level of Cognitive Functioning Scale. Which of the following should the OTA use to
implement intervention? - ANSWER Simple meal preparation tasks such as making a
sandwich
An adolescent incurred a C4 spinal cord injury. During the initial session, they refuse to
speak to the OTA. The OTA supportively acknowledges the client's response. Which action
should the OTA take next? - ANSWER Set up a chin-operated bedside environmental
control unit
An OTA works with members of a psychosocial clubhouse who have decided to participate in
the annual mental health awareness and fundraiser walk organized by the National Alliance
for Mental Illness (NAMI). The NAMI walk is 5K long and circles around an urban park. Many
clubhouse members express interest in training for the walk by taking extended walks four
3
The client is right-hand dominant. They underwent surgical revisions to their residual limb
two weeks ago and now wear a limb shrinker. The occupational therapist and the OTA
collaborate to discuss the focus of the client's initial occupational therapy evaluation. Which
is best for the OTA to do during the evaluation session? - ANSWER Measure the
client's right upper extremity residual limb length, circumference, and sensitivity.
During an initial ADL evaluation, the OTA notes that a patient consistently spills food due to
an inability to adjust movements while cutting food and moving the food from the plate to
the mouth. When describing this behavior, which deficit should the OTA report the patient is
most likely exhibiting? - ANSWER Motor apraxia
During a wheelchair evaluation, the client expresses concern about their ability to continue
volunteer work at a local church. The church's doorways are 31 inches wide. The client
knows (from a recent home remodeling project) that 32 inches is the minimum width
recommended for wheelchair access. After the evaluation, the OTA reviews the client's
concerns with the occupational therapist. Based on this review, which action is the best for
them to take to address the client's concerns and functional mobility needs? -
ANSWER Order a wheelchair with wrap-around armrests for the client
An OTA works with an adolescent with Duchenne's muscular dystrophy. The adolescent
expresses concern that they can no longer close snaps or zip zippers on jeans. Which
recommendation is best for the OTA to make to this client in response to these expressed
concerns? - ANSWER Replace snaps and zippers with Velcro
A patient is recovering from a right total hip replacement (posterolateral incision,
cementless fixation). Which is the best type of bed-to-wheelchair transfer for the OTA to
teach the patient to use? - ANSWER Stand-pivot transfer to the non-surgical side
1
,An occupational therapist has been working with an older adult with Parkinson's disease to
attain and maintain their independence in desired occupations. During the last two
intervention sessions, the person has been very passive and difficult to engage. After
reviewing the client's intervention goals with them, which approach is most effective for the
therapist to use? - ANSWER Integrate previously learned strategies into new
intervention activities related to the client's personal goals
An OTA works with a person who is recovering from the removal of a brain tumor from the
parietal lobe. The client has established a goal to resume the role of home maintainer.
Which is the most important focus for the OTA to include during intervention sessions
focused on the development of home management skills? - ANSWER Safety
precautions to observe when cooking and ironing
A child with attention deficit with hyperactivity disorder (ADHD) and conduct disorder
attends an after-school program that utilizes behavioral management approaches to achieve
intervention goals. Snacks are provided and occasionally used as rewards. A parent insists
that a child not be given any foods containing sugar. Which is the OTA's best response to this
request? - ANSWER Comply with the parent's request and discontinue providing
sugary snacks
An OTA provides services for a client with a C4 spinal cord injury in a home health setting.
The client expresses concern about their skin integrity due to a recent pressure ulcer
resulting in hospitalization. Which should the OTA teach the client to do.to preserve their
skin integrity? - ANSWER Implement an hourly schedule for pressure relief using their
tilt-in-space wheelchair.
A middle school-aged child with right upper extremity amelia attends occupational therapy
to learn how to dress independently. Which of the following is most beneficial for the OTA to
focus on during intervention? - ANSWER Donning and doffing a variety of shirt types
of personal preference
An OTA works in a subacute rehabilitation facility. A newly admitted patient has right
hemiplegia and a right shoulder subluxation. The OTA meets with the nursing staff that will
be providing primary care to the patient. The OTA recommends that the direct care staff
position the patient in left side-lying. Which is the best bed position for the OTA to
2
, recommend for placement of the patient's right arm? - ANSWER Protracted, with arm
forward on a pillow and the elbow extended or slightly flexed
A person with a diagnosis of major depressive disorder is receiving acute psychiatric
treatment on an inpatient unit. The patient was recently placed on suicide precautions. The
OTA has scheduled 30-minute individual sessions in the patient's room to begin intervention.
Which is the most beneficial activity for the first intervention session? -
ANSWER Decorating cookies to contribute to the patients' lounge
A mental health facility provides inpatient and outpatient services for a catchment area that
encompasses five counties. The occupational therapy department meets to design a quality
improvement (QI) project. The OTA will contribute to this project. Which is the best focus for
this QI project? - ANSWER Discharge planning and the post-discharge follow-up
process
An individual is recovering from deep partial thickness burns on both upper extremities,
chest, and lower neck. The OTA provides equipment to prevent positions that can result in
contractures. Which are the most important positions for the OTA to prevent? -
ANSWER Positions of comfort
An individual recovering from a traumatic brain injury is assessed to be at Level VI of the
Rancho Level of Cognitive Functioning Scale. Which of the following should the OTA use to
implement intervention? - ANSWER Simple meal preparation tasks such as making a
sandwich
An adolescent incurred a C4 spinal cord injury. During the initial session, they refuse to
speak to the OTA. The OTA supportively acknowledges the client's response. Which action
should the OTA take next? - ANSWER Set up a chin-operated bedside environmental
control unit
An OTA works with members of a psychosocial clubhouse who have decided to participate in
the annual mental health awareness and fundraiser walk organized by the National Alliance
for Mental Illness (NAMI). The NAMI walk is 5K long and circles around an urban park. Many
clubhouse members express interest in training for the walk by taking extended walks four
3
