An individual with left hemiplegia who is right hand dominant receives training to resume
independent driving. The OT recommends the use of:
a. "palming" of the steering wheel
b. hand controls for brake and gas pedals
c. left-sided accelerator pedal
d. a spinner knob on the steering wheel - ANSWER d. a spinner knob on the steering
wheel
A 15 year old with a complete myelomeningocele at the T9 level is diagnosed with diabetes.
The OT home education program will most likey focus on:
a. regular skin inspection performed by a parent
b. consumer-initiated pressure relief
c. upper extremity strengthening
d. bowel and bladder care - ANSWER c. consumer-initiated pressure relief
An OT designs a dynamic splint for an individual recovering from tendon repair. To ensure an
appropriate angle of pull, the therapist positions an outrigger at:
a. 110 degrees to the joint
b. 60 degrees to the joint
c. 90 degrees to the joint
d. 45 degrees to the joint - ANSWER c. 90 degrees to the joint
An individual recovering from hip replacement surgery prepares for discharge home. He has
a secondary diagnosis of GERD. The most appropriate bed position for the occupational
therapist to recommend is:
1
,a. supine with elevation of the shoulders and head
b. sidelying with the neck in neutral
c. sidelying with elevation of the shoulders and head
d. supine with elevation of the hips - ANSWER a. supine with elevation of the
shoulders and head
An adult with obsessive-compulsive disorder is hospitalized due to the exacerbation of her
symptoms. During her first OT group, the best activity for the OT to employ with this person
is:
a. repotting plants
b. sanding a cutting board
c. stringing small beads into a necklace
d. lacing a wallet with the double cordovan stitch - ANSWER a. repotting plants
An OT provides home-based services to a person recovering from a recent CVA. The
individual lives alone and receives home care Medicare Part A benefits. The therapist arrives
at the client's house at the scheduled session time, but there is no response to the knocking
on the door. A neighbor states that she saw the client leave with a friend. The most
appropriate action for the therapist to take is to:
a. call the nurse case manager to report the missed appointment
b. document that no one answered the door and that the appointment will be rescheduled
c. documents that no one was home and that the appointment will be rescheduled
d. documenet that the client is engaged in community mobility activities and should be
evaluated for discharge - ANSWER b. document that no one answered the door and
that the appointment will be rescheduled
A child with tactile-defensiveness is receiving intervention from an OT using a SI approach. In
introducing tactile stimuli to the child the most appropriate method for the therapist to use
is:
a. apply the stimulus in the direction opposite of hair growth with vision occluded
b. apply light touch across the face and abdomen with vision occluded
2
, c. provide light brushing across the palmar surfaces of the extremities with the child
watching
d. provide deep touch and firm pressure where the child can see the stimuli -
ANSWER d. provide deep touch and firm pressure where the child can see the stimuli
An OT receives a referral to evaluate an individual's executive functioning following a mild
CVA. The OT will most likely assess the person's:
a. initiation and planning
b. orientation, attention, and memory
c. job interests and efficacy
d. spatial relations and praxis - ANSWER a. initiation and planning
A child with a diagnosis of TBI is seen in OT for the initial evaluation. The child presents with
extension of both UE's and flexion of both LE's following a stimulus of neck extension. The
OT interprets and describes this observation as:
a. +ATNR, which is "normal"
b. +STNR, which is "abnormal", and has reappeared after the TBI
c. +STNR, which is "abnormal" in a child this age, the reflex has not yet been integrated
d. +ATNR, which is "abnormal", and has reappeared after the TBI - ANSWER b. +STNR,
which is "abnormal", and has reappeared after the TBI
During a parallel task group, one of the clients agitated and fidgety. She gets up and looks
out the window occasionally for a few minutes and then returns to the task. The therapist's
best response is to:
a. tell her she must remain in her seat or leave the room
b. say nothing
c. ask the other members if she is bothering them
d. talk to her after the group and tell her she is not yet ready for this group -
ANSWER b. say nothing
3
independent driving. The OT recommends the use of:
a. "palming" of the steering wheel
b. hand controls for brake and gas pedals
c. left-sided accelerator pedal
d. a spinner knob on the steering wheel - ANSWER d. a spinner knob on the steering
wheel
A 15 year old with a complete myelomeningocele at the T9 level is diagnosed with diabetes.
The OT home education program will most likey focus on:
a. regular skin inspection performed by a parent
b. consumer-initiated pressure relief
c. upper extremity strengthening
d. bowel and bladder care - ANSWER c. consumer-initiated pressure relief
An OT designs a dynamic splint for an individual recovering from tendon repair. To ensure an
appropriate angle of pull, the therapist positions an outrigger at:
a. 110 degrees to the joint
b. 60 degrees to the joint
c. 90 degrees to the joint
d. 45 degrees to the joint - ANSWER c. 90 degrees to the joint
An individual recovering from hip replacement surgery prepares for discharge home. He has
a secondary diagnosis of GERD. The most appropriate bed position for the occupational
therapist to recommend is:
1
,a. supine with elevation of the shoulders and head
b. sidelying with the neck in neutral
c. sidelying with elevation of the shoulders and head
d. supine with elevation of the hips - ANSWER a. supine with elevation of the
shoulders and head
An adult with obsessive-compulsive disorder is hospitalized due to the exacerbation of her
symptoms. During her first OT group, the best activity for the OT to employ with this person
is:
a. repotting plants
b. sanding a cutting board
c. stringing small beads into a necklace
d. lacing a wallet with the double cordovan stitch - ANSWER a. repotting plants
An OT provides home-based services to a person recovering from a recent CVA. The
individual lives alone and receives home care Medicare Part A benefits. The therapist arrives
at the client's house at the scheduled session time, but there is no response to the knocking
on the door. A neighbor states that she saw the client leave with a friend. The most
appropriate action for the therapist to take is to:
a. call the nurse case manager to report the missed appointment
b. document that no one answered the door and that the appointment will be rescheduled
c. documents that no one was home and that the appointment will be rescheduled
d. documenet that the client is engaged in community mobility activities and should be
evaluated for discharge - ANSWER b. document that no one answered the door and
that the appointment will be rescheduled
A child with tactile-defensiveness is receiving intervention from an OT using a SI approach. In
introducing tactile stimuli to the child the most appropriate method for the therapist to use
is:
a. apply the stimulus in the direction opposite of hair growth with vision occluded
b. apply light touch across the face and abdomen with vision occluded
2
, c. provide light brushing across the palmar surfaces of the extremities with the child
watching
d. provide deep touch and firm pressure where the child can see the stimuli -
ANSWER d. provide deep touch and firm pressure where the child can see the stimuli
An OT receives a referral to evaluate an individual's executive functioning following a mild
CVA. The OT will most likely assess the person's:
a. initiation and planning
b. orientation, attention, and memory
c. job interests and efficacy
d. spatial relations and praxis - ANSWER a. initiation and planning
A child with a diagnosis of TBI is seen in OT for the initial evaluation. The child presents with
extension of both UE's and flexion of both LE's following a stimulus of neck extension. The
OT interprets and describes this observation as:
a. +ATNR, which is "normal"
b. +STNR, which is "abnormal", and has reappeared after the TBI
c. +STNR, which is "abnormal" in a child this age, the reflex has not yet been integrated
d. +ATNR, which is "abnormal", and has reappeared after the TBI - ANSWER b. +STNR,
which is "abnormal", and has reappeared after the TBI
During a parallel task group, one of the clients agitated and fidgety. She gets up and looks
out the window occasionally for a few minutes and then returns to the task. The therapist's
best response is to:
a. tell her she must remain in her seat or leave the room
b. say nothing
c. ask the other members if she is bothering them
d. talk to her after the group and tell her she is not yet ready for this group -
ANSWER b. say nothing
3
