Chronic Diseases and Occupational
Therapy 2026 | OT Interventions,
Treatment Strategies, Case
Studies & Rehabilitation Practice
Guide
CHRONIC DISEASES AND OCCUPATIONAL THERAPY OT Interventions, Treatment
Strategies, Case Studies & Rehabilitation Practice Guide 300 Multiple Choice
QUESTION 1 What is the primary focus of occupational therapy in chronic disease
management?
A. Providing medical diagnosis B. Administering pharmacological treatments C. Enabling
participation in meaningful occupations D. Performing surgical procedures E. Replacing the
role of a physician
RATIONALE: The primary focus of OT is to enable individuals to engage in meaningful
daily occupations despite the limitations imposed by chronic conditions.
QUESTION 2 Which framework is most commonly used by occupational therapists to guide
chronic disease intervention?
A. The Medical Model B. The Person-Environment-Occupation (PEO) Model C. The
Biomedical Model D. The Pharmacological Model E. The Surgical Rehabilitation Model
RATIONALE: The PEO Model considers the interaction between the person, their
environment, and their occupations, making it highly applicable to chronic disease management.
QUESTION 3 The Occupational Therapy Practice Framework (OTPF) identifies which of the
following as the primary domain of concern?
A. Disease prevention B. Medication management C. Occupation D. Surgical recovery E.
Diagnostic testing
RATIONALE: According to the OTPF, occupation is the central domain of OT practice,
encompassing all daily activities that give life meaning.
,QUESTION 4 In chronic disease management, which of the following best describes the
concept of 'occupational performance'?
A. The ability to take medications correctly B. The ability to execute and engage in desired
occupations C. Physical strength and endurance D. Cognitive ability to follow instructions E.
The speed of completing daily tasks
RATIONALE: Occupational performance refers to the dynamic interaction between the
person, environment, and occupation that results in the ability to perform desired activities.
QUESTION 5 Which assessment tool is most appropriate for evaluating the functional impact
of chronic disease on daily activities?
A. The Glasgow Coma Scale B. The Canadian Occupational Performance Measure (COPM)
C. The Mini-Mental State Examination D. The Barthel Index for acute care only E. The NIHSS
stroke scale
RATIONALE: The COPM is a client-centered tool used to identify, prioritize, and evaluate
occupational performance issues in any chronic condition.
QUESTION 6 A client with a chronic condition reports difficulty managing their home
environment. Which OT approach is most appropriate?
A. Prescribe pain medication B. Refer to a surgeon C. Environmental modification and adaptive
equipment D. Recommend bed rest E. Advise hospitalization
RATIONALE: OTs address environmental barriers through modifications and adaptive
equipment to enhance occupational performance in the home.
QUESTION 7 What is the role of OT in a multidisciplinary chronic disease management
team?
A. Primary prescriber of medications B. Lead surgeon in procedures C. Facilitating occupational
performance and daily function D. Managing lab results E. Coordinating insurance billing
RATIONALE: In a multidisciplinary team, OTs contribute expertise in functional
performance, enabling clients to participate in meaningful daily activities.
,QUESTION 8 Which of the following is a characteristic feature of chronic diseases relevant to
OT practice?
A. Sudden onset with full recovery B. Requiring only short-term intervention C. Long duration
with persistent functional limitations D. Always having a known cure E. Exclusively
affecting older adults
RATIONALE: Chronic diseases are characterized by long duration, persistent symptoms,
and functional limitations that OTs address through ongoing intervention.
QUESTION 9 Client-centered practice in OT for chronic disease management involves:
A. The therapist determining all treatment goals B. Focusing only on physical impairments C.
Collaborating with the client to set meaningful goals D. Following a standardized protocol
regardless of client needs E. Prioritizing insurance requirements over client goals
RATIONALE: Client-centered practice means the OT collaborates with the client,
respecting their values and priorities in setting treatment goals.
QUESTION 10 Which of the following best describes the biopsychosocial model as applied in
OT for chronic diseases?
A. It focuses only on biological aspects of disease B. It ignores psychosocial factors C. It
considers biological, psychological, and social dimensions of health D. It is used only in
psychiatric OT E. It prioritizes medical interventions over functional goals
RATIONALE: The biopsychosocial model recognizes that health and function are
influenced by biological, psychological, and social factors, all of which OT addresses.
QUESTION 11 During the initial OT evaluation for a client with a chronic condition, which
step is most critical?
A. Immediately beginning treatment B. Conducting a comprehensive occupational profile C.
Ordering laboratory tests D. Referring to a specialist E. Scheduling surgery
RATIONALE: The occupational profile gathers information about the client's history,
interests, needs, and concerns to guide person-centered intervention planning.
, QUESTION 12 Which standardized assessment measures a client's ability to perform ADLs
and is commonly used in chronic disease OT?
A. The Fugl-Meyer Assessment B. The Functional Independence Measure (FIM) C. The
Glasgow Coma Scale D. The NIH Stroke Scale E. The Berg Balance Scale only
RATIONALE: The FIM is a widely used tool that measures functional independence in
ADLs and IADLs, applicable across various chronic conditions.
QUESTION 13 In OT practice, 'activity analysis' for a client with chronic disease involves:
A. Diagnosing the disease B. Breaking down an activity to identify its components and demands
C. Prescribing exercises D. Analyzing blood work results E. Reviewing imaging studies
RATIONALE: Activity analysis involves systematically examining an activity's demands to
determine how a chronic condition affects performance and to identify modification strategies.
QUESTION 14 Which intervention strategy is most appropriate for a client with chronic
disease experiencing fatigue?
A. Increasing activity intensity B. Energy conservation techniques C. Complete bed rest D.
High-intensity exercise E. Eliminating all activities
RATIONALE: Energy conservation techniques help clients manage fatigue by prioritizing
activities, pacing themselves, and using adaptive methods to maintain participation.
QUESTION 15 The concept of 'occupational adaptation' in chronic disease OT refers to:
A. Adapting the diagnosis B. The client's process of adjusting occupational responses to
challenges C. Modifying medication schedules D. Changing the disease pathology E.
Adapting surgical techniques
RATIONALE: Occupational adaptation is the internal process by which clients develop new
strategies to meet occupational challenges imposed by chronic disease.
Therapy 2026 | OT Interventions,
Treatment Strategies, Case
Studies & Rehabilitation Practice
Guide
CHRONIC DISEASES AND OCCUPATIONAL THERAPY OT Interventions, Treatment
Strategies, Case Studies & Rehabilitation Practice Guide 300 Multiple Choice
QUESTION 1 What is the primary focus of occupational therapy in chronic disease
management?
A. Providing medical diagnosis B. Administering pharmacological treatments C. Enabling
participation in meaningful occupations D. Performing surgical procedures E. Replacing the
role of a physician
RATIONALE: The primary focus of OT is to enable individuals to engage in meaningful
daily occupations despite the limitations imposed by chronic conditions.
QUESTION 2 Which framework is most commonly used by occupational therapists to guide
chronic disease intervention?
A. The Medical Model B. The Person-Environment-Occupation (PEO) Model C. The
Biomedical Model D. The Pharmacological Model E. The Surgical Rehabilitation Model
RATIONALE: The PEO Model considers the interaction between the person, their
environment, and their occupations, making it highly applicable to chronic disease management.
QUESTION 3 The Occupational Therapy Practice Framework (OTPF) identifies which of the
following as the primary domain of concern?
A. Disease prevention B. Medication management C. Occupation D. Surgical recovery E.
Diagnostic testing
RATIONALE: According to the OTPF, occupation is the central domain of OT practice,
encompassing all daily activities that give life meaning.
,QUESTION 4 In chronic disease management, which of the following best describes the
concept of 'occupational performance'?
A. The ability to take medications correctly B. The ability to execute and engage in desired
occupations C. Physical strength and endurance D. Cognitive ability to follow instructions E.
The speed of completing daily tasks
RATIONALE: Occupational performance refers to the dynamic interaction between the
person, environment, and occupation that results in the ability to perform desired activities.
QUESTION 5 Which assessment tool is most appropriate for evaluating the functional impact
of chronic disease on daily activities?
A. The Glasgow Coma Scale B. The Canadian Occupational Performance Measure (COPM)
C. The Mini-Mental State Examination D. The Barthel Index for acute care only E. The NIHSS
stroke scale
RATIONALE: The COPM is a client-centered tool used to identify, prioritize, and evaluate
occupational performance issues in any chronic condition.
QUESTION 6 A client with a chronic condition reports difficulty managing their home
environment. Which OT approach is most appropriate?
A. Prescribe pain medication B. Refer to a surgeon C. Environmental modification and adaptive
equipment D. Recommend bed rest E. Advise hospitalization
RATIONALE: OTs address environmental barriers through modifications and adaptive
equipment to enhance occupational performance in the home.
QUESTION 7 What is the role of OT in a multidisciplinary chronic disease management
team?
A. Primary prescriber of medications B. Lead surgeon in procedures C. Facilitating occupational
performance and daily function D. Managing lab results E. Coordinating insurance billing
RATIONALE: In a multidisciplinary team, OTs contribute expertise in functional
performance, enabling clients to participate in meaningful daily activities.
,QUESTION 8 Which of the following is a characteristic feature of chronic diseases relevant to
OT practice?
A. Sudden onset with full recovery B. Requiring only short-term intervention C. Long duration
with persistent functional limitations D. Always having a known cure E. Exclusively
affecting older adults
RATIONALE: Chronic diseases are characterized by long duration, persistent symptoms,
and functional limitations that OTs address through ongoing intervention.
QUESTION 9 Client-centered practice in OT for chronic disease management involves:
A. The therapist determining all treatment goals B. Focusing only on physical impairments C.
Collaborating with the client to set meaningful goals D. Following a standardized protocol
regardless of client needs E. Prioritizing insurance requirements over client goals
RATIONALE: Client-centered practice means the OT collaborates with the client,
respecting their values and priorities in setting treatment goals.
QUESTION 10 Which of the following best describes the biopsychosocial model as applied in
OT for chronic diseases?
A. It focuses only on biological aspects of disease B. It ignores psychosocial factors C. It
considers biological, psychological, and social dimensions of health D. It is used only in
psychiatric OT E. It prioritizes medical interventions over functional goals
RATIONALE: The biopsychosocial model recognizes that health and function are
influenced by biological, psychological, and social factors, all of which OT addresses.
QUESTION 11 During the initial OT evaluation for a client with a chronic condition, which
step is most critical?
A. Immediately beginning treatment B. Conducting a comprehensive occupational profile C.
Ordering laboratory tests D. Referring to a specialist E. Scheduling surgery
RATIONALE: The occupational profile gathers information about the client's history,
interests, needs, and concerns to guide person-centered intervention planning.
, QUESTION 12 Which standardized assessment measures a client's ability to perform ADLs
and is commonly used in chronic disease OT?
A. The Fugl-Meyer Assessment B. The Functional Independence Measure (FIM) C. The
Glasgow Coma Scale D. The NIH Stroke Scale E. The Berg Balance Scale only
RATIONALE: The FIM is a widely used tool that measures functional independence in
ADLs and IADLs, applicable across various chronic conditions.
QUESTION 13 In OT practice, 'activity analysis' for a client with chronic disease involves:
A. Diagnosing the disease B. Breaking down an activity to identify its components and demands
C. Prescribing exercises D. Analyzing blood work results E. Reviewing imaging studies
RATIONALE: Activity analysis involves systematically examining an activity's demands to
determine how a chronic condition affects performance and to identify modification strategies.
QUESTION 14 Which intervention strategy is most appropriate for a client with chronic
disease experiencing fatigue?
A. Increasing activity intensity B. Energy conservation techniques C. Complete bed rest D.
High-intensity exercise E. Eliminating all activities
RATIONALE: Energy conservation techniques help clients manage fatigue by prioritizing
activities, pacing themselves, and using adaptive methods to maintain participation.
QUESTION 15 The concept of 'occupational adaptation' in chronic disease OT refers to:
A. Adapting the diagnosis B. The client's process of adjusting occupational responses to
challenges C. Modifying medication schedules D. Changing the disease pathology E.
Adapting surgical techniques
RATIONALE: Occupational adaptation is the internal process by which clients develop new
strategies to meet occupational challenges imposed by chronic disease.
