Test Bank For Pediatric Skills for Occupational Therapy Assistants 5th Edition By Jean W.
Solomon; Jane Clifford O'Brien | All 1-29 Chapters Covered With Questions And Verified
Solutions With Detailed Rationales And Case Studies.
, TABLE OF CONTENT
1. Scope of Practice
2. Family Systems
3. Medical System
4. Educational System
5. Community Practice
6. Principles of Normal Development
7. Development of Performance Skills
8. Development of Occupations
9. Adolescent Development: Becoming an Adolescent, Becoming an Adult
10. The Occupational Therapy Process
11. Anatomy and Physiology for the Pediatric Practitioner
12. Neuroanatomy for the Pediatric Practitioner
13. Pediatric Health Conditions
14. Childhood and Adolescent Psychosocial and Mental Health Disorders
15. Childhood and Adolescent Obesity
16. Intellectual Disabilities
17. Cerebral Palsy
18. Positioning and Handling: An Neurodevelopmental Approach
19. Activities of Daily Living (ADLs) and Sleep/Rest
20. Instrumental Activities of Daily Living
21. Play and Playfulness
22. Functional Task at School: Handwriting
23. Therapeutic Media: Activity with Purpose
24. Motor Control and Motor Learning
25. Sensory Processing/Integration and Occupation
26. Applying the Model of Human Occupation to Pediatric Practice
27. Assistive Technology
28. Orthoses, Orthosis Fabrication, and Elastic Therapeutic Taping for the Pediatric Population
29. Animal-Assisted Therapy
, Chapter 1: Scope of Practice (Occupational Therapy Assistants in Pediatrics)
1. In a pediatric outpatient clinic, an occupational therapy assistant (OTA) is asked by a parent to
independently change the child’s treatment plan because progress seems slow. The OTA notices
that the current plan involves sensory integration and fine motor development activities. Based on
professional scope of practice, what is the MOST appropriate response by the OTA?
A. Modify the treatment plan independently to meet parental expectations
B. Discontinue the current plan and start a new intervention approach
C. Consult and collaborate with the supervising occupational therapist before making any changes
D. Tell the parent that therapy cannot be changed under any circumstances
Correct Answer: C
Rationale: OTAs must work under the supervision of an OT and cannot independently modify
treatment plans.
2. A pediatric OTA is documenting a treatment session where a child with cerebral palsy practiced
dressing skills using adaptive equipment. Which statement BEST reflects appropriate
documentation within the OTA scope of practice?
A. “I diagnosed improved motor coordination during dressing tasks.”
B. “I changed the child’s long-term treatment goals based on progress.”
C. “The child completed buttoning tasks with moderate assistance using adaptive tools as directed by
the OT plan.”
D. “I determined that therapy frequency should be reduced.”
Correct Answer: C
Rationale: OTAs document performance and assistance level but do not diagnose or change goals.
3. During a school-based session, a teacher asks the OTA to recommend a new individualized
education program (IEP) goal. What is the MOST appropriate response?
A. Provide a new IEP goal based on clinical judgment
B. Decline and refer the request to the supervising OT
C. Agree and immediately write the goal
D. Ask the child to decide the goal
Correct Answer: B
Rationale: Only the OT is responsible for formal goal setting in an IEP.
, 4. A child receiving OT services shows sudden regression in fine motor skills. The OTA suspects a
neurological issue. What should the OTA do FIRST?
A. Diagnose the condition
B. Report findings to the supervising OT
C. Adjust the therapy program independently
D. Ignore the change
Correct Answer: B
Rationale: OTAs must report clinical concerns to the supervising OT.
5. Which task is MOST appropriate for an OTA working in pediatrics?
A. Diagnosing autism spectrum disorder
B. Creating initial evaluation reports
C. Implementing intervention activities outlined by the OT
D. Prescribing sensory diets
Correct Answer: C
Rationale: OTAs implement, not evaluate or diagnose.
6. A pediatric OTA notices that a child becomes overstimulated during group play sessions. What is
the BEST action?
A. Immediately change the intervention plan
B. Report observations to the supervising OT
C. Stop therapy permanently
D. Ignore behavior changes
Correct Answer: B
Rationale: OTAs report changes but do not independently alter plans.
7. Which activity falls OUTSIDE the OTA scope of practice?
A. Assisting a child in handwriting tasks
B. Providing caregiver education as instructed by OT
C. Modifying treatment goals independently
D. Implementing sensory integration activities
Correct Answer: C
Rationale: Goal modification is the OT’s responsibility.
8. A parent asks the OTA for a prognosis about their child’s long-term developmental outcomes.
What is the BEST response?
A. Provide a detailed prognosis
B. Refer the question to the supervising OT
Solomon; Jane Clifford O'Brien | All 1-29 Chapters Covered With Questions And Verified
Solutions With Detailed Rationales And Case Studies.
, TABLE OF CONTENT
1. Scope of Practice
2. Family Systems
3. Medical System
4. Educational System
5. Community Practice
6. Principles of Normal Development
7. Development of Performance Skills
8. Development of Occupations
9. Adolescent Development: Becoming an Adolescent, Becoming an Adult
10. The Occupational Therapy Process
11. Anatomy and Physiology for the Pediatric Practitioner
12. Neuroanatomy for the Pediatric Practitioner
13. Pediatric Health Conditions
14. Childhood and Adolescent Psychosocial and Mental Health Disorders
15. Childhood and Adolescent Obesity
16. Intellectual Disabilities
17. Cerebral Palsy
18. Positioning and Handling: An Neurodevelopmental Approach
19. Activities of Daily Living (ADLs) and Sleep/Rest
20. Instrumental Activities of Daily Living
21. Play and Playfulness
22. Functional Task at School: Handwriting
23. Therapeutic Media: Activity with Purpose
24. Motor Control and Motor Learning
25. Sensory Processing/Integration and Occupation
26. Applying the Model of Human Occupation to Pediatric Practice
27. Assistive Technology
28. Orthoses, Orthosis Fabrication, and Elastic Therapeutic Taping for the Pediatric Population
29. Animal-Assisted Therapy
, Chapter 1: Scope of Practice (Occupational Therapy Assistants in Pediatrics)
1. In a pediatric outpatient clinic, an occupational therapy assistant (OTA) is asked by a parent to
independently change the child’s treatment plan because progress seems slow. The OTA notices
that the current plan involves sensory integration and fine motor development activities. Based on
professional scope of practice, what is the MOST appropriate response by the OTA?
A. Modify the treatment plan independently to meet parental expectations
B. Discontinue the current plan and start a new intervention approach
C. Consult and collaborate with the supervising occupational therapist before making any changes
D. Tell the parent that therapy cannot be changed under any circumstances
Correct Answer: C
Rationale: OTAs must work under the supervision of an OT and cannot independently modify
treatment plans.
2. A pediatric OTA is documenting a treatment session where a child with cerebral palsy practiced
dressing skills using adaptive equipment. Which statement BEST reflects appropriate
documentation within the OTA scope of practice?
A. “I diagnosed improved motor coordination during dressing tasks.”
B. “I changed the child’s long-term treatment goals based on progress.”
C. “The child completed buttoning tasks with moderate assistance using adaptive tools as directed by
the OT plan.”
D. “I determined that therapy frequency should be reduced.”
Correct Answer: C
Rationale: OTAs document performance and assistance level but do not diagnose or change goals.
3. During a school-based session, a teacher asks the OTA to recommend a new individualized
education program (IEP) goal. What is the MOST appropriate response?
A. Provide a new IEP goal based on clinical judgment
B. Decline and refer the request to the supervising OT
C. Agree and immediately write the goal
D. Ask the child to decide the goal
Correct Answer: B
Rationale: Only the OT is responsible for formal goal setting in an IEP.
, 4. A child receiving OT services shows sudden regression in fine motor skills. The OTA suspects a
neurological issue. What should the OTA do FIRST?
A. Diagnose the condition
B. Report findings to the supervising OT
C. Adjust the therapy program independently
D. Ignore the change
Correct Answer: B
Rationale: OTAs must report clinical concerns to the supervising OT.
5. Which task is MOST appropriate for an OTA working in pediatrics?
A. Diagnosing autism spectrum disorder
B. Creating initial evaluation reports
C. Implementing intervention activities outlined by the OT
D. Prescribing sensory diets
Correct Answer: C
Rationale: OTAs implement, not evaluate or diagnose.
6. A pediatric OTA notices that a child becomes overstimulated during group play sessions. What is
the BEST action?
A. Immediately change the intervention plan
B. Report observations to the supervising OT
C. Stop therapy permanently
D. Ignore behavior changes
Correct Answer: B
Rationale: OTAs report changes but do not independently alter plans.
7. Which activity falls OUTSIDE the OTA scope of practice?
A. Assisting a child in handwriting tasks
B. Providing caregiver education as instructed by OT
C. Modifying treatment goals independently
D. Implementing sensory integration activities
Correct Answer: C
Rationale: Goal modification is the OT’s responsibility.
8. A parent asks the OTA for a prognosis about their child’s long-term developmental outcomes.
What is the BEST response?
A. Provide a detailed prognosis
B. Refer the question to the supervising OT
