Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants 2nd Edition Test
Bank | Comprehensive Test Bank | Chapter 1 - 41
Chapter 01
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. An OTA is working with a client who previously sustained a spinal cord injury and is
now utilizing a wheelchair. The client’s job is being modified because the client will
be unable to resume full job responsibilities as a first-grade teacher. Under the
International Classification of Functioning and Disability, how would this scenario be
BEST categorized?
a. Impairment c. Participation restriction
b. Activity limitation d. Disability
____ 2. An OTA is working on a committee to help ensure that public transportation settings continue to
offer accessibility for individuals with disabilities. What law is the OTA MOST LIKELY
considering when making these recommendations?
a. Americans with Disabilities Act (ADA)
b. Individuals with Disabilities Education Act (IDEA)
c. World Health Organization (WHO)
d. Health Insurance Portability and Accountability Act (HIPAA)
____ 3. Initially, OT practitioners treated individuals with mental illness utilizing a variety of arts and crafts
with an occupational focus as a diversion from their conditions. What would be the BEST term to
describe this focus?
a. Purposeful activity c. Physical rehabilitation
b. Moral treatment d. Mental rehabilitation
____ 4. After World War II, the field of occupational therapy shifted focus to placing wounded veterans in
job-related occupations as a part of the Rehabilitation Movement. How was this different from the
way that OT practitioners previously treated their clients?
a. The client’s specific illness would be treated
b. The client would be treated as a whole person
c. Client-centered goals would guide treatment
d. A moral treatment model would be used
____ 5. What does the term “occupation” in occupational therapy BEST represent?
a. Employment c. Livelihood
b. Purposeful activity
____ 6. In relation to occupational therapy, how is the term “occupation” BEST described?
a. Something a person wants to do
b. A chore that a person has to perform
c. A newly acquired skill a person wants to learn
____ 7. What occupational therapy model is BEST described as focusing on the understanding and
development of a person’s occupational identity and occupational competence to facilitate
adaptation to the dynamic demands of the life patterns and focuses intervention on a client’s
volition and habituation to lead to improved competence, identity, and occupational adaptation?
a. Model of human occupation (MOHO)
, Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants 2nd Edition Test
Bank | Comprehensive Test Bank | Chapter 1 - 41
b. Canadian model of occupational performance and engagement (CMOP-E)
c. Person-environment-occupation-performance (PEOP)
____ 8. What occupational therapy model is BEST described as using an array of interconnected and
overlapping circles to explain the interactions between the person, the environment, the person’s
occupations, and the performance of those occupations in five dimensions and centers on
understanding how these dimensions interact with one another to promote well-being and quality of
life?
a. Model of human occupation (MOHO)
b. Canadian model of occupational performance and engagement (CMOP-E) model
c. Person-environment-occupation-performance (PEOP)
____ 9. What occupational therapy model is BEST described as depicting the client at the center, with
spirituality as the core motivating principle, which is foundational for the cognitive, affective, and
physical aspects while being surrounded by the individual’s occupations, followed by the outermost
layer, the environment?
a. Model of human occupation (MOHO)
b. Canadian model of occupational performance and engagement (CMOP-E) model
c. Person-environment-occupation-performance (PEOP)
____ 10. An OTA is working with a client who has diminished grip strength after coming out of a cast for a
forearm fracture. The client is expected to regain full strength with therapy services. The client
complains of difficulty holding a toothbrush. What is the BEST action for the OTA to allow the
client to participate in the purposeful activity of morning ADLs?
a. Suggest home modifications that could be made
b. Hire an in-home caretaker to assist the client
c. Ask family members to dress the client
d. Provide adaptive equipment and techniques
____ 11. An OTA is working with a client who has experienced a spinal cord injury so that she can navigate
the grocery store with more independence. The OTA suggests that the client should go to the
grocery store during off-peak times to allow better maneuverability of her wheelchair. The client is
pleased with her ability to grocery shop with more independence. What is this scenario MOST
LIKELY an example of?
a. Therapeutic use of self c. Occupation
b. Activity adaptation
____ 12. The goals for what frame of reference are MOST closely associated with gaining strength,
increasing ROM, reducing pain or swelling, maintaining joint ROM or strength, and preventing
contractures?
a. Rehabilitation c. Neurofunctional
b. Biomechanical
____ 13. The goals for what frame of reference are MOST closely associated with adapting techniques or
tools, making changes to the environment, or compensating for difficulties in performing
occupations?
a. Rehabilitation c. Neurofunctional
b. Biomechanical
, Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants 2nd Edition Test
Bank | Comprehensive Test Bank | Chapter 1 - 41
____ 14. An OTA is working with a college-aged student who sustained a spinal cord injury in a motor
vehicle accident. The student wants to resume attending classes so he can finish his degree. What
would be the BEST suggestion for the OTA to make for this student to begin reintegration into
college life?
a. Explore the accessibility options on campus
b. Inquire about online course options
c. Search for a smaller school in which to enroll
d. Register for classes for the next semester
____ 15. After working with an elderly client who had a total hip replacement, the OTA overhears a
conversation between the client and her caregiver about the client’s lack of independence. The
caregiver states that he will do all of the required ADLs and that the client does not need any of the
adaptive equipment shown. What is the BEST way for the OTA to respond?
a. Provide education on the benefits of the adaptive equipment
b. Respect their wishes and focus treatment on other tasks
c. Tell them they are being a distraction and ask them to leave
d. Inquire about a funding source for the adaptive equipment
____ 16. An OTA is working with a client who has just experienced a cerebrovascular accident (CVA). The
client reports feeling depressed and frustrated with the drastic changes to her life and body and feels
that no one else understands what she is going through. How can the OTA BEST help the client in
this situation?
a. Explain that she can still live her life with the skills that she learns in the therapy
setting
b. Help her find a support group for individuals who have had a similar experience
c. Encourage family to take her to activities that she used to enjoy so she can enjoy
them again
d. Discuss with the physiatrist about the need for a referral for a psychiatric
evaluation
____ 17. If an OTA were using people-first language, how would he MOST LIKELY describe his client?
a. The traumatic brain injury (TBI) in room 220
b. Ms. X who had a TBI
c. Room 220 with a TBI
____ 18. When working with clients OT practitioners are encouraged to use person-first language (PFL).
What are the BEST examples of PFL? (Choose 3)
a. She is paraplegic
b. He is mentally retarded
c. She had a stroke
d. He had a spinal cord injury
e. She is bed bound
f. He uses a power wheelchair
, Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants 2nd Edition Test
Bank | Comprehensive Test Bank | Chapter 1 - 41
____ 19. An OTA is working with a client who has recently sustained a spinal cord injury. While talking
with the client and asking about what activities she enjoys doing, the client tends to state that
everything is just a blur and that she cannot recall what she enjoyed doing. What might the client
MOST LIKELY be experiencing?
a. Shock c. Denial
b. Refusal d. Anger
____ 20. An OTA is working in an acute rehabilitation facility with an elderly woman who has recently had a
CVA resulting in left hemiparesis and minimal active range of motion in her shoulder. While
talking about goals, the client states that she cannot wait to pick up her grandchildren when they
visit tonight. What might the client MOST LIKELY be experiencing?
a. Shock c. Denial
b. Refusal d. Anger
____ 21. When a client is preparing for discharge from an outpatient setting, which of the following tasks
would MOST LIKELY be delegated to the OTA?
a. Creating a discharge summary c. Performing a final evaluation
b. Creating a home exercise program
____ 22. Throughout the OT process, an OTA is collaborating with an occupational therapist as the
evaluation and treatment process is carried out. The OTA has demonstrated competence with
several assessment tools and has a good rapport with the clients on her caseload. During the
assessment phase, what is the role of the PRIMARY OTA?
a. Administer and interpret assessment scores for treatment planning
b. Delegate components of the assessment to the occupational therapist
c. Report scores on the standardized assessment and client progress
d. Select the standardized assessments to perform
____ 23. An entry-level OTA is beginning a new job in a rehabilitation facility and will be a part of a team of
OTAs who are supervised by an occupational therapist. Where would the OTA MOST LIKELY
look to find regulatory information about supervision guidelines?
a. The state regulatory body
b. The healthcare facility’s policies and procedures manual
c. The National Board for Certification in Occupational Therapy
d. The American Occupational Therapy Association
____ 24. What type of team is MOST closely characterized by a group of various professionals from
different disciplines that provide their own care to the client by performing their own evaluations,
have separate treatment goals, and are responsible for their individual scope of practice as they
work independently of each other?
a. Multidisciplinary c. Transdisciplinary
b. Interdisciplinary
____ 25. What type of team is MOST closely characterized by a group of various professionals from
different disciplines that work in the same setting, share information formally and informally, and
use team meetings to systematically coordinate efforts and solve problems as they relate to each
discipline?
a. Multidisciplinary c. Transdisciplinary
b. Interdisciplinary
Bank | Comprehensive Test Bank | Chapter 1 - 41
Chapter 01
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. An OTA is working with a client who previously sustained a spinal cord injury and is
now utilizing a wheelchair. The client’s job is being modified because the client will
be unable to resume full job responsibilities as a first-grade teacher. Under the
International Classification of Functioning and Disability, how would this scenario be
BEST categorized?
a. Impairment c. Participation restriction
b. Activity limitation d. Disability
____ 2. An OTA is working on a committee to help ensure that public transportation settings continue to
offer accessibility for individuals with disabilities. What law is the OTA MOST LIKELY
considering when making these recommendations?
a. Americans with Disabilities Act (ADA)
b. Individuals with Disabilities Education Act (IDEA)
c. World Health Organization (WHO)
d. Health Insurance Portability and Accountability Act (HIPAA)
____ 3. Initially, OT practitioners treated individuals with mental illness utilizing a variety of arts and crafts
with an occupational focus as a diversion from their conditions. What would be the BEST term to
describe this focus?
a. Purposeful activity c. Physical rehabilitation
b. Moral treatment d. Mental rehabilitation
____ 4. After World War II, the field of occupational therapy shifted focus to placing wounded veterans in
job-related occupations as a part of the Rehabilitation Movement. How was this different from the
way that OT practitioners previously treated their clients?
a. The client’s specific illness would be treated
b. The client would be treated as a whole person
c. Client-centered goals would guide treatment
d. A moral treatment model would be used
____ 5. What does the term “occupation” in occupational therapy BEST represent?
a. Employment c. Livelihood
b. Purposeful activity
____ 6. In relation to occupational therapy, how is the term “occupation” BEST described?
a. Something a person wants to do
b. A chore that a person has to perform
c. A newly acquired skill a person wants to learn
____ 7. What occupational therapy model is BEST described as focusing on the understanding and
development of a person’s occupational identity and occupational competence to facilitate
adaptation to the dynamic demands of the life patterns and focuses intervention on a client’s
volition and habituation to lead to improved competence, identity, and occupational adaptation?
a. Model of human occupation (MOHO)
, Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants 2nd Edition Test
Bank | Comprehensive Test Bank | Chapter 1 - 41
b. Canadian model of occupational performance and engagement (CMOP-E)
c. Person-environment-occupation-performance (PEOP)
____ 8. What occupational therapy model is BEST described as using an array of interconnected and
overlapping circles to explain the interactions between the person, the environment, the person’s
occupations, and the performance of those occupations in five dimensions and centers on
understanding how these dimensions interact with one another to promote well-being and quality of
life?
a. Model of human occupation (MOHO)
b. Canadian model of occupational performance and engagement (CMOP-E) model
c. Person-environment-occupation-performance (PEOP)
____ 9. What occupational therapy model is BEST described as depicting the client at the center, with
spirituality as the core motivating principle, which is foundational for the cognitive, affective, and
physical aspects while being surrounded by the individual’s occupations, followed by the outermost
layer, the environment?
a. Model of human occupation (MOHO)
b. Canadian model of occupational performance and engagement (CMOP-E) model
c. Person-environment-occupation-performance (PEOP)
____ 10. An OTA is working with a client who has diminished grip strength after coming out of a cast for a
forearm fracture. The client is expected to regain full strength with therapy services. The client
complains of difficulty holding a toothbrush. What is the BEST action for the OTA to allow the
client to participate in the purposeful activity of morning ADLs?
a. Suggest home modifications that could be made
b. Hire an in-home caretaker to assist the client
c. Ask family members to dress the client
d. Provide adaptive equipment and techniques
____ 11. An OTA is working with a client who has experienced a spinal cord injury so that she can navigate
the grocery store with more independence. The OTA suggests that the client should go to the
grocery store during off-peak times to allow better maneuverability of her wheelchair. The client is
pleased with her ability to grocery shop with more independence. What is this scenario MOST
LIKELY an example of?
a. Therapeutic use of self c. Occupation
b. Activity adaptation
____ 12. The goals for what frame of reference are MOST closely associated with gaining strength,
increasing ROM, reducing pain or swelling, maintaining joint ROM or strength, and preventing
contractures?
a. Rehabilitation c. Neurofunctional
b. Biomechanical
____ 13. The goals for what frame of reference are MOST closely associated with adapting techniques or
tools, making changes to the environment, or compensating for difficulties in performing
occupations?
a. Rehabilitation c. Neurofunctional
b. Biomechanical
, Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants 2nd Edition Test
Bank | Comprehensive Test Bank | Chapter 1 - 41
____ 14. An OTA is working with a college-aged student who sustained a spinal cord injury in a motor
vehicle accident. The student wants to resume attending classes so he can finish his degree. What
would be the BEST suggestion for the OTA to make for this student to begin reintegration into
college life?
a. Explore the accessibility options on campus
b. Inquire about online course options
c. Search for a smaller school in which to enroll
d. Register for classes for the next semester
____ 15. After working with an elderly client who had a total hip replacement, the OTA overhears a
conversation between the client and her caregiver about the client’s lack of independence. The
caregiver states that he will do all of the required ADLs and that the client does not need any of the
adaptive equipment shown. What is the BEST way for the OTA to respond?
a. Provide education on the benefits of the adaptive equipment
b. Respect their wishes and focus treatment on other tasks
c. Tell them they are being a distraction and ask them to leave
d. Inquire about a funding source for the adaptive equipment
____ 16. An OTA is working with a client who has just experienced a cerebrovascular accident (CVA). The
client reports feeling depressed and frustrated with the drastic changes to her life and body and feels
that no one else understands what she is going through. How can the OTA BEST help the client in
this situation?
a. Explain that she can still live her life with the skills that she learns in the therapy
setting
b. Help her find a support group for individuals who have had a similar experience
c. Encourage family to take her to activities that she used to enjoy so she can enjoy
them again
d. Discuss with the physiatrist about the need for a referral for a psychiatric
evaluation
____ 17. If an OTA were using people-first language, how would he MOST LIKELY describe his client?
a. The traumatic brain injury (TBI) in room 220
b. Ms. X who had a TBI
c. Room 220 with a TBI
____ 18. When working with clients OT practitioners are encouraged to use person-first language (PFL).
What are the BEST examples of PFL? (Choose 3)
a. She is paraplegic
b. He is mentally retarded
c. She had a stroke
d. He had a spinal cord injury
e. She is bed bound
f. He uses a power wheelchair
, Adult Physical Conditions Intervention Strategies for Occupational Therapy Assistants 2nd Edition Test
Bank | Comprehensive Test Bank | Chapter 1 - 41
____ 19. An OTA is working with a client who has recently sustained a spinal cord injury. While talking
with the client and asking about what activities she enjoys doing, the client tends to state that
everything is just a blur and that she cannot recall what she enjoyed doing. What might the client
MOST LIKELY be experiencing?
a. Shock c. Denial
b. Refusal d. Anger
____ 20. An OTA is working in an acute rehabilitation facility with an elderly woman who has recently had a
CVA resulting in left hemiparesis and minimal active range of motion in her shoulder. While
talking about goals, the client states that she cannot wait to pick up her grandchildren when they
visit tonight. What might the client MOST LIKELY be experiencing?
a. Shock c. Denial
b. Refusal d. Anger
____ 21. When a client is preparing for discharge from an outpatient setting, which of the following tasks
would MOST LIKELY be delegated to the OTA?
a. Creating a discharge summary c. Performing a final evaluation
b. Creating a home exercise program
____ 22. Throughout the OT process, an OTA is collaborating with an occupational therapist as the
evaluation and treatment process is carried out. The OTA has demonstrated competence with
several assessment tools and has a good rapport with the clients on her caseload. During the
assessment phase, what is the role of the PRIMARY OTA?
a. Administer and interpret assessment scores for treatment planning
b. Delegate components of the assessment to the occupational therapist
c. Report scores on the standardized assessment and client progress
d. Select the standardized assessments to perform
____ 23. An entry-level OTA is beginning a new job in a rehabilitation facility and will be a part of a team of
OTAs who are supervised by an occupational therapist. Where would the OTA MOST LIKELY
look to find regulatory information about supervision guidelines?
a. The state regulatory body
b. The healthcare facility’s policies and procedures manual
c. The National Board for Certification in Occupational Therapy
d. The American Occupational Therapy Association
____ 24. What type of team is MOST closely characterized by a group of various professionals from
different disciplines that provide their own care to the client by performing their own evaluations,
have separate treatment goals, and are responsible for their individual scope of practice as they
work independently of each other?
a. Multidisciplinary c. Transdisciplinary
b. Interdisciplinary
____ 25. What type of team is MOST closely characterized by a group of various professionals from
different disciplines that work in the same setting, share information formally and informally, and
use team meetings to systematically coordinate efforts and solve problems as they relate to each
discipline?
a. Multidisciplinary c. Transdisciplinary
b. Interdisciplinary
