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While making brownies, an individual is able to obtain all the supplies from the cabinet
and check the oven temperature periodically. However, when the tv is turned on halfway
through the activity, she becomes involved with the program and burns the brownies.
This individual is showing signs of a deficit in which area?
A. Sustained attention
B. Detecting and reacting
C. Shifting of attention
D. Mental tracking - correct answer d. Mental tracking
In preparation for an annual individualized family service plan (ifsp) meeting, the ot is
developing ideas for intervention to develop a child's fine motor performance for
independent play participation. To match the principles of part c early intervention
programs. What would be the ot's best recommendation?
A. Family encouragement of the child to engage in play with toys he has at home,
without concern for normal development
B. A periodic reassessment using peabody developmental motor scales, 2nd edition,
fine motor subtest to measure progress in fine motor skill achievement
C. Home visit, during which ot will identify and encourage opportunities for fine motor
practice within the family's preferred routines
D. Increased weekly home visits so ot can implement therapy activities to promote
child's fine motor skill development, using a remedial approach - correct answer c.
Home visit, during which ot will identify and encourage opportunities for fine motor
practice within the family's preferred routines
An adolescent with a history of shoplifting and gang violence has been hospitalized with
a diagnosis of conduct disorder. During a task group, what are the most important
performance skills for the ot to evaluate?
,A. Perceptual-motor performance
B. Leisure and vocational interests
C. Attention span and social interaction skills
D. Interest in performing and ability to perform multiple roles - correct answer c.
Attention span and social interaction skills
An ot is evaluating an individual who has undergone a total hip replacement to
determine awareness and adherence to hip precautions prior to discharge. What can
the ot conclude when the individual is observed leaning forward and stopping at 90
degrees of flexion to use the long-handled shoehorn while donning shoes?
A. Demonstrates independence with precautions
B. Requires verbal cuing to observe precautions
C. Needs a longer assistive device
D. Demonstrates cognitive deficits - correct answer a. Demonstrates independence
with precautions
A client sustained a hand injury months ago while at work. The individual is now
diagnosed with complex regional pain syndrome and is experiencing pain that interferes
with work and self- care. Which of the following would be the best pain management
modality option to discuss with the client?
A. Hot packs
B. Cold packs
C. Fluidotherapy
D. Transcutaneous electrical nerve stimulation - correct answer d. Transcutaneous
electrical nerve stimulation
A child has considerable difficulty with problem-solving when playing with interlocking
blocks, becomes frustrated, and gives up easily. An ot would most likely suspect a
problem in what area?
,A. Sensorimotor play
B. Pretend play
C. Constructional play
D. Play with rules - correct answer c. Constructional play
The ot is making recommendations to a community living site for a 13-year-old child
with moderate intellectual disabilities. Which statement most accurately describes the
functional ability of this child?
A. The child requires nursing care for basic survival skills
B. The child can usually handle routine daily functions in a supervised home
C. The child requires supervision to accomplish productive, nonroutine work.
D. The child is able to learn academic skills at the third- to seventh-grade level - correct
answer b. The child can usually handle routine daily functions in a supervised home
An individual with borderline personality disorder has been referred to occupational
therapy. Which of the following would be most important to evaluate?
A. Activities of daily living
B. Instrumental adls
C. Interpersonal skills
D. Sensorimotor skills - correct answer c. Interpersonal skills
An ot performing a motor skills evaluation observes that a child is awkward at many
gross motor tasks. Though able to skip rope forward, the child is unable to skip rope
backward, even after several attempts. This information would lead the therapist to be
particularly observant for which additional signs?
A. Delayed reflex integration
B. Inadequate bilateral coordination
, C. Developmental dyspraxia
D. General incoordintion - correct answer c. Developmental dyspraxia
A preteen with spastic cerebral palsy wants to use a computer. Prior to evaluating
computer needs, what should the ot learn about first?
A. The student's and family's goals for the device use
B. The family's ability to afford a computer and its upgrades
C. Computer learning programs to facilitate student's participation in the classroom
D. The student's physical and cognitive capacities to determine appropriate keyboard
and screen options - correct answer a. The student's and family's goals for the device
use
An ot has been asked to develop a stress management program for clients with eating
disorders. For this population in particular, which is the most important strategy to
include?
A. A physical activity such as yoga or tai chi
B. Diaphragmatic breathing or progressive relaxation techniques
C. Training to acknowledge feeling and express emotions
D. Role-playing stressful situations - correct answer c. Training to acknowledge
feeling and express emotions
The office doorway of an individual using a wheelchair has a clear opening of 28 inches.
According to ada guidelines, which of the following recommendations would be the most
appropriate to facilitate clear passage of the wheelchair through the doorway?
A. The doorway width needs to be expanded to have a minimum clearance of 32 inches
B. The client needs to obtain a wheelchair narrower than 28 inches
C. The doorway width needs to be expanded to have a minimum clear opening of 45
inches