Clinical Skills Exam Review questions
with correct answers
Occupational therapy students may not sit for the National Board Certification Exam in
Occupational Therapy (NBCOT) or apply for licensure unless they graduate from an accredited
occupational therapy program. How many Accreditation Council for Occupational Therapy
Education (ACOTE®) standards does Clinical Skills 2 address to prepare OTD students for
effective and safe clinical practice? - ANS ✔✔13
What phase of the occupational therapy process, discussed in context of the Occupational
Functioning (OF) Model, requires the occupational therapy practitioner to develop hypotheses
about what strengths and weaknesses the client brings to occupation? - ANS ✔✔Evaluate to
identify the problem(s)
In the 2021 article, "Collaborative relationship-focused occupational therapy: Evolving lexicon
and practice", the authors summarized three major themes of critique: (a) the language of
client-centered, (b) insufficient appreciation of how the therapist affects the therapy
relationship, and (c) inadequate consideration of the relational context of occupational
participation. Which statement below summarizes the article best? - ANS ✔✔Collaborative
relationship-focused practice includes processes through which therapists co-create, alongside
the individual and collectives they work with, opportunities that facilitate shared decision-
making about goals, interventions, processes, and outcomes.
Identifying how others may be feeling and using active listening skills such as body positioning
and reflective responses falls under which category of The Social and Emotional Competencies
Checklist? - ANS ✔✔Social awareness
What are the three domains of self-definition that the Occupational Functioning (OF) Model
sorts roles into? - ANS ✔✔Self-maintenance, self-advancement, and self-enhancement
,Fill in the blank. "Activities and habits are learned using occupation-as-_________, that is, 'task-
specific training." - ANS ✔✔End
At what step in the process do you, the occupational therapy student, 1) observe and analyze
the person's performance, preferably within usual context, 2) identify inadequate performance,
and 3) identify impaired abilities or capacities that contribute to inadequate performance and
assess level of impairment using valid, reliable assessment tools? - ANS ✔✔Evaluate to identify
the problem(s)
What outcome measures will you, the occupational therapy student, consistently practice in lab
because they are consistently used by occupational therapy practitioners in adult rehab on a
daily basis? - ANS ✔✔Pain rating
The purpose of assessing tasks and surroundings for risk factors is to: - ANS ✔✔Take steps to
protect yourself
While bending forward, you spend 30 minutes feeding a patient on bed rest. What is (are) the
musculoskeletal risk factor(s) in this situation? - ANS ✔✔Awkward posture and long duration
Procedural reasoning - ANS ✔✔Informed by clinical pathways or routines to improve function.
Stems from scientific knowledge and practice patterns that provide generalizable strategies for a
client with specific dx.
Interactive reasoning - ANS ✔✔Recognizes the client as an expert in their own lived experience
and as such produces a process of interactive reasoning to collect critical information...
Conditional reasoning - ANS ✔✔Multifaceted and multiperspective reasoning process used to
understand clients' needs to address potential shifts in identity...
Pragmatic reasoning - ANS ✔✔Decision making that works within the parameters of the clinical
as well as the social restriction of the client...
, **Can create dilemmas in clinical reasoning that force "underground" practices
T/F. It is estimated that 50% - 75% of individuals sustaining severe and permanent disability -
such as TBI, spinal cord injury (SCI), and cerebrovascular accident - commonly experience family
and social role disruption, including divorce, loss of primary parenting responsibilities, and lost
connection with predisability friends and social support systems. - ANS ✔✔True
Fill in the blanks. Therapists provide interventions to clients that target _______________ of
client factors, and performance skills and patterns that limit participation in desired
occupations. Therapists also recommend ______________ strategies and adaptations to
occupations or the environment to support occupational performance. - ANS ✔✔remediation;
compensatory
This model is based on the observation that people make changes by advancing through an
ordered series of stages: precontemplation, contemplation, preparation, action, maintenance,
and termination. - ANS ✔✔Transtheoretical change model
The SAFE framework for safe client handling and mobility allows you, the occupational therapy
practitioner, to address environmental variables in order to optimize occupational participation
and performance. What does SAFE stand for? - ANS ✔✔Stop. Assess. Find. Eliminate.
Using the Occupational Functioning (OF) model, identifying environmental or contextual
enablers or hindrances is a part of Obtaining Information About the Client and Evaluate to
Identify Problems. Powers Dirette & Gutman (2021) outline four basic transfer principles
underlying most transfers. Utilizing your clinical reasoning, which principle would you most
likely associate an environmental analysis to initiate a SAFE transfer? - ANS ✔✔Principle 1:
Make sure equipment is set up appropriately
Principle 1: Make sure equipment is set up appropriately
with correct answers
Occupational therapy students may not sit for the National Board Certification Exam in
Occupational Therapy (NBCOT) or apply for licensure unless they graduate from an accredited
occupational therapy program. How many Accreditation Council for Occupational Therapy
Education (ACOTE®) standards does Clinical Skills 2 address to prepare OTD students for
effective and safe clinical practice? - ANS ✔✔13
What phase of the occupational therapy process, discussed in context of the Occupational
Functioning (OF) Model, requires the occupational therapy practitioner to develop hypotheses
about what strengths and weaknesses the client brings to occupation? - ANS ✔✔Evaluate to
identify the problem(s)
In the 2021 article, "Collaborative relationship-focused occupational therapy: Evolving lexicon
and practice", the authors summarized three major themes of critique: (a) the language of
client-centered, (b) insufficient appreciation of how the therapist affects the therapy
relationship, and (c) inadequate consideration of the relational context of occupational
participation. Which statement below summarizes the article best? - ANS ✔✔Collaborative
relationship-focused practice includes processes through which therapists co-create, alongside
the individual and collectives they work with, opportunities that facilitate shared decision-
making about goals, interventions, processes, and outcomes.
Identifying how others may be feeling and using active listening skills such as body positioning
and reflective responses falls under which category of The Social and Emotional Competencies
Checklist? - ANS ✔✔Social awareness
What are the three domains of self-definition that the Occupational Functioning (OF) Model
sorts roles into? - ANS ✔✔Self-maintenance, self-advancement, and self-enhancement
,Fill in the blank. "Activities and habits are learned using occupation-as-_________, that is, 'task-
specific training." - ANS ✔✔End
At what step in the process do you, the occupational therapy student, 1) observe and analyze
the person's performance, preferably within usual context, 2) identify inadequate performance,
and 3) identify impaired abilities or capacities that contribute to inadequate performance and
assess level of impairment using valid, reliable assessment tools? - ANS ✔✔Evaluate to identify
the problem(s)
What outcome measures will you, the occupational therapy student, consistently practice in lab
because they are consistently used by occupational therapy practitioners in adult rehab on a
daily basis? - ANS ✔✔Pain rating
The purpose of assessing tasks and surroundings for risk factors is to: - ANS ✔✔Take steps to
protect yourself
While bending forward, you spend 30 minutes feeding a patient on bed rest. What is (are) the
musculoskeletal risk factor(s) in this situation? - ANS ✔✔Awkward posture and long duration
Procedural reasoning - ANS ✔✔Informed by clinical pathways or routines to improve function.
Stems from scientific knowledge and practice patterns that provide generalizable strategies for a
client with specific dx.
Interactive reasoning - ANS ✔✔Recognizes the client as an expert in their own lived experience
and as such produces a process of interactive reasoning to collect critical information...
Conditional reasoning - ANS ✔✔Multifaceted and multiperspective reasoning process used to
understand clients' needs to address potential shifts in identity...
Pragmatic reasoning - ANS ✔✔Decision making that works within the parameters of the clinical
as well as the social restriction of the client...
, **Can create dilemmas in clinical reasoning that force "underground" practices
T/F. It is estimated that 50% - 75% of individuals sustaining severe and permanent disability -
such as TBI, spinal cord injury (SCI), and cerebrovascular accident - commonly experience family
and social role disruption, including divorce, loss of primary parenting responsibilities, and lost
connection with predisability friends and social support systems. - ANS ✔✔True
Fill in the blanks. Therapists provide interventions to clients that target _______________ of
client factors, and performance skills and patterns that limit participation in desired
occupations. Therapists also recommend ______________ strategies and adaptations to
occupations or the environment to support occupational performance. - ANS ✔✔remediation;
compensatory
This model is based on the observation that people make changes by advancing through an
ordered series of stages: precontemplation, contemplation, preparation, action, maintenance,
and termination. - ANS ✔✔Transtheoretical change model
The SAFE framework for safe client handling and mobility allows you, the occupational therapy
practitioner, to address environmental variables in order to optimize occupational participation
and performance. What does SAFE stand for? - ANS ✔✔Stop. Assess. Find. Eliminate.
Using the Occupational Functioning (OF) model, identifying environmental or contextual
enablers or hindrances is a part of Obtaining Information About the Client and Evaluate to
Identify Problems. Powers Dirette & Gutman (2021) outline four basic transfer principles
underlying most transfers. Utilizing your clinical reasoning, which principle would you most
likely associate an environmental analysis to initiate a SAFE transfer? - ANS ✔✔Principle 1:
Make sure equipment is set up appropriately
Principle 1: Make sure equipment is set up appropriately
