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An ot is preparing to evaluate a toddler who has ue orthopedic concerns. How will
the ot most likely obtain the majority of the initial assessment data?
A. Measurement tools that assess visual-motor skills.
B. Dynamometer and pinch meter readings.
C. Observation of a child during activities in the child-care center.
D. Functional independence measures. Answer: c. Observation of a child during
activities in the child-care center.
Through observation of the child, the ot can collect information about the child's
motor performance skills and participation in activities that require ue/hand skill.
Naturalistic observation is a method of ecologic assessment which is a "primary
mechanism for obtaining data relevant to the child's performance context." the other
answer choices are all appropriate choices after the child is old enough for these
assessments.
During an initial eval, the ot suspects that a child has somatodyspraxia. In what area
should the ot focus on the eval?
A. Ability to print or write
B. Reading competency
C. Math calculations
D. New motor task planning answer: d. New motor task planning
Somatodyspraxia is described as a deficit in learning new motor skills, planning new
motor actions, and generalizing motor plans. Inability to print or write is termed
dysgraphia. Dyslexia means dysfunction in reading, and dyscalculia is the term for
inability to perform mathematics.
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,An ot working in a long-term care facility needs to eval the long-term memory of a
resident. Which of the following methods is best for evaluating memory of personally
experienced events (declarative memory).
A. Show the person a series of objects and ask him to recall the objects within 60
seconds
B. Ask the individual how he spent new years.
C. Have the individual state the place, date, and time.
D. Ask the client to remember to bring a specific item to the next therapy session.
Answer: b. Ask the individual how he spent new years
Declarative memory is one aspect of long term memory and includes conscious
memory of events, knowledge, or facts. It is commonly assessed through verbal
interviews and informal testing such as asking a question about a persons recall of
personal events. Working memory refers to the temporary storage of information
while one is attending to it (answer a). Prospective memory involves the ability to
remember intentions or activities that will be required in the future (answer d).
Knowing time, date, and place is orientation.
A child avoids playground equipment that requires her feet to be off the ground.
What does this behavior most likely indicate?
A. Difficulty modulating proprioception
B. Somatodyspraxia
C. Gravitational insecurity
D. Bilateral integration/sequencing deficits. Answer: c. Gravitational insecurity.
Gravitational insecurity is described as fear response to movement. Tactile
defensiveness (answer a) is a term used to describe discomfort with various textures
with unexpected touch. Somatodyspraxia interferes with development of
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
,bodyscheme and awareness. Bilateral integration relates to ability to coordinate,
sequence, and execute motor actions quickly and efficiently.
When the ot suspects tactile defensiveness as a rational for a child's challenges, in
what area of participation should the ot focus on first?
A. Play behavior
B. Dressing habits
C. Social skills
D. Leisure interests answer: b. Dressing habits
Children with tactile defensiveness are bothered by tactile aspects of adls including
specific types of clothing. The child may avoid wearing certain clothes. Conversely,
some children may never take their shoes off to avoid tactile stimulation. Play
behavior and social skills could be affected secondarily as a result of intolerance to
certain textures or human touch. Knowledge of the child's dressing habits will give
the ot key information at the start of the evaluation process.
An ot is working with an individual with schizophrenia who is in the process of
preparing to move from a state hospital to a group home. During a baking group, the
client becomes agitated and leaves the room when another client uses the electric
hand mixer to mix the cake batter, and again when two clients begin to argue loudly
about which type of icing to use. How would the ot best describe this behavior?
A. Low registration
B. Sensory avoiding
C. Sensory seeking
D. A hearing impairment answer: b. Sensory avoiding
The individual's actions are indicative of sensory avoiding behavior, characterized by
low threshold to stimuli perceived as noxious, followed by an active response such
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
, as leaving the room. Individuals with sensory avoiding behavior may become
distressed in situations in which they cannot control the environment. An individual
with low registration, sensory seeking behavior, or a hearing impairment would not
have difficulty with the auditory stimulation.
During a self-care eval of an individual who recently sustained a brain injury, the ot
instructs the individual to comb his hair immediately after he washes his face. The
individual washes his face quickly, but then the therapist must give him several
reminders to comb his hair. The ot is most likely to identify this as a deficit in what
area?
A. Working memory
B. Judgement
C. Hearing
D. Abstraction answer: a. Working memory
Working memory is the temporary storage of information while one is working with it
or attending to it. It includes the ability to recall information immediately after
exposure. It also allows one to focus conscious attention and keeps track of
information as one is performing an activity. Judgment is the ability to make realistic
and safe decisions and would not be needed for this task. Because the person
performed the first request, hearing would seem intact. Abstraction is the ability to
extrapolate information from an idea to generalize to another situation and would not
be needed to follow this direction.
A supermarket employee with ocd takes an hour to stock 24 soup cans on the shelf
because once he has placed the cans on the shelf, he removes them and starts over
stating "all the labels were not lined up exactly in the same direction." which of the
following methods would be most effective to evaluate this individual's work
performance?
A. On-site observation of performance skills
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
An ot is preparing to evaluate a toddler who has ue orthopedic concerns. How will
the ot most likely obtain the majority of the initial assessment data?
A. Measurement tools that assess visual-motor skills.
B. Dynamometer and pinch meter readings.
C. Observation of a child during activities in the child-care center.
D. Functional independence measures. Answer: c. Observation of a child during
activities in the child-care center.
Through observation of the child, the ot can collect information about the child's
motor performance skills and participation in activities that require ue/hand skill.
Naturalistic observation is a method of ecologic assessment which is a "primary
mechanism for obtaining data relevant to the child's performance context." the other
answer choices are all appropriate choices after the child is old enough for these
assessments.
During an initial eval, the ot suspects that a child has somatodyspraxia. In what area
should the ot focus on the eval?
A. Ability to print or write
B. Reading competency
C. Math calculations
D. New motor task planning answer: d. New motor task planning
Somatodyspraxia is described as a deficit in learning new motor skills, planning new
motor actions, and generalizing motor plans. Inability to print or write is termed
dysgraphia. Dyslexia means dysfunction in reading, and dyscalculia is the term for
inability to perform mathematics.
1
APPHIA - Crafted with Care and Precision for Academic Excellence.
,An ot working in a long-term care facility needs to eval the long-term memory of a
resident. Which of the following methods is best for evaluating memory of personally
experienced events (declarative memory).
A. Show the person a series of objects and ask him to recall the objects within 60
seconds
B. Ask the individual how he spent new years.
C. Have the individual state the place, date, and time.
D. Ask the client to remember to bring a specific item to the next therapy session.
Answer: b. Ask the individual how he spent new years
Declarative memory is one aspect of long term memory and includes conscious
memory of events, knowledge, or facts. It is commonly assessed through verbal
interviews and informal testing such as asking a question about a persons recall of
personal events. Working memory refers to the temporary storage of information
while one is attending to it (answer a). Prospective memory involves the ability to
remember intentions or activities that will be required in the future (answer d).
Knowing time, date, and place is orientation.
A child avoids playground equipment that requires her feet to be off the ground.
What does this behavior most likely indicate?
A. Difficulty modulating proprioception
B. Somatodyspraxia
C. Gravitational insecurity
D. Bilateral integration/sequencing deficits. Answer: c. Gravitational insecurity.
Gravitational insecurity is described as fear response to movement. Tactile
defensiveness (answer a) is a term used to describe discomfort with various textures
with unexpected touch. Somatodyspraxia interferes with development of
2
APPHIA - Crafted with Care and Precision for Academic Excellence.
,bodyscheme and awareness. Bilateral integration relates to ability to coordinate,
sequence, and execute motor actions quickly and efficiently.
When the ot suspects tactile defensiveness as a rational for a child's challenges, in
what area of participation should the ot focus on first?
A. Play behavior
B. Dressing habits
C. Social skills
D. Leisure interests answer: b. Dressing habits
Children with tactile defensiveness are bothered by tactile aspects of adls including
specific types of clothing. The child may avoid wearing certain clothes. Conversely,
some children may never take their shoes off to avoid tactile stimulation. Play
behavior and social skills could be affected secondarily as a result of intolerance to
certain textures or human touch. Knowledge of the child's dressing habits will give
the ot key information at the start of the evaluation process.
An ot is working with an individual with schizophrenia who is in the process of
preparing to move from a state hospital to a group home. During a baking group, the
client becomes agitated and leaves the room when another client uses the electric
hand mixer to mix the cake batter, and again when two clients begin to argue loudly
about which type of icing to use. How would the ot best describe this behavior?
A. Low registration
B. Sensory avoiding
C. Sensory seeking
D. A hearing impairment answer: b. Sensory avoiding
The individual's actions are indicative of sensory avoiding behavior, characterized by
low threshold to stimuli perceived as noxious, followed by an active response such
3
APPHIA - Crafted with Care and Precision for Academic Excellence.
, as leaving the room. Individuals with sensory avoiding behavior may become
distressed in situations in which they cannot control the environment. An individual
with low registration, sensory seeking behavior, or a hearing impairment would not
have difficulty with the auditory stimulation.
During a self-care eval of an individual who recently sustained a brain injury, the ot
instructs the individual to comb his hair immediately after he washes his face. The
individual washes his face quickly, but then the therapist must give him several
reminders to comb his hair. The ot is most likely to identify this as a deficit in what
area?
A. Working memory
B. Judgement
C. Hearing
D. Abstraction answer: a. Working memory
Working memory is the temporary storage of information while one is working with it
or attending to it. It includes the ability to recall information immediately after
exposure. It also allows one to focus conscious attention and keeps track of
information as one is performing an activity. Judgment is the ability to make realistic
and safe decisions and would not be needed for this task. Because the person
performed the first request, hearing would seem intact. Abstraction is the ability to
extrapolate information from an idea to generalize to another situation and would not
be needed to follow this direction.
A supermarket employee with ocd takes an hour to stock 24 soup cans on the shelf
because once he has placed the cans on the shelf, he removes them and starts over
stating "all the labels were not lined up exactly in the same direction." which of the
following methods would be most effective to evaluate this individual's work
performance?
A. On-site observation of performance skills
4
APPHIA - Crafted with Care and Precision for Academic Excellence.
