PurplefBookfNBCOTfPrep
AnfOTfisfpreparingftofevaluatefaftoddlerfwhofhasfUEforthopedicfconcerns.f
HowfwillfthefOTfMOSTflikelyfobtainfthefmajorityfoffthefinitialfassessmentf
data?
a.fmeasurementftoolsfthatfassessfvisual-motorfskills.
b.fdynamometerfandfpinchfmeterfreadings.
c.fObservationfoffafchildfduringfactivitiesfinfthefchild-carefcenter.f
d.fFunctionalfindependencefmeasures.f-
fCORRECTfANSWER✔C.fobservationfoffafchildfduringfactivitiesfinfthefc
hild-carefcenter.f
Throughfobservationfoffthefchild,fthefOTfcanfcollectfinformationfaboutfthef
child'sfmotorfperformancefskillsfandfparticipationfinfactivitiesfthatfrequiref
UE/
handfskill.fNaturalisticfobservationfisfafmethodfoffecologicfassessmentfwhi
chfisfaf"primaryfmechanismfforfobtainingfdatafrelevantftofthefchild'sfperfor
mancefcontext."fThefotherfanswerfchoicesfarefallfappropriatefchoicesfafterft
hefchildfisfoldfenoughfforfthesefassessments.
Duringfanfinitialfeval,fthefOTfsuspectsfthatfafchildfhasfsomatodyspraxia.fInf
whatfareafshouldfthefOTffocusfonfthefeval?
a.fabilityftofprintforfwrite
b.freadingfcompetency
,c.fmathfcalculations
d.fnewfmotorftaskfplanningf-
fCORRECTfANSWER✔D.fNewfmotorftaskfplanning
Somatodyspraxiafisfdescribedfasfafdeficitfinflearningfnewfmotorfskills,fplan
ningfnewfmotorfactions,fandfgeneralizingfmotorfplans.fInabilityftofprintforf
writefisftermedfdysgraphia.fDyslexiafmeansfdysfunctionfinfreading,fandfdy
scalculiafisftheftermfforfinabilityftofperformfmathematics.
AnfOTfworkingfinfaflong-termfcareffacilityfneedsftofevalftheflong-
termfmemoryfoffafresident.fWhichfofftheffollowingfmethodsfisfBESTfforfev
aluatingfmemoryfoffpersonallyfexperiencedfeventsf(declarativefmemory).
a.fshowfthefpersonfafseriesfoffobjectsfandfaskfhimftofrecallfthefobjectsfwithin
f60fseconds
b.faskfthefindividualfhowfhefspentfNewfYears.
c.fhavefthefindividualfstatefthefplace,fdate,fandftime.
d.faskfthefclientftofrememberftofbringfafspecificfitemftofthefnextftherapyfsess
ion.f-
fCORRECTfANSWER✔B.faskfthefindividualfhowfhefspentfNewfYears
Declarativefmemoryfisfonefaspectfofflongftermfmemoryfandfincludesfconsc
iousfmemoryfoffevents,fknowledge,forffacts.fItfisfcommonlyfassessedfthrou
ghfverbalfinterviewsfandfinformalftestingfsuchfasfaskingfafquestionfaboutfaf
personsfrecallfoffpersonalfevents.fWorkingfmemoryfrefersftoftheftemporaryf
storagefoffinformationfwhilefonefisfattendingftofitf(answerfA).fProspectivef
memoryfinvolvesfthefabilityftofrememberfintentionsforfactivitiesfthatfwillfb
efrequiredfinftheffuturef(answerfD).fKnowingftime,fdate,fandfplacefisforienta
tion.
,Afchildfavoidsfplaygroundfequipmentfthatfrequiresfherffeetftofbefofffthefgro
und.fWhatfdoesfthisfbehaviorfMOSTflikelyfindicate?
a.fdifficultyfmodulatingfproprioception
b.fsomatodyspraxia
c.fgravitationalfinsecurity
d.fbilateralfintegration/sequencingfdeficits.f-
fCORRECTfANSWER✔C.fGravitational finsecurity.f
gravitationalfinsecurityfisfdescribedfasffearfresponseftofmovement.fTactilef
defensivenessf(answerfA)fisfaftermfusedftofdescribefdiscomfortfwithfvariou
sftexturesfwithfunexpectedftouch.fSomatodyspraxiafinterferesfwithfdevelop
mentfoffbodyschemefandfawareness.fBilateralfintegrationfrelatesftofabilityft
ofcoordinate,fsequence,fandfexecutefmotorfactionsfquicklyfandfefficiently.
WhenfthefOTfsuspectsftactilefdefensivenessfasfafrationalfforfafchild'sfchalle
nges,finfwhatfareafoffparticipationfshouldfthefOTffocusfonfFIRST?f
a.fplayfbehavior
b.fdressingfhabits
c.fsocialfskills
d.fleisurefinterestsf-fCORRECTfANSWER✔b.fdressingfhabits
ChildrenfwithftactilefdefensivenessfarefbotheredfbyftactilefaspectsfoffADLsf
includingfspecificftypesfoffclothing.fThefchildfmayfavoidfwearingfcertainfcl
othes.fConversely,fsomefchildrenfmayfneverftakeftheirfshoesfoffftofavoidfta
ctilefstimulation.fPlayfbehaviorfandfsocialfskillsfcouldfbefaffectedfsecondar
, ilyfasfafresultfoffintoleranceftofcertainftexturesforfhumanftouch.fKnowledgef
offthefchild'sfdressingfhabitsfwillfgivefthefOTfkeyfinformationfatfthefstartfoff
thefevaluationfprocess.
AnfOTfisfworkingfwithfanfindividualfwithfschizophreniafwhofisfinfthefproce
ssfoffpreparingftofmoveffromfafstatefhospitalftofafgroupfhome.fDuringfafbaki
ngfgroup,fthefclientfbecomesfagitatedfandfleavesfthefroomfwhenfanotherfcli
entfusesfthefelectricfhandfmixerftofmixfthefcakefbatter,fandfagainfwhenftwofc
lientsfbeginftofarguefloudlyfaboutfwhichftypefofficingftofuse.fHowfwouldfthe
fOTfBESTfdescribefthisfbehavior?
a.flowfregistration
b.fsensoryfavoiding
c.fsensoryfseeking
d.fafhearingfimpairmentf-fCORRECTfANSWER✔b.fsensoryfavoiding
Thefindividual'sfactionsfarefindicativefoffsensoryfavoidingfbehavior,fcharac
terizedfbyflowfthresholdftofstimulifperceivedfasfnoxious,ffollowedfbyfanfact
ivefresponsefsuchfasfleavingfthefroom.fIndividualsfwithfsensoryfavoidingfb
ehaviorfmayfbecomefdistressedfinfsituationsfinfwhichftheyfcannotfcontrolfth
efenvironment.fAnfindividualfwithflowfregistration,fsensoryfseekingfbehavi
or,forfafhearingfimpairmentfwouldfnotfhavefdifficultyfwithfthefauditoryfstim
ulation.
Duringfafself-
carefevalfoffanfindividualfwhofrecentlyfsustainedfafbrainfinjury,fthefOTfinstr
uctsfthefindividualftofcombfhisfhairfimmediatelyfafterfhefwashesfhisfface.fT
hefindividualfwashesfhisffacefquickly,fbutfthenftheftherapistfmustfgivefhimfs
AnfOTfisfpreparingftofevaluatefaftoddlerfwhofhasfUEforthopedicfconcerns.f
HowfwillfthefOTfMOSTflikelyfobtainfthefmajorityfoffthefinitialfassessmentf
data?
a.fmeasurementftoolsfthatfassessfvisual-motorfskills.
b.fdynamometerfandfpinchfmeterfreadings.
c.fObservationfoffafchildfduringfactivitiesfinfthefchild-carefcenter.f
d.fFunctionalfindependencefmeasures.f-
fCORRECTfANSWER✔C.fobservationfoffafchildfduringfactivitiesfinfthefc
hild-carefcenter.f
Throughfobservationfoffthefchild,fthefOTfcanfcollectfinformationfaboutfthef
child'sfmotorfperformancefskillsfandfparticipationfinfactivitiesfthatfrequiref
UE/
handfskill.fNaturalisticfobservationfisfafmethodfoffecologicfassessmentfwhi
chfisfaf"primaryfmechanismfforfobtainingfdatafrelevantftofthefchild'sfperfor
mancefcontext."fThefotherfanswerfchoicesfarefallfappropriatefchoicesfafterft
hefchildfisfoldfenoughfforfthesefassessments.
Duringfanfinitialfeval,fthefOTfsuspectsfthatfafchildfhasfsomatodyspraxia.fInf
whatfareafshouldfthefOTffocusfonfthefeval?
a.fabilityftofprintforfwrite
b.freadingfcompetency
,c.fmathfcalculations
d.fnewfmotorftaskfplanningf-
fCORRECTfANSWER✔D.fNewfmotorftaskfplanning
Somatodyspraxiafisfdescribedfasfafdeficitfinflearningfnewfmotorfskills,fplan
ningfnewfmotorfactions,fandfgeneralizingfmotorfplans.fInabilityftofprintforf
writefisftermedfdysgraphia.fDyslexiafmeansfdysfunctionfinfreading,fandfdy
scalculiafisftheftermfforfinabilityftofperformfmathematics.
AnfOTfworkingfinfaflong-termfcareffacilityfneedsftofevalftheflong-
termfmemoryfoffafresident.fWhichfofftheffollowingfmethodsfisfBESTfforfev
aluatingfmemoryfoffpersonallyfexperiencedfeventsf(declarativefmemory).
a.fshowfthefpersonfafseriesfoffobjectsfandfaskfhimftofrecallfthefobjectsfwithin
f60fseconds
b.faskfthefindividualfhowfhefspentfNewfYears.
c.fhavefthefindividualfstatefthefplace,fdate,fandftime.
d.faskfthefclientftofrememberftofbringfafspecificfitemftofthefnextftherapyfsess
ion.f-
fCORRECTfANSWER✔B.faskfthefindividualfhowfhefspentfNewfYears
Declarativefmemoryfisfonefaspectfofflongftermfmemoryfandfincludesfconsc
iousfmemoryfoffevents,fknowledge,forffacts.fItfisfcommonlyfassessedfthrou
ghfverbalfinterviewsfandfinformalftestingfsuchfasfaskingfafquestionfaboutfaf
personsfrecallfoffpersonalfevents.fWorkingfmemoryfrefersftoftheftemporaryf
storagefoffinformationfwhilefonefisfattendingftofitf(answerfA).fProspectivef
memoryfinvolvesfthefabilityftofrememberfintentionsforfactivitiesfthatfwillfb
efrequiredfinftheffuturef(answerfD).fKnowingftime,fdate,fandfplacefisforienta
tion.
,Afchildfavoidsfplaygroundfequipmentfthatfrequiresfherffeetftofbefofffthefgro
und.fWhatfdoesfthisfbehaviorfMOSTflikelyfindicate?
a.fdifficultyfmodulatingfproprioception
b.fsomatodyspraxia
c.fgravitationalfinsecurity
d.fbilateralfintegration/sequencingfdeficits.f-
fCORRECTfANSWER✔C.fGravitational finsecurity.f
gravitationalfinsecurityfisfdescribedfasffearfresponseftofmovement.fTactilef
defensivenessf(answerfA)fisfaftermfusedftofdescribefdiscomfortfwithfvariou
sftexturesfwithfunexpectedftouch.fSomatodyspraxiafinterferesfwithfdevelop
mentfoffbodyschemefandfawareness.fBilateralfintegrationfrelatesftofabilityft
ofcoordinate,fsequence,fandfexecutefmotorfactionsfquicklyfandfefficiently.
WhenfthefOTfsuspectsftactilefdefensivenessfasfafrationalfforfafchild'sfchalle
nges,finfwhatfareafoffparticipationfshouldfthefOTffocusfonfFIRST?f
a.fplayfbehavior
b.fdressingfhabits
c.fsocialfskills
d.fleisurefinterestsf-fCORRECTfANSWER✔b.fdressingfhabits
ChildrenfwithftactilefdefensivenessfarefbotheredfbyftactilefaspectsfoffADLsf
includingfspecificftypesfoffclothing.fThefchildfmayfavoidfwearingfcertainfcl
othes.fConversely,fsomefchildrenfmayfneverftakeftheirfshoesfoffftofavoidfta
ctilefstimulation.fPlayfbehaviorfandfsocialfskillsfcouldfbefaffectedfsecondar
, ilyfasfafresultfoffintoleranceftofcertainftexturesforfhumanftouch.fKnowledgef
offthefchild'sfdressingfhabitsfwillfgivefthefOTfkeyfinformationfatfthefstartfoff
thefevaluationfprocess.
AnfOTfisfworkingfwithfanfindividualfwithfschizophreniafwhofisfinfthefproce
ssfoffpreparingftofmoveffromfafstatefhospitalftofafgroupfhome.fDuringfafbaki
ngfgroup,fthefclientfbecomesfagitatedfandfleavesfthefroomfwhenfanotherfcli
entfusesfthefelectricfhandfmixerftofmixfthefcakefbatter,fandfagainfwhenftwofc
lientsfbeginftofarguefloudlyfaboutfwhichftypefofficingftofuse.fHowfwouldfthe
fOTfBESTfdescribefthisfbehavior?
a.flowfregistration
b.fsensoryfavoiding
c.fsensoryfseeking
d.fafhearingfimpairmentf-fCORRECTfANSWER✔b.fsensoryfavoiding
Thefindividual'sfactionsfarefindicativefoffsensoryfavoidingfbehavior,fcharac
terizedfbyflowfthresholdftofstimulifperceivedfasfnoxious,ffollowedfbyfanfact
ivefresponsefsuchfasfleavingfthefroom.fIndividualsfwithfsensoryfavoidingfb
ehaviorfmayfbecomefdistressedfinfsituationsfinfwhichftheyfcannotfcontrolfth
efenvironment.fAnfindividualfwithflowfregistration,fsensoryfseekingfbehavi
or,forfafhearingfimpairmentfwouldfnotfhavefdifficultyfwithfthefauditoryfstim
ulation.
Duringfafself-
carefevalfoffanfindividualfwhofrecentlyfsustainedfafbrainfinjury,fthefOTfinstr
uctsfthefindividualftofcombfhisfhairfimmediatelyfafterfhefwashesfhisfface.fT
hefindividualfwashesfhisffacefquickly,fbutfthenftheftherapistfmustfgivefhimfs
